In 1952, India became the first country to implement a National Family Planning Program, emphasizing fertility reduction to reduce birth rates to the amount necessary to maintain population stability at a level compatible with socioeconomic progress and the environment.
Sterilization is generally provided through a network of public and private sector facilities as part of family planning services. Camps are still an important source of sterilizing services in most jurisdictions. The quality of sterilizing services provided, particularly at camp facilities, has become a source of significant concern. The high number of difficulties, failures, and deaths that occur as a result of sterilizations also leads to higher lawsuits for sterilization practitioners, which is another roadblock to expanding sterilization services.
To solve this issue, the Indian government implemented the “National Family Planning Insurance Scheme” on November 25, 2005, which was later renamed the “Family Planning Indemnity Scheme” on April 1, 2013.
The “Family Planning Indemnity Scheme” Manual has been modified to reflect this, to create a framework for the payment of compensation in cases of death, failure, or problems resulting from sterilization failures for both acceptors and service providers.
The FPIS is designed to cover all sterilization acceptors as well as doctors performing sterilization procedures in both public and accredited private/NGO health institutions in the unlikely event of death, complications, or failure following sterilization procedures.
The manual’s focus is restricted to sterilization services. It was written for program managers at all levels of the health system, as well as members of the State and District Quality Assurance Committees who are in charge of monitoring the quality of treatment provided by terminal family planning strategies. Medical officers from primary health centers (PHCs), Community Health Centers (CHCs), sub-district and district hospitals, medical colleges, trainers from training institutes, and private sterilization providers impaneled in the district are among the service providers.
INDEMNITY COVERAGE DOCUMENTS REQUIRED (SECTION-II):
1. Written insinuation
2. A copy of the summons or the police report
3. A copy of the Certificate of Sterilization (Annexure-IV)
4. Consent Form Copies (Annexure II)
5. At the district level, a certificate from the convener of the QAC/CMO/CDMO/CMHO/CDHMO/DMO/DHO/Joint Director was selected for this purpose stating that the Sterilization Operation was performed by the doctor, etc.
6. A copy of the court’s prize, as well as the original invoices for payments made to the lawyer
THE SCHEME’S SALIENT FEATURES INCLUDE:
1. The Family Planning Indemnity Scheme is available throughout India.
2. Under Sections I–A, I–B, I–C, and I–D of the scheme, all persons undergoing/undergoing sterilization surgeries in public health facilities and non-government and private sector health institutions impaneled/accredited with the District Health Authority are covered.
3. Proof of coverage under the scheme shall be the Consent Form completed by the person at the time of enrolling for a sterilization procedure and officially countersigned at the medical facility. (See Annexure-II for more information.)
4. Doctors/Health Facilities should also fill up the medical records and checklist for female/male sterilization. (Appendix III)
All doctors/health facilities impaneled/accredited with the District Health Authority and conducting such services, including doctors/health facilities of the Central, State, Local-Self Governments, other public sectors, and all doctors/health facilities of the non-government and private sectors.
The scheme’s Section -II deals with operations. For sterilization, there are specific standards for empanelment of doctors and accreditation of health facilities. (Appendix IX)
6. Beginning April 1, 2013, all claims arising under Sections I and II will be allowed the strategy.