Village-health guide scheme is not present in –
**Core Concept**
The Village Health Guide (VHG) scheme is a community-based health initiative aimed at providing basic health care services to rural populations. It involves training village health guides to provide health education, first aid, and referral services to the community.
**Why the Correct Answer is Right**
The VHG scheme is a key component of the National Rural Health Mission (NRHM), which was launched in 2005 to improve access to health care in rural areas. The scheme focuses on empowering village health guides to take ownership of their health and well-being, and to provide basic health care services to their communities. This includes providing health education on topics such as maternal and child health, family planning, and disease prevention.
**Why Each Wrong Option is Incorrect**
**Option A:** This is incorrect because the VHG scheme is actually present in many states, particularly in the eastern and central regions of India.
**Option B:** This is incorrect because the VHG scheme is a community-based initiative, and it is not limited to urban areas.
**Option C:** This is incorrect because the VHG scheme is a key component of the NRHM, which was launched to improve access to health care in rural areas.
**Clinical Pearl / High-Yield Fact**
The VHG scheme is an example of a community-based health initiative that has been shown to improve health outcomes in rural areas. Village health guides play a critical role in providing basic health care services and promoting health education in their communities.
**Correct Answer: D.**