What gets measured, gets managed

Expanding Choice through the Use of Injectables in the Public Health System Rajsamand, Rajasthan : A Study-cum-Exposure Visit

India's population growth is largely an outcome of failed or insufficient prevention of unintended pregnancy. As per National Family Health Survey-III (2005-06), one in five births is either mistimed or unwanted resulting from inadequate or incorrect contraceptive use. The unmet need is high as approximately 20% of married women of reproductive age are either not using any contraceptive method despite wanting to limit or space the birth of their next child, or are currently using less effective traditional methods to prevent pregnancy.

In this context, Rajsamand district in Rajasthan has initiated a bold and innovative programme of introducing an injectable, called Khushi Depo, to expand the basket of contraceptive choices in the public health system in the month of June, 2013. Mr.B.K.Jain, General Manager(R&E),SIFPSA, Dr.Veena Bajpai, General Manager(Public Sector),SIFPSA, Dr.Meenu Sagar, Director-Family Welfare,UP, Dr.Baljit Singh Arora, Ex.Director General and Sr.Advisor, National Health Mission,UP and Ms. Monica Wahengbam, Programme Coordinator – Advocacy and Communication, PFI visited the district during the period September 25-27,2014 to understand the programme approach, strategies, scale, challenges and users' perspective. The team visited the office of the Chief Health Medical Officer (CHMO), PHC, Kuraj, CHC Railmagra and CHC Delwara in Rajsamand district.

The team met with the CHMO, Deputy CHMO (Family Welfare), the District RCH Officer, the District Programme Manager – National Health Mission, Medical Officers, Lady Health Volunteers (LHV), the male nurse, ANMs and ASHAs placed in district and the health facilities. The team also interacted with the users of the Khushi injectable in a group and individually. The team has submitted its recommendations to Health and Family Welfare department, Uttar Pradesh.

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