Question map
Consider the following statements in the context of interventions being undertaken under Anaemia Mukt Bharat Strategy : 1. It provides prophylactic calcium supplementation for pre-school children, adolescents and pregnant women. 2. It runs a campaign for delayed cord clamping at the time of childbirth. 3. It provides for periodic deworming to children and adolescents. 4. It addresses non-nutritional causes of anaemia in endemic pockets with special focus on malaria, hemoglobinopathies and fluorosis. How many of the statements given above are correct?
Explanation
The correct answer is Option 3 (Only three). The Anaemia Mukt Bharat (AMB) strategy, launched by the Ministry of Health and Family Welfare, focuses on a 6x6x6 framework to reduce anaemia prevalence.
- Statement 1 is incorrect: The strategy provides prophylactic Iron and Folic Acid (IFA) supplementation, not calcium. Calcium can actually inhibit iron absorption if taken simultaneously.
- Statement 2 is correct: AMB promotes delayed cord clamping (by at least 2-3 minutes) for newborns to improve infant iron stores for up to six months.
- Statement 3 is correct: Periodic deworming (using Albendazole) for children and adolescents is a core intervention to prevent iron loss due to parasitic infestations.
- Statement 4 is correct: The strategy addresses non-nutritional causes of anaemia, specifically targeting malaria, hemoglobinopathies (like Sickle Cell Disease and Thalassemia), and fluorosis in endemic regions.
Since statements 2, 3, and 4 are correct, Option 3 is the right choice.
PROVENANCE & STUDY PATTERN
Full viewThis is a 'Scheme Architecture' question. UPSC demands you know the specific pillars of flagship schemes (here, the '6x6x6' strategy), not just the launch year. If a scheme has a numbered framework (like 6 interventions), memorize the exact list.
This question can be broken into the following sub-statements. Tap a statement sentence to jump into its detailed analysis.
- Statement 1: Does the Anaemia Mukt Bharat Strategy include prophylactic calcium supplementation for pre-school children, adolescents, and pregnant women?
- Statement 2: Does the Anaemia Mukt Bharat Strategy run a campaign for delayed cord clamping at the time of childbirth?
- Statement 3: Does the Anaemia Mukt Bharat Strategy provide for periodic deworming of children and adolescents?
- Statement 4: Does the Anaemia Mukt Bharat Strategy address non-nutritional causes of anaemia in endemic pockets, specifically malaria, hemoglobinopathies, and fluorosis?
- Explicitly states the strategy provides prophylactic supplementation by Iron Folic Acid (IFA) for pre-school children, adolescents and pregnant/lactating women.
- Passage specifies IFA as the prophylactic supplement used under AMB rather than mentioning calcium.
- Official NHM description lists 'Prophylactic Iron Folic Acid Supplementation' as one of the six interventions under Anemia Mukt Bharat.
- Defines the beneficiary age groups covered (including children, adolescents, pregnant and lactating women), indicating IFA is the prophylactic measure for these groups.
- Operational guidelines state prophylactic Iron and Folic Acid (IFA) supplementation is given to children, adolescents, women of reproductive age and pregnant women as a key intervention.
- This passage confirms IFA is the prophylactic supplement used under AMB, not calcium.
Notes a high burden of anaemia among adolescent girls and stresses adolescents' increased nutritional needs.
A student could infer that national anaemia programmes target adolescents and therefore check whether such programmes include micronutrient (including calcium) prophylaxis for this group.
Identifies calcium as an important nutrient (milk, curd, paneer) required for growth and bone development in adolescents.
Use this nutritional role to evaluate whether a public health strategy aiming to improve adolescent nutrition might plausibly include calcium supplementation alongside iron/folate.
States that pregnant and nursing mothers and children under 5 form a large food-insecure group at risk of malnutrition.
A student can reason that national interventions aiming to reduce maternal/child malnutrition could include supplementation programmes (so check policy details for calcium provision).
Describes targeted benefits delivered through Aanganwadi for pregnant/lactating women and young children (meals, cash instalments).
Since Aanganwadi is a platform for maternal/child nutrition services, one could look there for operational details (e.g., whether calcium prophylaxis is supplied via this network under Anaemia Mukt Bharat).
