Kayakalp, an initiative launched in 2015, rewards public health facilities mainly for:

Cleanliness, hygiene and infection control

Lowest maternal deaths in the district

Highest coverage of full immunisation

Fastest response time of ambulances

An RBSK mobile health team screening at an anganwadi finds a 3-year-old with a heart murmur and delayed walking. The team should refer the child first to the:

District Early Intervention Centre

Nutrition Rehabilitation Centre

Primary Health Centre outpatient clinic

The Mudaliar Committee (Health Survey and Planning Committee, 1962) is best remembered for recommending that:

Existing PHCs be strengthened before new ones were opened

Health services be integrated under one unified cadre

Village health guides be chosen from the community

Multipurpose workers replace single-purpose workers

National health programmes and health care delivery

50 M.Sc Nursing Entrance (AIIMS, LBS, PGIMER, JIPMER) practice questions on National health programmes and health care delivery, part of Community Health Nursing. The first 25 are below; the first 5 with answers and explanations (tap Show answer after you have chosen), the rest in Learn with a free account.

Question 1 · Easy
Kayakalp, an initiative launched in 2015, rewards public health facilities mainly for:
1. ALowest maternal deaths in the district
2. BCleanliness, hygiene and infection control
3. CHighest coverage of full immunisation
4. DFastest response time of ambulances
Show answerHide answer
Answer: B · Cleanliness, hygiene and infection control
Kayakalp was launched in 2015, in line with Swachh Bharat Abhiyan, to promote cleanliness, hygiene and infection control in public health facilities. Facilities are assessed by internal, peer and external teams against set criteria, and the best are given awards and cash prizes. Domains include hospital upkeep, sanitation, waste management, infection control and hygiene promotion. Nurses play a central part in infection control scores.
- A: Maternal death review is a separate activity, not the basis of Kayakalp awards.
- C: Immunisation coverage is tracked under the UIP, not rewarded by Kayakalp.
- D: Ambulance response time is monitored under the 108 service, not Kayakalp.
Question 2 · Easy
Under the Ayushman Bharat Digital Mission, each citizen can create an ABHA, a health account identified by a number of:
1. A14 digits
2. B16 digits
3. C12 digits
4. D10 digits
Show answerHide answer
Answer: A · 14 digits
The Ayushman Bharat Health Account (ABHA) number is a 14-digit identifier that links a person's digital health records across hospitals, laboratories and pharmacies, with consent. It is created under the Ayushman Bharat Digital Mission run by the National Health Authority. It is voluntary and can be generated with Aadhaar or another identity. A 12-digit number is Aadhaar itself, which is a common confusion.
- B: 16 digits is the length of a payment card number, not ABHA.
- C: A 12-digit number is the Aadhaar number, not the ABHA number.
- D: A 10-digit number is the length of a mobile number or PAN, not ABHA.
Question 3 · Medium
An RBSK mobile health team screening at an anganwadi finds a 3-year-old with a heart murmur and delayed walking. The team should refer the child first to the:
1. ANutrition Rehabilitation Centre
2. BSpecial Newborn Care Unit
3. CPrimary Health Centre outpatient clinic
4. DDistrict Early Intervention Centre
Show answerHide answer
Answer: D · District Early Intervention Centre
Rashtriya Bal Swasthya Karyakram screens children from birth to 18 years for defects at birth, diseases, deficiencies and developmental delays. Children found positive are referred to the District Early Intervention Centre (DEIC) at the district hospital, which has a paediatrician, therapists and other specialists. The DEIC confirms the diagnosis, manages what it can and links children such as those with heart defects to tertiary centres for free surgery. Developmental delay also gets early therapy there.
- A: An NRC treats severe acute malnutrition, not heart defects or developmental delay.
- B: An SNCU is for sick newborns, not a 3-year-old child.
- C: A PHC clinic lacks the specialists and therapy RBSK cases need.
Question 4 · Medium
The Mudaliar Committee (Health Survey and Planning Committee, 1962) is best remembered for recommending that:
1. AExisting PHCs be strengthened before new ones were opened
