const {
  Document, Packer, Paragraph, TextRun, Table, TableRow, TableCell,
  HeadingLevel, AlignmentType, BorderStyle, WidthType, ShadingType,
  VerticalAlign, PageNumber, Header, Footer, UnderlineType,
  convertInchesToTwip, PageBreak
} = require('docx');
const fs = require('fs');

// ─── Helpers ────────────────────────────────────────────────────────────────

function h1(text) {
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    heading: HeadingLevel.HEADING_1,
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}

function h2(text) {
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}

function h3(text) {
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}

function para(text, opts = {}) {
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}

function bold(text) {
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}

function bullet(text) {
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}

function qa(q, a) {
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}

function pageBreak() {
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}

function sectionDivider(text) {
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    children: [new TextRun({ text, bold: true, size: 28, color: 'FFFFFF' })],
    alignment: AlignmentType.CENTER,
    shading: { type: ShadingType.SOLID, color: '1F3864' },
    spacing: { before: 300, after: 160 },
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}

function makeTable(headers, rows) {
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    children: headers.map(h =>
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  return new Table({
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    margins: { top: 100, bottom: 100 },
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}

// ─── Document Content ────────────────────────────────────────────────────────

const children = [];

// Title Page
children.push(
  new Paragraph({
    children: [new TextRun({ text: 'GPSC MEDICAL OFFICER', bold: true, size: 56, color: '1F3864' })],
    alignment: AlignmentType.CENTER,
    spacing: { before: 600, after: 100 },
  }),
  new Paragraph({
    children: [new TextRun({ text: 'Complete Health Programme Guide', bold: true, size: 36, color: '2E74B5' })],
    alignment: AlignmentType.CENTER,
    spacing: { before: 80, after: 80 },
  }),
  new Paragraph({
    children: [new TextRun({ text: 'Viva Interview Preparation', size: 28, italics: true, color: '595959' })],
    alignment: AlignmentType.CENTER,
    spacing: { before: 80, after: 80 },
  }),
  new Paragraph({
    children: [new TextRun({ text: 'All Major National Health Programmes | Role of ASHA / ANM / Medical Officer', size: 22, color: '595959' })],
    alignment: AlignmentType.CENTER,
    spacing: { before: 60, after: 400 },
  }),
  new Paragraph({
    children: [new TextRun({ text: 'Compiled from: Park\'s Textbook of PSM (26th Ed.) + NHM Guidelines + MoHFW Programme Documents', size: 20, italics: true, color: '7F7F7F' })],
    alignment: AlignmentType.CENTER,
    spacing: { before: 200, after: 60 },
  }),
  new Paragraph({
    children: [new TextRun({ text: 'Current as of June 2026', size: 20, italics: true, color: '7F7F7F' })],
    alignment: AlignmentType.CENTER,
    spacing: { before: 60, after: 60 },
  }),
  pageBreak()
);

// ═══════════════════════════════════════════════════════════════
// SECTION 1: MATERNAL HEALTH
// ═══════════════════════════════════════════════════════════════
children.push(sectionDivider('SECTION 1: MATERNAL HEALTH PROGRAMMES'));

// 1.1 JSY
children.push(h2('1. JANANI SURAKSHA YOJANA (JSY)'));
children.push(makeTable(
  ['Detail', 'Information'],
  [
    ['Launch Date', '12 April 2005 (modified from National Maternity Benefit Scheme)'],
    ['Funding', '100% Centrally Sponsored Scheme (CSS) under NHM'],
    ['Ministry', 'Ministry of Health and Family Welfare (MoHFW)'],
    ['Current Phase', 'Ongoing under NHM-RMNCH+A strategy'],
  ]
));
children.push(h3('Objective'));
children.push(para('Reduce MMR and NMR by promoting institutional deliveries among BPL families.'));
children.push(h3('State Classification'));
children.push(bullet('Low Performing States (LPS) - 10 states: UP, Uttarakhand, MP, Jharkhand, Bihar, Rajasthan, Chhattisgarh, Odisha, Assam, J&K'));
children.push(bullet('High Performing States (HPS): All remaining states'));
children.push(h3('Cash Incentives'));
children.push(makeTable(
  ['Category', 'Rural Mother', 'Rural ASHA', 'Urban Mother', 'Urban ASHA'],
  [
    ['LPS', 'Rs. 1400', 'Rs. 600', 'Rs. 1000', 'Rs. 400'],
    ['HPS', 'Rs. 700', 'Rs. 600', 'Rs. 600', 'Rs. 400'],
  ]
));
children.push(h3('Eligibility'));
children.push(bullet('LPS: ALL women (including SC/ST) delivering in govt. or accredited private facilities. Benefit upto 3rd child if sterilisation opted post-delivery.'));
children.push(bullet('HPS: Only BPL + SC/ST women. Benefit limited to 2 live births.'));
children.push(h3('Role Summary'));
children.push(makeTable(
  ['Worker', 'Role'],
  [
    ['ASHA', 'Identify beneficiaries, escort to facility, ensure ANC/PNC, submit incentive claims'],
    ['ANM', 'Register pregnant women, provide ANC, disburse JSY cash, submit monthly accounts by 7th'],
    ['Medical Officer', 'Supervise deliveries, certify institutional delivery, handle complications, ensure quality care'],
  ]
));

// 1.2 JSSK
children.push(h2('2. JANANI SHISHU SURAKSHA KARYAKRAM (JSSK)'));
children.push(makeTable(
  ['Detail', 'Information'],
  [
    ['Launch Date', '1 June 2011'],
    ['Funding', 'Central Government under NHM'],
    ['Current Phase', 'Ongoing; expanded to cover ANC/PNC complications and sick infants up to 1 year'],
  ]
));
children.push(h3('Entitlements for Pregnant Women'));
children.push(bullet('Free delivery (including C-section) - absolutely zero expense'));
children.push(bullet('Free drugs and consumables'));
children.push(bullet('Free diet: 3 days (normal delivery), 7 days (C-section)'));
children.push(bullet('Free diagnostics (all investigations)'));
children.push(bullet('Free blood wherever required'));
children.push(bullet('Free transport: home to institution, inter-facility referral, drop back home'));
children.push(h3('Entitlements for Sick Newborns'));
children.push(para('Same package until 30 days after birth (extended to sick infants up to 1 year under expanded scheme).'));
children.push(h3('Role Summary'));
children.push(makeTable(
  ['Worker', 'Role'],
  [
    ['ASHA', 'Counsel families on JSSK entitlements; ensure woman knows she pays nothing'],
    ['ANM', 'Ensure drugs, diet, transport arranged; fill JSSK service registers'],
    ['Medical Officer', 'Certify eligibility, ensure zero expense, sign referral orders, oversee C-section coverage'],
  ]
));

// 1.3 PMSMA
children.push(h2('3. PRADHAN MANTRI SURAKSHIT MATRITVA ABHIYAN (PMSMA)'));
children.push(makeTable(
  ['Detail', 'Information'],
  [
    ['Launch Date', 'June 2016'],
    ['Funding', 'Under NHM (Central + State)'],
    ['Current Phase', 'Ongoing; extended as ePMSMA (Extended PMSMA)'],
    ['Key Feature', 'ANC on 9th of every month - free, fixed-day, assured, quality ANC'],
  ]
));
children.push(h3('Services on 9th of Every Month'));
children.push(bullet('Weight, BP, abdominal examination'));
children.push(bullet('Hb, urine albumin/sugar, blood group, VDRL, HIV, blood sugar'));
children.push(bullet('Ultrasound (if available)'));
children.push(bullet('IFA, calcium, TT injection'));
children.push(bullet('Identification and management of High Risk Pregnancies'));
children.push(h3('Achievements'));
children.push(bullet('~2.20 crore ANC check-ups conducted by ~6,000 volunteers in >17,000 govt. facilities'));
children.push(bullet('>11.66 lakh high-risk pregnancy cases identified across India'));
children.push(h3('Role Summary'));
children.push(makeTable(
  ['Worker', 'Role'],
  [
    ['ASHA', 'Mobilise all pregnant women for 9th-of-month visit; track registration on RCH portal'],
    ['ANM', 'Register women, maintain MCP card, conduct basic checks, refer to PHC/CHC'],
    ['Medical Officer', 'Conduct ANC at PHC; identify high-risk; coordinate volunteer OBGYN visits'],
  ]
));

// 1.4 SUMAN
children.push(h2('4. SUMAN (Surakshit Matritva Aashwasan)'));
children.push(makeTable(
  ['Detail', 'Information'],
  [
    ['Launch Date', '10 October 2019'],
    ['Funding', 'NHM (Central + State)'],
    ['Current Phase', 'Ongoing; NQAS certification of SUMAN facilities ongoing'],
    ['Goal', '"Zero preventable maternal and newborn deaths" - assured, respectful, free care'],
  ]
));
children.push(h3('SUMAN Service Guarantees (Service Charter)'));
children.push(bullet('At least 4 ANC visits; first before 12 weeks'));
children.push(bullet('Skilled attendance at all deliveries'));
children.push(bullet('Free delivery services (normal + C-section) - drugs, diet, diagnostics, blood, transport'));
children.push(bullet('Free newborn care and complication management up to 6 weeks'));
children.push(bullet('At least 3 postnatal care visits (Day 1, Day 3 or 7, Day 42)'));
children.push(bullet('ZERO denial of services - displayed as Service Charter at facility'));
children.push(bullet('Respectful maternity care - no verbal/physical abuse'));
children.push(h3('SUMAN Volunteer'));
children.push(para('Community volunteer who monitors SUMAN services. Best performer recognised as "SUMAN Champion".'));

// 1.5 LaQshya
children.push(h2('5. LAQSHYA PROGRAMME'));
children.push(makeTable(
  ['Detail', 'Information'],
  [
    ['Launch Date', 'December 2017'],
    ['Full Form', 'Labour Room Quality Improvement Initiative'],
    ['Funding', 'NHM; technical support from QCI (Quality Council of India)'],
    ['Current Phase', 'Certification (State & National) ongoing; LaQshya portal operational'],
  ]
));
children.push(h3('Objective'));
children.push(para('Improve quality of care during childbirth at Labour Rooms (LR) and Maternity OTs to reduce preventable maternal and newborn deaths.'));
children.push(h3('Certification Levels'));
children.push(bullet('State Certification: Score >70%'));
children.push(bullet('National Certification: Score >80%'));
children.push(h3('Facilities Targeted'));
children.push(para('District Hospitals, Medical Colleges, CHCs with >100 monthly deliveries.'));

// 1.6 MDSR
children.push(h2('6. MATERNAL DEATH SURVEILLANCE AND RESPONSE (MDSR)'));
children.push(makeTable(
  ['Detail', 'Information'],
  [
    ['Launch', '2013 (formalised under NHM; WHO recommendation adopted)'],
    ['Funding', 'NHM'],
    ['ASHA Incentive', 'Rs. 1000 for reporting any maternal death in community'],
  ]
));
children.push(h3('Three Delays Model'));
children.push(makeTable(
  ['Delay', 'Description'],
  [
    ['Delay 1', 'Delay in recognition and decision to seek care'],
    ['Delay 2', 'Delay in reaching the facility (transport/distance)'],
    ['Delay 3', 'Delay in receiving adequate care at the facility'],
  ]
));
children.push(h3('MMR Targets'));
children.push(makeTable(
  ['Target', 'Value'],
  [
    ['Current MMR (SRS 2018-20)', '97 per 1 lakh live births'],
    ['NHM Target', '<100 per 1 lakh live births'],
    ['SDG Target (2030)', '<70 per 1 lakh live births'],
  ]
));

// 1.7 Dakshata
children.push(h2('7. DAKSHATA PROGRAMME'));
children.push(makeTable(
  ['Detail', 'Information'],
  [
    ['Launch', '2017 (under NHM training initiatives)'],
    ['Funding', 'NHM'],
    ['Focus', 'Competency-based training of ANMs/nurses in skilled birth attendance'],
  ]
));
children.push(h3('5 Key Training Focus Areas'));
children.push(bullet('Active Management of Third Stage of Labour (AMTSL)'));
children.push(bullet('Prevention and management of PPH (oxytocin use)'));
children.push(bullet('Management of eclampsia (MgSO4 protocol)'));
children.push(bullet('Newborn resuscitation (Bag and Mask)'));
children.push(bullet('Infection prevention'));
children.push(h3('LSAS - Related Programme'));
children.push(para('Life Saving Anaesthesia Skills (LSAS) - trains MBBS MOs to administer spinal anaesthesia for emergency C-sections at FRUs. Complementary to Dakshata.'));

children.push(pageBreak());

