Under NVBDCP, the High Burden to High Impact (HBHI) initiative for malaria was expanded to India. Which of the following is NOT one of the four HBHI pillars?
- A High-level political will and leadership
- B Introduction of a malaria vaccine (RTS,S) in all endemic states ✓
- C Strategic use of information and data
- D Better guidance, policies and strategies
Correct answer: B. Introduction of a malaria vaccine (RTS,S) in all endemic states
Explanation
The WHO High Burden to High Impact (HBHI) response — adopted by India's NVBDCP for states with high malaria burden — is built on four pillars: (1) high-level political will, (2) strategic use of malaria data, (3) better national guidelines and policies, and (4) coordinated national malaria response. RTS,S/AS01 (Mosquirix) malaria vaccine introduction is NOT among the HBHI pillars; it is a separate WHO recommendation primarily for sub-Saharan Africa. India uses insecticide-treated nets, IRS, and artemisinin combination therapy as core interventions.
Reference: Park's Textbook of Preventive and Social Medicine, 27th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
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