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Table 1 Guidelines on FP method provision in India

From: Provider imposed restrictions to clients’ access to family planning in urban Uttar Pradesh, India: a mixed methods study

Method

Guidelines on eligibility barriers

Guidelines on which providers allowed to provide method

Included in GoI FP method list

Name of guideline(s)

Female sterilization

Age: 22-49 years

Doctors

Yes

Division of Research Studies and Standards, Ministry of Health and Family Welfare, Government of India: Standards for Female and Male Sterilization Services [25]

 

Parity: 1+, above 1 year of age

   
 

Marital status: Ever-married

   

IUCD

Age: Nursing staff needs to refer women with age <20 to doctor for IUCD insertion

Doctors

Yes

Family Planning Division, Ministry of Health and Family Welfare, Government of India: IUCD manual for nursing personal [27]

 

Parity: Nursing staff needs to refer nulliparous women to doctor for IUCD insertion

Nurses

 

Family Planning Division, Ministry of Health and Family Welfare, Government of India: IUCD Reference Manual for Medical Officers [26]

  

Lady Health Visitors

  
  

Auxiliary Nurse Midwives (ANMs)

  

Injectables

Age: menarche to < 40 years - Use method in any circumstance; ≥ 40 years – Generally use the method

Doctors**

No

USAID/India Dimpa Initiative [28]

 

Parity: Use method in any circumstance for any parity

  

WHO medical eligibility criteria for contraceptive use, 2009 [29]

Pill

None

Doctors

Yes

Family Planning Division, Ministry of Health and Family Welfare, Government of India: List of drugs being provided in ASHA kit [30]

  

Nurses

  
  

Midwives

  
  

TBAs/CHW*

  
  

Pharmacies

  

Condom

None

Doctors

Yes

Family Planning Division, Ministry of Health and Family Welfare, Government of India: List of drugs being provided in ASHA kit [30]

  

Nurses

  
  

Midwives

  
  

TBAs/CHW*

  
  

Pharmacies

  
  1. *Condoms and oral contraceptive pills are included in the National Rural Health Mission Accredited Social Health Activist (ASHA, a community health worker) kit. ASHAs are the base of the health provider system in India.
  2. **Injectable contraceptives are primarily available through the Dimpa network in India, and within this network, only high level providers can give injections.