2. BHealth services be integrated under one unified cadre
3. CVillage health guides be chosen from the community
4. DMultipurpose workers replace single-purpose workers
Show answerHide answer
Answer: A · Existing PHCs be strengthened before new ones were opened
The Mudaliar Committee reviewed progress after the first two five-year plans and found that PHCs were understaffed and poorly equipped. It advised consolidating what had been achieved, strengthening existing PHCs and district hospitals before opening new centres, and limiting each PHC to about 40,000 people. It also proposed an All India Health Service. The other recommendations came from later committees.
- B: Integration of health services was the theme of the Jungalwalla Committee in 1967.
- C: Village health guides followed the Srivastava Committee report of 1975.
- D: Multipurpose workers were recommended by the Kartar Singh Committee in 1973.
Question 5 · Medium
A district plans its newborn care facilities as per national norms. A Special Newborn Care Unit (SNCU) is meant to be set up at the:
1. ADistrict hospital
2. BPHC without beds
3. CEvery delivery point
4. DSub-centre
Show answerHide answer
Answer: A · District hospital
India's facility-based newborn care has three levels. A Newborn Care Corner is set up at every delivery point for resuscitation and warmth, a Newborn Stabilisation Unit at FRUs and CHCs, and a Special Newborn Care Unit of about 12 or more beds at the district hospital or medical college. SNCUs give phototherapy, oxygen, IV fluids and care of low birth weight and sick babies. Staffing by trained nurses is central to their working.
- B: A PHC without beds cannot run a special care unit.
- C: Every delivery point should have a Newborn Care Corner, not an SNCU.
- D: A sub-centre may have only a Newborn Care Corner if deliveries are done there.
Question 6 · Medium
Pradhan Mantri Matru Vandana Yojana gives a cash benefit of ₹5,000 to a pregnant or lactating woman for her:
1. AThird child after sterilisation
2. BFirst living child
3. CEvery institutional delivery
4. DDelivery below the age of 19
Answer and explanation in LearnFree account
Question 7 · Hard
A 20-day-old baby born at a district hospital is brought back with sepsis and needs 10 days in the SNCU. The mother worries about the cost of drugs, tests and blood. Under JSSK, the nurse should tell her that:
1. AOnly the delivery was free and this stay is payable
2. BDrugs are free but tests and blood must be paid for
3. CAll care is free, as sick infants up to 1 year are covered
4. DCare is free only up to 28 days, then charges apply
Answer and explanation in LearnFree account
Question 8 · Hard
A 26-year-old woman, 6 weeks after delivery and exclusively breastfeeding, asks for a contraceptive pill. Her BP is normal. Which pill is most suitable for her now?
1. AProgestin-only pill
2. BCombined pill after weaning only
3. CEmergency contraceptive pill daily
4. DCombined oral pill (Mala-N)
Answer and explanation in LearnFree account
Question 9 · Medium
After a new leprosy case is detected, health workers screen his household contacts for single-dose rifampicin post-exposure prophylaxis. Which contact should NOT be given it?
1. AHis 18-month-old daughter
2. BHis 12-year-old son with no symptoms
3. CHis 35-year-old wife with no skin lesions
4. DHis 40-year-old brother living in the house
Answer and explanation in LearnFree account
Question 10 · Hard
A district estimates 10,000 people living with HIV. Of these, 9,600 know their status, 9,000 are on ART, and 8,700 of those on ART have viral suppression. Against the 95-95-95 targets, which target is not met?
1. AThe first: diagnosed among all with HIV
2. BAll three targets are met
3. CThe third: suppressed among those on ART
4. DThe second: on ART among the diagnosed
Answer and explanation in LearnFree account
Question 11 · Medium
A school health nurse sees cigarettes sold at a kiosk about 50 metres from a high school gate. Under COTPA 2003, this is an offence because sale is banned within:
1. A1 kilometre of an educational institution
2. B100 yards of an educational institution
3. C50 metres of an educational institution
4. D500 metres of an educational institution
Answer and explanation in LearnFree account
Question 12 · Medium
The Jungalwalla Committee (1967) defined integration of health services as including all of these features. Which one was part of its definition?
