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GS Paper: GS2-13.Issues relating to development and management of Social Sector/Services relating to Health, Education, Human Resources.

  • [pib] Retired Sportsperson Empowerment Training (RESET) Program

    Why in the News?

    The Ministry of Youth Affairs & Sports launched the “RESET Programme” to empower retired sportspersons with career skills on National Sports Day.

    What is RESET Programme?

    Details
    Launch Date August 29, 2024 (National Sports Day)
    Nodal Ministry Ministry of Youth Affairs & Sports
    Objective To empower retired sportspersons with skills and knowledge for career development and employability
    Eligibility – Retired athletes aged 20-50 years
    – Winners/participants in international events, national/state medallists
    – Recognized by National Sports Federations/IOA/Ministry of Youth Affairs and Sports
    Programme Levels Two levels based on educational qualifications:
    – Class 12th and above
    – Class 11th and below
    Implementation Lead institute: Lakshmibai National Institute of Physical Education (LNIPE)
    Learning Mode Hybrid mode: Self-paced online learning and on-ground training
    Additional Support Placement assistance, guidance for entrepreneurial ventures

     

    PYQ:

    [2017] Consider the following in respect of ‘National Career Service’:

    1. National Career Service is an initiative of the Department of Personnel and Training, Government of India.

    2. National Career Service has been launched in a Mission Mode to improve the employment opportunities to uneducated youth of the country.

    Which of the above statements is/are correct?

    (a) 1 only

    (b) 2 only

    (c) Both 1 and 2

    (d) Neither 1 nor 2

  • Crime, health-worker safety, and a self-examination 

    Why in the News?

    • The recent brutal rape and murder case in Kolkata has sparked widespread calls for the death penalty for the accused.
      • The Justice J.S. Verma Committee, formed in response to the 2012 Delhi gang rape, recommended against the death penalty for rape, even in the rarest of rare cases, arguing that it would be a regressive step.

    Deeper problem in the Health Care Sector: 

    • Healthcare Violence: The protests by resident doctors stem from a series of violent attacks against medical personnel. This violence often arises from disgruntled patients and their families who perceive poor healthcare services.
    • Corruption in Healthcare: The World Health Organization estimates that corruption claims nearly $455 billion annually, which could otherwise extend universal health coverage globally.
      • In India, this corruption manifests in various forms, including bribery and sextortion, further undermining the healthcare system’s integrity.
    • Ineffective Responses: Traditional responses to healthcare violence, such as enhancing security and legal measures, have proven inadequate. These knee-jerk reactions fail to address the root causes of the violence.

    What does the Justice K. Hema Committee report say on the Culture of Assault?

    • On Sexual Assault and Consent: Instances of sexual assault are not isolated events but are rooted in societal practices that undermine women’s autonomy and consent.
      • The National Crime Records Bureau reported 31,516 cases of rape in India in 2022, indicating a significant prevalence of sexual violence against women.
      • The Justice Hema Committee report emphasizes that rape is a manifestation of a culture that views women as objects rather than individuals with rights.
    • On Workplace Harassment: The Vishaka guidelines established in 1997 aimed to protect women from workplace harassment, leading to the Sexual Harassment of Women at Workplace Act, 2013, which mandates the formation of Internal Complaints Committees (ICC).
      • The report argues that ICCs are inadequate for the film industry due to potential biases and influence from abusers, advocating for an independent government forum to address these issues.

    Need to Rethink Violence in Healthcare:  

    • Understanding the Multi-faceted Nature of Violence: Violence in healthcare settings is not limited to patient assaults on healthcare workers, it also includes institutional and managerial violence. This encompasses horizontal violence among healthcare providers and the systemic issues that create a hostile work environment.
    • Implementing Comprehensive Safety Measures: While immediate responses such as improving security and legal protections are necessary, they must be part of a broader strategy that includes training healthcare workers on conflict resolution, mental health support, and creating a culture of safety within healthcare institutions.

