Currently, donor funding accounts for less than 0.3% of India’s total health expenditure. India seeks only technical assistance and support from development partners, not funding.
Family planning in India has undergone a paradigm shift, away from the old sterilization-centric emphasis on population control. Family planning is now understood as a critical intervention to improve health and reduce maternal and child mortality. The emphasis is on increasing the basket of choices available to women and on providing information, services and supplies. There is also a focus on other social determinants of health, such as education for all and increasing literacy among girls. To expand family planning access to an additional 48 million women by 2020, India has prepared detailed national and state plans. Scorecards have been introduced for states and high-priority districts to report key indicators on a quarterly basis.
Nearly 900,000 community health workers are distributing contraceptives to households and counseling newly married couples on birth spacing. India has improved the basket of choices of modern contraceptives by introducing a new device (Cu IUCD 375) with five years’ efficacy. The postpartum intrauterine contraceptive device has also been introduced.
A new community-based program has been launched with an integrated focus on adolescent health, including the reduction of teen pregnancies. The program is preventive in approach and goes beyond traditional sexual and reproductive health to bring into its ambit five new areas of programming: nutrition, mental health, injuries and violence, substance misuse and non-communicable diseases.
Source: India Ministry of Health and Family Welfare, via SEEK interview.