**Question:** Under EMCP launched in 1997, the criteria for selection of PHCs included the following Except

A. Provision of maternal and child health services
B. Provision of family planning services
C. Provision of non-communicable disease management services
D. Provision of mental health services

**Correct Answer:** D. Provision of mental health services

**Core Concept:**
The EMCP (Essential Medicines for Community Health) project was launched in 1997 to improve primary healthcare in India by training and equipping Primary Health Centers (PHCs) to provide essential health services to the rural population. The goal was to streamline and standardize the PHCs' services to meet the basic health needs of the community.

**Why the Correct Answer is Right:**
The correct answer, D. Mental health services, is right because PHCs under EMCP were not supposed to provide specialized mental health services but rather focus on primary health care. Mental health services were not part of the initial criteria, as PHCs were meant to address common health issues and preventive care.

**Why Each Wrong Option is Incorrect:**
A. Provision of maternal and child health services (Option A) is correct because it falls under the purview of PHCs as they are responsible for providing maternal and child health care services, including ante-natal, post-natal, and child health services.

B. Provision of family planning services (Option B) is also correct as PHCs are involved in promoting family planning and reproductive health services as part of their mandate.

C. Provision of non-communicable disease management services (Option C) is partially correct as PHCs are expected to address the basic health needs of the community, including management of non-communicable diseases. However, specialized care for non-communicable diseases falls beyond the scope of PHCs and should be referred to higher-level health facilities.

**Core Concept Explanation:**
EMCP aimed to standardize the services provided by PHCs to ensure a uniform approach to primary health care across the country. The project focused on providing essential medicines, training health workers, and improving infrastructure to ensure that PHCs can handle most health issues.

**Why Each Wrong Option is Incorrect:**
Option D, Mental Health services, is incorrect because PHCs were supposed to focus on primary health care rather than specialized mental health services, which are typically provided at higher levels of healthcare facilities, such as psychiatric hospitals or clinics.

**Clinical Pearl:**
While PHCs under EMCP were responsible for providing essential primary health care, specialized services like mental health should be referred to higher-level facilities to ensure appropriate, evidence-based treatment. This helps to streamline the healthcare system, reduce overburdening of higher-level healthcare facilities, and ensure efficient and effective care for the community.