    About Justice J.S. Verma Committee Recommendations

    Recommendations on

    Explanation

    Rape • It recognized rape as a Crime of Power, not just passion.
    • Expand definition to include all forms of non-consensual penetration.
    Remove marital rape exception; marriage should not imply automatic consent. (European Commission of Human Rights in C.R. vs U.K)
    Sexual Assault • Broaden definition to include all non-consensual, non-penetrative sexual acts.
    Penalty: Up to 5 years of imprisonment or fines.
    Verbal Sexual Assault • Criminalize unwelcome sexual threats.
    Punishable by up to 1 year in prison or fines.
    Sexual Harassment at Workplace Include domestic workers under protections.
    Replace internal complaint committees with Employment Tribunals.
    Employers to compensate victims of sexual harassment.
    Acid Attacks Propose a 10-year minimum punishment, separate from grievous hurt.
    Establish a compensation fund for victims.
    Women in Conflict Areas • Review AFSPA; exclude government sanction for prosecuting sexual offenses by armed forces.
    • Appoint special commissioners to monitor offenses.
    Trafficking • Comprehensive anti-trafficking laws beyond prostitution.
    • Protective homes for women and juveniles overseen by High Courts.
    Child Sexual Abuse • Define ‘harm’ and ‘health’ in the Juvenile Justice Act to include both physical and mental aspects.
    Death Penalty Opposed chemical castration and death penalty for rape.
    • Recommend life imprisonment.
    Medical Examination of Rape Victims Ban the two-finger test; victim’s past sexual history should not influence the case.
    Reforms in Case Management • Set up Rape Crisis Cells, increase police accountability, allow online FIR filing.
    Encourage community policing and increase police personnel.

    Need for a Comprehensive Approach:

    • National Task Force: Improving hospital security and infrastructure alone may not be sufficient to address the problem. The national task force constituted by the Supreme Court should devise a comprehensive road map to prevent and arrest medical corruption, particularly in the public sector.
    • Need Expertise: The task force should include experts from public health, medico-legal, and other allied fields, along with the participation of the larger governing and administrative community.

    Note: Recently some states have taken steps to empower women. For example, the Himachal Pradesh Assembly passed a Bill on Tuesday to increase the minimum marriage age for women from 18 to 21 years.

    Mains PYQ: 

    Q Appropriate local community level healthcare intervention is a prerequisite to achieve ‘Health for All’ in India. Explain. (UPSC CSE 2018)

    Q We are witnessing increasing instances of sexual violence against women in the country. Despite existing legal provisions against it, the number of such incidences is on the rise. Suggest some innovative measures to tackle this menace. (UPSC CSE 2014)

  • [24th August 2024] The Hindu Op-ed: The annual accusation of board exam mark inflation

    [24th August 2024] The Hindu Op-ed: The annual accusation of board exam mark inflation

    PYQ Relevance:

    Q The quality of higher education in India requires major improvement to make it internationally competitive. Do you think that the entry of foreign educational institutions would help improve the quality of technical and higher education in the country? Discuss. (UPSC IAS/2015)

    Q Professor Amartya Sen has advocated important reforms in the realms of primary education and primary health care. What are your suggestions to improve their status and performance? (UPSC IAS/2016)

    Q National Education Policy 2020 conforms with the Sustainable Development Goal-4 (2030). It intends to restructure and reorient education system in India. Critically examine the statement. (UPSC IAS/2020)

    Q The Right of Children to Free and Compulsory Education Act, 2009 remains indadequate in promoting incentive-based system for children’s education without generating awareness about the importance of schooling. Analyse. (UPSC IAS/2022)

    Mentor comment: The consistently high pass rates, variations across boards, impact on higher education, and CBSE’s own concerns have kept the topic of mark inflation in the news spotlight, with calls for urgent exam reforms to restore credibility to the system. The perception of mark inflation has led to increased demand for entrance exams for college admissions. It also forces colleges to raise cut-offs, making it harder for diligent students to get admitted. The Former Education secretary Anil Swarup had attempted to abolish CBSE’s marks moderation policy in 2017 to check inflation but faced opposition from stakeholders. Experts argue that ending moderation and reforming exams is crucial to address the issue.

