CONTRACEPTIVES

Condoms

Copper-T

Oral Contraceptives Pill

AREA PROJECTS UNDER SOCIAL MARKETING

LAPAROSCOPES/TUBAL RINGS

VACCINES

CONTRACEPTIVES

Condoms/Copper-T/Oral Contraceptives Pills

  

            The National Family Welfare Programme provides the following contraceptive services for spacing births:

a)                  Condoms

b)                  Oral Contraceptive Pill

c)                  Intra Uterine Devices (IUD)

 Whereas condoms and oral contraceptive pills are being provided through free distribution scheme and social marketing scheme, IUD is being provided only under free distribution scheme. Under Social Marketing Programme, contraceptives, both condoms and oral pills are sold at subsidized rates. In addition, contraceptives are commercially sold by manufacturing Companies under their brand names also. Govt. of India does not provide any subsidy for the commercial sale.

 

CONDOMS                                                                                                                                                                         

           

2.         Condoms are made available to the potential users by Government of India through the following schemes:

 

-           Free Distribution Scheme

-           Social Marketing Scheme

           

Free Distribution Scheme

           

3.         Free disbursement of condoms was started with the objective of making them available to those who cannot afford to pay for it. Under this Scheme, Department of Family Welfare procures condoms with brand name NIRODH from various Indian Manufacturers and supply them to all the States/UTs for distribution to the users free of cost through dispensaries, hospitals, PHCs, Sub-Centres etc. 

 
Social Marketing Scheme

 4.        Social Marketing Programme of condom was launched by the Govt. of India in 1968 with the objective of making condoms available to those who can afford to pay nominally for it. Under this scheme, three different varieties namely (i) New Lubricated Nirodh, (ii) ‘Deluxe Nirodh’  and (iii) ‘Super Deluxe Nirodh” are procured from the indigenous condom manufacturers and supplied to marketing companies/NGOs (called Social Marketing Organizations) at subsidised rates for sale in the open market . In addition, distributing companies i.e. SMOs are permitted to market condoms under their own brand name.  A promotional incentive of 10 paise per condom sold for Deluxe and Super Deluxe varieties and 3 paise per condom sold for New Lubricated variety is also being provided to the SMOs. Deluxe Nirodh is also sold by State AIDS Control Societies through their NGOs net work.

 

5.         The country is self sufficient in the production of condoms. The names of manufacturers presently having rate contract with the department alongwith their annual capacity are given below :

 

Firm

Annual Capacity

( In Million Pieces)

1. Hindustan Latex Ltd.

600.00*

2. TTK LIG

321.28

3. Polar Latex Ltd.

178.50

4. J.K. Ansell

84.10

5.Suretex Prophylactics (India) Ltd.

60.00

6.Indus Medicare

34.50

                        *As per MOU. For others on single shift basis.

 

6.         The following Tables show the condoms distributed under Free Supply and Social Marketing Programme and maximum retail price charged under Social Marketing: 

 

Distribution of Condoms under (i) Free Supply and

(ii) Social Marketing Programme

(In Million Pieces)

Fiscal Year

Free Supply

Social Marketing

 

1995-96

891.22

162.92

1996-97

741.70

263.25

1997-98

685.85

324.42

1998-99

674.70

348.74

    1999-2000

624.36

477.74

2000-01

627.42

465.43

2001-02

733.00

438.79

2002-03

891.42

513.77

                       

         

Retail Price (MRP) of Condoms under

Social Marketing Programme

Brand Name

No. of Pieces Per Pack

Retail Price

Per Pack(Rs.)

 

 

 

1. Ahsaas

4

5.00

2. Bliss

4

6.00

3. Deluxe Nirodh

5

2.00

4. Masti

4/10

5.00/10.00

5. Mauj

5

5.00

6. Milan

4

2.00

7. Mithun

6/12

4.00/7.00

8. New Lubricated Nirodh

3

0.50

9. Pick Me

4

5.00

10. Sangam

3

3.00

11. Sawan

4

4.00

12. Super Deluxe Nirodh

4

3.00

13. Ustad

4

4.00

14. Zaroor

3/12

4.00/12.00

15.Sathi

4/10

5.00/10.00

16. Sparsh

4/10

5.00/10.00

17. Thril

4

5.00

 

ORAL CONTRACEPTIVE  PILLS                                                                                                                                   

 

7.         Oral Contraceptive Pills are also made available to the potential users by Government of India through the following schemes:

 

-           Free Distribution Scheme

-           Social Marketing Scheme

 

Free Distribution Scheme

 8.        Under the free distribution scheme  Oral Contraceptive Pills with brand name Mala N  are procured and distributed to the acceptors free of cost in the same manner as that of condoms.

