Ensuring male participation to meet unmet family planning needs: An Aligarh experience

Introduction: Use of modern contraceptive methods has increased fourfold in India since the 1970s. A focused information, education, and communication strategy was designed and implemented to reach men and couples who want no more children. Access to and quality of services for Non Scalpel Vasectomy (NSV) were also improved in the same location.

Methods: The strategy was implemented in 188 slums covering total population of 777,215. Firstly we identified and organized information booths at locations where men gather, such as main intersections or “Chauraha”. At these locations information was provided on family planning method options, including NSV, both in small groups and through one on one discussion. The information included where it can be availed, and the government compensation available to cover transport cost to the facility and loss of wages. The service was also publicized through loud speakers to the general population in nearby slums, along with evening community meetings.

Results:  A sharp increase in male sterilization acceptors was observed:  from 34 NSV acceptors in 2010 prior to the intervention to 301 cases in 2011, 608 cases in 2012, and 703 cases in 2013.

Conclusion:  Reaching men with family planning information at locations and times where they naturally gather, increases access to information along with easy access to male sterilization, is a very effective to meet the need for and to increase the use of long acting and permanent contraception. Men are ready participants in family planning when information and services are convenient, safe, and easily available, and affordable.