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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:

1. Developed a cadre of over 29000 trained voluntary health activists.
2. 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:

1. Double the contraceptive acceptance rate compared to base line survey.
2. Decrease the unmet need of contraception by fifty percent.
3. Decrease in number of girls marrying below the legal age of eighteen.
4. 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.

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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%)

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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%

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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 1^st pregnancy and keep 3-5 years gap between 1^st and 2^nd child birth.

Maternal and Child Health..

Objectives:

• Reduction in maternal and Infants mortality.
• To Improve health and nutritional status of  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 per base line  survey in 2014 and End line survey in 2016.
• 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

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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%