// ═══════════════════════════════════════════════════════════════
// SECTION 2: NEWBORN HEALTH
// ═══════════════════════════════════════════════════════════════
children.push(sectionDivider('SECTION 2: NEWBORN HEALTH PROGRAMMES'));

// 2.1 NSSK
children.push(h2('1. NAVJAAT SHISHU SURAKSHA KARYAKRAM (NSSK)'));
children.push(makeTable(
  ['Detail', 'Information'],
  [
    ['Launch', '2009'],
    ['Funding', 'NHM'],
    ['Target', 'All health providers conducting deliveries (doctors, nurses, ANMs)'],
    ['Format', '2-day training using simulation mannequins'],
  ]
));
children.push(h3('What NSSK Teaches'));
children.push(bullet('Keeping baby warm (thermoregulation)'));
children.push(bullet('Ensuring baby is breathing (Bag and Mask Ventilation / newborn resuscitation)'));
children.push(bullet('Breastfeeding initiation within 1 hour of birth'));
children.push(bullet('Prevention of infection (cord care, eye care, skin care)'));
children.push(bullet('Administration of Vitamin K at birth'));

// 2.2 FBNC
children.push(h2('2. FACILITY BASED NEWBORN CARE (FBNC)'));
children.push(makeTable(
  ['Detail', 'Information'],
  [
    ['Launch', '2011'],
    ['Funding', 'NHM'],
    ['Status', '20,336 NBCCs | 2,421 NBSUs | 844 SNCUs functional in India'],
  ]
));
children.push(h3('Three-Tier Newborn Care System'));
children.push(makeTable(
  ['Facility Level', 'MCH Level', 'All Newborns at Birth', 'Sick Newborns'],
  [
    ['PHC/Sub-centre', 'Level I', 'NBCC in labour room', 'Prompt referral'],
    ['CHC/FRU', 'Level II', 'NBCC in LR and OT', 'NBSU (4-bedded)'],
    ['District Hospital', 'Level III', 'NBCC in LR and OT', 'SNCU (12+ bedded)'],
  ]
));
children.push(h3('NBCC - Mandatory at ALL Delivery Facilities'));
children.push(para('Space in delivery room for immediate newborn care: radiant warmer, bag-mask, suction, thermometer.'));
children.push(h3('SNCU Criteria'));
children.push(para('Any facility with >3,000 deliveries/year must have an SNCU. Minimum 12 beds. Add 4 beds per 1,000 deliveries above 3,000.'));

// 2.3 HBNC
children.push(h2('3. HOME BASED NEWBORN CARE (HBNC)'));
children.push(makeTable(
  ['Detail', 'Information'],
  [
    ['Launch', '2011 (scaled nationally under NHM)'],
    ['Implementing Agency', 'ASHA workers'],
    ['ASHA Incentive', 'Rs. 250 for completing all scheduled visits'],
  ]
));
children.push(h3('ASHA Visit Schedule'));
children.push(makeTable(
  ['Delivery Type', 'Number of Visits', 'Visit Days'],
  [
    ['Institutional Delivery', '6 visits', 'Day 3, 7, 14, 21, 28, 42'],
    ['Home Delivery', '7 visits', 'Day 1, 3, 7, 14, 21, 28, 42'],
    ['C-Section (home after Day 5-6)', '5 visits', 'Day 7, 14, 21, 28, 42'],
    ['SNCU Discharged Baby', 'Remaining visits + monthly', 'Follow up 1 year; Rs. 50/month extra'],
    ['LBW/Preterm baby', 'Additional visits', 'Follow up 2 years'],
  ]
));
children.push(h3('Key ASHA Activities at Home Visit'));
children.push(bullet('Weigh newborn; measure temperature'));
children.push(bullet('Ensure warmth (prevent hypothermia)'));
children.push(bullet('Support exclusive breastfeeding (positioning and attachment)'));
children.push(bullet('Cord/skin/eye care; hand-washing'));
children.push(bullet('Detect danger signs (sepsis, jaundice, respiratory distress)'));
children.push(bullet('Refer appropriately; inform ANM for sick newborn visits'));

// 2.4 INAP
children.push(h2('4. INDIA NEWBORN ACTION PLAN (INAP)'));
children.push(makeTable(
  ['Detail', 'Information'],
  [
    ['Launch', 'September 2014 (India\'s response to global ENAP)'],
    ['Funding', 'GoI + UNICEF, WHO, Bill & Melinda Gates Foundation'],
    ['NMR Target by 2030', '<10 per 1000 live births'],
    ['Stillbirth Rate Target', '<10 per 1000 total births'],
    ['Current NMR (SRS 2020)', '20.3 per 1000 live births'],
  ]
));

// 2.5 KMC
children.push(h2('5. KANGAROO MOTHER CARE (KMC)'));
children.push(makeTable(
  ['Detail', 'Information'],
  [
    ['Promoted Under NHM', 'From 2011; dedicated KMC wards under FBNC'],
    ['Indication', 'Stable LBW newborns (<2000 g) and preterm babies'],
    ['Benefit', 'Reduces neonatal mortality in LBW babies by ~40%'],
  ]
));
children.push(h3('What is KMC?'));
children.push(para('Skin-to-skin contact between mother (or caregiver) and newborn - baby placed vertically on mother\'s chest between breasts, skin-to-skin, covered with a cloth. Promotes warmth, breastfeeding, and reduces infection.'));
children.push(h3('Benefits'));
children.push(bullet('Thermoregulation (prevents hypothermia)'));
children.push(bullet('Promotes exclusive breastfeeding'));
children.push(bullet('Reduces infection rates and neonatal ICU stay'));
children.push(bullet('Reduces mortality by ~40% in LBW babies'));

children.push(pageBreak());

// ═══════════════════════════════════════════════════════════════
// SECTION 3: CHILD HEALTH
// ═══════════════════════════════════════════════════════════════
children.push(sectionDivider('SECTION 3: CHILD HEALTH PROGRAMMES'));

// 3.1 UIP
children.push(h2('1. UNIVERSAL IMMUNIZATION PROGRAMME (UIP)'));
children.push(makeTable(
  ['Detail', 'Information'],
  [
    ['Launch', '19 November 1985 (dedicated to Smt. Indira Gandhi)'],
    ['Evolution', 'EPI (1974 global) → UIP 1985 → CSSM 1992 → RCH 1997 → NHM'],
    ['Funding', 'GoI (vaccines 100% central); delivery 60:40 Centre:State'],
    ['Full Immunization Coverage', '76.4% (NFHS-5, 2019-21); Target >90%'],
  ]
));
children.push(h3('Current UIP Schedule'));
children.push(makeTable(
  ['Age', 'Vaccines'],
  [
    ['At Birth', 'BCG, OPV-0 (birth dose), Hepatitis B (birth dose)'],
    ['6 weeks', 'OPV-1, Pentavalent-1 (DPT+HepB+Hib), IPV-1, Rotavirus-1, PCV-1'],
    ['10 weeks', 'OPV-2, Pentavalent-2, Rotavirus-2'],
    ['14 weeks', 'OPV-3, Pentavalent-3, IPV-2, Rotavirus-3, PCV-2'],
    ['9-12 months', 'MR-1, JE-1 (endemic districts), Vitamin A 1st dose, PCV Booster'],
    ['16-24 months', 'DPT Booster-1, OPV Booster, MR-2, JE-2, Vitamin A 2nd dose'],
    ['5-6 years', 'DPT Booster-2'],
    ['10 years', 'TT'],
    ['16 years', 'TT'],
    ['Pregnancy', 'TT-1, TT-2 (or TT Booster)'],
  ]
));
children.push(h3('Recent Additions (Important for Interview!)'));
children.push(bullet('Rotavirus vaccine: introduced 2016 (phased rollout)'));
children.push(bullet('IPV (Inactivated Polio Vaccine): introduced 2015 alongside OPV'));
children.push(bullet('PCV (Pneumococcal Conjugate Vaccine): introduced 2017 (phased)'));
children.push(h3('Role Summary'));
children.push(makeTable(
  ['Worker', 'Role'],
  [
    ['ASHA', 'Generate demand; create beneficiary list; track defaulters; accompany to session'],
    ['ANM', 'Conduct sessions; maintain cold chain; record in immunization register'],
    ['Medical Officer', 'Supervise UIP at PHC; verify cold chain; manage AEFI; report to AEFI committee'],
  ]
));

// 3.2 Mission Indradhanush
children.push(h2('2. MISSION INDRADHANUSH (MI) / INTENSIFIED MISSION INDRADHANUSH (IMI)'));
children.push(makeTable(
  ['Phase', 'Launch', 'Focus'],
  [
    ['Mission Indradhanush (MI 1.0)', 'December 2014', '201 high-priority districts'],
    ['Intensified MI (IMI 1.0)', 'October 2017', '121 districts including urban slums'],
    ['IMI 2.0', 'December 2019', '272 districts'],
    ['IMI 3.0', 'February 2021', 'Focus states, tribal blocks, NE states'],
  ]
));
children.push(h3('Objective'));
children.push(para('Achieve and sustain full immunization coverage >90% by vaccinating children under 2 years and pregnant women who are unvaccinated or partially vaccinated. Depicted by 7 colours of rainbow = 7 original vaccines.'));
children.push(h3('Strategy'));
children.push(bullet('4 rounds per year, each 7 days duration'));
children.push(bullet('Targets: urban slums, migrant settlements, tribal areas, hard-to-reach areas'));
children.push(bullet('Door-to-door survey to identify missed children'));

// 3.3 RBSK
children.push(h2('3. RASHTRIYA BAL SWASTHYA KARYAKRAM (RBSK)'));
children.push(makeTable(
  ['Detail', 'Information'],
  [
    ['Launch', 'February 2013'],
    ['Funding', 'NHM (Central + State)'],
    ['Target Population', '~270 million (27 crore) children aged 0-18 years'],
  ]
));
children.push(h3('4 Ds - Screening Targets'));
children.push(makeTable(
  ['D', 'Examples'],
  [
    ['Defects at Birth', 'Congenital heart disease, cleft lip/palate, neural tube defects, Down syndrome, clubfoot, congenital cataract, retinopathy of prematurity'],
    ['Diseases', 'Sickle cell disease, thalassaemia, dental caries, skin conditions, rheumatic heart disease, epilepsy'],
    ['Deficiencies', 'Anaemia, Vitamin D deficiency, blindness due to Vitamin A deficiency'],
    ['Developmental Delays', 'Autism, intellectual disability, cerebral palsy, ADHD, hearing/vision impairment, motor delay'],
  ]
));
children.push(h3('Mobile Health Team (MHT)'));
children.push(bullet('Composition: 2 members per MHT = MO/AYUSH Doctor + ANM/Paramedic'));
children.push(bullet('2 MHTs per block: 1 for AWC (0-5 years), 1 for govt. schools (6-18 years)'));
children.push(bullet('Newborns screened at delivery points by delivery staff'));
children.push(h3('District Early Intervention Centre (DEIIC)'));
children.push(para('At District Hospital level. Multi-specialist team provides free treatment including surgeries (cleft lip repair, cochlear implants, heart surgery).'));

// 3.4 IMNCI
children.push(h2('4. INTEGRATED MANAGEMENT OF NEONATAL AND CHILDHOOD ILLNESS (IMNCI)'));
children.push(makeTable(
  ['Detail', 'Information'],
  [
    ['Launch', '2003 (C-IMNCI); 2009 (F-IMNCI)'],
    ['Developed by', 'WHO + UNICEF'],
    ['Target', 'Children 0 days to 5 years'],
  ]
));
children.push(h3('Danger Signs for Referral (taught to ASHA)'));
children.push(bullet('Not able to drink/breastfeed'));
children.push(bullet('Vomits everything'));
children.push(bullet('Convulsions'));
children.push(bullet('Abnormally sleepy/unconscious'));
children.push(bullet('Severe malnutrition'));
children.push(bullet('Fast breathing/chest indrawing'));

