Challenges in Introducing New Contraceptive Methods: A Case Study of India

Int Q Community Health Educ. 2015;35(4):387-401. doi: 10.1177/0272684X15596093.

Abstract

Increasing choice and introducing new contraceptive methods in the National Family Welfare Program in India could play a significant role in increasing adoption of contraception and meeting the unmet need of a large proportion of couples. However, inclusion of any new contraceptive method in India has to face many challenges at different steps: from clinical trials, administrative processes, acceptance in the national program, and reaching the intended beneficiaries. Having a good product is necessary but not sufficient for widespread accessibility, acceptance, and use. This article reviews the challenges based on the available policy documents, literature review, and discussions with senior program managers of the Ministry of Health and Family Welfare and development organizations. It concludes that comprehensive strategic planning is needed to address all possible barriers to ensure new contraceptive access at an affordable price by the beneficiaries it is intended for.

Keywords: India; accredited social health activist; emergency contraceptive pills; injectable contraceptives; introduction of contraceptive methods; national family welfare program.

MeSH terms

  • Adult
  • Contraception / trends*
  • Family Planning Services / organization & administration*
  • Female
  • Health Services Accessibility
  • Health Services Needs and Demand
  • Humans
  • India
  • Male
  • Program Evaluation