India’s Total Fertility Rate (TFR) – Key Points

1. Achievement of TFR Target

   • India’s TFR: 2.0 (NFHS-5, 2019–21).

   • Aligned with:

     • National Population Policy 2000 target: TFR of 2.1.

     • National Health Policy 2017 target: TFR of 2.1.

2. Definition of TFR

   • Average number of children a woman will have during her lifetime.

   • Measured in children per woman.

3. Government Focus Areas

   • Achieve and maintain replacement-level fertility across all regions.

   • Promote healthy timing and spacing of pregnancies.

   • Ensure availability of family planning services.

   • Approve state budgets in the Programme Implementation Plan (PIP) based on specific fertility management needs.

4. Government Initiatives for Family Planning & Population Control

   a. Expanded Contraceptive Choices

   • Includes: Condoms, combined oral contraceptive pills, emergency contraceptive pills, IUCD, sterilization.

   • Expanded basket with new contraceptives: Injectable contraceptive MPA (Antara Programme), Centchroman (Chhaya).

   b. Mission Parivar Vikas

   • Implemented in 7 high-focus states and 6 North-Eastern states.

   • Aims to improve access to contraceptives and family planning services.

   c. Sterilization Compensation Scheme

   • Provides compensation to sterilization acceptors for loss of wages.

   d. Post-Pregnancy Contraception

   • Post-Partum IUCD (PPIUCD).

   • Post-Abortion IUCD (PAIUCD).

   • Post-Partum Sterilization (PPS).

   e. Awareness Campaigns

   • World Population Day Campaign.

   • Vasectomy Fortnight – conducted annually to boost awareness and service delivery.

   f. Home Delivery of Contraceptives Scheme

   • Implemented through Accredited Social Health Activists (ASHAs).

   g. Family Planning Logistics Management Information System (FP-LMIS)

   • For effective management of family planning commodities at all health facility levels.