Which of the following strategies have been formulated as per HFA/2000, defined by the World Health Assembly?

Appeared in: WCL Staff Nurse - 2022

Explanation

The 'Health for All by the year 2000' (HFA/2000) was a global movement launched by the World Health Assembly in 1977.
In response, India formulated its National Health Policy in 1983, which laid down specific goals to be achieved by the year 2000.
A primary goal was the reduction of the Infant Mortality Rate (IMR) from the then-current level of about 125 per 1000 live births to below 60.

Option A: The target for the Net Reproduction Rate (NRR) was to achieve a rate of one (NRR=1), which signifies replacement level fertility.
Option B: The goal was to reduce the Crude Birth Rate (CBR) from 33 per 1000 population to 21, not 25.
Option D: The target was to raise the life expectancy at birth from 52 years to a more realistic 64 years.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Health for All (HFA) by 2000 Goals as background academic context rather than a clinical decision trigger.
Understanding these historical public health goals is crucial for community health nurses as they form the basis of many national health programs they implement, such as immunization drives and Maternal and Child Health (MCH) services.
These targets directly influence the focus of primary healthcare, emphasizing preventive and promotive care to reduce mortality and control population growth.
What if? If the question had asked about the Millennium Development Goals (MDGs), the focus would have shifted to targets set for 2015, such as reducing child mortality by two-thirds (MDG 4), which was a continuation and expansion of the HFA goals.

How to Approach the Question

First, identify the core concept of the question, which is the 'Health for All (HFA) by the year 2000' initiative.
Recognize that this global goal was translated into specific national policies. For India, this was the National Health Policy of 1983.
Recall the specific, measurable demographic targets set by this policy.
Systematically evaluate each option against the known targets for Infant Mortality Rate (IMR), Crude Birth Rate (CBR), Net Reproduction Rate (NRR), and Life Expectancy.
Select the option that accurately states one of these established goals.

Concept Tested & Keywords

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E6 Parks TextBook of Preventive & Social Medicine part 2 — Subpart A (pp 1-232 of 464) p. 115-117

Practise the full WCL Staff Nurse - 2022

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