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| Lists Financial Transactions |
Janani has emerged as one of the largest service delivery programmes
in the world. It is also among the most cost efficient. This, despite
working in the poorest and the most rural states of India. In its nine
years of work, Janani has prevented 6.10 million unwanted pregnancies.
It has been a firm belief in development circles that using social
marketing techniques to deliver services and products in rural areas
is very expensive and therefore unviable. The Janani programme has
demonstrated this need not be so—innovative strategies that
bundle services on the basis of financial returns and elasticity
of profit can be very effective and cost efficient. |
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Method-wise Performance
(January 2007- December 2007) |
| Condoms |
47,073,847 |
Oral contraceptives |
7,095,686 |
Safe abortions |
28,757 |
IUDs |
5,917 |
Injectables (DMPA) |
9,409 |
Vasectomy |
3,922 |
Tubal ligation |
60,527 |
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The programme averted 687,821 unwanted pregnancies
in 2006 by protecting 1.20 Million couples (Couple Years of Protection or CYP). Janani’s performance |
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accounted for 14% of the protection of
the nation-wide Contraceptive Social Marketing Programme (CSMP)
of the Indian government. CSMP is implemented through 15 organizations.
Most of them cover the entire country. Janani, which is also part
of CSMP, works primarily in two states, one of which very small.
In overall terms, of the 4.7 million couples currently using a modern
method of contraception in Bihar and Jharkhand, Janani accounts
for 1.03 million, which is 22% of the total.
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The programme has a strong rural focus, which has grown steadily
over the years. During January 2004 to December 2004, Janani delivered over 40% |
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of the condoms and oral contraceptives directly to rural communities, besides
an estimated 15% delivered indirectly. |
The role of clinical services is also growing. During 2004, about 21%
of the total protection was by clinical services.
It costs Janani Rs. 103.88 ($2.31) to protect a couple through the year
(cost per CYP). Internationally, it is estimated that the cost to protect
a couple in low income countries is about $20. Including the cost the
government incurred on product subsidies, this cost per couple in the
Janani programme during 2004 was Rs. 138.91 ($3.08).
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The performance would have been significantly higher if the programme
did not suffer from regular stockouts. Janani is |
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dependent on the Ministry of Health and
Family Welfare for non-clinical contraceptives, and the past years
have witnessed highly irregular supplies. Janani, like all participants
in CSMP, has been deeply affected by this. |
The Madhya Pradesh component contributed 276,739 couple years of protection
to Janani. These included 15 million condoms and 0.5 million cycles of
pills in the state. The programme has been scaling down its operations
in the state due to lack of funding support.
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While Janani’s programme has delivered significant results, needs
of more people, especially the poorest, must be addressed in the years
ahead.
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