Mentions Pradhan Mantri Surakshit Matritva Abhiyan providing systematic antenatal care to pregnant women.
A student might check antenatal-care protocols under this scheme and related national anaemia initiatives to see if calcium prophylaxis for pregnant women is included.
- Lists the six interventions of Anaemia Mukt Bharat and explicitly pairs Behaviour Change Communication with delayed cord clamping.
- Shows delayed cord clamping is included as a specific intervention within the AMB strategy.
- Official NHM text stating promotion of the practice directly under AMB guidance.
- Confirms delayed cord clamping is promoted as part of the strategy's recommendations.
- Operational guidelines extract names the Behaviour Change Communication campaign and explicitly includes ensuring delayed cord clamping.
- Reinforces that the AMB BCC campaign includes delayed cord clamping as an action point.
Describes Pradhan Mantri Surakshit Matritva Abhiyan as a national programme explicitly targeting reduction of maternal and infant mortality and improving antenatal/care and safe deliveries.
A student could check whether Anaemia Mukt Bharat (also a maternal/child healthβoriented strategy) lists intrapartum practices (like delayed cord clamping) among safe delivery interventions in its detailed guidelines.
Notes that multiple national health programmes were launched/merged (e.g., National Health Policy, Ayushman Bharat) indicating the government uses national programmes to address public-health priorities.
Using this pattern, one could look in central programme documents (Anaemia Mukt Bharat policy/guidelines) to see whether they incorporate specific childbirth practices or leave them to maternal health missions.
Gives an example (Nasha Mukt Bharat Abhiyaan) of a focused national campaign addressing a specific health/behaviour issue.
By analogy, a student could seek whether Anaemia Mukt Bharat similarly runs targeted behavioural/clinical campaigns (e.g., for cord-clamping timing) as part of its interventions.
States that India's health campaigns (e.g., for TB, malnutrition) have been used to influence practice and policy, showing national campaigns can include clinical practice changes.
A student might therefore test if Anaemia Mukt Bharat has issued campaign materials or clinical guidance aimed at changing delivery-room practices like delayed cord clamping.
- From the NHM/AMB material linking deworming to programme implementation under the Ministry.
- Specifies biannual mass deworming for children and adolescents aged 1β19 years on set dates.
- Explicitly states NDD is implemented under the strategy with albendazole for 1β19 year olds.
- Repeats the biannual dates (10 February and 10 August) showing periodicity.
- Summarises the AMB interventions and lists 'Periodic Deworming' as biannual NDD for 1β19 year olds.
- Mentions deworming for pregnant women too, indicating it is part of the broader strategy.
Notes a high burden of anaemia among adolescents and that adolescent nutrition requirements are higher, implying programmes targeting anaemia would focus on this age group.
A student could combine this with the fact that intestinal helminths contribute to anaemia in children/adolescents to infer that anaemia control strategies might include deworming and then check the strategy text for deworming actions.
Asks how to manage iron deficiency and to 'find out about government schemes aimed to prevent such deficiencies', indicating government schemes address iron-deficiency anaemia.
One could extend this by checking whether government anaemia schemes bundle allied interventions (e.g., deworming) that support iron status.
Describes Rashtriya Kishor Swasthya Karyakram (RKSK) and other adolescent health initiatives, showing the government runs adolescent-focused health programmes that could coordinate with anaemia efforts.
A student might reason that Anaemia Mukt Bharat could coordinate with RKSK for school/ adolescent interventions such as periodic deworming, then verify in programme guidelines.
Discusses Swachh Bharat Mission and ongoing open defecation in slums β poor sanitation is a risk factor for soil-transmitted helminth infections which can cause or worsen anaemia.
Using the link between sanitation, helminthiasis, and anaemia, a student could infer that anaemia-control strategies may logically include deworming in high-risk settings and then look for that element in the strategy.
Shows that community sanitation campaigns reduced infections and improved child health, reinforcing the causal link between sanitation and parasitic infections affecting nutrition/anaemia.
A student could use this to support checking whether Anaemia Mukt Bharat pairs nutritional/iron interventions with infection-control measures like deworming.
