Innovations in Reproductive Health : Meeting the Challenges in Uttar Pradesh

Author: Aradhana Johri, Marta levitt-Dayal

Uttar Pradesh is the most populous state in India with a population of 139.1 million in 1991 and has high fertility and mortality rates. The use of reproductive health services including family planning is very low in the state. The silver lining in the dismal demographic scenario is the existence of 30 percent unmet need for family planning services.

To achieve the goal of reducing the population growth to a level consistent with the social and economic objectives, SIFPSA has initiated a lot of innovative measures to increase the access to reproductive health services, improve quality of care and generate demand. To improve access in both the remote areas and rural slums, it has actively involved the private voluntary organizations, the vast network of milk cooperatives, organized industry/corporate sector, indigenous system of medical practitioners, and traditional birth attendants. Each of them, have been involved in providing services as per their strengths.

To improve quality of care focus is being given to changing attitudes of service providers, skill enhancement of service providers, ensuring availability of providers by hiring private women medical officers where positions are vacant in the rural health centre, and improving health facilities to meet quality standards. Apart from meeting the current needs for reproductive health services, efforts are also being made to generate demand by designing and implementing a major multi media IEC campaign that can effectively relate to local people. SIFPSA has also developed innovative measures to ensure sustainability of the measures initiated by it.

Presented / Published

Presented at World Federation of Public Health Association (WFPHA), 9th International Congress, September 2-6, 2000, Beijing, China

Key Words: Uttar Pradesh, Innovations, Reproductive Health