// 3.5 Pulse Polio
children.push(h2('5. PULSE POLIO IMMUNIZATION PROGRAMME'));
children.push(makeTable(
  ['Detail', 'Information'],
  [
    ['Launch', '2 October 1994 (National Immunization Day)'],
    ['India Polio-Free', '27 March 2014 (WHO certification)'],
    ['Last Wild Polio Case in India', '13 January 2011 (Howrah, West Bengal)'],
    ['Current Phase', 'NIDs/SNIDs continue for eradication maintenance; IPV + bOPV in UIP'],
  ]
));
children.push(h3('OPV Switch (2016)'));
children.push(para('Global switch from trivalent OPV (tOPV) to bivalent OPV (bOPV - Types 1 + 3) + introduction of IPV to prevent VAPP (Vaccine Associated Paralytic Polio).'));
children.push(h3('Global Polio Eradication Milestones'));
children.push(bullet('Wild Polio Type 2: Eradicated 2015'));
children.push(bullet('Wild Polio Type 3: Eradicated 2019'));
children.push(bullet('Global eradication target: 2026'));

// 3.6 Vitamin A
children.push(h2('6. VITAMIN A SUPPLEMENTATION PROGRAMME'));
children.push(makeTable(
  ['Age', 'Dose', 'Amount'],
  [
    ['9-12 months (with MR vaccine)', '1st dose', '1 lakh IU (1 ml)'],
    ['Every 6 months until 5 years', '2nd to 9th dose', '2 lakh IU (2 ml)'],
  ]
));
children.push(para('Total: 9 doses by 5 years. Prevents Vitamin A Deficiency (VAD), blindness, and reduces all-cause mortality by 24%.'));

// 3.7 NDD
children.push(h2('7. NATIONAL DEWORMING DAY (NDD)'));
children.push(makeTable(
  ['Detail', 'Information'],
  [
    ['Launch', 'February 10, 2015'],
    ['Frequency', 'Twice yearly: February 10 + August 10'],
    ['Drug', 'Albendazole 400 mg (2-19 years); 200 mg (1-2 years)'],
    ['Platforms', 'Anganwadi Centres (1-5 years); Schools (5-19 years); Mop-up days'],
    ['India Coverage', '~300 million children treated per round'],
  ]
));

// 3.8 Poshan Abhiyaan
children.push(h2('8. POSHAN ABHIYAAN (National Nutrition Mission)'));
children.push(makeTable(
  ['Detail', 'Information'],
  [
    ['Launch', '8 March 2018 (International Women\'s Day, Rajasthan)'],
    ['Current Phase', 'Poshan 2.0 (from 2021)'],
    ['Funding', 'Centrally Sponsored; 50:50 Centre:State (60:40 NE)'],
    ['Focus', 'First 1000 days (270 days pregnancy + 2 years of life)'],
  ]
));
children.push(h3('Targets'));
children.push(makeTable(
  ['Indicator', 'Target (per year)'],
  [
    ['Stunting reduction', '2% per year'],
    ['Undernutrition (underweight) reduction', '2% per year'],
    ['Low Birth Weight reduction', '2% per year'],
    ['Anaemia reduction (children 6-59 months)', '3% per year'],
  ]
));

// 3.9 AMB
children.push(h2('9. ANEMIA MUKT BHARAT (AMB) - 6x6x6 Strategy'));
children.push(para('Launched 2018. Reduce anaemia prevalence using 6 target groups × 6 interventions × 6 delivery platforms.'));
children.push(h3('6 Target Beneficiary Groups'));
children.push(makeTable(
  ['Group', 'Details'],
  [
    ['1', 'Children 6-59 months'],
    ['2', 'Children 5-9 years'],
    ['3', 'Adolescents 10-19 years (boys + girls)'],
    ['4', 'Pregnant women'],
    ['5', 'Women of Reproductive Age 15-49 years'],
    ['6', 'Lactating mothers (0-6 months post-delivery)'],
  ]
));
children.push(h3('India\'s Anaemia Burden (NFHS-5)'));
children.push(bullet('Children 6-59 months: 67.1% anaemic'));
children.push(bullet('Women 15-49 years: 57% anaemic'));
children.push(bullet('Pregnant women: 52.2% anaemic'));

// 3.10 MAA
children.push(h2('10. MAA PROGRAMME (Mother\'s Absolute Affection)'));
children.push(makeTable(
  ['Detail', 'Information'],
  [
    ['Launch', 'August 2016'],
    ['Funding', 'NHM'],
    ['Focus', 'Promote early initiation of breastfeeding (<1 hour) and exclusive breastfeeding up to 6 months'],
  ]
));
children.push(h3('Key Messages'));
children.push(bullet('Early initiation within 1 hour - colostrum is "liquid gold"'));
children.push(bullet('Exclusive breastfeeding for 6 months (no water, no other feeds)'));
children.push(bullet('Continued breastfeeding up to 2 years with complementary feeding from 6 months'));

children.push(pageBreak());

// ═══════════════════════════════════════════════════════════════
// SECTION 4: ADOLESCENT HEALTH
// ═══════════════════════════════════════════════════════════════
children.push(sectionDivider('SECTION 4: ADOLESCENT HEALTH PROGRAMMES'));

children.push(h2('1. RASHTRIYA KISHOR SWASTHYA KARYAKRAM (RKSK)'));
children.push(makeTable(
  ['Detail', 'Information'],
  [
    ['Launch', 'January 7, 2014 (replaced ARSH programme)'],
    ['Funding', 'NHM (Central + State)'],
    ['Target Group', 'Adolescents 10-19 years (252 million = largest globally)'],
  ]
));
children.push(h3('6 Strategic Themes'));
children.push(makeTable(
  ['Theme', 'Details'],
  [
    ['1. Nutrition', 'Anaemia prevention (WIFS), micronutrients, IYCF'],
    ['2. Sexual and Reproductive Health', 'Contraception, RTI/STI, AFHS clinics'],
    ['3. Non-Communicable Diseases', 'Tobacco, obesity, hypertension screening'],
    ['4. Mental Health', 'Counselling, substance misuse prevention'],
    ['5. Injuries and Violence', 'Road safety, gender-based violence'],
    ['6. Substance Misuse', 'Tobacco, alcohol, drug awareness'],
  ]
));

children.push(h2('2. WEEKLY IRON AND FOLIC ACID SUPPLEMENTATION (WIFS)'));
children.push(makeTable(
  ['Detail', 'Information'],
  [
    ['Programme', 'Under RKSK + National Iron Plus Initiative (NiPI)'],
    ['Target', '10.25 crore adolescents (10-19 years, boys + girls)'],
    ['Drug Given', '100 mg elemental iron + 500 mcg folic acid - once weekly on fixed day'],
    ['Delivery', 'Schools (supervised consumption) + AWCs for out-of-school adolescents'],
    ['Additional', 'Biannual Albendazole deworming (6 months apart)'],
  ]
));

children.push(h2('3. MENSTRUAL HYGIENE SCHEME (MHS)'));
children.push(makeTable(
  ['Detail', 'Information'],
  [
    ['Launch', '2011 (MoHFW)'],
    ['Target', 'Adolescent girls 10-19 years in rural areas'],
    ['ASHA Role', 'Distribute subsidised sanitary napkins (Rs. 6 for pack of 6 pads); earn commission; counsel girls'],
  ]
));

children.push(h2('4. ADOLESCENT FRIENDLY HEALTH CLINICS (AFHCs) / ARSH Clinics'));
children.push(bullet('Established at CHC, DH, and selected PHCs'));
children.push(bullet('Services: STI/RTI screening, contraceptive counselling, mental health, nutrition counselling'));
children.push(bullet('Confidential, youth-friendly environment'));

children.push(h2('5. PEER EDUCATOR (SAATHIYA) PROGRAMME'));
children.push(bullet('"Saathiya" = trusted peer/friend; 1 per village/AWC from adolescent group'));
children.push(bullet('Trained to deliver health messages on nutrition, puberty, SRH, family planning, HIV, anti-tobacco'));
children.push(bullet('Saathiya Resource Kit provided to all ASHAs and peer educators'));
children.push(bullet('ASHA facilitates and mentors the Saathiya peer educator'));

children.push(h2('6. SCHOOL HEALTH AND WELLNESS PROGRAMME (Ayushman Bharat)'));
children.push(makeTable(
  ['Detail', 'Information'],
  [
    ['Launch', '2018 (under Ayushman Bharat)'],
    ['Key Feature', '2 teachers per school as "Health and Wellness Ambassadors" (1 male + 1 female)'],
    ['Activities', 'Annual health checkup; WIFS; NDD; MHS; referral to PHC; linkage with RBSK'],
  ]
));

children.push(pageBreak());

// ═══════════════════════════════════════════════════════════════
// SECTION 5: FAMILY PLANNING
// ═══════════════════════════════════════════════════════════════
children.push(sectionDivider('SECTION 5: REPRODUCTIVE HEALTH / FAMILY PLANNING PROGRAMMES'));

children.push(h2('1. NATIONAL FAMILY PLANNING PROGRAMME'));
children.push(makeTable(
  ['Detail', 'Information'],
  [
    ['Launch', '1952 - INDIA WAS FIRST COUNTRY IN THE WORLD to launch national FP programme'],
    ['Funding', '100% Centrally Sponsored under NHM'],
    ['CPR (any modern method)', '56.5% (NFHS-5)'],
  ]
));
children.push(h3('Evolution Timeline'));
children.push(makeTable(
  ['Year', 'Development'],
  [
    ['1952', 'First national FP programme; clinic-based'],
    ['1965', 'IUD introduced; mass vasectomy camps'],
    ['1977', 'Renamed "Family Welfare"; voluntary approach after Emergency coercion'],
    ['1996', 'Target-free approach; CPR focus'],
    ['2000', 'National Population Policy 2000; TFR target 2.1 by 2010'],
    ['2012', 'Spacing methods emphasis; PPIUCD introduced'],
    ['2017', 'Mission Parivar Vikas for high-TFR districts'],
  ]
));
children.push(h3('Current Basket of Contraceptives (Free under Programme)'));
children.push(makeTable(
  ['Contraceptive', 'Details'],
  [
    ['Condoms (male)', 'Free; distributed through ASHA, AWC, PHC'],
    ['OCP', 'Free; distributed through ASHA'],
    ['Emergency Contraceptive', 'ECP; available at sub-centre level'],
    ['IUCD (CuT-380A/375)', 'Interval IUCD at PHC/CHC'],
    ['PPIUCD', 'Post-partum within 48 hours of delivery'],
    ['Injectable (Antara)', 'MPA 150 mg (Depo Provera); quarterly injection'],
    ['Male Sterilisation', 'Vasectomy / NSV (No Scalpel Vasectomy)'],
    ['Female Sterilisation', 'Minilap / Laparoscopic tubectomy'],
  ]
));

children.push(h2('2. MISSION PARIVAR VIKAS (MPV)'));
children.push(makeTable(
  ['Detail', 'Information'],
  [
    ['Launch', '2016'],
    ['Funding', 'NHM; 100% central funding'],
    ['Target', '146 high-focus districts in 7 high TFR states (TFR >3)'],
    ['States', 'UP, Bihar, MP, Rajasthan, Jharkhand, Chhattisgarh, Assam'],
  ]
));
children.push(h3('5-Pronged Strategy'));
children.push(bullet('Ensuring availability of contraceptives at all facility levels'));
children.push(bullet('ASHA facilitation for family planning acceptors'));
children.push(bullet('Promoting spacing methods (PPIUCD, injectable, barrier)'));
children.push(bullet('Saas-Bahu Sammelan - involving mother-in-law in FP counselling'));
children.push(bullet('Nayi Pehel Kit (Navdampati Kit) - FP items given to newly married couples'));

children.push(h2('3. FAMILY PLANNING INDEMNITY SCHEME (FPIS)'));
children.push(makeTable(
  ['Condition', 'Compensation'],
  [
    ['Death within 30 days of sterilisation', 'Rs. 2,00,000'],
    ['Failure of sterilisation (unwanted pregnancy)', 'Rs. 30,000'],
    ['Hospitalisation due to complications', 'Rs. 25,000 - 50,000'],
  ]
));

children.push(h2('4. POST-PARTUM IUCD PROGRAMME (PPIUCD)'));
children.push(makeTable(
  ['Detail', 'Information'],
  [
    ['Launch', '2010 (under RCH-II; scaled nationally from 2012)'],
    ['Device', 'CuT 380A'],
    ['Timing', 'Within 48 hours of delivery (immediate: within 10 min of placenta delivery)'],
    ['Effectiveness', '>99%'],
    ['Who Can Insert', 'Trained MO, OBGYN, Staff Nurse'],
  ]
));

children.push(h2('5. COMPREHENSIVE ABORTION CARE (CAC)'));
children.push(makeTable(
  ['Detail', 'Information'],
  [
    ['Legal Basis', 'MTP Act 1971; amended 2002 and 2021'],
    ['Up to 20 weeks', 'For most women'],
    ['Up to 24 weeks', 'Rape survivors, minors, change in marital status, disabled women, fetal anomaly'],
    ['Beyond 24 weeks', 'Medical Board approval for fetal anomaly (no upper limit)'],
    ['Partner consent', 'NOT required (only woman\'s consent)'],
  ]
));
children.push(h3('CAC Services Include'));
children.push(bullet('Medical Abortion: Mifepristone 200 mg + Misoprostol 800 mcg up to 9 weeks'));
children.push(bullet('Surgical: MVA (Manual Vacuum Aspiration) up to 12 weeks; EVA/D&E beyond 12 weeks'));
children.push(bullet('Post-abortion contraceptive counselling; treatment of complications'));

children.push(pageBreak());

// ═══════════════════════════════════════════════════════════════
// SECTION 6: OTHER MAJOR PROGRAMMES
// ═══════════════════════════════════════════════════════════════
children.push(sectionDivider('SECTION 6: OTHER MAJOR PROGRAMMES'));

// TB
children.push(h2('NATIONAL TUBERCULOSIS ELIMINATION PROGRAMME (NTEP) - Formerly RNTCP'));
children.push(makeTable(
  ['Detail', 'Information'],
  [
    ['RNTCP Launch', '1997 (replaced NTP of 1962)'],
    ['Renamed to NTEP', '2020'],
    ['Funding', 'Central Govt. + GFATM (Global Fund) + World Bank'],
    ['India\'s TB Burden', '27% of global TB burden; ~2.1 million new cases/year'],
    ['India\'s Elimination Target', '2025 (5 years ahead of SDG 2030)'],
  ]
));
children.push(h3('Current NTEP Strategy (Post-2020)'));
children.push(bullet('Universal Drug Susceptibility Testing (UDST) - CBNAAT/Gene Xpert for ALL presumptive TB cases'));
children.push(bullet('Nikshay portal - mandatory web-based TB notification system'));
children.push(bullet('Nikshay Poshan Yojana - Rs. 500/month nutritional support to ALL TB patients'));
children.push(bullet('PM TB Mukt Bharat Abhiyaan (2022) - community support via "Nikshay Mitra"'));
children.push(bullet('TBI (TB Preventive Therapy) - 6H (Isoniazid x 6 months) for household contacts'));
children.push(h3('Drug Regimens'));
children.push(makeTable(
  ['Category', 'Regimen', 'Duration'],
  [
    ['Drug Sensitive TB (DS-TB)', '2HRZE / 4HR', '6 months total'],
    ['Drug Resistant TB (DR-TB)', 'Bedaquiline-based (BPaL/BPaLM)', 'As per protocol'],
  ]
));
children.push(h3('Role Summary'));
children.push(makeTable(
  ['Worker', 'Role'],
  [
    ['ASHA', 'DOT (Direct Observation of Treatment) provider; sputum collection; Nikshay Mitra support'],
    ['ANM', 'Refer presumptive TB cases; support ASHA in DOT'],
    ['Medical Officer', 'Diagnose using CBNAAT; prescribe regimen; notify on Nikshay; manage side effects; follow up'],
  ]
));

// Leprosy
children.push(h2('NATIONAL LEPROSY ERADICATION PROGRAMME (NLEP)'));
children.push(makeTable(
  ['Detail', 'Information'],
  [
    ['Launch', '1983 (with MDT)'],
    ['Funding', 'CSS under NHM; 60:40 Centre:State (90:10 NE states)'],
    ['National Elimination', '2005 (PR <1/10,000 population)'],
    ['Current PR (2024-25)', '0.57 per 10,000 population'],
    ['Districts Eliminated', '638/640 districts (2024-25)'],
    ['G2D Rate (2024-25)', '1.31 per million (down from 4.48 in 2014-15)'],
  ]
));
children.push(h3('MDT Regimens'));
children.push(makeTable(
  ['Type', 'Classification', 'Regimen', 'Duration'],
  [
    ['Paucibacillary (PB)', '1-5 skin patches, smear -ve', 'Rifampicin 600 mg monthly + Dapsone 100 mg daily', '6 months'],
    ['Multibacillary (MB)', '>5 patches OR smear +ve OR nerve involvement', 'Rifampicin 600 mg + Clofazimine 300 mg monthly + Dapsone 100 mg + Clofazimine 50 mg daily', '12 months'],
  ]
));
children.push(h3('Leprosy Reactions'));
children.push(makeTable(
  ['Type', 'Mechanism', 'Treatment'],
  [
    ['Type 1 (Reversal Reaction)', 'Cell-mediated immunity', 'Prednisolone'],
    ['Type 2 (ENL)', 'Immune complex (Erythema Nodosum Leprosum)', 'Thalidomide / Clofazimine / Prednisolone'],
  ]
));
children.push(h3('NSP 2023-2027 Strategies'));
children.push(bullet('ABSULS - ASHA Based Surveillance for Leprosy Suspects in low endemic districts'));
children.push(bullet('Focused Leprosy Campaign (FLC) in low endemic districts'));
children.push(bullet('14-day Leprosy Case Detection Campaign in high endemic districts'));
children.push(bullet('Convergence with RBSK, RKSK, AB-HWC for leprosy screening'));

// Ayushman Bharat
children.push(h2('AYUSHMAN BHARAT PROGRAMME'));
children.push(makeTable(
  ['Detail', 'Information'],
  [
    ['Announced', 'February 2018; flagship health programme of GoI'],
    ['Current Phase', 'Fully operational; Ayushman Bhav Campaign (2023) for saturation'],
  ]
));
children.push(h3('Component 1: Health and Wellness Centres (HWC) / Ayushman Arogya Mandirs'));
children.push(makeTable(
  ['Detail', 'Information'],
  [
    ['Target', '1.5 lakh HWCs across India'],
    ['First HWC inaugurated', '14 April 2018, Bijapur, Chhattisgarh'],
    ['Sub-HWC Team Head', 'Community Health Officer (CHO) - BSc/GNM Nurse or AYUSH practitioner; 6-month CHC certificate'],
  ]
));
children.push(h3('Comprehensive Primary Health Care Package at HWC'));
children.push(bullet('Maternal and child health + immunization'));
children.push(bullet('Communicable diseases: TB, leprosy, malaria'));
children.push(bullet('NCDs: HTN, DM, oral/breast/cervical cancer screening'));
children.push(bullet('Mental health, geriatric, ENT, ophthalmology, oral health'));
children.push(bullet('Free essential drugs + free diagnostics'));
children.push(h3('Component 2: AB-PMJAY (Pradhan Mantri Jan Arogya Yojana)'));
children.push(makeTable(
  ['Detail', 'Information'],
  [
    ['Launch', '23 September 2018 (Jharkhand)'],
    ['Coverage', 'Rs. 5 lakh per family per year for hospitalisation'],
    ['Beneficiaries', '10.74 crore families (~50 crore individuals) based on SECC 2011'],
    ['Packages', '1,929 medical and surgical packages'],
    ['Ayushman Vaya Vandana (2024)', 'All citizens 70+ years covered regardless of income'],
  ]
));

// Census
children.push(h2('CENSUS OF INDIA'));
children.push(makeTable(
  ['Detail', 'Information'],
  [
    ['Conducting Body', 'Office of the Registrar General and Census Commissioner (ORGI), MHA'],
    ['First synchronous census', '1881'],
    ['Last completed census', '2011 (Commissioner: Dr. C. Chandramouli)'],
    ['Census 2021 status', 'PENDING as of June 2026 - postponed due to COVID-19'],
  ]
));
children.push(h3('Census 2011 Key Data'));
children.push(makeTable(
  ['Indicator', 'Value'],
  [
    ['Total Population', '121 crore (1,210,854,977)'],
    ['Sex Ratio', '943 females per 1000 males'],
    ['Child Sex Ratio (0-6 yrs)', '919 females per 1000 males'],
    ['Literacy Rate', '74.04% (M: 82.14%; F: 65.46%)'],
    ['Decadal Growth Rate', '17.64%'],
    ['Population Density', '382 persons/km²'],
    ['Urban Population', '31.16%'],
  ]
));
children.push(para('IMPORTANT: Census 2021 is STILL PENDING (June 2026). Use NFHS-5 (2019-21) and SRS 2020 data for current health indicators.'));

// SRS
children.push(h2('SAMPLE REGISTRATION SYSTEM (SRS)'));
children.push(makeTable(
  ['Detail', 'Information'],
  [
    ['Established', '1964-65 (operational from 1969-70)'],
    ['Conducting Body', 'ORGI (Office of Registrar General of India)'],
    ['Methodology', 'Dual record system; ~7.5 lakh households'],
  ]
));
children.push(h3('Latest SRS 2020 Data (Released 2022)'));
children.push(makeTable(
  ['Indicator', 'India', 'Urban', 'Rural'],
  [
    ['Birth Rate (CBR)', '19.5', '16.4', '21.1'],
    ['Death Rate (CDR)', '7.0', '5.5', '7.7'],
    ['Natural Growth Rate', '12.5', '-', '-'],
    ['IMR', '35.2', '23.6', '40.8'],
    ['NMR', '20.3', '-', '-'],
    ['U5MR', '41.9', '-', '-'],
    ['TFR', '2.0', '1.6', '2.2'],
  ]
));
children.push(para('MMR: 97 per 1 lakh live births (SRS 2018-20). India\'s TFR is now BELOW replacement level (2.1) at 2.0.'));

// HRP
children.push(h2('HIGH RISK PREGNANCY (HRP)'));
children.push(h3('Key Risk Categories'));
children.push(makeTable(
  ['Category', 'Risk Factors'],
  [
    ['Obstetric History', 'Previous C-section, previous PPH, previous stillbirth, grand multiparity (>4 deliveries)'],
    ['Medical Conditions', 'HTN, Diabetes (GDM), Cardiac disease, Anaemia <7 g/dL, Renal disease, Thyroid, Epilepsy, HIV'],
    ['Current Pregnancy', 'APH, Pre-eclampsia/Eclampsia, Malpresentation, Multiple pregnancy, IUGR, Rh incompatibility, Preterm labour'],
    ['Sociodemographic', 'Age <18 or >35, Height <145 cm, Weight <40 kg, No ANC, Malnutrition'],
  ]
));
children.push(h3('Danger Signs for Immediate Referral'));
children.push(bullet('BP ≥140/90 mmHg'));
children.push(bullet('Seizures / Eclampsia'));
children.push(bullet('Bleeding (APH)'));
children.push(bullet('Reduced fetal movements'));
children.push(bullet('Severe anaemia (Hb <7 g/dL)'));
children.push(bullet('Premature rupture of membranes (PROM)'));
children.push(h3('Management at Different Levels'));
children.push(makeTable(
  ['Level', 'Action'],
  [
    ['ASHA / Sub-centre', 'Identify using ASHA checklist; refer to PHC; track all ANC visits; fill MCP card'],
    ['PHC (Medical Officer)', 'Assess risk; provide ANC; refer to CHC/FRU; ensure IFA, TT, calcium; PMSMA checkup'],
    ['CHC/FRU', 'OBGYN assessment; specialist care; prepare for complicated delivery; LSAS for emergency C-section'],
    ['District Hospital', 'Tertiary: OBGYN, blood bank, NICU, HDU/ICU for complications'],
  ]
));

children.push(pageBreak());

