Community Medicine (PSM) · Family Planning and Contraceptives

The 'Mission Parivar Vikas' programme in India targets 146 high-fertility districts in 7 states. The primary strategy used in these districts to accelerate acceptance of family planning methods is:

  • A Mandatory sterilisation for families with >2 children
  • B Incentive-based sterilisation camps exclusively at district hospitals
  • C Expanding access to contraceptive choice including injectables (DMPA-IM) and IUCDs at village level
  • D Distribution of only condoms and OCPs through ASHAs
Correct answer: C. Expanding access to contraceptive choice including injectables (DMPA-IM) and IUCDs at village level

Explanation

Mission Parivar Vikas (MPV), launched in 2016 for 146 high Total Fertility Rate (TFR >3) districts across UP, MP, Rajasthan, Bihar, Chhattisgarh, Jharkhand, and Assam, uses a basket-of-choice approach to expand contraceptive access at the community level. Key elements include injectable DMPA (depot medroxyprogesterone acetate administered by trained providers), Post-Partum IUCD (PPIUCD), POPs (progesterone-only pills for lactating mothers), emergency contraception, and condoms — all accessible through ASHA/ANM. It moves away from sterilisation-focused targets toward a full method mix.

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

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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