 

Social Marketing Scheme

 

9.         On the pattern of Social Marketing scheme  of condoms, Social Marketing Scheme of Oral Pills was launched  by the Govt. of India in 1987. Under this scheme, Government  procure Mala D  from the indigenous manufacturers and supply them  to marketing companies/NGOs (called Social Marketing Organizations) at subsidised rates. Distributing companies i.e. SMOs are also permitted to market oral pills  under their brand name. A promotional incentive of Re. 0.25 per cycle of oral pills sold is also being provided to the SMOs.

 

10.       The raw material for Oral Contraceptives Pills namely Levonorgestrel & Ethynloestradial have now been procured by the Department from 2002-03 onwards. The tabletting of pills from the raw material is done by the manufacturers .The manufacturers having rate contract with the Department during the current year and their production capacities are as under:

           

Firm

 

Annual Capacity

( In Million Cycles)

1.   M/s Pharmasia Ltd

53.57

2.  M/s Hindustan Latex Ltd

51.86

3.   M/s Famy Care Ltd

49.65

4.   M/s IDPL 

33.86

           

11.       The following Tables show the Oral Pills (one cycle consists of 28 tablets) distributed  under Free Supply and Social Marketing Programme and maximum retail price charged under Social Marketing : 

 

Distribution of Oral Pills under (i) Free Supply and

(ii) Social Marketing Programme

(In Lakh Cycles)

Fiscal Year

Free Supply

Social Marketing

1995-96

411.20

146.80

1996-97

397.94

162.42

1997-98

467.10

228.40

1998-99

452.32

255.08

1999-2000

488.98

349.03

2000-01

554.39

331.91

2001-02

528.54

403.32

2002-03

574.31

477.51

 

 Retail Price (MRP) of Oral Pills under

Social Marketing Programme

Brand Name

 

No. of Cycles Per Pack

Retail Price   

Per Cycle(Rs.)

 

 

 

1. Apsara

1/3

4.00/10.00

2. Arpan

1

5.00

3. Choice

1

7.00

4. Ecroz

1/3

6.00/10.00

5. Julie

1

5.00

6. Mala D

1

2.00

7. Pearl

1/3

5.00/10.00

8. Suvida

1/3

7.00/20.00

9.Khushi

1

5.00

10.Hamjoli

1/3

5.00/10.00

 

Social Marketing Organizations under social Marketing of Condoms and Oral Pills

 

12.       At present  following SMOs are participating for distribution of contraceptives (Condoms/Oral Pills) under Social Marketing in India.

 

Social Marketing Organizations under Social Marketing of Contraceptives

S/No

 

Name of the SMO

 

Condoms (Brand)

Oral pills (Brand)
  1.  

Population Services International , New Delhi

Deluxe Nirodh, Masti

Mala-D, Pearl

 
  1.  

Hindustan Latex Ltd., Thiruvananthapauram

 

Deluxe Nirodh, New Lubricated Nirodh,Ustad

Mala-D, Arpan

 

 
  1.  

World Pharma, Indore

 

Deluxe Nirodh, Mauj

Mala-D, Julie

 
  1.  

Parivar Kalyan Kendra, Panchkula

Deluxe Nirodh, Pick me

Mala-D

Sugam
  1.  

Janani, Delhi

 

Deluxe Nirodh, Mithun

Mala-D,Apsara

 
  1.  

Parivar Seva Sanshtha, New Delhi

 

Sawan, Bliss, Milan

Ecroz

 
  1.  

DKT India, Mumbai

Zaroor

Choice
  1.  

Pashupati Chemicals & Pharmaceuticals Ltd., Kolkata

Ahsaas

 

-

 
  1.  

