Community Medicine (PSM) · National Health Programmes (NTEP, NVBDCP, NACP, NIS, RMNCH+A)

Under RMNCH+A strategy, which of the following correctly describes the 'High Risk Pregnancy' (HRP) identification and what is the minimum number of Antenatal Care (ANC) visits mandated under the current national guideline?

  • A HRP identified at first ANC; minimum 3 ANC visits (GoI guideline)
  • B HRP identified only at District Hospital; minimum 4 ANC visits
  • C HRP identification is optional; minimum 8 ANC contacts (WHO 2016 model)
  • D HRP identified by ASHA at home visits; minimum 4 ANC visits (WHO recommendation adopted by GoI)
Correct answer: D. HRP identified by ASHA at home visits; minimum 4 ANC visits (WHO recommendation adopted by GoI)

Explanation

Under RMNCH+A, ASHAs and ANMs identify High-Risk Pregnancies at community level during home visits and early ANC registration. India's national guideline recommends a minimum of 4 ANC visits (at <12 weeks, 14–26 weeks, 28–34 weeks, and 36 weeks onwards). The WHO 2016 model recommends 8 contacts, but India's adopted minimum remains 4. HRP identification is not limited to District Hospitals; community-level screening is emphasized.

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

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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