Operational Policy Issues Associated with Contraceptive Distribution in Uttar Pradesh

Author : Gadde Narayana, J.S. Deepak
Description

Contraceptive distribution in Uttar Pradesh is hampered by systemic problems requiring considerable attention. This paper discusses the contraceptive distribution within the state and identifies issues that will lead to increased efficiency of the system.

The data on contraceptive prevalence for three fiscal years: 1995-96, 1996-97 and 1997-98 at the directorate, district, CHC/PHC, and the subcentre levels has been analyzed to give insight into the distribution system. The major finding of the analysis was that inaccurate contraceptive forecasting based on amounts of contraceptives distributed in previous years rather than data that takes into consideration actual consumption leads to purchase of excessive commodities.

Excess amounts of commodities lead to inefficient utilization of available funds and huge amounts of wastage. Estimated waste in contraceptives during 1996-97 was to the tune of: condoms- 71 per cent, Oral Pills - 78 per cent and IUD 91 percent wastage. Logistics and commodities make up a large part of the programme costs. Paying for commodities that are not needed leads to blocking funds that could have been utilized to improve other aspects of the programme. In addition excess supply has implications for the cost of transport and storage at every step down the distribution chain. Furthermore, excessive quantities of contraceptives lead to wastage due to expiration of the product or deterioration in its quality.

Presented / Published

Paper presented at a workshop on Population Policy for Uttar Pradesh : Identification of Issues, March 2-4, 2000 Lucknow.

Key Words: Contraceptives, Distribution System, Operational Policy