In the first decade of the 2000s, Population Foundation of India grew in its scope – there was increasing interface with the government and an expanded reach across the country. Population Foundation of India played a crucial role in the formulation of the national and state level population policies, especially in Madhya Pradesh and Uttar Pradesh.
In response to new realities, Population Foundation of India’s work was expanded to include gender, HIV/AIDS, urban health and scaling up. In 2004, for the first time, the organisation moved to implementation in the district and lower levels through advocacy and communication on issues of missing girls, quality of care in reproductive health services and law, policy and rights. In 2005 the government set up the Advisory Group on Community Action (AGCA) to support and advise the Ministry of Health and Family Welfare (MoHFW) on community monitoring under the National Rural Health Mission. The secretariat of the AGCA was housed in PFI and continues to be so even today.