The ICPD conference held at Cairo, 1994 advocated a paradigm shift of family welfare programs from the number or target-oriented strategy to client centered, quality oriented and a demand driven program covering all stages of women's life in the form of a life cycle approach. This is to be implemented through democratic decentralization institutions i.e. Panchyat Raj Institutions.

The Institute of Health Management Research, Bangalore, India has an expertise to formulate project proposals for RCH-II phase as well as urban RCH considering important issues such as institutional strengthening, logical framework, mother and child health interventions, training programs for medical and para medical personnel for districts, towns or the state.