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April 23, 2026: https:\/\/idf.org\/our-network\/regions-and-members\/south-east-asia\/members\/india\/."},{"key":"ref6","unstructured":"National Family Health Survey (NFHS-5), 2019-21. compendium of fact sheets. India and 14 states\/UTs (Phase-II). Accessed: July 2, 2026: https:\/\/ruralindiaonline.org\/en\/library\/resource\/national-family-health-survey-nfhs-5-2019-21-compendium-of-fact-shee...."},{"key":"ref7","article-title":"National Family Health Survey (NFHS-5), 2019-21: India","author":"IIPS","year":"2021","unstructured":"IIPS, ICF. National Family Health Survey (NFHS-5), 2019-21: India. 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