1. AVertical programmes run by their own staff
2. BSeparate cadres for curative and preventive staff
3. CFreedom for government doctors to practise privately
4. DEqual pay for equal work and a unified cadre
Answer and explanation in LearnFree account
Question 13 · Hard
A block records 8,000 live births in a year, and 112 of these babies die within the first 28 days of life. What is its neonatal mortality rate, and how does it compare with the SDG 2030 target?
1. A14 per 1,000 live births, within the target
2. B1.4 per 1,000 live births, within the target
3. C140 per 1,000 live births, above the target
4. D14 per 1,000 live births, above the target
Answer and explanation in LearnFree account
Question 14 · Easy
Under Sustainable Development Goal 3, the global maternal mortality ratio is to be reduced by 2030 to below:
1. A70 per 1,00,000 live births
2. B12 per 1,000 live births
3. C140 per 1,00,000 live births
4. D100 per 1,00,000 live births
Answer and explanation in LearnFree account
Question 15 · Hard
A woman had her first Antara (DMPA 150 mg) injection exactly 15 weeks ago and has had no periods since. She comes for her repeat dose today. What should the nurse do?
1. ARestart the course with a double dose
2. BSwitch her to an IUCD at once
3. CGive the next injection now
4. DDo a pregnancy test and wait for menses
Answer and explanation in LearnFree account
Question 16 · Medium
The National Population Policy 2000 set its medium-term objective as:
1. AAchieving a stable population by 2045
2. BRaising the minimum age at marriage to 21
3. CMeeting the unmet need for contraception
4. DBringing the TFR to replacement level by 2010
Answer and explanation in LearnFree account
Question 17 · Easy
The National Rural Health Mission was launched in:
1. A2018
2. B2000
3. C2005
4. D2013
Answer and explanation in LearnFree account
Question 18 · Medium
Under the Home Based Care for Young Child (HBYC) programme, the ASHA makes additional home visits at the ages of:
1. A2, 4, 6 and 8 weeks
2. B6, 12, 18 and 24 months
3. C3, 6, 9, 12 and 15 months
4. D1, 2, 3, 4 and 5 months
Answer and explanation in LearnFree account
Question 19 · Hard
A block health team has reviewed its health situation and set the objective of cutting anaemia in pregnancy by a quarter in three years. Following the planning cycle, what should the team do next?
1. AAssess the resources available
2. BFix priorities among problems
3. CMonitor progress of activities
4. DWrite up the formulated plan
Answer and explanation in LearnFree account
Question 20 · Medium
Under PM POSHAN (formerly the mid-day meal scheme), a cooked meal for a child in classes 6-8 should provide about:
1. A500 kcal and 15 g protein
2. B600 kcal and 18 g protein
3. C700 kcal and 20 g protein
4. D450 kcal and 12 g protein
Answer and explanation in LearnFree account
Question 21 · Medium
A 66-year-old man with knee osteoarthritis and low mood visits a sub-centre Ayushman Arogya Mandir. Compared with the older sub-centre, the centre can now offer him:
1. AReferral, as adult illness is not covered
2. BElderly, palliative and mental health care
3. COnly maternal and child health services
4. DAdmission for observation and IV fluids
Answer and explanation in LearnFree account
Question 22 · Medium
In Anemia Mukt Bharat, the '6 x 6 x 6' strategy refers to six target groups, six interventions and six:
1. AGrams of haemoglobin rise
2. BMonths of iron supplements
3. CColours of IFA tablets
4. DInstitutional mechanisms
Answer and explanation in LearnFree account
Question 23 · Medium
The Srivastava Committee (1975) led to the Rural Health Scheme of 1977 mainly through its proposal to:
1. AUse basic health workers for malaria surveillance
2. BIntegrate all health staff into one unified cadre
3. CLimit each PHC to a population of 40,000
4. DTrain para-professional workers from within the community
Answer and explanation in LearnFree account
Question 24 · Hard
A sub-centre serves 5,000 people with a crude birth rate of 20 per 1,000. Under Anemia Mukt Bharat, how many IFA tablets are needed in a year for prophylaxis during pregnancy, taking one pregnancy per expected birth?
1. A18,000
2. B36,000
3. C9,000
4. D10,000
Answer and explanation in LearnFree account
Question 25 · Easy
Rashtriya Kishor Swasthya Karyakram is the national health programme for people aged:
1. A6-14 years
2. B15-24 years
3. C0-6 years
4. D10-19 years
Answer and explanation in LearnFree account