    Let’s learn!

    __

    Why in the News? 

    The Central Board of Secondary Education (CBSE) recently issued an advisory to its affiliated schools, urging them to reevaluate practical exam assessment procedures.

    • A significant variation was detected between theory and practical marks for over 50% of students in around 500 CBSE schools.
    Present status of School Boards in India:

    Indian school boards face allegations of inflating marks for classes 10 and 12.

    High Pass Percentages: Evidence includes high pass rates—85% for class 10 and 82% for class 12 in 2023.
    • Students scoring above 60%: Approximately 61% of class 10 students and 56% of class 12 students scored over 60%.
    • Mark Compression: High clustering of marks at the top is referred to as mark compression, related to mark inflation.

    What are the impacts of such marks inflation?

    • Impact on Education Credibility: Both mark inflation and compression undermine the credibility of the education system.
    • Consequences for Students: These practices hinder student preparedness for higher education and the job market.
    • Demand for Entrance Exams: The perception of inflated marks has increased demand for higher-education entrance examinations.

    What are the current disparities in the Indian School Education System?

    • Lack of a Standardized Measure: The present examination curriculum pattern makes it difficult to assess the relative academic credentials of students certified by different boards.
      • For example, in both secondary and higher secondary examinations, the proportion of students securing above 60% was lower than the national average in several states.
      • However, this does not necessarily mean that students in other states performed better on a comparable scale.
    • Lack of Corrective Measures: Marks are supposed to reflect a student’s academic knowledge and skills, but comparing them with standardized national-level tests like NEET and JEE is problematic.
      • These tests are designed as elimination processes for admission to specific higher education programs, and not to evaluate subject knowledge as per the prescribed curriculum.
      • Moreover, not all class 12 students appear for these entrance exams, and those who do usually undergo special coaching which incurs huge costs.
    • Lack of Policy Suggestions: The National Achievement Survey (NAS) conducted by NCERT for a sample of students annually is scientifically designed but fails to serve as a benchmark for studying mark inflation.
      • There is little scope to connect estimated scores with factors like curriculum design, school efficiency, and teaching-learning processes.
    • Need for Accountability in the System: The current opaque system leads to various issues, necessitating transparency in all processes, from question paper setting to marking and result publication.

    What can be done for the System’s Revaluation and Enhanced Accountability?

    • Establish a standardized system: The govt needs to provide resources outlining how learning outcomes are assessed and marks awarded, including examples.
      • Further, standardize the procedures for question paper handling, answer book printing, distribution, and collection. Allow students to view their answer scripts post-results and apply for revaluation at a nominal fee.
    • Need for Technical Intervention: States should establish clear guidelines for question formats and expected answers. Secondly, they need to implement scanning and online evaluation to minimize errors in the marking system.
      • Updating the curriculum to align with higher educational standards can ensure that students are adequately prepared, reducing the need for inflated marks to reflect competence.
    • Public Awareness Campaigns: Educating stakeholders about the implications of mark inflation can foster a culture of integrity and accountability in educational assessments.
    • Collaboration with Educational Institutions: Governments can work with schools and universities to create clear pathways for students, ensuring that grades reflect true academic ability and readiness for further education or the job market.

    Conclusion: While the Indian government has managed to make education accessible (SDG 4) for millions of children, the quality of said education remains still poor due to non-transparent examinations. India can attain quality school education in the real sense shortly, but it will require addressing the abovementioned challenges.

    https://www.thehindu.com/opinion/lead/the-annual-accusation-of-board-exam-mark-inflation/article68559582.ece

  • How to ensure dignity for the terminally ill?  

    Why in the News?

    The Supreme Court of India denied permission to the parents of Harish Rana, a 32-year-old man in a vegetative state for 11 years, to remove his Ryles tube which is a device used for feeding.

    • A Ryles tube, also known as a nasogastric (NG) tube, is a medical device used for various purposes related to nutrition and gastric management. It is inserted through the nose, passing through the nasal cavity, down the esophagus, and into the stomach.