// ═══════════════════════════════════════════════════════════════
// SECTION 7: KEY TARGETS
// ═══════════════════════════════════════════════════════════════
children.push(sectionDivider('SECTION 7: KEY MILESTONES AND TARGETS'));

children.push(makeTable(
  ['Indicator', 'Current Value', 'NHM Target', 'SDG 2030 Target'],
  [
    ['MMR', '97/lakh live births (SRS 2018-20)', '<100', '<70'],
    ['IMR', '35.2/1000 live births (SRS 2020)', '<20', '<12'],
    ['NMR', '20.3/1000 live births (SRS 2020)', '<16', '<7 (INAP target <10)'],
    ['U5MR', '41.9/1000 live births (SRS 2020)', '<23', '<25'],
    ['TFR', '2.0 (SRS 2020)', '2.1 (achieved)', '-'],
    ['Full Immunization', '76.4% (NFHS-5)', '>90%', '>90%'],
    ['Institutional Delivery', '88.6% (NFHS-5)', '>90%', '>90%'],
    ['Stunting (children)', '35.5% (NFHS-5)', '<25%', '-'],
    ['Anaemia (children)', '67.1% (NFHS-5)', 'Reduce 3%/year', '-'],
    ['TB Elimination', 'ongoing', '2025 (India)', '2030 (SDG)'],
    ['Leprosy PR', '0.57/10,000 (2024-25)', 'Zero new cases by 2027', '-'],
  ]
));

children.push(pageBreak());

// ═══════════════════════════════════════════════════════════════
// SECTION 8: VIVA Q&A
// ═══════════════════════════════════════════════════════════════
children.push(sectionDivider('SECTION 8: VIVA INTERVIEW Q&A'));

children.push(h2('MATERNAL HEALTH - Viva Questions'));

const maternalQA = [
  ['Q1. When was JSY launched and what is its funding pattern?', 'JSY was launched on 12 April 2005. It is a 100% Centrally Sponsored Scheme under NHM.'],
  ['Q2. What is the JSY cash incentive in rural Low Performing States?', 'Mother\'s package: Rs. 1400 + ASHA\'s package: Rs. 600 = Total Rs. 2000 per institutional delivery.'],
  ['Q3. Name the 10 Low Performing States (LPS) under JSY.', 'UP, Uttarakhand, MP, Jharkhand, Bihar, Rajasthan, Chhattisgarh, Odisha, Assam, J&K.'],
  ['Q4. What is JSSK and when was it launched?', 'JSSK = Janani Shishu Suraksha Karyakram, launched 1 June 2011. Provides absolutely free delivery, drugs, diet, diagnostics, blood, and transport to all pregnant women and sick newborns in public health facilities.'],
  ['Q5. On which date does PMSMA camp happen?', 'The 9th of every month (or nearest working day).'],
  ['Q6. What does SUMAN stand for? When was it launched?', 'SUMAN = Surakshit Matritva Aashwasan. Launched 10 October 2019. Goal: Zero preventable maternal and newborn deaths with assured, respectful, free care.'],
  ['Q7. What does LaQshya mean?', 'LaQshya = Labour Room Quality Improvement Initiative. Targets Labour Rooms and Maternity OTs for quality certification.'],
  ['Q8. What are the three delays in MDSR?', 'Delay 1 = recognition/decision to seek care; Delay 2 = reaching facility; Delay 3 = receiving adequate care at facility.'],
  ['Q9. What incentive does ASHA get for reporting a maternal death?', 'Rs. 1000.'],
  ['Q10. What is Dakshata training?', 'Competency-based training of ANMs/nurses in skilled birth attendance - AMTSL, PPH, eclampsia, neonatal resuscitation. Distinct from LSAS (spinal anaesthesia for emergency C-section by MBBS MO).'],
];
maternalQA.forEach(([q, a]) => children.push(...qa(q, a)));

children.push(h2('NEWBORN HEALTH - Viva Questions'));

const newbornQA = [
  ['Q11. What is the ASHA visit schedule for HBNC?', 'Institutional delivery: 6 visits (Day 3, 7, 14, 21, 28, 42). Home delivery: 7 visits (Day 1, 3, 7, 14, 21, 28, 42). ASHA gets Rs. 250 for completing the schedule.'],
  ['Q12. What is the difference between NBCC, NBSU, and SNCU?', 'NBCC = Newborn Care Corner (all delivery facilities); NBSU = Newborn Stabilization Unit - 4 bedded at CHC/FRU; SNCU = Special Newborn Care Unit - 12+ bedded at District Hospital.'],
  ['Q13. For what birth weight is KMC indicated?', 'Stable LBW newborns <2000 g. KMC reduces neonatal mortality in LBW babies by ~40%.'],
  ['Q14. What does NSSK train health workers in?', 'Basic newborn care and bag-mask resuscitation (newborn resuscitation). 2-day simulation-based training. Focus on the "first golden minute" after birth.'],
  ['Q15. What are the NMR targets for India?', 'Current NMR = 20.3 (SRS 2020). NHM target = <16; SDG target = <12; INAP target = <10 by 2030.'],
];
newbornQA.forEach(([q, a]) => children.push(...qa(q, a)));

children.push(h2('CHILD HEALTH - Viva Questions'));

const childQA = [
  ['Q16. When was UIP launched in India?', '19 November 1985, dedicated to Smt. Indira Gandhi.'],
  ['Q17. Name all vaccines given at birth under UIP.', 'BCG, OPV-0 (birth dose), Hepatitis B (birth dose).'],
  ['Q18. When was Mission Indradhanush launched?', 'December 2014. Target: fully immunise 90% of children by reaching unvaccinated and partially vaccinated children. IMI 3.0 launched February 2021.'],
  ['Q19. What are the 4 Ds in RBSK?', 'Defects at birth, Diseases, Deficiencies, Developmental Delays including Disabilities.'],
  ['Q20. What is a Mobile Health Team (MHT) in RBSK?', '2-member team (MO/AYUSH doctor + ANM/Paramedic). 2 per block - 1 for AWC (0-5 years), 1 for govt. schools (6-18 years).'],
  ['Q21. What drug is given on National Deworming Day?', 'Albendazole 400 mg (chewed) for 2-19 years; 200 mg (half tablet, crushed) for 1-2 years. Given on February 10 and August 10 every year.'],
  ['Q22. What is the Vitamin A supplementation schedule?', '1st dose: 9-12 months (1 lakh IU / 1 ml with MR vaccine); then every 6 months until 5 years (2 lakh IU / 2 ml). Total: 9 doses.'],
  ['Q23. What is Poshan 2.0?', 'Launched 2021; merged ICDS + Poshan Abhiyaan and other nutrition schemes. Focus: first 1000 days. Uses Poshan Tracker app. Poshan Maah observed every September.'],
  ['Q24. Name the 6 beneficiary groups under Anemia Mukt Bharat.', 'Children 6-59 months, children 5-9 years, adolescents 10-19 years, pregnant women, WRA 15-49 years, lactating mothers.'],
  ['Q25. India\'s full immunization coverage as per NFHS-5?', '76.4%. NHM target is >90%.'],
];
childQA.forEach(([q, a]) => children.push(...qa(q, a)));

children.push(h2('ADOLESCENT HEALTH - Viva Questions'));

const adolescentQA = [
  ['Q26. What does RKSK stand for? When launched?', 'Rashtriya Kishor Swasthya Karyakram. Launched 7 January 2014. Target: 10-19 years.'],
  ['Q27. What are the 6 themes of RKSK?', 'Nutrition; Sexual and Reproductive Health; NCDs; Mental Health; Injuries and Violence; Substance Misuse.'],
  ['Q28. What drug is given under WIFS and how often?', '100 mg elemental iron + 500 mcg folic acid, once weekly on a fixed day. Plus biannual albendazole deworming.'],
  ['Q29. What is a Saathiya?', 'A trained adolescent peer educator who delivers health messages to other adolescents under RKSK. Facilitated and mentored by ASHA.'],
  ['Q30. What is the ASHA role in Menstrual Hygiene Scheme?', 'ASHA distributes subsidised sanitary napkins (Rs. 6 per pack of 6 pads) and earns commission. Also provides menstrual health counselling.'],
];
adolescentQA.forEach(([q, a]) => children.push(...qa(q, a)));

children.push(h2('FAMILY PLANNING - Viva Questions'));

const fpQA = [
  ['Q31. India was the first country in the world to launch what?', 'National Family Planning Programme in 1952 - first country globally to launch a national family planning programme.'],
  ['Q32. What is PPIUCD and when can it be inserted?', 'Post-Partum IUCD (CuT-380A) inserted within 48 hours of delivery. Immediate insertion = within 10 minutes of placenta delivery.'],
  ['Q33. Key changes in MTP Act 2021?', 'Gestation up to 20 weeks for most women; up to 24 weeks for special categories (rape survivors, minors, disabled women, fetal anomaly); beyond 24 weeks with Medical Board approval; partner consent NOT required.'],
  ['Q34. Compensation for death under FPIS?', 'Rs. 2,00,000 for death within 30 days of sterilisation.'],
  ['Q35. What is Mission Parivar Vikas?', 'Launched 2016. Targets 146 districts in 7 high-TFR states (TFR >3): UP, Bihar, MP, Rajasthan, Jharkhand, Chhattisgarh, Assam.'],
];
fpQA.forEach(([q, a]) => children.push(...qa(q, a)));

children.push(h2('TB AND LEPROSY - Viva Questions'));

const tbQA = [
  ['Q36. What is India\'s TB elimination target year?', 'India\'s national target = eliminate TB by 2025 (5 years ahead of SDG 2030 target of 90% reduction).'],
  ['Q37. What is Nikshay Poshan Yojana?', 'Rs. 500/month nutritional support to ALL TB patients notified on Nikshay portal under NTEP.'],
  ['Q38. What is the MDT regimen for Multibacillary Leprosy?', 'Rifampicin 600 mg + Clofazimine 300 mg monthly (supervised) + Dapsone 100 mg + Clofazimine 50 mg daily for 12 months.'],
  ['Q39. When did India achieve national leprosy elimination?', '2005 (national PR <1/10,000). As of 2024-25, all 638 districts have achieved elimination level.'],
  ['Q40. What is ABSULS?', 'ASHA Based Surveillance for Leprosy Suspects - ASHAs in low-endemic districts actively identify and refer suspected leprosy cases.'],
];
tbQA.forEach(([q, a]) => children.push(...qa(q, a)));

children.push(h2('AYUSHMAN BHARAT - Viva Questions'));

const abQA = [
  ['Q41. What are the two components of Ayushman Bharat?', '(1) Health and Wellness Centres (Ayushman Arogya Mandirs) for comprehensive primary healthcare; (2) AB-PMJAY for cashless hospitalisation up to Rs. 5 lakh/family/year.'],
  ['Q42. Who heads the HWC at sub-health centre level?', 'Community Health Officer (CHO) - BSc/GNM Nurse or AYUSH practitioner with 6-month Certificate Programme in Community Health (from IGNOU/State University).'],
  ['Q43. How many families are covered under AB-PMJAY?', '~10.74 crore families (~50 crore individuals) based on SECC 2011 data.'],
  ['Q44. What is Ayushman Vaya Vandana (2024)?', 'Extended coverage under AB-PMJAY for ALL citizens aged 70 years and above, regardless of income.'],
];
abQA.forEach(([q, a]) => children.push(...qa(q, a)));

children.push(h2('DEMOGRAPHIC / SRS - Viva Questions'));

const demQA = [
  ['Q45. What is India\'s current TFR (SRS 2020)?', '2.0 - below replacement level of 2.1. India has achieved replacement-level fertility.'],
  ['Q46. What is India\'s current MMR?', '97 per 1 lakh live births (SRS 2018-20). NHM target: <100; SDG target: <70.'],
  ['Q47. What is the status of Census 2021?', 'Census 2021 is STILL PENDING as of June 2026. Postponed due to COVID-19. Last completed census = 2011. NFHS-5 (2019-21) used as interim data.'],
  ['Q48. What is IMR of India as per SRS 2020?', '35.2 per 1000 live births (Rural 40.8; Urban 23.6).'],
];
demQA.forEach(([q, a]) => children.push(...qa(q, a)));

children.push(h2('HIGH RISK PREGNANCY - Viva Questions'));

