AI-generated practice question — model-generated for extra practice, not a previous-year CBSE board question.
Answer: B — Effective functioning of public facilities and distribution systems
Increased spending alone does not guarantee development. As seen in Kerala, low IMR results from adequate provision and equitable delivery of health and education facilities, not just higher expenditure.
The textbook explicitly states: "Kerala has a low Infant Mortality Rate because it has adequate provision of basic health and educational facilities." It also notes that in some states the PDS functions well, improving health and nutrition. The key examiner expectation is recognising that how public facilities function and reach citizens matters more than the mere amount spent — making Option B the correct answer.