    Recent Supreme Court Judgment:

    • The Bench headed by CJI D.Y. Chandrachud observed that the Ryles tube is not a life support system and therefore could not be withdrawn.
    • This decision has stirred legal and ethical debates, as the Supreme Court’s 2018 judgment permits the withdrawal of life support in terminal cases under the concept of “passive euthanasia.”
    • Passive euthanasia involves the withdrawal of medical treatment with the intention of hastening the death of a terminally ill patient. 
    • The Supreme Court initially legalized this practice in 2018, allowing patients to create a “living will” to refuse life-sustaining treatment when they are unable to communicate their wishes.

    Ethical Challenges:

    • Question of whether the decision benefits the patient: The judgment raises concerns about whether the decision benefits the patient, as prolonging life in such a condition may increase suffering.
    • Prolonged suffering: The principle of not causing harm is challenged since keeping the patient in a vegetative state with artificial feeding may lead to prolonged suffering for both the patient and their caregivers.
    • Against Right to Life and Death: The patient’s rights to a dignified life and death may be compromised which is addressed in various judgments like Common Cause v. Union of India (2018). This judgment recognised the right to die with dignity as part of the right to life under Article 21.
    • Autonomy: The patient’s right to choose, which is central to the concept of dignity, has been overlooked. The judgment did not consider the wishes of the patient or their family in determining the course of action.

    Need for Legal Clarity:

    • Distinguishing Euthanasia from Withdrawal of Life Support: There is a pressing need to legally clarify the difference between euthanasia and the withdrawal of futile life-sustaining interventions.  
    • Involvement of Medical and Ethical Experts: The decision-making process in such sensitive cases should involve palliative care physicians and ethical experts to ensure that medical and ethical considerations are fully addressed.
    • Advance Care Planning: Promoting Advance Medical Directives and Advance Care Planning is crucial to empower individuals to have control over their end-of-life decisions, ensuring that their rights to a good quality of life and death are respected.
    • Systemic Reforms: The judgment highlights the need for systemic reforms to avoid forcing families into legal battles and to ensure that patients’ rights are safeguarded with appropriate legal frameworks.

    Conclusion: The recent Supreme Court judgment highlights the urgent need for legal clarity, ethical considerations, and systemic reforms to protect patient rights and ensure dignity in end-of-life decisions.

    Mains question for practice:

    Q Discuss the need for legal clarity and systemic reforms to uphold the dignity and rights of patients in end-of-life decisions. (150 words) 10M

  • Vinesh Phogat’s Olympics disqualification     

    Why in the News?

    Wrestler Vinesh Phogat was disqualified from the Paris Olympics after the official weigh-in on Wednesday morning, before her scheduled gold medal bout in the evening, leaving her without a medal.

    What is Weight Cutting?

    • Weight cutting is the process by which athletes systematically reduce their body weight before a competition. This typically involves a combination of dietary restrictions and intensive physical activity aimed at shedding a specific amount of weight, often over a period of weeks leading up to the event.
    • Wrestlers often employ extreme measures such as skipping meals, limiting water intake, and engaging in intense exercise, including sauna sessions and wearing heavy clothing to promote sweating. This can lead to rapid weight loss primarily through fluid loss.

    Why Do Combat Athletes Cut Weight?

    • Combat sports like wrestling, boxing, and mixed martial arts (MMA) are organized by weight classes to ensure fair competition. Athletes aim to compete in lower weight classes to gain a size and strength advantage over their opponents, as they can often regain weight after the weigh-in.
    • By cutting weight, athletes believe they can compete against opponents who are lighter and potentially less strong, thus increasing their chances of success in the competition.

    Should Weight Cutting Be Banned?

    • The practice of weight cutting poses significant health risks, including dehydration, electrolyte imbalances, and energy depletion, which can impair performance and lead to serious medical issues. Athletes may experience severe fatigue and reduced physical capabilities after extreme weight cuts.
    • There is an ongoing debate about whether weight cutting should be banned or regulated more strictly. Critics argue that the health risks outweigh the competitive advantages, while supporters maintain that it is a part of the sport’s culture and can be managed safely with proper guidance.
    • Some suggest that instead of banning weight cutting, sports organizations should implement better regulations and educate athletes about safe practices for weight management, including gradual weight loss and hydration strategies.