Dey’s Medical Store (Mfg) Ltd, Kolkata

-

Mala-D
  1.  

Eskag Pharma Pvt. Ltd., Kolkata

-

Suvida
  1.  

Family Planning Association of India, Mumbai

Sangam

 

-

 
  1.  

Indian Drugs & Pharmaceutical Ltd., Gurgaon

-

 

Mala-D

 
  1.  

Population Health Services, Hyderabad

Thril

Khushi
  1.  

Medicon Enterprises ,Rohtak

Sparsh

 
  1.  

Parivar, Patna

Sathi

Hamjoli

 

WEEKLY  ORAL CONTRACEPTIVE PILLS (CENTCHROMAN)                                                                            

 

13.       Since December, 1995 Centchroman, a non-steroidal weekly OCP  for female developed by Central Drugs Research institute (CDRI), Lucknow is socially marketed by M/s Hindustan Latex Ltd. ( Public Sector) under the brand name SAHELI  for which product subsidy and publicity support is being provided by  the Government. This pill is to be taken  twice a week  on fixed  days  for first three months , followed by one pill in a week thereafter.

 

 

14.       The following Table shows the sale of  ‘Saheli’ since 1.12.1995 : 

 

                                    Fiscal Year                 Centchroman(Saheli)

                                                                        ( In lakh tablets)                                

                                    1995-96                                   44.17

                        (1.12.95 to 31.3.96)

                                    1996-97                                   62.05

                        1997-98                                   94.06

                                    1998-99                                   87.70

1999-2000                                                             56.83  

2000-01                                                                       63.98

2001-02                                   129.60

2002-03                                    135.58                                 

 

COPPER-T

 

 15.      Cu-T is one of the important spacing methods offered under the Family Welfare Programme. Cu-T is supplied free of cost to all the States/UTs  for insertion at the PHCs, Sub-centres and Hospitals by trained Medical Practitioners/trained Health Workers.

 

16.      The earlier version of Cu-T 200 ‘B’ (IUDs) has been replaced by Cu-T 380-A from 2002-03 onwards which provides protection for a longer period(about 10 years) as against Cu-T 200 ‘B’ which provided protection for about 3 years only.       

The country has a large production capacity of  Copper –T to meet country’s domestic need as well as export. The names of manufacturers presently having rate contract with the Department and their annual production capacity are given below: 

Firm

Annual Capacity

(In Lakh Pieces)

1.  M/s Famy Care Ltd

163.64

2.  M/s SMB Corporation of India

85.33

3.  M/s Hindustan Latex Ltd

59.20

4.  M/s Contech Devices Pvt Ltd

20.72

 

17.       The use of Cu-T since 1995-96 is as under:

 Year

Use of Cu T

(In lakh Pieces)

1995-96

68.58

1996-97

56.81

1997-98

61.73

1998-99

61.44

1999-2000

61.89

2000-01

60.03

2001-02

76.02

2002-03

75.18

 

18. Emergency Contraceptive Pill has been introduced for the first time under Family Welfare Programme during 2002-03.  The emergency contraceptive is the method that can be used to prevent unwanted pregnancy after an unprotected act of sexual intercourse ) including sexual assault, rape or sexual coercion) or a contraceptive failures.  Emergency Contraceptive is to be taken on prescription of Medical Practitioners.  A pack contain two tablets of Levonorgentrel     

Area Projects under Social marketing:

 

19.       In view of putting concerted efforts with area specific projects, Social Marketing endeavours have been initiated in six States- Madhya Pradesh, Haryana, Andhra Pradesh,. Bihar, Jharkhand and Orissa.

 

(i) To begin with, in 1998-99, the Department of Family Welfare had sanctioned a pilot             project to M/s. Hindustan Latex Family Planning Promotion Trust, Thiruvananthapuram HLFPPT) of HLL, for strengthening Social Marketing of Contraceptives programme.  The project has been implemented in three districts of Madhya Pradesh viz., Gwalior, Bhind and Morena.  This has been extended up to 31.3.2001 with inclusion of two more adjacent districts namely; Shivpuri and Datia.

