Statewide Rollout And Uptake of Antara (Bihar)

Problem Statement

Bihar ranks low on key FP health indictors including mCPR (modern Contraceptive Prevalence Rate) and Unmet need for spacing methods. Sterilization continues to be the dominant mode of family planning in the state, accounting for over 87% of FP clients.

Programme description

Antara injectable was introduced in October 2017 along with Centchroman Tablets.

This has led to an improved access and higher uptake of the method for spacing for its inherent advantages of confidentiality and privacy compared to other methods and its availability up to the Health Sub Centre (HSC) level.

Programme Outcomes

So far, as of August 2019:

• 100% of DHs, 97% of SDHs, 41 % APHCs, 51 % HSCs, 76% UPHCs and 85% of PHCs are providing MPA services.

Antara trends since inception (Oct’17 to Aug’19):

• 2,62,228 clients (dose 1) have availed Antara since roll out.
• 4,24,427 doses of Antara (including 4 and more) have been administered in the state.
• Reported second-dose as of August’19 is 58.8% against the first-dose.

Financial Implication

Funds received under Mission Parivar Vikas.

Results

Efficient planning, adequate stock with a robust FPLMIS system has led to improved access and efficient utilization of Antara.

Scalability

State implemented the project with a focus on scaling up the activity up to the community level. State plans to increase accessibility further and have trained  manpower at each point of service delivery. Besides these activities, special focus is being laid to provide counseling and follow-up care and the State has also signed a Memorandum of Understanding with a development partner that will help track clients (who gives their consent) for follow-up counseling and help with side effects if any and also for reminding for subsequent doses.

Source : We Care Coffee Table Book - Good, Replicable and Innovative Practices 2019