Population Stabilization Program in Amethi District, U.P.
SAM has been running a Population Stabilization Program (PSP) in Amethi district since 2013. The program covers approximately 1.2 million people (12 Lakhs) and is funded by the Population Foundation of India
SAM has developed a low cost, replicable model for population stabilization by using effective social persuasion techniques through community activists and with the use of persuasive technology.
SAM has shown that intensive training at the community level can lead to adoption of best family planning practices. The cornerstone of success is repetitive delivery of key health messages. Volunteer health activists create their own culturally-specific slogans, songs and training materials. Key health messages relayed through multiple training courses have transformed health outcomes, promoted health-seeking behaviour amongst women and abolished harmful practices that have been in existence for centuries.
The program objectives achieved the following objectives by December 2018:
- Developed a cadre of over 29000 trained voluntary health activists.
- To decrease unmet need, SAM established a supply chain and a network of village based contraceptive suppliers, who sell to the community below the market price.
The program had multiple targets:
- Double the contraceptive acceptance rate compared to
base line survey. - Decrease the unmet need
of contraception by fifty percent. Decrease innumber of girls marrying below the legal age of eighteen.- Increase in
birth interval of 36 months and more.
PSP Program achievements till December 2018
| Details | Percentage of Eligible Couples | |
| 1 | Target Couples Contacted by SAM staff | 90% |
| 2 | Total No. of target Couples using contraceptives | 62% (was 10% at the beginning) |
| 3 | Girls marriage beyond 18 years of age | 99% |
The PSP program will be phased out in a planned manner and handed over to community leaders. SAM will observe from outside for a minimum of 3 months to ensure continuity and intervene when needed.
Glimpses’ of Population Stabilization Program in Amethi district.
Population Stabilization Program Achievements – SAM Amethi
Period – January 2015 to December 2015
| Details of Activities | No. of Activities Organised | Total Participants in the activities |
| Block level Association Meeting organised | 147 | 7392 |
| No. of cluster Level Association Meetings organised | 123 | 3005 |
| No. of Open Meeting organised | 2961 | 35823 |
| Village Health & Nutrition Day observed by SAM | 1338 | 8573 |
| No. of Arogya Sakhi training organised | 1032 | 26173 |
| No. of Swasthya Sakhi training organised | 14 | 480 |
| No. of Rogi Kalyan Samiti meeting organised | 7 | 129 |
| No. of Magic show organised in the program villages | 238 | 28500 approx. |
| District level orientation on PSP interventions | 01 | 24 |
| No. of Block level orientation | 09 | 245 |
| ICDS Meetings | 26 | 468 |
| No. of CHC/PHC visit | 38 | 1176 |
| Total No. of target/ Eligible couples are using different modern contraceptives | 8542 | |
| Condom | 4421 (52%) | |
| Coper T | 104 (1.2%) | |
| Multi load | 132 (1.5) | |
| Mala N | 1063 (12.44%) | |
| Saheli (Weekly Tablet) | 704 (8%) |
Period : January 01, 2016 To December 2016
| Sl. No. | Details | Phased out GP | Percentage | Non Phase out | Percentage |
| 1 | Total Population Covered in the program GP | ||||
| 2 | Total No. of Target Couples | ||||
| 3 | Total No. of Target Couples Contacted | 34620 | |||
| 4 | Total No. of Target Couples using contraceptives | 15208 | 43% | ||
| a | Condom | 12141 | 79.83% | ||
| b | Oral Pills (Mala N) | 1317 | 8.65% | ||
| c | Saheli (weekly Oral Pills) | 1398 | 9.19% | ||
| d | IUCD | 352 | 2.31% | ||
| 5 | Total No. of Eligible Couples | ||||
| 6 | Total No. of Eligible Couples contacted | 58211 | |||
| 7 | Total No. of Eligible couples using modern contraceptives | 28388 | 48.76% | ||
| a | Condom | 18437 | 64.94% | ||
| b | Oral daily Pills | 3975 | 14% | ||
| c | Saheli Weekly Pills | 4494 | 15.83% | ||
| d | IUCD | 938 | 3.30% | ||
| e | Sterlisation female | 544 | 1.91% | ||
| 8 | % of Depot holders having modern contraceptives | 2619/2226 | 84.99% | ||
| 9 | % of Asha having modern contraceptives | 1142/805 | 70.49% |
Period: January 2017 to December 2017
Program Area:
1. District: Amethi.
- Total number of Blocks : 12.
