The Ministry of Health and Family Welfare, under Mission Parivar Vikas, has launched two new contraceptives: an injectable contraceptive and a contraceptive pill. These are?

1. A

   Antara and Chhaya

2. B

   Mitha and Saheli

3. C

   Chhaya and Saheli

4. D

   Antara and Mandha

Appeared in: MP CHO - 2022

Explanation

Listen in Hindi

• The Ministry of Health and Family Welfare launched 'Antara' and 'Chhaya' as two new contraceptive methods under Mission Parivar Vikas.
• 'Antara' is the program name for the injectable contraceptive Depot Medroxyprogesterone Acetate (DMPA).
• 'Chhaya' is the program name for the weekly oral contraceptive pill containing Centchroman.
• This initiative was aimed at expanding the basket of contraceptive choices available through the public health system in high-fertility districts.

Why Other Options Were Wrong

• Option B: 'Mitha' is not a recognized contraceptive in the Indian national family planning program. While 'Saheli' is a contraceptive pill, the question asks for the specific pair of contraceptives launched under Mission Parivar Vikas.
• Option C: Although both 'Chhaya' and 'Saheli' are brand names for the same drug (Centchroman), the question asks for the two different types of contraceptives launched: an injectable and a pill. This option only lists the pill under two different names.
• Option D: 'Mandha' is not a recognized contraceptive in the Indian national family planning program. While 'Antara' is correct, the pair is wrong.

Related Visual

• Visual 1: Image - A side-by-side image showing a vial of Antara (DMPA) for injection and a blister pack of Chhaya tablets to help learners visually differentiate the two products.
• Visual 2: Infographic - A flowchart illustrating the dosing schedule for both Antara (one injection every 3 months) and Chhaya (twice weekly for 3 months, then weekly) to clarify the administration regimen for each.

Clinical Relevance

• Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain National Health Programmes and Family Planning Methods as background academic context rather than a clinical decision trigger.
• Nurses are central to the success of Mission Parivar Vikas by providing client-centered counseling on the expanded contraceptive options, including the benefits, potential side effects, and correct usage of Antara and Chhaya.
• A key nursing responsibility is to screen clients for contraindications and ensure they are not pregnant before initiating either method. For Antara, this includes a history of breast cancer or severe liver disease. For Chhaya, delayed menses is a common side effect that requires counseling.
• What if a client using Antara reports irregular bleeding or spotting? The nurse should reassure her that this is a very common and expected side effect, especially in the first few months, and it usually decreases over time. It does not mean the contraceptive is not working.

How to Approach the Question

• First, identify the core of the question, which is about specific contraceptives launched under a national health program, 'Mission Parivar Vikas'.
• This is a factual recall question. Your knowledge of current events and policies in Indian public health is being tested.
• Analyze the options. The question specifies one 'injectable' and one 'pill'. This helps narrow down the choices.
• Recall or deduce the names associated with government family planning programs. 'Antara' is the injectable, and 'Chhaya' is the weekly pill.
• Eliminate options with unfamiliar or incorrect names like 'Mitha' and 'Mandha'.
• Differentiate between 'Chhaya' and 'Saheli'. While they are the same drug, 'Chhaya' is the name associated with the government's free supply program launch, making 'Antara and Chhaya' the most precise answer.

Concept Tested & Keywords

• Concept Tested: National Health Programmes and Family Planning Methods
• Stem keywords: Ministry of Health and Family Welfare, Mission Parivar Vikas, new contraceptives, injectable contraceptive, contraceptive pill
• Lead-in keywords: These are

Question ID

QpetuRUYCkGvWudCmaQmFT

Copy ID

Reference Book

E6 Comprehensive Textbook of Community Health Nursing for BSc Nursing Students Part 2 — Subpart B (pp 276-535 of 550) p. 276-550