- Operational guidelines explicitly state the strategy will intensify awareness and integrate screening and treatment for non-nutritional causes.
- Specifically names malaria, haemoglobinopathies and fluorosis as the special focus for endemic pockets.
- An official Rajya Sabha document states the strategy addresses non-nutritional causes in endemic pockets with special focus on malaria, hemoglobinopathies and fluorosis.
- The same passage goes on to describe actions to tackle anaemia due to malaria in pregnant women and children, showing programmatic intent.
- Lists 'Addressing non-nutritional causes of anaemia in endemic pockets with special focus on malaria, hemoglobinopathies and fluorosis' as one of the six interventions under AMB.
- This framing places non-nutritional causes as a core intervention in the national strategy.
States that malaria causes anaemia and lists Indian states where malaria is endemic, linking a non-nutritional infectious cause to regional anaemia burden.
A student could combine this with maps of malaria-endemic states and the geographic focus of Anaemia Mukt Bharat to see if the strategy would need to address malaria in those pockets.
Describes malaria's etiology (plasmodium via mosquitoes), reinforcing malaria as a non-nutritional, preventable cause of anaemia.
A student could infer that strategies tackling anaemia in endemic areas might require coordination with vector-control programmes and check whether Anaemia Mukt Bharat mentions such coordination.
Lists collection of hemographic and epidemiological data and explicitly names endemic diseases like fluorosis and malaria as subjects for study in health/environment assessments.
A student could use this pattern to expect public health programmes addressing anaemia to consider endemic non-nutritional causes (e.g., fluorosis) and then verify if Anaemia Mukt Bharat includes such epidemiological or cross-program measures.
Explains that the Government runs an integrated National Vectorborne Disease Control Programme (malaria control) under a separate health mission, implying malaria control is handled by a distinct programme.
A student could check whether Anaemia Mukt Bharat coordinates with or refers to existing vector-borne disease programmes, since standalone anaemia strategies may rely on these for malaria-related causes.
Notes high prevalence of anaemia among adolescent girls due to inadequate nutrition, highlighting the distinction between nutritional and non-nutritional drivers of anaemia in program design.
A student could use this rule (programs often target nutritional deficits for adolescents) to question whether Anaemia Mukt Bharat also explicitly includes measures for non-nutritional causes like hemoglobinopathies and fluorosis in endemic pockets.
- [THE VERDICT]: Trap (Statement 1). While calcium is important, it is NOT the prophylactic for 'Anaemia'. Iron+Folic Acid (IFA) is. Source: AMB Operational Guidelines.
- [THE CONCEPTUAL TRIGGER]: Public Health > Nutrition > The '6x6x6' Anaemia Mukt Bharat Strategy.
- [THE HORIZONTAL EXPANSION]: Memorize the 6 Interventions: 1. Prophylactic IFA, 2. Deworming (Albendazole), 3. Intensified BCC, 4. Testing (Digital methods), 5. Delayed Cord Clamping, 6. Addressing non-nutritional causes (Malaria/Fluorosis).
- [THE STRATEGIC METACOGNITION]: Apply biological common sense. Calcium inhibits iron absorption. A national strategy to fight Anaemia would never prioritize Calcium supplementation in the same breath as Iron without strict spacing protocols. Statement 1 violates basic physiology.
Adolescents have higher nutrient requirements and a large proportion of adolescent girls suffer from anaemia, making this age group critical for nutrition interventions.
High-yield for UPSC because adolescent health affects the demographic dividend and long-term human capital. Links public health, nutrition policy, and gender issues; useful for questions on targeted interventions, school health programs, and evaluating policy priorities.
- CONTEMPORARY INDIA-I ,Geography, Class IX . NCERT(Revised ed 2025) > Chapter 6: Population > Adolescent Population > p. 53
Calcium-rich foods (milk, millets, curd, cheese, paneer) are important for bone growth and overall adolescent development.
Important for distinguishing dietary approaches from pharmacological supplementation in public health answers. Connects to child and adolescent nutrition, food-based interventions, and program design questions on preventing deficiency disorders.