25 more National health programmes and health care delivery questions

Answer them one by one, keep your score and see your weak topics in Learn. Signed-out visitors try 25 per exam; sign in with Google to see them all.

Study Community Health Nursing

National health programmes and health care delivery

Kayakalp, an initiative launched in 2015, rewards public health facilities mainly for:

Under the Ayushman Bharat Digital Mission, each citizen can create an ABHA, a health account identified by a number of:

An RBSK mobile health team screening at an anganwadi finds a 3-year-old with a heart murmur and delayed walking. The team should refer the child first to the:

The Mudaliar Committee (Health Survey and Planning Committee, 1962) is best remembered for recommending that:

A district plans its newborn care facilities as per national norms. A Special Newborn Care Unit (SNCU) is meant to be set up at the:

Pradhan Mantri Matru Vandana Yojana gives a cash benefit of ₹5,000 to a pregnant or lactating woman for her:

A 20-day-old baby born at a district hospital is brought back with sepsis and needs 10 days in the SNCU. The mother worries about the cost of drugs, tests and blood. Under JSSK, the nurse should tell her that:

A 26-year-old woman, 6 weeks after delivery and exclusively breastfeeding, asks for a contraceptive pill. Her BP is normal. Which pill is most suitable for her now?

After a new leprosy case is detected, health workers screen his household contacts for single-dose rifampicin post-exposure prophylaxis. Which contact should NOT be given it?

A district estimates 10,000 people living with HIV. Of these, 9,600 know their status, 9,000 are on ART, and 8,700 of those on ART have viral suppression. Against the 95-95-95 targets, which target is not met?

A school health nurse sees cigarettes sold at a kiosk about 50 metres from a high school gate. Under COTPA 2003, this is an offence because sale is banned within:

The Jungalwalla Committee (1967) defined integration of health services as including all of these features. Which one was part of its definition?

A block records 8,000 live births in a year, and 112 of these babies die within the first 28 days of life. What is its neonatal mortality rate, and how does it compare with the SDG 2030 target?

Under Sustainable Development Goal 3, the global maternal mortality ratio is to be reduced by 2030 to below:

A woman had her first Antara (DMPA 150 mg) injection exactly 15 weeks ago and has had no periods since. She comes for her repeat dose today. What should the nurse do?

The National Population Policy 2000 set its medium-term objective as:

The National Rural Health Mission was launched in:

Under the Home Based Care for Young Child (HBYC) programme, the ASHA makes additional home visits at the ages of:

A block health team has reviewed its health situation and set the objective of cutting anaemia in pregnancy by a quarter in three years. Following the planning cycle, what should the team do next?

Under PM POSHAN (formerly the mid-day meal scheme), a cooked meal for a child in classes 6-8 should provide about:

A 66-year-old man with knee osteoarthritis and low mood visits a sub-centre Ayushman Arogya Mandir. Compared with the older sub-centre, the centre can now offer him:

In Anemia Mukt Bharat, the '6 x 6 x 6' strategy refers to six target groups, six interventions and six:

The Srivastava Committee (1975) led to the Rural Health Scheme of 1977 mainly through its proposal to:

A sub-centre serves 5,000 people with a crude birth rate of 20 per 1,000. Under Anemia Mukt Bharat, how many IFA tablets are needed in a year for prophylaxis during pregnancy, taking one pregnancy per expected birth?

Rashtriya Kishor Swasthya Karyakram is the national health programme for people aged: