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At the time of India's independence in 1947, health care services were utterly inadequate, urban based, and curative in nature. The majority of India's population especially the poor and those residing in rural areas did not have access to modern health facilities. Consequently, the morbidity and mortality rates were quite high. Many women died under abortion procedures because access to contraceptives was not available. Similarly, antenatal and postnatal services were poor and out of reach for the majority of women and their families. Improvement in the health status of the population has been one of the major focal areas in Indias social development programs. Over the past six decades, India has built up a vast health infrastructure at primary, secondary, and tertiary care levels in the government, the voluntary sector, and the private sector. India has invested massive amounts under successive Five Year Plans in medical education, training, and research. Considerable achievemen