const hrpQA = [
  ['Q49. Name 5 high-risk factors in pregnancy.', 'Previous C-section, Pre-eclampsia/eclampsia, Gestational diabetes, Severe anaemia (Hb <7 g/dL), Multiple pregnancy, Age <18 or >35, Grand multiparity, Previous stillbirth, HIV.'],
  ['Q50. At which facility level does the MO identify HRP?', 'At PHC level - MO conducts ANC, identifies HRP using risk criteria, refers to CHC/FRU with OBGYN. ASHA uses risk checklists at community level and refers to ANM/PHC.'],
];
hrpQA.forEach(([q, a]) => children.push(...qa(q, a)));

children.push(h2('MISCELLANEOUS HIGH-VALUE VIVA QUESTIONS'));

const miscQA = [
  ['Q51. What is the role of Medical Officer at PHC under NHM?', 'OPD/IPD; normal deliveries; supervise HBNC/JSY/JSSK/PMSMA; cold chain maintenance; UIP supervision; diagnose and treat TB/leprosy; coordinate RBSK MHT; HMIS reporting; supervise ASHA/ANM; VHSNC meetings; emergency management; MDSR review.'],
  ['Q52. What is VHSNC?', 'Village Health Sanitation and Nutrition Committee at every village. Chaired by AWW. Members: ASHA, ANM, ward member, SHG member. Untied fund: Rs. 10,000/year. Prepares Village Health Plan.'],
  ['Q53. What is the difference between BEmONC and CEmONC?', 'BEmONC = 7 signal functions (antibiotics, oxytocics, anticonvulsants, manual removal of placenta, retained products removal, assisted vaginal delivery, newborn resuscitation) at 24x7 PHC. CEmONC = BEmONC + blood transfusion + C-section at CHC/FRU/DH.'],
  ['Q54. What is HMIS?', 'Health Management Information System - web-based portal (hmis.nhp.gov.in) for monthly reporting of all NHM programme data from sub-centre to national level. MO at PHC responsible for monthly HMIS reports.'],
  ['Q55. What is the NFHS-5 institutional delivery rate?', '88.6% (NFHS-5, 2019-21). NHM target >90%.'],
];
miscQA.forEach(([q, a]) => children.push(...qa(q, a)));

