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In India almost one-and-half dozen national health program currently in vogue have a vartical approach. Eventually their implementation have a compartmental approach. The dilemma is that when these program converge at cutting-edge level, there is a competition and success of an individual program depends on program specific intermediary manager who control the program from state headquarters!

Missionary approach through NRHM is an expression of not only clubbing the resources but also creating a synergy to elicit better return.