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
- Decrease the unmet need
ofcontraception by fifty percent. Decreasein numberof girls marrying below the legal age of eighteen.
- Increase in
birthinterval 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
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
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.
- 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..
- Reduction in maternal and Infants mortality.
- To Improve
healthand nutritional status of womenand children.
- Building capacity of key stake holders on maternal & child health issues.
T.B. Eradication Program:
- 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
- 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%
Decreasein Unmet Need from: 10.8% to 2.2% as per base in 2014 and End line survey in 2016. linesurvey
- Increase in Institutional deliveries: 99%
- Increase in Girls marriage > 18 years: 95%.
Total pregnantwomen: 38062.
- Total Pregnant women contacted: 21961.
- Total No. of live birth: 17052
Decreasein Infant Mortality Rate: 3 ( 42/1000 live birth.) Decreasein Maternal Mortality rate: 53 ( 9 / 100000 live birth.)
- IMR of U.P. as per Annual Health Survey
- MMR of U.P. as per Annual health survey
- 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 gonefor 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
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%