Abstract i Acknowledgement ii Contents iii List of Tables iv Background, Objectives and Research Methodology of the Study 1 1.1 Target Free Approach - A Paradigm Shift 2 1.2 Objectives of the Study 2 1.3 Research Methodology 3 2 Implementation of Target Free Approach in Gujarat 4 2.1Process of Change from Target to No Target 4 2.2 Expansion of the TFA to All Districts 5 2.3 Administrative and Program Level Changes 8 3 Assessment of Family Planning Performance 9 3.1 Changes in Fertility and Mortality Rates 10 3.2 Results of National Family Health Surveys 11 3.3 Performance of Mother and Child Health Program 12 3.4 PHC and SC Level Situation 13 3.5 Access and Availability of SC Health Workers 14 3.6 Facilities at the Sub-Centre 15 3.7 Decentralized Planning 16 3.8 Record Keeping 17 3.9 Identification of Unmet Needs 18 3.10 Provision of Mother and Child Health Care 19 3.11 Other Reproductive Health Services 20 4 Health Workers' Perceptions about Target Free Approach 20 4.1Women's Perspective on Quality of RCH Services 22 4.2.1 Service Coverage 23 4.2.2Quality of Care and Client Satisfaction 23 5 Conclusion 24 References 41