Under India's Mission Parivar Vikas, which five indicators correctly characterize the targeted 'high-fertility' aspirational districts where ASHA incentives for spacing methods are additionally enhanced?

• A Districts with IMR >60 per 1000 live births only
• B Districts with TFR >3.0 in 8 states (Bihar, UP, MP, Rajasthan, Jharkhand, Chhattisgarh, Odisha, Assam) ✓
• C Districts with Contraceptive Prevalence Rate (CPR) <25% only
• D Any district with unmet need for family planning >30%

Explanation

Mission Parivar Vikas (MPV), launched in 2016, identified 146 high-fertility districts across 7 high-focus states — Uttar Pradesh, Bihar, Madhya Pradesh, Rajasthan, Jharkhand, Chhattisgarh, and Odisha — and subsequently Assam, where TFR was ≥3.0 (against the national TFR of 2.3 at that time). These districts have the highest contribution to India's unmet population growth. Special interventions include enhanced ASHA incentives for spacing methods, distribution of contraceptive kits (Saas Bahu Sammelans), and dedicated family planning counselors. The focus is TFR ≥3.0 in these identified states — not just CPR or IMR thresholds alone.

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

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.