This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Social & Preventive Medicine
[{'content': 'The most effective step in MCH is \nSelect and explain. \nA. Maternal health promotion, B. Child health promotion, C. School health promotion, D. Non formal education of the mother', 'role': 'user'}, {'content': "Answer: A \nExplanation: The objectives of MCH care are-\n\nReduction of morbidity and mortality rates of mothers \xa0and children\xa0\nPromotion of reproductive health\nPromotion of the physical and psychological development of child within family\xa0\n\nThis is achieved by working under the following sub components-\xa0\n\nMaternal health\xa0\nFamily planning\nChild health\xa0\nSchool health\xa0\nHandicapped children\xa0\nCare of children in special settings such as day care centres\n\nIt is evident from the objectives and Sub components that the most effective step is maternal health promotion .\nFactors that effect maternal health such as urbanisation , rural migration , changing patterns of women's work and status is seen to have direct effect on child bearing and child rearing. Thus by achieving maternal health,it is possible to assure the achievement of all other steps. Hence option 1 is the most appropriate answer.", 'role': 'assistant'}]