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India's family planning market and opportunities for the private sector: An analysis using the total market approach
Authors: Mozumdar A, Acharya R, Mondal SK, Shah AA, and Saggurti N
Source: International Journal of Health Planning and Management, 34(4): 1078-1096; DOI: 10.1002/hpm.2753
Topic(s): Family planning
Country: Asia
Published: MAR 2019
Abstract: The private (commercial) sector in India can complement public sector for family planning services, but the roadmap to engage these two sectors remains a challenge. The total market approach (TMA) offers a strategy by understanding the comparative advantage of public, commercial, and nonprofit sectors. We estimated TMA indicators using data of four rounds of the National Family Health Surveys: 1992-93, 1998-99, 2005-06, and 2015-16. The contraceptive prevalence of modern methods in India did not increase in recent years, but the number of users increased, and so did the market size for the commercial sector. In rural areas, the current market size in 2015-16 (75 million) failed to reach its potential size in 1992-93 (84 million). In urban areas, the market of modern contraceptives is mostly composed of the users from higher wealth, and a high percentage of users obtain contraceptives from subsidized sources. The family planning market of northern part of Bihar and Uttar Pradesh and of Northeast India are in the "early" stage and need more demand generation; "matured" markets are mostly concentrated in and around big metros. Subsidization in urban areas should be offered to the targeted population who need family planning products and services at low cost. KEYWORDS: India; National Family Health Survey; family planning; private sector; total market analysis