Report to the President of the International Bank for Reconstruction and Development and the International Development Association on India's economic development effort (Vol. 11 of 14) : Family planning

 Copy NQ. ---- G S .':\.-a ,: .*. / - i ? . t* .A" ,;".,..,; . *. . ,..., . I , " ;.- .+ ..,.. REPORT TQ THE: PRESIDENT 0 :; %THE ,, INTERNATIONAL BANK F88 REXONSTRUCTION AND DEVELOPMENT - < .. z, AND THE MDIA'S ECONOMIC DEX.EZgPRLlLSrNT EFFORT VOLUME XI FAMILY PlANNIlW f -"C October I . 1965  CWRRENCY EOUIVALF;NTS 1 Indianrupe = U.S. $0.21 1 U. S. dollas = Re. 4.762 Rs. 1 c r o n = $2.1 minian  This repo1-t was prep& by a team ~f specidlis+,sdram f'ra~ outs-ide the pemarent staff of the International Bank. The mbembers >f the tRasP were Dr. Sheldon J. S e w , Director d the Bio- W c a l D i v i s i o n of the Papulation Council, Dr. Conrad Taeuber, A s i s t a n t -tor of the U S .. W;1.ean of the; Census and M r . S.H. K e e q p , k s i d e n t Representative in East A s i a of the Papulatitan CouncZL. ' b e g w e r e i Imlia cfurir.g February aod, n in M . Keenyts case, the early &ys af Harch a l s o . r A l l three have had prior experience dh family t p l a m h g and other programs i hdia. During n p e r i d i n India the tsam had ertensive d i s c u s s i a ~ ~ w i t h o f f i c i a l s of +' Mbistry of Health, the Planing Carnoissic .d other agencfes of the Centre Governaent a1-8 0 0 with o f M d a l s of seven . of the State Goverrmrents They w e r e given access t o a x of the confidential as uell as public data and reparts on the family plarming program, The members of the team are grateful for the co,-dial reception they -eceived and the frank and cpen discussion which occvrred a t all tiraes. lhey are especially irrlebt-d t o the Directorate of FaElily Planning in the klinistry of @'ealth and its head, Lieuterrant Colonel 3. L Raina. , 'he report was writ,ten i n H y 1965 and a has nut been revised ar updated.  TABLE O F CONTENTS Chapter Page SUMMARY AND RECOMMENDATIONS 1 THE POPULATION OF INDIA 6 DEVELOPMENT OF THE FAMILY PLANNING 21 PROCWM LV. HEDICAL FEATURES OF FAMILY PLANNING 24 PROGRAM v. SE'PLY AND DISTRIBCJTION OF CONTRACEPTIVE 34 MATERIALS CONCLUS IONS 46  CHAPTER I SlJMARY AND RECQMMENDATIONS The population of I n d i a , r a p i d l y n e a r i n g 500 m i l l i o n , has increased by 120 m i l l i o n i n t h e l a s t f i f t e e n years and i s c u r r e n t l y growing by about 2 4 p e r c e n t a y e a r . I f t h e r a t e were t o continue t o t h e year 2000, t h e p o p u l a t i o n would be g r e a t e r than one b i l l i o n . It i s u n l i k e l y t h a t I n d i a ' s economy can s u s t a i n t h i s burden, even allowing f o r t h e m o s t l i b e r a l foreign a i d l i k e l y t o be provided. B i r t h r a t e s must f a l l o r d e a t h r a t e s w i l l mount t r s g i c a l l y a s e c o n o i ~ i cand p o l i t i c a l s t a b i l i t y f a l t e r under t h e p r e s s u r e of mounting numbers. Family planning h a s been an o b j e c t i v e i n t h e Health - Plan of the Gc,\rernment of India s i n c e 1956. I n p r e p a r i n g t h e Fourth Five-year P l a n , the M i n i s t r y of Health has a d o ~ * ~ a a s one of i t s f i v e major aims, "to b r i n g d m t h e b i r t h r a and secure c o n t r o l o f the population growth.. ." T o meet t h i s o b j e c t i v e the Ncitional Development Council has approved a n a1 l o c a t ion o f R s 95 c r o r e s (approximately $20