Community Medicine (PSM) · Demography and Health Indicators

The Net Reproduction Rate (NRR) is considered the most accurate measure of population replacement compared to the Total Fertility Rate (TFR). The principal advantage of NRR over TFR is that NRR:

  • A Accounts for age at first birth
  • B Considers only female births and adjusts for female mortality before the end of reproductive age
  • C Is calculated from period data rather than cohort data
  • D Excludes married women and uses all women of reproductive age
Correct answer: B. Considers only female births and adjusts for female mortality before the end of reproductive age

Explanation

NRR (Net Reproduction Rate) differs from GRR (Gross Reproduction Rate) and TFR by counting only daughters born per woman AND adjusting for the probability that each mother will survive to bear those daughters (incorporates age-specific female mortality). An NRR of 1.0 means exact population replacement. TFR counts all live births per woman regardless of sex and ignores female mortality, thus overstating true reproductive replacement. GRR counts only female births but does not apply mortality adjustment. NRR = 1 is the replacement-level measure that accounts for real biological continuity.

Reference: Park's Textbook of Preventive and Social Medicine, 27th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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