In which situation does the service-access goal of the National Population Policy become most necessary?

Correct answer: When a health facility is available only in a distant city

The direct answer is A. Service access means that people can reach and use essential health services without unreasonable distance, cost or difficulty. If a health facility is available only in a distant city, rural families, poor households and people needing urgent care may be unable to use it in time. Therefore, the policy must focus on nearby, affordable and dependable services. Option B describes a situation in which access is already widely available, so the unmet-access problem is smaller. Option C describes an excellent health outcome, not a condition showing poor service access. Option D concerns nutrition and does not directly describe the location or availability of health services. Memory cue: access is about whether a person can actually reach and use care, not merely whether a facility exists somewhere.