Sterilization Services cannot be provided to the following except?

Hariyana-CHO-2021

Obstetrics and Midwifery Nursing

Easy

Appeared in: Hariyana-CHO-2021

Explanation

The National Family Welfare Programme in India primarily targets married couples for permanent sterilization methods as a means of family planning.
An 'eligible couple' is officially defined as a currently married couple where the wife is in the reproductive age group (15-49 years).
While there are conditions such as age and the number of living children, married individuals are the only category among the options that qualifies for these services under the program.
The goal is to help couples who have completed their family size to adopt a permanent method of contraception.

Option B: A widow without children does not meet the 'parity' requirement of the program, which typically mandates that the client must have at least one living child.
Option C: The term 'eligible couple' under the national program guidelines specifically refers to a legally 'married couple'. Live-in couples are generally not included in this definition.
Option D: The family welfare program's sterilization services are structured around the concept of a 'couple' and family limitation. Therefore, unmarried individuals are not the target beneficiaries for this permanent method.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Eligibility criteria for sterilization under the National Family Welfare Programme in India as background academic context rather than a clinical decision trigger.
Nurses are at the forefront of family planning services. Their role in counseling clients about sterilization is critical to ensure the decision is voluntary, informed, and well-understood, especially its permanent nature.
Proper pre-operative screening and post-operative follow-up by nurses are essential to minimize complications and ensure the client's well-being.
What if? - If a married couple with two children desires sterilization, but the wife is only 19 years old? According to guidelines, the wife should be at least 20 years old. The nurse must explain the age criteria and advise them to wait until the eligibility criteria are met, while suggesting alternative temporary contraceptive methods.

How to Approach the Question

First, identify the keywords 'cannot be provided' and 'except'. This combination means you are looking for the one option that IS eligible.
Rephrase the question in your mind to: 'To which of the following groups can sterilization services be provided?'
Recall the guidelines of the National Family Welfare Programme regarding sterilization.
Focus on the primary target group, which is married couples for family planning.
Evaluate each option against the criteria of marital status and parity (number of children).
Eliminate the options that represent ineligible groups (unmarried, no children, not legally married) to find the correct answer.

Concept Tested & Keywords

Concept Tested: Eligibility criteria for sterilization under the National Family Welfare Programme in India.
Stem keywords: Sterilization Services, cannot be provided, except
Lead-in keywords: except
Negative lead-in flag: The question uses 'except', which reverses the logic. It asks to identify the group that IS eligible for sterilization services from a list of mostly ineligible groups.

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E6 Parks TextBook of Preventive & Social Medicine part 2 — Subpart A (pp 1-232 of 464) p. 1-3

E6 Parks TextBook of Preventive & Social Medicine part 1 — Subpart C (pp 404-604 of 604) p. 186-188