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// ─── Data: [Programme, Launch, Funding, Target Population, Objective(short),
//           ASHA Role, ANM Role, MO Role, Sub-centre, PHC, CHC/DH] ──────────
const columns = [
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// Section groupings
const sections = [
  {
    label: '● SECTION 1: MATERNAL HEALTH PROGRAMMES',
    headerColor: COLORS.maternalHdr,
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    rows: [
      [
        'Janani Suraksha Yojana (JSY)',
        '12 Apr 2005',
        '100% Central (CSS) under NHM',
        'BPL pregnant women; all women in LPS',
        'Reduce MMR/NMR by promoting institutional delivery; cash incentives to mother + ASHA',
        'Identify BPL beneficiaries; escort to facility; ensure ANC/PNC visits; submit incentive claims',
        'Register pregnant women; provide ANC; disburse JSY cash; submit monthly accounts by 7th',
        'Supervise deliveries; certify institutional delivery; handle complications; quality care',
        'ASHA counsels & mobilises; ANM registers & disburses cash',
        'Free delivery; MO certifies; cash disbursement processed; 24×7 delivery point',
        'C-section covered; ASHA package available; blood storage',
      ],
      [
        'Janani Shishu Suraksha Karyakram (JSSK)',
        '1 Jun 2011',
        'Central Government under NHM',
        'All pregnant women + sick newborns (up to 1 year) at public facilities',
        'Zero out-of-pocket expense for delivery (normal + C-section), drugs, diet, diagnostics, blood, transport',
        'Counsel families on all JSSK entitlements; ensure zero-payment awareness',
        'Arrange drugs, diet, transport; fill JSSK service registers; flag any denial of services',
        'Certify eligibility; ensure zero expense policy; sign referral orders; oversee C-section coverage',
        'ASHA counsels; free transport arranged from home to facility',
        'Free delivery + drugs + diet (3 days); free diagnostics; free transport',
        'Free C-section + diet 7 days; blood transfusion; all specialist care free',
      ],
      [
        'Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA)',
        'Jun 2016',
        'NHM (Central + State); private volunteers',
        'All pregnant women (esp. >12 weeks)',
        'Fixed-day (9th of every month) free, assured, quality ANC including specialist check-up',
        'Mobilise all pregnant women for 9th-of-month visit; track registration on RCH portal',
        'Register women; maintain MCP card; conduct basic ANC checks; refer to PHC/CHC',
        'Conduct ANC at PHC; identify high-risk pregnancy; coordinate volunteer OBGYN visits',
        'ASHA/ANM counsel and refer pregnant women for PMSMA camp',
        'MO or CHO conducts PMSMA camp; ANC package + investigations',
        'OBGYN volunteer conducts specialist ANC camp; complicated cases managed',
      ],
      [
        'SUMAN (Surakshit Matritva Aashwasan)',
        '10 Oct 2019',
        'NHM (Central + State); NQAS certification',
        'All pregnant women + newborns at public health facilities',
        'Zero preventable maternal/newborn deaths; assured, respectful, free care; zero denial of services',
        'SUMAN volunteer/champion; community awareness; link to facility; report denial of services',
        'Ensure PNC visits (Day 1, 3/7, 42); report any denial; respectful care at facility',
        'Enforce zero-denial policy; display service charter; respectful maternity care protocols',
        'ASHA ensures community-level SUMAN awareness; no woman turned away',
        'SUMAN service charter displayed; zero denial; free drugs + transport at PHC',
        'Full SUMAN package; NQAS certification targeted; grievance redressal',
      ],
      [
        'LaQshya Programme',
        'Dec 2017',
        'NHM; technical support from QCI',
        'Labour rooms + Maternity OTs at DH, MC, CHCs (>100 deliveries/month)',
        'Improve quality of care at Labour Room and Maternity OT; reduce preventable deaths during childbirth',
        'Not directly applicable (community-level programme)',
        'Trained in respectful maternity care; skilled birth attendance; PPH/eclampsia protocols',
        'Implement LaQshya checklists; quality care protocols; documentation; oversee LR/OT',
        'Not targeted at sub-centre level',
        'PHC-level facilities with high load may be included',
        'Primary target: DH/CHC LR and OT; State certification >70%; National certification >80%',
      ],
      [
        'Maternal Death Surveillance & Response (MDSR)',
        '2013 (NHM)',
        'NHM',
        'All maternal deaths (community + facility)',
        'Notify, review, and respond to every maternal death; identify 3 delays; prevent future deaths',
        'First responder for community maternal death; Rs. 1000 incentive for reporting; verbal autopsy',
        'Conduct CBMDR (community-based review); fill verbal autopsy form; submit to PHC',
        'Chair facility-based review; complete maternal death report form; submit to DH within 24 hours',
        'ASHA reports every death; ANM fills verbal autopsy and submits',
        'MO leads FBMDR; submits report to DH; identifies local gaps',
        'District-level review committee; corrective action plan; state-level response',
      ],
      [
        'Dakshata Programme',
        '2017 (NHM)',
        'NHM',
        'ANMs, nurses, doctors at delivery points',
        'Competency-based training in skilled birth attendance (SBA); reduce preventable deaths at delivery',
        'Not directly - ASHA mobilises women; benefits from trained staff',
        'PRIMARY TRAINEE: AMTSL, PPH management, MgSO4 for eclampsia, newborn resuscitation',
        'LSAS training (spinal anaesthesia for emergency C-section); supervise trained staff',
        'Sub-centre ANMs trained under Dakshata cascade',
        'Primary site for Dakshata-trained ANMs/nurses to apply skills during deliveries',
        'Specialists oversee; national/state training cascade; LaQshya complementary',
      ],
    ],
  },
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    label: '● SECTION 2: NEWBORN HEALTH PROGRAMMES',
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      [
        'Navjaat Shishu Suraksha Karyakram (NSSK)',
        '2009',
        'NHM',
        'All health providers conducting deliveries',
        'Train providers in basic newborn care and bag-mask resuscitation; prevent deaths from birth asphyxia',
        'Benefits from NSSK-trained staff; ASHA counsels on first-hour breastfeeding',
        'Trained in warmth, resuscitation, cord/eye care, Vit K; 2-day simulation training',
        'Trained in advanced newborn resuscitation; supervise NSSK-trained staff at facility',
        'ANM applies NSSK skills at sub-centre delivery point',
        'MO + nurses apply NSSK at every delivery; NBCC must be functional',
        'Full newborn resuscitation team; SNCU/NBSU for sick babies post-resuscitation',
      ],
      [
        'Facility Based Newborn Care (FBNC)',
        '2011',
        'NHM',
        'All newborns (well + sick) at public facilities',
        'Tiered newborn care: NBCC at all delivery points → NBSU at CHC → SNCU at DH; reduce NMR',
        'HBNC home visits; refer sick newborns; follow SNCU-discharged babies 1 year',
        'Assist in NBCC; provide immediate newborn care; manage NBSU with MO guidance',
        'Newborn care at delivery; resuscitation; triage and refer to NBSU/SNCU; manage LBW',
        'NBCC mandatory in every sub-centre labour room (radiant warmer, bag-mask, suction)',
        'NBCC in LR; MO manages; refer to CHC if sick baby (no NBSU at PHC)',
        'CHC: NBSU (4-bed); DH: SNCU (12+ bed); NICU at medical college',
      ],
      [
        'Home Based Newborn Care (HBNC)',
        '2011',
        'NHM',
        'All newborns (0-42 days); LBW followed up to 2 years',
        'ASHA home visits for newborn care, danger sign detection, breastfeeding support; reduce NMR',
        'PRIMARY IMPLEMENTER: 6-7 scheduled home visits; weigh; thermal care; breastfeeding; detect sepsis; Rs. 250 incentive',
        'Supervise ASHA HBNC visits; sick newborn home visit; link to PHC for referral',
        'Oversee HBNC quality at block level; manage referred sick newborns at PHC',
        'ASHA conducts all HBNC visits from sub-centre catchment; ANM supervises',
        'MO reviews HBNC registers; manages sick referrals; conducts HBNC training',
        'District-level HBNC monitoring; support for SNCU-discharged baby follow-up',
      ],
      [
        'India Newborn Action Plan (INAP)',
        'Sep 2014',
        'GoI + UNICEF, WHO, Gates Foundation',
        'All newborns; target NMR <10 and stillbirth <10 per 1000 by 2030',
        'National framework for newborn survival with 6 strategic actions; India-specific ENAP response',
        'All HBNC activities contribute; community mobilisation for newborn care',
        'All ANM newborn care activities aligned under INAP framework',
        'All facility newborn care under INAP umbrella; NTEP, FBNC, KMC all part of INAP',
        'Sub-centre HBNC feeds into INAP targets',
        'PHC newborn care + referral feeds into INAP targets',
        'SNCU, KMC, NBSU directly contribute to INAP NMR target',
      ],
      [
        'Kangaroo Mother Care (KMC)',
        '2011 (NHM)',
        'NHM; WHO recommendation',
        'Stable LBW newborns <2000 g and preterm babies',
        'Skin-to-skin care: thermoregulation, breastfeeding, infection reduction; 40% mortality reduction in LBW',
        'Counsel mothers on continuing KMC at home after discharge',
        'Train mother in KMC positioning at facility; monitor at NBSU/KMC ward',
        'Identify eligible babies; prescribe KMC; monitor weight gain; train nursing staff',
        'ASHA counsels on home KMC continuation; follow-up under HBNC',
        'PHC staff trained in KMC; mothers trained before discharge',
        'KMC wards adjacent to SNCU at DH; dedicated KMC rooms at CHC',
      ],
    ],
  },
  {
    label: '● SECTION 3: CHILD HEALTH PROGRAMMES',
    headerColor: COLORS.childHdr,
    rowBg: COLORS.child,
    rows: [
      [
        'Universal Immunization Programme (UIP)',
        '19 Nov 1985',
        'GoI (vaccines 100% central); delivery 60:40 C:S',
        'All children 0-2 years + pregnant women; 26 million births/year',
        'Full immunization of all children against 12 VPDs; achieve >90% coverage',
        'Generate demand; create beneficiary list; accompany to session; track defaulters using ASHA diary',
        'Conduct weekly fixed-day sessions; maintain cold chain; record in immunization register; ILR at PHC',
        'Supervise UIP at PHC; verify cold chain; manage AEFI; certify AEFI reports; coordinate MI rounds',
        'ANM conducts outreach sessions at AWC; ASHA mobilises; vaccine carrier from PHC',
        'Fixed day session at PHC; cold chain ILR; AEFI management; HMIS reporting',
        'CHC: immunization OPD; ILR + deep freezer; AEFI committee; DH: district cold chain hub',
      ],
      [
        'Mission Indradhanush (MI) / IMI',
        'Dec 2014 (MI); Oct 2017 (IMI)',
        'GoI 100% central; WHO/UNICEF support',
        'Unvaccinated/partially vaccinated children <2 years + pregnant women in hard-to-reach areas',
        'Achieve >90% full immunization by targeting urban slums, migrants, tribals, hard-to-reach; 4 rounds × 7 days/year',
        'Door-to-door survey; list unvaccinated children; mobilise families during MI rounds',
        'Conduct MI vaccination sessions; cold chain; report coverage daily during rounds',
        'Plan MI rounds; supervise; report coverage; manage AEFI; coordinate with AWW/teachers',
        'ASHA surveys; ANM vaccinates at booth/outreach during MI',
        'MO plans block-level MI; supervises all sessions; submits coverage reports',
        'CHC coordinates district MI; district MI officer (DIO) monitors; DH reports to state',
      ],
      [
        'Rashtriya Bal Swasthya Karyakram (RBSK)',
        'Feb 2013',
        'NHM (Central + State)',
        '~27 crore children 0-18 years; AWC + govt. school children',
        'Early detection of 4 Ds (Defects at birth, Diseases, Deficiencies, Dev. Delays) and free treatment',
        'Mobilise children to AWC/school on screening day; follow up post-referral',
        'Assist MHT during screening; record keeping; refer to DEIIC; track referred children',
        'MHT Doctor: screen children; identify 4 Ds; refer to DEIIC; conduct camps; MO at PHC coordinates MHT',
        'ASHA mobilises families; ANM assists MHT at AWC sessions',
        'PHC MO coordinates MHT activities; maintains RBSK registers; monthly reporting',
        'DEIIC at DH: free specialist treatment; surgeries; corrective devices; prosthetics',
      ],
      [
        'IMNCI (Integrated Management of Neonatal and Childhood Illness)',
        '2003 (C-IMNCI); 2009 (F-IMNCI)',
        'NHM + WHO/UNICEF',
        'Children 0-5 years; community + facility level',
        'Reduce child mortality from pneumonia, diarrhoea, malaria, malnutrition; systematic integrated management',
        'Community IMNCI: identify danger signs; ORS/Zinc for diarrhoea; refer appropriately',
        'C-IMNCI trained: assess, classify, treat or refer; sick newborn management',
        'F-IMNCI trained: inpatient management of asphyxia, sepsis, pneumonia, diarrhoea, SAM in hospitalised children',
        'ASHA + ANM implement C-IMNCI; ORS/Zinc corner at sub-centre',
        'MO implements F-IMNCI at 24×7 PHC; triage; treat; refer severe cases',
        'CHC/DH: full F-IMNCI; paediatrician; NRC for SAM; SNCU for newborns',
      ],
      [
        'IAPPD (Integrated Action Plan for Pneumonia & Diarrhoea)',
        '2014 (India adopted GAPPD)',
        'NHM + UNICEF',
        'Children <5 years; focus on pneumonia + diarrhoea deaths',
        'Prevent and treat top 2 child killers: ORS+Zinc for diarrhoea; amoxicillin for pneumonia; vaccines; WASH',
        'Distribute ORS/Zinc packets for diarrhoea; amoxicillin for pneumonia (approved states); exclusive BF promotion',
        'Ensure ORS/Zinc corner at sub-centre; treat mild pneumonia; refer severe cases',
        'Treat pneumonia + diarrhoea at PHC; escalate severe cases; IAPPD reporting',
        'ORS/Zinc corner at sub-centre; ASHA distributes ORS sachets',
        'MO treats moderate cases; manages dehydration; prescribes antibiotics',
        'Severe pneumonia with oxygen; IV fluids for severe dehydration; CPAP if available',
      ],
      [
        'Pulse Polio Immunization Programme',
        '2 Oct 1994',
        'GoI 100%; WHO/UNICEF/Rotary support',
        'All children 0-5 years; India polio-free since 27 Mar 2014',
        'Eradicate polio; NIDs/SNIDs twice yearly; maintain polio-free status; bOPV + IPV in UIP',
        'Pulse Polio mobilisation; accompany children to booths on NID day; track non-attendees',
        'Conduct booth on NID; administer OPV; house-to-house mop-up; cold chain; AFP line listing',
        'Plan NID at block; supervise booths; AFP surveillance; immediate reporting of AFP cases to state',
        'ANM conducts booth; ASHA mobilises; house-to-house follow-up next day',
        'MO plans + supervises block NIDs; certifies AFP cases; zero-dose children tracked',
        'CHC coordinates district NID; DH: AFP investigation + reporting; medical college: AFP workup',
      ],
      [
        'Vitamin A Supplementation Programme',
        'Part of UIP; current schedule since 1990s',
        'GoI (100% central under UIP)',
        'All children 9 months to 5 years; 9 doses total',
        'Prevent Vitamin A Deficiency; reduce blindness; reduce all-cause child mortality by 24%',
        'Accompany child for Vitamin A dose during immunization session; counsel mother on diet',
        'Administer Vit A during immunization session; record in MCH register; track missing children',
        'Supervise Vit A administration at PHC sessions; manage any adverse events; stock monitoring',
        'ANM administers Vit A at AWC outreach session; ASHA mobilises',
        'PHC fixed-day session: Vit A at 9-12 months with MR vaccine; then 6-monthly',
        'District Vit A supply management; cold chain; coverage tracking',
      ],
      [
        'National Deworming Day (NDD)',
        '10 Feb 2015',
        'MoHFW + Ministry of Education',
        'All children 1-19 years (AWC + school); ~300 million/round',
        'Mass deworming twice yearly (Feb 10 + Aug 10); Albendazole to reduce anaemia and malnutrition from worm infestation',
        'Assist AWW in giving Albendazole at AWC for 1-5 years; mop-up for missed children',
        'Supervise NDD at sub-centre; coordinate with AWW and schoolteachers; manage side effects',
        'Supervise NDD for entire PHC block; train AWW/teachers; report coverage; manage side effects',
        'AWW gives Albendazole at AWC; ASHA assists; ANM supervises 1-5 year age group',
        'MO plans block NDD; coordinates with school heads; coverage reporting to DH',
        'DH monitors district NDD coverage; state reporting; MIS submission',
      ],
      [
        'Poshan Abhiyaan (National Nutrition Mission)',
        '8 Mar 2018; Poshan 2.0 from 2021',
        'Centrally Sponsored; 50:50 C:S (60:40 NE); WB/UNICEF',
        'Children 0-6 years; pregnant/lactating women; adolescent girls 15-19 years',
        'Reduce stunting 2%/yr, underweight 2%/yr, LBW 2%/yr, anaemia 3%/yr; focus first 1000 days',
        'Refer SAM children to NRC; counsel on IYCF (exclusive BF, complementary feeding); Poshan Maah activities',
        'Coordinate with AWW; identify SAM/MAM children; refer; track weight gain',
