<h1>PCPNDT Act awareness drove targeted campaigns and community measures, improving sex-ratio indicators and program fund utilisation.</h1> Awareness and enforcement of the Pre-Conception and Pre-Natal Diagnostic Techniques (PCPNDT) Act were central to Bilaspur district's multi-year strategy, with targeted campaigns in panchayats showing poor indicators and a mix of compliance-focused education and community-support activities led by Anganwadi and ASHA workers. The programme paired regulatory awareness with social initiatives-celebrations of girl-child births, mother-child meetings, counselling, exposure visits, and health check-ups-and reported near-total utilisation of sanctioned funds in the latest financial year.