- Total No. of Gram Panchayat: 360
- Population coverage : 12 Lakhs approx.
2. District: Jaunpur:
- Total No. of Blocks: 2.
- Total No. of Revenue Villages: 100.
- Population Coverage: approx. 100000.
Objectves:
- Double the contraceptive acceptance rate.
- Decrease the unmet need of contraceptive.
Sub – Objective:
- Delay in girls marriage, not before 18 years of legal age.
- Delay in 1st pregnancy and keep 3-5 years gap between 1st and 2nd child birth.
Maternal and Child Health..
Objectives:
- Reduction in maternal and Infants mortality.
- To Improve
health and nutritional statusof women and children. - Building capacity of key stake holders on maternal & child health issues.
T.B. Eradication Program:
Objectives:
- Minimise the T.B. prevalence in the Amethi district.
- Reduction in death due to TB disease.
- Ensure 100% sputum test and treatment of T.B. at Govt. hospital through DOTs .
- Prevention from T.B. disease
Project Strategy:
- Community Mobilization.
- Capacity Building
- Developing community volunteers/ Change Agents (Arogya Sakhi, Swasthya Sakhi)
- Strengthening of Depot holders and network of Social Market
- System Strengthening through participation in VHND, CHC visits and orientation of health and ICDS officials and RKS meetings
- Strategic Alliance with other NGOs , working in the same program area.
Achievement So For period: (Jan. 2017 to December 2017)
- Developed a team of Arogya Sakhi: approx. 30000.
- Developed a team of Swasthya Sakhi: 2000.
- Depot Holders: 292.
- Increase in Modern Contraceptives uses among
Target & Eligible couples: 53%
Decrease in Unmet Need from: 10.8% to 2.2% as perbase line survey- Increase in Institutional deliveries: 99%
- Increase in Girls marriage > 18 years: 95%.
Total pregnant women: 38062.- Total Pregnant women contacted: 21961.
- Total No. of live birth: 17052
Decrease in Infant Mortality Rate: 3 ( 42/1000 live birth.)Decrease in Maternal Mortality rate: 53 ( 9 / 100000 live birth.)- IMR of U.P. as per Annual Health Survey
2012-13 : 68. - MMR of U.P. as per Annual health survey
2012-13 : 258. - IMR of Amethi as per annual health survey 2012-13: 45.
- MMR of Amethi as per annual health survey 2012-13: 364.
- Total T.B. patients
under gone for treatment
Since Jan- Dec. 2017: 452
- Total Patients Cure: 295
- Total Drop out during treatment: 16
- Total Patient died during treatment: 10
- Still under treatment: 131
Period : January 01, 2018 To December 2018
| Sl. No. | Details | Phased Out GP | Percentage | Non Phase Out | Percentage |
| 1 | Total Population Covered in the program GP | 165537 | 672045 | ||
| 2 | Total No. of Target Couples | 4005 | 14529 | ||
| 3 | Total No. of Target Couples Contacted | 3607 | 90% | 12501 | 86% |
| 4 | Total No. of Target Couples using contraceptives | 2226 | 62% | 6161 | 50% |
| a | Condom | 1208 | 54% | 3544 | 58% |
| b | Oral Pills (Mala N) | 533 | 24% | 1370 | 22% |
| c | Saheli (weekly Oral Pills) | 384 | 17% | 992 | 16% |
| d | IUCD | 101 | 4.5% | 255 | 4% |
| 5 | Total No. of Eligible Couples | 12063 | 52416 | ||
| 6 | Total No. of Eligible Couples contacted | 10658 | 88% | 44206 | 84% |
| 7 | Total No. of Eligible couples using modern contraceptives | 6661 | 62% | 21082 | 48% |
| a | Condom | 3617 | 54% | 12255 | 58% |
| b | Oral daily Pills | 1703 | 26% | 4900 | 23% |
| c | Saheli Weekly Pills | 940 | 14% | 2847 | 14% |
| d | IUCD | 236 | 4% | 661 | 3% |
| e | Sterlisation female | 165 | 2.5% | 419 | 2% |
| 8 | % of Depot holders having modern contraceptives | 99% | 99% | ||
| 9 | % of Asha having modern contraceptives | 96% | 96% |
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