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The Government of India has adopted a Reproductive and Child Health (RCH) approach as the basis of its new family welfare policy. One component of RCH is management of reproductive tract infections (RTIs). The Population Council's Asia and the Near East Operations Research and Technical Assistance (ANE OR/TA) Project, in collaboration with the State of Uttar Pradesh, Ministry of Health and Family Welfare, is conducting a study on the feasibility and cost of providing RTI case management at the primary-care level. The estimated annual cost of RTI case management at the district level would be about US$64,000. From the analysis, it is clear that the average annual drug budget of a Primary Health Care Centre in India is inadequate even if used only for subsidized RTI case management. Policymakers and program managers are examining the initial and continuing costs of RTI case management within the overall RCH package in India, with a focus on quality and sustainability. As noted in this paper, alternatives for controlling costs include better efforts at primary prevention, partner participation to reduce reinfection, user fees, and more private-sector involvement in reproductive health care.






Asia & Near East Operations Research and Technical Assistance Project