        'Manage NRC at PHC/CHC; treat SAM with complications; F-IMNCI for malnourished sick children',
        'AWW is PRIMARY implementer at AWC; ASHA assists; Poshan Tracker app used',
        'MO manages NRC at PHC; 24-hour care for SAM; therapeutic feeding; Poshan Maah events',
        'CHC: NRC with 10+ beds; DH: severe SAM + complications; state: Poshan reporting',
      ],
      [
        'Anemia Mukt Bharat (AMB) - 6×6×6',
        '2018 (NHM)',
        'NHM (Central + State)',
        '6 groups: children 6-59m, 5-9yr, adolescents, pregnant women, WRA, lactating mothers',
        'Reduce anaemia in all target groups using 6 interventions × 6 delivery platforms; break intergenerational cycle',
        'Distribute IFA tablets; biannual deworming; screen for anaemia at community level; refer severe cases',
        'Administer IFA to pregnant women/adolescents; screen Hb; refer Hb <7 g/dL to MO',
        'Treat moderate/severe anaemia at PHC; IV iron/blood transfusion at higher centre; IFA stocking',
        'ASHA distributes IFA to pregnant women; AWW distributes to children; ANM supervises',
        'MO screens and treats; IFA stock; WIFS for adolescents; NDD integration',
        'CHC: IV iron infusion; DH: blood transfusion for severe anaemia; haematology referral',
      ],
      [
        "MAA Programme (Mother's Absolute Affection)",
        'Aug 2016',
        'NHM',
        'All mothers + newborns; facility staff at delivery points',
        'Promote early breastfeeding initiation (<1 hour), exclusive BF up to 6 months, continued BF up to 2 years',
        'Counsel at community level; HBNC visits for breastfeeding support; promote colostrum',
        'Ensure BF initiation at delivery; lactation counselling to all new mothers; record in MCH register',
        'Ensure hospital policies support MAA; train facility staff; promote Baby Friendly Hospital Initiative (BFHI)',
        'ASHA counsels; no prelacteal feeds; promotes colostrum as "liquid gold"',
        'Facility ensures early skin-to-skin; early initiation; nurses trained in lactation counselling',
        'CHC/DH: BFHI certification; lactation counsellor posted; no formula promotion',
      ],
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        'Rashtriya Kishor Swasthya Karyakram (RKSK)',
        '7 Jan 2014',
        'NHM (Central + State)',
        'Adolescents 10-19 years (252 million)',
        'Comprehensive adolescent health across 6 themes: Nutrition, SRH, NCD, Mental Health, Injuries, Substance Misuse',
        'Facilitate Saathiya peer educator groups; distribute resource kits; WIFS/NDD; menstrual hygiene counselling',
        'Conduct RKSK sessions at AFHCs; WIFS distribution; biannual deworming; referral',
        'Run AFHS clinics at PHC/CHC; treat adolescent health issues; confidential counselling',
        'ASHA facilitates Saathiya; distributes sanitary napkins + IFA; links adolescents to AFHS',
        'PHC: AFHCs (ARSH clinics); MO provides services; WIFS supervised consumption',
        'CHC: fully functional AFHS with lab + counsellor; DH: specialist referral',
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      [
        'Weekly Iron Folic Acid Supplementation (WIFS)',
        'Part of RKSK + NiPI',
        'NHM',
        '10.25 crore adolescents 10-19 years (boys + girls)',
        'Reduce anaemia in adolescents; break intergenerational cycle; 100 mg iron + 500 mcg folic acid weekly',
        'Distribute IFA weekly at school/AWC; supervise consumption; screen for anaemia; biannual deworming',
        'Ensure WIFS supply; supervise at AWC for out-of-school girls; Hb screening',
        'Supervise WIFS at block; manage side effects; WIFS coverage reporting',
        'AWC: ASHA distributes to out-of-school girls; ANM supervises',
        'School-based delivery under teacher supervision; MO coordinates',
        'DH coordinates district supply; coverage monitoring',
      ],
      [
        'Menstrual Hygiene Scheme (MHS)',
        '2011 (MoHFW)',
        'NHM + State',
        'Adolescent girls 10-19 years in rural areas',
        'Ensure adequate knowledge + access to sanitary napkins + safe disposal in rural girls',
        'Distribute subsidised sanitary napkins (Rs. 6/pack of 6); earn commission; provide menstrual health counselling',
        'Train ASHA and nodal teachers in menstrual health; supervise safe disposal; health education sessions',
        'Supervise MHS at block; manage supply chain; integrate with school health programme',
        'ASHA is PRIMARY delivery agent of sanitary napkins at village level',
        'PHC supply point for sanitary napkins stock to ASHAs; MO monitors coverage',
        'DH/CHC: district supply chain management; training cascades',
      ],
      [
        'Adolescent Friendly Health Clinics (AFHCs)',
        '2005 (ARSH); strengthened 2014 (RKSK)',
        'NHM',
        'Adolescents 10-19 years seeking confidential services',
        'Provide confidential, adolescent-friendly services: SRH, STI/RTI, nutrition, mental health, contraception',
        'Link adolescents to AFHS; escort if needed; follow up on referrals',
        'Conduct AFHS sessions at designated days; STI/RTI screening; counselling; referral',
        'Run AFHS at PHC/CHC; provide specialist services; ensure privacy + confidentiality',
        'Sub-centre: ASHA refers to PHC-based AFHS (not available at sub-centre)',
        'PHC: AFHS on fixed days; MO provides confidential services; IFA/contraceptive counselling',
        'CHC/DH: full AFHS with lab, STI testing, counsellor, gynaecologist',
      ],
      [
        'Peer Educator (Saathiya) Programme',
        '2014 (under RKSK)',
        'NHM',
        '1 Saathiya per village/AWC; all adolescents 10-19 years',
        'Peer-led health education; adolescent-to-adolescent messaging on 6 RKSK themes',
        'ASHA facilitates + mentors Saathiya groups; distributes Saathiya Resource Kit to peer educators',
        'Supports Saathiya activities; tracks peer educators; integrates with AWC sessions',
        'Orients health staff on peer educator model; supervises quality of sessions',
        'Saathiya (trained peer) operates at village level under ASHA mentorship',
        'PHC MO supervises overall RKSK including Saathiya; monthly review',
        'CHC/DH: RKSK district coordinator oversees Saathiya programme state-wide',
      ],
      [
        'School Health & Wellness Programme (Ayushman Bharat)',
        '2018',
        'MoHFW + Ministry of Education',
        'All students in govt. schools',
        'Annual health checkup; WIFS; NDD; MHS; health promotion through trained teacher ambassadors',
        'ASHA liaises with school health teachers; mobilises students for checkup days',
        'ANM coordinates with school health ambassadors; refers sick students to PHC',
        'MO supervises school health programme; RBSK screening integration; health camps',
        'Not at sub-centre level; school-based intervention',
        'PHC MO is nodal officer for school health in catchment area',
        'CHC/DH: specialist support for RBSK + school health referrals; DEIIC',
      ],
    ],
  },
  {
    label: '● SECTION 5: FAMILY PLANNING PROGRAMMES',
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      [
        'National Family Planning Programme',
        '1952 (1st in world)',
        '100% Central CSS under NHM',
        'Couples of reproductive age; WRA 15-49 years',
        'Regulate fertility; reduce TFR to replacement level (2.1); increase CPR; voluntary + informed choice',
        'Distribute condoms, OCPs, ECP at community; counsel on family planning; home delivery of contraceptives (HDC)',
        'Provide IUCD insertion; distribute OCPs/condoms; family planning counselling; maintain FP register',
        'Perform sterilisation procedures; IUCD insertion; clinical consultation; FPIS certification; family planning camp',
        'ASHA provides condoms, OCPs, ECP; counselling on spacing vs. limiting methods',
        'Fixed day IUCD insertion; NSV camp; FP counselling; sterilisation referral',
        'CHC: laparoscopic sterilisation; FRU: tubectomy + vasectomy; DH: full FP services; FPIS management',
      ],
      [
        'Mission Parivar Vikas (MPV)',
        '2016',
        'NHM 100% central; 7 states focus',
        '146 high-focus districts in UP, Bihar, MP, Rajasthan, Jharkhand, Chhattisgarh, Assam (TFR >3)',
        'Increase contraceptive access; promote spacing; Nayi Pehel kit; Saas-Bahu Sammelan; focus high-TFR districts',
        'Distribute Nayi Pehel kit to newly married couples; organise Saas-Bahu Sammelan at village level',
        'Ensure injectable (Antara) + PPIUCD availability; counsel newly married couples; track MPV beneficiaries',
        'Conduct fixed-day NSV/sterilisation camps; ensure basket of contraceptives at PHC; MPV reporting',
        'ASHA delivers Nayi Pehel kit; conducts couple counselling at home',
        'PHC: fixed-day injectable Antara service; IUCD insertion; counselling room',
        'CHC: full sterilisation services; MPV camps; FRU laparoscopy; FPIS claims',
      ],
      [
        'Family Planning Indemnity Scheme (FPIS)',
        '2005; revised 2013',
        'Central Government (100%)',
        'All sterilisation acceptors at govt./empanelled private facilities',
        'Insurance/compensation for death, failure, or complication from sterilisation; build trust in FP services',
        'Inform clients about FPIS before procedure; obtain consent with FPIS information',
        'Explain FPIS to client; document procedure; initiate FPIS claim if complication arises',
        'Certify procedure performed; maintain operative records; report complications; process FPIS claim',
        'ASHA educates community about FPIS compensation; removes fear of sterilisation',
        'MO certifies sterilisation; maintains FPIS documentation; reports to district',
        'CHC/DH: FPIS claim processing; payout to beneficiaries; state FPIS committee review',
      ],
      [
        'Post-Partum IUCD (PPIUCD)',
        '2010 (RCH-II); scaled 2012',
        'NHM',
        'All women who just delivered (institutional delivery); post-C-section',
        'Provide highly effective (>99%) spacing contraception immediately post-delivery; avoid return visit',
        'Pre-delivery counselling on PPIUCD; obtain written informed consent before delivery',
        'Conduct PPIUCD insertion (after training); counsel on follow-up at 4-6 weeks; document',
        'Train staff; perform insertion in complicated cases; manage follow-up at 6 weeks; PPIUCD reporting',
        'ASHA counsels during ANC visits; obtains consent before arrival at facility',
        'PHC: trained MO/nurse inserts PPIUCD after delivery; 24×7 service point',
        'CHC/DH: high-volume PPIUCD insertion; OBGYN supervision; training of district staff',
      ],
      [
        'Comprehensive Abortion Care (CAC)',
        'MTP Act 1971; amended 2002 + 2021',
        'NHM + Central; state-run facilities',
        'All women seeking abortion services up to gestational limits defined by MTP Act 2021',
        'Safe, legal abortion up to 20 weeks (most women); 24 weeks (special categories); MMA + MVA + surgical services',
        'Distribute MMA kits up to 7 weeks (approved states); counsel on CAC; escort to facility; zero stigma',
        'Provide MMA at sub-centre (approved); refer for MVA/surgical abortion to PHC/CHC',
        'MMA up to 9 weeks; MVA up to 12 weeks; refer higher centre for >12 weeks; treat complications; post-abortion FP',
        'ASHA distributes MMA in approved states; counsels on safe abortion options',
        'PHC: MMA up to 9 weeks + MVA up to 12 weeks by trained MO; post-abortion FP counselling',
        'CHC/DH: EVA/D&E for 12-20 weeks; OBGYN for complicated cases; Medical Board for >24 weeks',
      ],
    ],
  },
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    label: '● SECTION 6: OTHER MAJOR PROGRAMMES',
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        'NTEP (National TB Elimination Programme) - Formerly RNTCP',
        '1997 (RNTCP); renamed NTEP 2020',
        'Central + GFATM (Global Fund) + World Bank',
        'All TB-affected individuals; 27% of global TB burden in India',
        'Eliminate TB by 2025 (India target); Universal DST; Nikshay notification; Nikshay Poshan Rs. 500/month',
        'DOT (Direct Observation of Treatment) provider; sputum collection facilitation; Nikshay Mitra support; patient follow-up',
        'Refer presumptive TB cases; sputum collection; support ASHA DOT; TB contact tracing',
        'Diagnose with CBNAAT/Gene Xpert; prescribe 2HRZE/4HR regimen; notify on Nikshay; manage DR-TB; side effects',
        'ASHA provides daily DOT at home; DMC (Designated Microscopy Centre) at sub-centre',
        'PHC MO diagnoses + treats DS-TB; Gene Xpert machine; Nikshay notification; monthly NTEP reporting',
        'CHC: TB Unit (TU); DRTB centre; DH: District TB Officer (DTO); bedaquiline-based DR-TB treatment',
      ],
      [
        'NLEP (National Leprosy Eradication Programme)',
        '1983 (with MDT)',
        'CSS under NHM; 60:40 C:S (90:10 NE)',
        'All leprosy patients + suspects; especially in high-endemic districts/blocks',
        'Eliminate leprosy (PR <1/10,000); MDT free; reduce G2D; zero new cases by 2027 (NSP 2023-27)',
        'ABSULS - report suspected leprosy cases in community; accompany to PHC; social support; anti-stigma',
        'Refer suspects; support MDT distribution; monitor treatment compliance; report contacts',
        'Diagnose leprosy (slit-skin smear, clinical exam); initiate MDT (PB 6 months / MB 12 months); manage reactions (Type 1: prednisolone; Type 2: thalidomide); disability prevention',
        'ASHA identifies and refers suspects; ANM supports MDT at sub-centre outreach',
        'PHC MO diagnoses and initiates MDT; monitors reaction; monthly leprosy register',
        'CHC: Block Leprosy Officer (BLO); DH: District Leprosy Officer (DLO); reconstructive surgery referral',
      ],
      [
        'Ayushman Bharat - HWC / AB-PMJAY',
        'Feb 2018 (announced); Apr 2018 (1st HWC); Sep 2018 (PMJAY launch)',
        'Central + State; 60:40 (PMJAY); technical support NHA',
        'HWC: 1.5 lakh centres; PMJAY: 10.74 crore families (~50 crore); Vaya Vandana: all 70+ years',
        'HWC: comprehensive primary health care package at grassroots; PMJAY: cashless hospitalisation Rs. 5 lakh/family/year',
        'ASHA is team member at AB-HWC; assist CHO in all services; wellness activities',
        'MPW (male/female) at sub-HWC; assists CHO; outreach sessions; NCD screening',
        'CHO at sub-HWC; MO at PHC-HWC; oversees comprehensive PHC package; telemedicine',
        'Sub-HWC: CHO-led; ASHA + MPW team; NCD screening; free drugs + diagnostics',
        'PHC-HWC: MO + nursing staff; full CPHC package; PMJAY empanelment',
        'CHC/DH: PMJAY empanelled hospitals; cashless treatment; 1929 packages; Ayushman card',
      ],
      [
        'Census of India',
        '1881 (synchronous); last completed: 2011; 2021 PENDING',
        'Government of India (MHA/ORGI)',
        'Entire population of India (de facto + de jure)',
        'Decennial head count; provide demographic data for all planning; Census 2021 postponed due to COVID-19',
        'Not applicable (census involves door-to-door enumeration by govt. enumerators)',
        'Not directly applicable; ANM may assist in community mobilisation for census',
        'Not directly applicable; MO may assist as nodal officer in health facility census validation',
        'Census enumeration at household level by designated enumerators',
        'PHC records used to cross-check health facility utilization data',
        'DH provides institutional data for health facility census',
      ],
      [
        'Sample Registration System (SRS)',
        '1964-65 (established); operational from 1969-70',
        'Government of India (ORGI/MHA)',
        '~7.5 lakh households; annual survey; continuous demographic tracking',
        'Provide annual birth rate, death rate, IMR, MMR, TFR, NMR estimates; SRS 2020: TFR 2.0, IMR 35.2, MMR 97',
        'SRS enumerator tracks births/deaths in sample villages; ASHA not formally part of SRS',
        'ANM birth/death registration feeds into SRS data quality',
        'MO verifies facility birth/death data; important source for SRS cross-validation',
        'ASHA registers births/deaths with ANM/sub-centre - feeds into SRS',
        'PHC birth/death data contributes to SRS estimates',
        'DH is hub for district vital statistics feeding into SRS state data',
      ],
      [
        'High Risk Pregnancy (HRP) Management',
        'Always part of ANC; formalised under PMSMA + RCH-II',
        'NHM; services free at public facilities',
        '~15% of all pregnancies (15 per 100); HRP identified at PMSMA, ANC visits',
        'Early identification and management of obstetric risk factors; prevent maternal and perinatal deaths',
        'Use risk checklist to identify HRP at community; fill MCP card risk column; refer to PHC; track follow-up',
        'Identify risk at ANC; ensure minimum 4 ANC; arrange referral; write referral slip; track HRP register',
        'Assess risk factors; manage at PHC (mild-moderate); refer complicated cases to CHC/FRU/DH; ensure C-section access',
        'ASHA identifies with checklist; fills MCP card; refers to ANM/PHC; tracks all ANC visits',
        'PHC MO assesses risk; manages BP/GDM; refers eclampsia/APH to CHC/FRU immediately',
        'CHC: OBGYN manages high-risk; LSAS for emergency C-section; blood bank; HDU; DH: ICU/tertiary care',
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