    Way forward: 

    • Implement Hydration Testing: Regular hydration tests can prevent severe dehydration, ensuring athletes remain within safe hydration levels.
    • Weight Class Monitoring: Monitor athletes’ weight throughout the training period to discourage rapid weight loss just before competition.
    • Set Minimum Weight Limits: Establish minimum weight thresholds based on athletes’ natural body weight to prevent extreme weight cuts.

    Mains PYQ:

    Q An athlete participates in the Olympics for personal triumph and the nation’s glory; victors are showered with cash incentives by various agencies, on their return. Discuss the merit of state-sponsored talent hunt and its cultivation as against the rationale of a reward mechanism as encouragement. (UPSC IAS/2014)

  • Court shifts the tide on stray dog policy  

    Why in the news?

    The Supreme Court ended the 15-year-old (Animal Welfare Board of India & Anr Versus People for Elimination of Stray Troubles & Ors) AWBI vs. PEST case on July 12, after the final hearing on May 9, sparking mixed reactions.

    The Prevention of Cruelty to Animals (PCA) Act, 1960, and the Animal Birth Control (ABC) Rules are:

    • The PCA Act, 1960 was enacted by the Parliament of India to prevent the infliction of unnecessary pain or suffering on animals and to amend the laws relating to the prevention of cruelty to animals.
      • The PCA Act, 1960 and ABC Rules, 2001 prohibit the killing of stray dogs and mandate sterilization as the only scientific and humane method of controlling stray dog populations.
      • The new ABC Rules, 2023 notified under the PCA Act, 1960 also prohibit wanton killing of stray dogs by municipalities and require them to follow sterilization.
    • The Act defines “animal” as any living creature other than a human being. It establishes the Animal Welfare Board of India to promote animal welfare.
    • Chapter III of the Act lists different forms of cruelty to animals that are banned, including those related to work animals, captivity, ownership, abuse, mutilation or killing.
    • Chapter IV deals with experiments on animals. While it does not make experiments unlawful for the advancement of knowledge, it allows the Board to advise the government to create a committee to control and supervise such experiments.
    • Chapter V outlines restrictions, procedures and offences related to performing animals. The Central Government can prohibit any animal from exhibition or training through notification.

    Note: In 2022, the Ministry of Fisheries, Animal Husbandry and Dairying submitted a draft Prevention of Cruelty to Animals (Amendment) Bill 2022 for public comment. The draft includes 61 amendments to further clarify the law and make punishments more stringent.

    The Supreme Court stated that the Central law (PCA Act 1960 and ABC Rules, 2023) which prohibits killing of stray dogs by local authorities remains the governing law of the land.

    What the Supreme Court said on the ‘Duty of every Citizen’:

    • The Supreme Court capped off the judgment with the lines: “Compassion to all living beings, is the enshrined Constitutional value and mandate, and cast obligation on the authorities to maintain.”
      • This refers to Article 51A(g) of the Constitution of India which states: “It shall be the duty of every citizen of India to protect and improve the natural environment including forests, lakes, rivers, and wildlife and to have compassion for living creatures.”
    • The court emphasized that Citizens should avoid unscientific and cruel methods like killing stray dogs and instead choose the scientific and humane method of sterilization.

    Issues due to stray dogs in India: 

    • Population: India has an estimated 60 million stray dogs, making it the country with the highest number of stray dogs globally.
    • Rabies Incidence: India accounts for 36% of global rabies deaths and 65% of rabies deaths in the South-East Asia region.
      • Between 2012 and 2022, the National Rabies Control Program reported 6,644 clinically suspected cases of rabies in humans.
    • Dog Bite Cases: Reports indicate that major cities have seen alarming numbers of dog bite incidents. For example, Delhi’s Safdarjung Hospital and Ram Manohar Lohia Hospital recorded nearly 48,000 dog bite cases in just six months. In Kerala alone, there were over 1.9 lakh dog bite cases last year, with 21 deaths attributed to rabies.