- Science-Class VII . NCERT(Revised ed 2025) > Chapter 6: Adolescence: A Stage of Growth and Change > 6.4.1 Meeting nutritional needs > p. 79
The government implements programmes that provide antenatal care, menstrual hygiene support, and nutritional supplementation for pregnant women, lactating mothers, and young children.
Crucial for UPSC preparation because questions frequently probe scheme objectives, coverage, and impact on maternal/child health and nutrition. Mastery helps in policy analysis, linking schemes to indicators like anaemia and infant mortality, and comparing service delivery mechanisms.
- Economics, Class IX . NCERT(Revised ed 2025) > Chapter 3: Poverty as a Challenge > Anti-Poverty Measures > p. 40
- Science-Class VII . NCERT(Revised ed 2025) > Chapter 6: Adolescence: A Stage of Growth and Change > Science and Society > p. 81
- Indian Economy, Vivek Singh (7th ed. 2023-24) > Chapter 9: Subsidies > Subsidies > p. 296
PMSMA is a national scheme aimed at reducing maternal and infant mortality by providing quality antenatal care and ensuring safe deliveries.
High-yield for UPSC because it exemplifies targeted maternal-health interventions and operational design of government schemes; links to questions on maternal and child health policy, service delivery, and publicβprivate engagement in healthcare. Understanding PMSMA helps answer policy comparison and scheme evaluation questions.
- Economics, Class IX . NCERT(Revised ed 2025) > Chapter 3: Poverty as a Challenge > Anti-Poverty Measures > p. 40
Several national health programmes have been merged with the National Health Mission and new initiatives like Ayushman Bharat reflect changing central strategies in health policy.
Important for UPSC mains and prelims because it frames how central health policy is structured and reformed; useful for essays and policy analysis questions on health governance, financing, and programme convergence.
- Rajiv Ahir. A Brief History of Modern India (2019 ed.). SPECTRUM. > Chapter 39: After Nehru... > Health Policy > p. 781
The government uses flagship campaigns (for example, anti-substance and sanitation drives) to reach mass audiences and address specific public-health problems through focused outreach.
Useful for UPSC to discuss mobilization, behaviour-change communication, and programme implementation at scale; connects to governance, social-sector delivery, and evaluating campaign effectiveness across sectors.
- Science-Class VII . NCERT(Revised ed 2025) > Chapter 6: Adolescence: A Stage of Growth and Change > Nasha Mukt Bharat Abhiyaan > p. 84
- Geography of India ,Majid Husain, (McGrawHill 9th ed.) > Chapter 14: Settlements > SLUMS AND ASSOCIATED PROBLEMS > p. 42
Adolescent girls frequently suffer from anaemia driven by iron and vitamin B12 deficiencies and inadequate diets.
High-yield for UPSC as it links nutrition, adolescent health, and human development indicators; useful for questions on public health challenges, nutrition policy, and gendered health outcomes. Mastering this helps answer questions on causes, consequences, and broad policy responses to anaemia.
- CONTEMPORARY INDIA-I ,Geography, Class IX . NCERT(Revised ed 2025) > Chapter 6: Population > Adolescent Population > p. 53
- Science-Class VII . NCERT(Revised ed 2025) > Chapter 6: Adolescence: A Stage of Growth and Change > Science and Society > p. 80
The '6 Beneficiaries' of AMB: 1. Children (6-59m), 2. Children (5-9y), 3. Adolescents (10-19y), 4. Women of Reproductive Age (20-24y), 5. Pregnant Women, 6. Lactating Mothers. (Note: Men are generally excluded from the prophylactic IFA regime).
The 'Biological Conflict' Hack: Statement 1 says 'Calcium' for Anaemia. Any basic science student knows Calcium and Iron compete for absorption and are rarely bundled in the *same* prophylactic pill for anaemia control. This scientific contradiction makes Statement 1 false immediately.
Mains GS-2 (Health) & GS-3 (Economy): Anaemia causes a 17% loss in productivity in heavy manual labour. Linking 'Delayed Cord Clamping' to 'Infant Mortality Rate (IMR)' reduction is a key point for answers on Child Health interventions.