What is CHHAYA?

Appeared in: P.CHO-2019

Explanation

Chhaya is the brand name for Centchroman, a non-hormonal, non-steroidal oral contraceptive pill.
It is classified as a Selective Estrogen Receptor Modulator (SERM).
Unlike traditional hormonal pills, its primary mechanism is to prevent the implantation of a fertilized egg in the uterus.
It is part of the basket of choices in India's National Family Planning Program and is known for its unique weekly dosage schedule.

Option B: An injectable contraceptive is administered via injection, not taken orally. The injectable contraceptive in the national program is called 'Antara' (DMPA).
Option C: A female condom is a barrier method of contraception, which is a physical device. Chhaya is a pharmacological method (a pill).
Option D: This option is incorrect because Option A accurately describes what Chhaya is.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Identification of contraceptive methods available under India's National Family Planning Program as background academic context rather than a clinical decision trigger.
Chhaya is a valuable option for women who have contraindications to estrogen-containing hormonal contraceptives, such as those with a history of thrombosis, certain types of migraine, or who are breastfeeding.
As a non-hormonal method, it does not have the same side effects (like nausea, weight gain, mood changes) associated with hormonal pills, which can improve patient compliance.
What if? If a patient is breastfeeding and requests an oral contraceptive, Chhaya is a suitable choice as it does not affect the quantity or quality of breast milk, unlike combined hormonal pills.

How to Approach the Question

This is a factual recall question based on knowledge of public health programs in India.
First, identify the keyword in the question, which is 'CHHAYA'.
Recall or deduce that 'Chhaya' is a brand name associated with India's family planning initiatives.
Access your knowledge about the different types of contraceptives offered in the program (pills, injectables, IUDs, etc.).
Match 'Chhaya' (Centchroman) to its correct classification, which is an oral contraceptive pill.
Evaluate the given options and select the one that correctly identifies it as a contraceptive pill.

Concept Tested & Keywords

Concept Tested: Identification of contraceptive methods available under India's National Family Planning Program.
Stem keywords: CHHAYA, contraceptive
Lead-in keywords: What is

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E6 Parks TextBook of Preventive & Social Medicine part 1 — Subpart C (pp 404-604 of 604) p. 198-200

E6 Parks TextBook of Preventive & Social Medicine part 2 — Subpart A (pp 1-232 of 464) p. 6-8

Practise the full P.CHO-2019

Attempt every question from this paper in a timed mock, then review the full solution for each one.