    Way forward:

    • Enhanced Public Awareness and Education: Need to implement nationwide campaigns to educate the public on responsible pet ownership, the importance of sterilization, and the humane treatment of stray dogs.
    • Strengthening Enforcement of Existing Laws: Need to ensure that municipalities and local authorities are adequately trained and funded to implement the ABC Rules effectively.
  • [5th August 2024] The Hindu Op-ed: The psychology of extravagance

    [5th August 2024] The Hindu Op-ed: The psychology of extravagance

    PYQ Relevance:

    Mains:

    Q1 Critically discuss the objectives of Bhoodan and Gramdan movements initiated by Acharya Vinoba Bhave and their success.  (UPSC IAS/2013) 

    Q2 Can the vicious cycle of gender inequality, poverty and malnutrition be broken through microfinancing of women SHGs? Explain with examples.  (UPSC IAS/2021) 

    Note4Students: 

    Mains: Reason behind the inequality in India ;

    Mentor comments: Inequality in India is characterized by significant disparities in wealth and income distribution. The richest 1% of the population owns over 58% of the nation’s wealth, while the bottom 50% holds merely 3%. Factors contributing to this inequality include caste, gender, and regional disparities. Women, for instance, earn 34% less than men and own only 2% of agricultural land despite comprising 42% of the agricultural workforce. The COVID-19 pandemic exacerbated these inequalities, with the wealth of billionaires increasing while poverty deepened for many.

    Let’s learn!

    __

    Why in the News? 

    In their March 2024 study, “Income and Wealth Inequality in India, 1922-2023: The Rise of the Billionaire Raj,” economists Nitin Kumar Bharti, Lucas Chancel, Thomas Piketty, and Anmol Somanchi report that in 2022-23, the top 1% of the population held 22.6% of the total income and 40.1% of the total wealth in India.

    A case of gross disproportion as per study

    • Income and Wealth Distribution: In 2022-23, the top 1% of India’s population received 22.6% of national income and owned 40.1% of total wealth. This marks the highest levels of inequality recorded since 1961, indicating a stark concentration of wealth among the richest individuals, with the top 0.1% earning nearly 10% of national income.
    • Comparison with Historical Context: The report suggests that the current inequality levels are greater than those during the British colonial rule, with the top 10% of the population owning 65% of total wealth. In contrast, the bottom 50% holds only 6.4% of total wealth and earns 15% of national income.
    • Wealth of the Wealthy: The wealthiest 10,000 individuals possess an average of ₹22.6 billion, which is approximately 16,763 times the average wealth of an Indian.  
    • Start of inequality: The rise in inequality began in the 1980s with economic liberalization, accelerating after the 1991 reforms. The share of the bottom 50% in national income dropped significantly, while the income share of the top 10% increased dramatically during the same period.

    The reason behind the inequality: 

    • Economic Liberalization: The economic reforms initiated in the 1990s led to rapid growth in certain sectors, particularly in urban areas, while rural and less developed regions lagged behind.  
    • Lack of Inclusive Growth: Economic growth has not been inclusive, with benefits disproportionately favouring certain sectors and geographic regions. For instance, the service sector, which significantly contributes to GDP, is concentrated in a few states like Maharashtra and Karnataka.
    • High Unemployment and Underemployment: A lack of sufficient job creation and the prevalence of underemployment contribute to low productivity and income levels among the majority of the population
    • Caste and Gender Discrimination: Social stratification based on caste and gender continues to limit access to opportunities for marginalized groups. For example, upper castes hold a disproportionate share of wealth, while Scheduled Castes and Scheduled Tribes have significantly lower ownership of assets.
    • Educational Disparities: Access to quality education is uneven, with lower-income groups often lacking the resources to attain higher education, which is crucial for upward mobility. This educational gap perpetuates income inequality.
    • Regional Imbalances: Certain states in India are significantly more developed than others, leading to disparities in income and wealth distribution. For instance, five states own about 50% of the country’s total wealth, Maharashtra (17% of the country’s wealth share) Uttar Pradesh (11.6%), Kerala (7.4%), Tamil Nadu and Haryana

    Way forward

    • Redistribution of Wealth: The funds generated from increased taxation should be directed towards social programs that improve access to education, healthcare, and nutrition for lower-income groups. 
    • Invest in Rural Development: Need to focus on targeted investments in rural areas which can help bridge the gap between urban and rural economies.
    • Promote Quality Education and Skill Development: Expanding access to quality education and vocational training for marginalized communities can empower individuals and enhance their employability.
  • [pib] Update on Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA)

    Why in the News?

