AIIMS Raipur NO - 2019 (Shift-1)
Community Health Nursing
Easy
Which among the following is an indicator of the prevalence of contraceptive practice in the community?
Appeared in: AIIMS Raipur NO - 2019 (Shift-1)
Explanation
- The Couple Protection Rate (CPR) is the most direct and widely used indicator for the prevalence of contraceptive practice in a community.
- It is defined as the percentage of eligible couples (where the wife is in the reproductive age group of 15-45 or 15-49 years) who are currently using any approved method of family planning.
- A higher CPR indicates greater acceptance and use of contraceptive methods, which is a primary goal of family welfare programs.
- It is a crucial metric for evaluating the effectiveness and reach of family planning services.
Why Other Options Were Wrong
- Option B: The General Fertility Rate (GFR) measures the number of live births, not the use of contraception. While contraceptive use affects the GFR, GFR itself is an indicator of fertility, not contraceptive prevalence.
- Option C: The 'Small family norm' is not a statistical indicator. It is a social concept or a policy objective promoted by governments to encourage smaller family sizes and manage population growth.
- Option D: The Gross Reproduction Rate (GRR) is a measure of population replacement. It specifically calculates the average number of daughters a woman would bear, indicating if the next generation of mothers is large enough to replace the current one.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Indicators of contraceptive prevalence as background academic context rather than a clinical decision trigger.
- Community health nurses and public health officials rely on the Couple Protection Rate (CPR) to monitor the success of family planning initiatives and to identify communities with unmet needs for contraception.
- A low CPR in a specific area can signal the need for targeted interventions, such as increased health education, improved access to a variety of contraceptive methods, or addressing cultural and social barriers.
- Tracking CPR helps in allocating resources effectively to improve maternal and child health outcomes by enabling better birth spacing and family size planning.
How to Approach the Question
- First, identify the core of the question: it asks for a direct 'indicator' (a measure) of the 'prevalence of contraceptive practice' (how common contraception use is).
- Analyze each option based on this requirement.
- Evaluate 'Couple protection rate'. Its definition is the percentage of couples protected by contraception, which directly matches the question's requirement.
- Evaluate 'General fertility rate'. This measures births, which is an outcome influenced by contraception, but it doesn't measure the practice of contraception itself.
- Evaluate 'Small family norm'. Recognize this as a concept or policy goal, not a statistical measurement.
- Evaluate 'Gross reproduction rate'. This measures the potential for population replacement through female births, not the overall use of contraception.
Concept Tested & Keywords
- Concept Tested: Indicators of contraceptive prevalence
- Stem keywords: indicator, prevalence, contraceptive practice, community
- Lead-in keywords: Which among the following
- Clinical cues: The care setting changes urgency, monitoring level, and the expected nursing action.
Question ID
QZzEJsiX7EW0WWdPMohlPt
Reference Book
E6 Parks TextBook of Preventive & Social Medicine part 1 — Subpart C (pp 404-604 of 604) pp. 186-188, 182-184
Practise the full AIIMS Raipur NO - 2019 (Shift-1)
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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