The notion of quality in the public health system is becoming increasingly an issue for policymakers and planners in India. The Eighth Five-Year Plan identified the poor quality of family welfare services as one of the factors

A growing recognition that population dynamics, quality of life and women's status are closely inter related argues strongly for a fresh look at India's population program.

The Indian family welfare program is a centrally sponsored scheme, implemented by the State governments within the framework of elaborate guidelines and norms developed by the Central Government.