Systematic review highlights local governance contributions to family planning outcomes, suggesting improvements in resource allocation and community engagement.
Local governance plays a pivotal role in implementing family planning programs in Uttar Pradesh (UP), India’s most populous state, where high fertility rates and unmet contraceptive needs persist. This systematic review examines the contributions of local governance structures, such as Panchayati Raj Institutions (PRIs) and municipal bodies, to advancing family planning initiatives in UP. Through a comprehensive analysis of peer-reviewed studies, government reports, and policy documents, this paper explores how decentralized governance facilitates community engagement, resource allocation, and service delivery. Key findings highlight the role of PRIs in awareness campaigns, the integration of Accredited Social Health Activists (ASHAs) in grassroots mobilization, and challenges like resource constraints and socio-cultural barriers. Recommendations include strengthening PRI capacity, enhancing intersectoral coordination, and addressing gender and caste-based disparities to improve family planning outcomes. This review underscores the critical interplay between local governance and reproductive health in achieving sustainable development goals in UP.
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Kumar et al. (2025) studied this question.
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