In 2010, India was spending over US $ 3.5 billion each year on health services, with substantial expenditure on services aimed towards women’s and children’s health. India was focusing on strengthening its efforts in the 264 districts that account for nearly 70% of all infant and maternal deaths. Between 2010 and 2015, India committed to provide technical assistance to other countries and share its experience, and pledged to support the creation of a platform for global knowledge management to oversee the dissemination of best practices.
At the 2012 London Family Planning Summit India included family planning as a central element of its efforts to achieve Universal Health Coverage. Through the largest public health programme in the world, the National Rural Health Mission and the upcoming National Urban Health Mission, addressing equity, ensuring quality, including adolescents and integration into the continuum of care are slated to be the cornerstones of the new strategy. The centre-piece of its strategy on family planning will be a shift from limiting to spacing methods, and an expansion of choice of methods, especially IUDs (Intrauterine devices). To enable women to delay and space their births, India plans to distribute contraceptives at the community level through 860,000 community health workers, train 200,000 health workers to provide IUDs, and shall substantially augment counselling services for women after childbirth. Expenditure on Family Planning alone out of the total Reproductive, Maternal, Newborn and Child Health and Adolescent Health (RMNCH+A) bouquet is expected to cross 2 billion dollars from 2012 to 2020. This will ensure free services and commodities through public health facilities for 200 million couples of reproductive age group and adolescents seeking contraceptive services.