    • An Extended Pradhan Mantri Surakshit Matritva Abhiyan (E-PMSMA) strategy was launched to ensure quality Antenatal Care (ANC) for pregnant women.
      • The strategy focuses on individual tracking of high-risk pregnancies (HRP) and provision of additional PMSMA sessions beyond the 9th of every month.

    About High-Risk Pregnancy: 

    • A high-risk pregnancy involves greater risk of health complications for the mother, the foetus, or both, due to pre-existing medical conditions, conditions that develop during pregnancy, or foetal issues.
    • Common Factors:
      • Maternal Health Conditions: Pre-existing diabetes, hypertension, HIV, kidney disease, or conditions arising during pregnancy like gestational diabetes and preeclampsia.
      • Obstetric Factors: Previous caesarean section, history of preterm labor, multiple pregnancies, and congenital malformations.

    About Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA)

    Details
    About An initiative to provide quality antenatal care (ANC) to all pregnant women.
    Launch  October 2016
    Target Group All pregnant women, especially those in their second and third trimesters.
    Frequency Services provided on the 9th of every month at government health facilities.
    Objective Ensure safe motherhood by providing comprehensive and quality antenatal care universally.
    Key Functions
    • General Check-Up: Physical and clinical examinations by medical professionals.
    • Laboratory Investigations: Routine blood tests, urine tests, and other necessary laboratory investigations.
    • Ultrasound: Ultrasound examination to monitor foetal growth and development.
    • Counseling: Nutritional and lifestyle counseling to ensure a healthy pregnancy.
    • High-Risk Identification: Screening and identification of high-risk pregnancies and appropriate referrals for specialized care.
    Key Features
    • Free of Cost: All services under PMSMA are provided free of cost.
    • Fixed Day ANC Services: Antenatal care services are provided on a fixed day every month.
    • Lab Investigations: Basic investigations like Hb, urine albumin, RBS, malaria test, VDRL test, blood grouping, CBC, ESR, and USG.
    • Public-Private Partnership: Encourages participation of private sector healthcare providers in providing ANC services.
    • Incentives: Incentives for healthcare providers who participate in the program.
    Categorization of Pregnant Women 
    • Green Sticker – for women with no risk factor detected
    • Red Sticker – for women with high risk pregnancy
    • Blue Sticker – for women with Pregnancy Induced Hypertension
    • Yellow Sticker – pregnancy with co-morbid conditions such as diabetes, hypothyroidism, STIs
    Benefits
    • Improved Maternal Health: Regular and comprehensive ANC helps in early detection and management of complications, improving maternal health outcomes.
    • Reduced Mortality Rates: Timely and quality care reduces maternal and infant mortality rates.
    • Health Education: Provides health education and counseling to pregnant women, promoting better health practices.
    • High-Risk Management: Identifies and manages high-risk pregnancies effectively, ensuring specialized care for those who need it.

    PYQ:

    [2024]  With reference to the ‘Pradhan Mantri Surakshit Matritva Abhiyan’, consider the following statements:

    1. This scheme guarantees a minimum package of antenatal care services to women in their second and third trimesters of pregnancy and six months post-delivery health care service in any government health facility.

    2. Under this scheme, private sector health care providers of certain specialities can volunteer to provide services at nearby government health facilities.

    Which of the statements given above is/are correct?

    (a) 1 only

    (b) 2 only

    (c) Both 1 and 2

    (d) Neither 1 nor 2

  • Why SC couldn’t agree on the environmental release of GM mustard? 

