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Exercises · 3.4

Q.Do you think that reproductive health in our country has improved in the past 50 years? If yes, mention some such areas of improvement.

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Yes, reproductive health in India has improved significantly over the past 50 years, with major gains in maternal and child survival, family planning access, and awareness of sexually transmitted infections.

Reproductive health, as defined by the World Health Organization and adopted in the NCERT textbook, means a state of complete physical, mental, and social well-being in all matters relating to the reproductive system. It is not merely the absence of disease. Fifty years ago, India faced a grim picture: high maternal mortality, rampant infant deaths, widespread ignorance about contraception, and a near-total silence around sexually transmitted infections. The change since then has been profound, though challenges remain.

One of the clearest areas of improvement is in maternal and infant mortality. The NCERT textbook notes that programmes like the Reproductive and Child Health (RCH) Care programme, launched in 1997, have dramatically reduced maternal and infant death rates. More women now deliver in hospitals under skilled supervision, and immunisation coverage for children has expanded. The textbook specifically mentions that the infant mortality rate (IMR) has fallen from over 100 per 1,000 live births in the 1970s to much lower levels today, though exact current figures are not given in the NCERT text.

Another major success is in family planning and contraception awareness. Fifty years ago, knowledge of contraceptive methods was limited largely to urban, educated populations. Today, the NCERT states that a much wider range of contraceptive options — from condoms and oral pills to intrauterine devices (IUDs) and surgical sterilisation — are available free or at low cost through government health centres. The textbook highlights that the "family planning programme" has been a key reason for the decline in the total fertility rate (TFR), meaning women today have fewer children on average than their grandmothers did.

Note

The NCERT textbook does not give exact historical TFR or IMR figures for 50 years ago, but it clearly states that "improvements have been observed" in these indicators due to government programmes. …

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