The Population of Azad Jammu & Kashmir is about 4.361 million, where family planning services were introduced in 1983 and have been continuing since then. At present family planning services are provided through 55 Family Welfare Centers located in 10 districts namely Muzaffarabad, Hattain Balla, Neelum, Bagh, Havaile, Poonch, Sudhunoti, Kotli, Mirpur and Bhimber, 07 RHSC-A Centers at district level, 08 RHSC-“A” Centre at Tehsil level, 07 MSUs, 120 Social Mobilizers and 57 Female Village Based Family Planning Workers.
The AJK, due to its high literacy rate, has a tremendous potential and demand for the family planning services. The program through financial assistance of Federal Government has made a significant progress by establishing management and service delivery infrastructure in AJK.
The Program in the Five Year Plan (2015-20) will ensure continuity and build on our previous achievements. While improving its field performance and coverage, Reproductive Health elements will be emphasized taking into account our social /cultural settings. Unmet needs would be focused and quality of services would be improved. Coordination and cooperation with health sector will be stepped up at all levels with special emphasis on service delivery levels.
The Population Pyramid in AJ&K also reveals the typical youth bulge and the trends of rapid urbanization are posing an even bigger challenge to our policy makers. Being a non-industrialized state and weaker private sector presence we will be facing tremendous challenge to provide job opportunities to our youth in years so come.
There is high demand of Family Planning Services in AJ&K but the unmet need is touching the unacceptable figure of 46%. Due to scattered population over a vast mountainous area, the accessibility to the services is highly restricted for poor. Poor economic conditions and lower social status of women restrict their movement beyond their household. So we need to outreach our clients if we have to improve our demographic indicators.
Population Welfare Program in AJK need to operate within the frame work of National Population Policy as an integral component of the socio-economic development with specific goal of promoting small family norms and providing the means to achieve the objective by reducing TFR,MMR and IMR and addressing the unmet need of Family Planning on voluntary basis. This can be achieved by following long term and short term targets.
- Accelerate completion of the fertility transition to achieve population stabilization.
- Enhance human development to capitalize on the unique opportunities offered by the demographic dividend.
- Increase pregnancy spacing for improved health of women and children.
- Make available family planning services to rural and remote areas of the country by 2020.
- Reduce the unmet need for family planning from the current 46 percent to 23 percent by 2020.
- Increase the CPR from the current 29 percent to 37 percent by 2020.
- Reduce the TFR from current 3.8 births per women to 3.1 births per women by 2020.
- Ensure contraceptive commodity security for all public and private sector outlets by 2020.
- Improve maternal health by encouraging pregnancy spacing of more than 36 months, reducing the incidence of first birth among those mothers aged below 18 and discouraging the trend of mothers giving birth after age 34 and above, thus contributing to the achievement of the MDGs 4 and 5.
- Attain the replacement level fertility by 2030.
- Achieve universal access to safe reproductive health, including family planning services by 2030.
- Reduce the unmet need for family planning from the current 46 percent to 10 percent by 2030.
- Increase the CPR from the current 29 percent to 65 percent by 2030.