            This project has been evaluated by the International Institute for Population Sciences (IIPS), Mumbai in the beginning of year 2000.  The study revealed that the model adopted by HLFPPT has made impact in rural areas also and it may therefore be replicated in some demographically back ward districts of other States.    

 

            (ii) Another area project on Social Marketing sanctioned to the Society for Woman and Child Health in Haryana, has been launched in the districts of Ambala, Kurukshetra, Panchkula and Yamuna Nagar in April, 2000 for four years at a total cost of 1.32 crores.

 

(iii) Encouraged by the success of these area projects as revealed from impact evaluation conducted, a third project has been launched in Andhra Pradesh in Feb., 2000 by M/s. Hindustan Latex Family Planning Promotion Trust, Thiruvananthapuram (HLFPPT) of HLL, with the funding from European Commission, at a total cost of Rs. 4.66 crores for a period of three years.

 

(iv) Similar projects have been launched in the States of Bihar, Jharkhand and Orissa being  implemented by HLFPPT of HLL.

 

 (v) Collaboration with SIFPSA in Uttar Pradesh:  Hindustan Latex Limited(HLL) is implementing a Rural Marketing Project (condoms and oral pills) awarded by State Innovation in Family Planning Services Agency(SIFPSA) in all the districts of Uttar Pradesh, since May,1997.  The Project has developed linkages with many NGOs and milk cooperative societies in implementation. It fills a gap of such Social Marketing activities in rural areas in the most populous State of the country and made appreciable strides in this duration.  After completion of first project in April,2000, second project has been initiated in May,2000 for covering 37,000 villages in entire Uttar Pradesh for a period of three years, with SIFPSA funds.

 

 

 

 

 LAPAROSCOPES/TUBAL RINGS

 

20.       Laparoscopes/Laparocators are essentially required for undertaking Laparoscopic sterilization which is a relatively quicker method of female sterilization. 25 Central Laparoscopic Training Centres have been identified for the purpose of training medical and paramedical personnel in this technique. The training is imparted to a team consisting of Gynaecologist/Obst./Surgeons with minimum 3 years experience in the field, Operation Theatre Nurse and Operation Theatre Attendant.

 

21.       At present, Laparoscopes are supplied @ 1.5 Laparoscope per trained team.  To meet this requirement, the Laparoscopes are procured centrally and distributed among the States/UTs. Tubal Rings for this purpose are also procured centrally and distributed to the States/UTs as per their demand.

 

 

VACCINES

 

22.       Under the Immunization Programme, Department  supplies six vaccines for vaccinations to infants and pregnant women for the control of vaccine preventable diseases.  The names of manufacturers having rate contract with the Department during the current year and their production capacity are as under:

 

Vaccine

Name of manufacturing unit

Annual Capacity ( In m. pcs.)

Tatanus Toxoid Vaccine

1. M/s. Biological Evens Ltd. Hyderabad

120

 

2. Serum Institute, Pune

96

 

3. M.s. Haffkine Bio-Pharmaceuticals Mumbai

71.2

 

4. Central Research Institute, Kasauli

30

 

5. M/s. Pasteur Institute of  India, Coonoor

30

 

6. State Vaccine Institute, Patwadangar Nainital

10

DT Vaccine

1. M/s. Biological Evens Ltd. Hyderabad

24

 

2. Central Research Institute, Kasuali

20

 

3. M/s. Pasteur Institute of India, Coonoor

15

 

4. M/s. Haffkine Bio-Pharmacuticals Mumbai

10

DPT Vaccine

1. Serum Institute of India, Pune

97.5

 

2. M/s. Biological Evans Ltd. Hyderabad

80.0

 

3. M/s. Haffkine Bio-Pharmaceuticals Mumbai

44.8

 

4.  M/s. Pasteur Institute of India, Coonoor

40.00

 

5. Central Research Institute Kasauli

25

Measles Vaccine

1. Serum Institute of India, Pune

100

BCG Vaccine

1.  BCG Vaccine Laboratory, Guindy, Tamil Nadu

35

OralPolioVaccine

1. M/s. Radicura Pharma New Delhi

540

 

2. M/s. BIBCOL, Bulandshahar

300

 

3. M/s. Haffkine Bio Pharmaceutical, Mumbai

240

 

4. M/s. Biomed, Ghaziabad

156