Question

Under the RMNCAH+ (Reproductive, Maternal, Newborn, Child and Adolescent Health) framework, districts are colour-coded for performance. Which of the following indicators, when meeting the stated criterion, would be marked as a RED card (poor performance)?

• A. IMR less than 20%
• B. TFR more than 20%
• C. MMR <20%
• D. Children receiving healthcare <20%

Hint:

For coverage indicators a LOW value is bad; for mortality indicators a LOW value is good.

Answer 1

The Correct Option is D

The RMNCAH+A scorecard assigns colours by direction-of-benefit of each metric. Mortality measures (IMR, MMR) and fertility (TFR) are inverse indicators - lower is better - so a low recorded value sits in the GREEN zone. Coverage measures are direct indicators - higher is better.

Apply this rule:
$\text{IMR}<20\% \Rightarrow \text{good} \Rightarrow \text{green}$
$\text{MMR}<20\% \Rightarrow \text{good} \Rightarrow \text{green}$
$\text{children receiving healthcare}<20\% \Rightarrow \text{poor coverage} \Rightarrow \text{red}$

Because only one in five children is reached, the service-delivery gap is severe and the district is flagged for corrective action.
\[\boxed{\text{Children receiving healthcare} <20\% \text{ is the RED card indicator}}\]