    Why in the news?

    A two-judge Bench of the Supreme Court delivered a split verdict on Tuesday, July 23, regarding the “environmental release” of Genetically Modified (GM) mustard.

    About GM Mustard Crop 

    • Development and Approval Process: On September 15, 2015, the Centre for Genetic Manipulation of Crop Plants (CGMCP) at Delhi University sought approval from the Genetic Engineering Appraisal Committee (GEAC) for the environmental release of GM mustard DMH-11.
    • Biosafety Dossier: The CGMCP submitted a biosafety dossier to the GEAC, which created a sub-committee to examine its contents. After revisions, the sub-committee submitted its report, inviting comments in September 2016.
    • GEAC Recommendations: On May 11, 2017, the GEAC recommended the environmental release of GM mustard, allowing field tests to assess the crop’s effects. However, the Ministry of Environment sent the proposal back for re-examination in March 2018 after receiving several representations.
    • Deferred Tests: The GEAC directed the CGMCP to examine the effects of GM mustard on honey bees and soil microbial diversity, but these tests were deferred through 2020-21.
      • The GEAC-appointed expert committee found that honeybees do not discriminate between other GM crops such as genetically engineered canola.

    What is the case before the Supreme Court?

    • Background of the Case: The case arose from challenges by environmentalist Aruna Rodrigues and the organization Gene Campaign against the GEAC’s approval for the environmental release of GM mustard, arguing that the decision violated the precautionary principle and lacked proper scientific scrutiny.
    • Split Verdict: The Supreme Court delivered a split verdict regarding the approval for the environmental release of genetically modified (GM) mustard, specifically the hybrid DMH-11. Justices B.V. Nagarathna and Sanjay Karol had differing opinions on the legality of the Genetic Engineering Appraisal Committee’s (GEAC) decision-making process.
    • Justice Nagarathna’s Opinion: Justice Nagarathna held that the GEAC’s approval was flawed and did not follow the necessary procedures, particularly failing to conduct promised field tests. She emphasized that the approval violated public trust and the precautionary principle, which is essential for protecting the environment and public health.
    • Justice Karol’s Opinion: In contrast, Justice Karol argued that the GEAC’s decision was valid and aligned with the development of scientific temper. He stated that field trials are necessary to assess the environmental safety of GM mustard and that the decision-making process was independent and reasoned.
    • Unanimous Directives: Despite the split decision, both judges agreed on the need for the Union government to formulate a national policy regarding GM crops. This policy should involve consultations with various stakeholders, including experts, farmers, and state governments.
    • Case referred to larger bench: The case will be referred to a larger bench for further adjudication due to the differing opinions. The Supreme Court directed that the Ministry of Environment, Forest, and Climate Change (MoEF&CC) should conduct a national consultation within four months to develop this policy.
    • Concerns Raised: Justice Nagarathna pointed out that the GEAC did not consider the long-term effects of GM mustard on health and the environment, while Justice Karol noted the importance of conducting field trials under strict safeguards to monitor the crop’s impact.

    Conclusion: The Union government should formulate a detailed and inclusive national policy on genetically modified crops. This policy should be based on extensive consultations with experts, farmer representatives, state governments, and other stakeholders to ensure a balanced approach that considers scientific, environmental, and public health perspectives.

    Mains PYQ: 

    Q  What are the present challenges before crop diversification? How do emerging technologies provide an opportunity for crop diversification? (2021)

  • A Budget that places health on the margins

    Why in the news?

    • With the worst of the COVID-19 pandemic behind us (though the World Health Organization warns the virus still lingers), the Union Budget shifted focus to economic growth levers like infrastructure and employment.
    • It was also hoped that recognizing population health as crucial for economic growth would lead to continued investment in strengthening health systems.
    A budget estimate refers to the initial allocation of funds designated for various programs, departments, or projects within a fiscal year. It represents the government’s expectations regarding how much money will be required to meet planned expenditures.

    In contrast, revised estimates come into play later in the fiscal year. After assessing the actual expenditures and needs after the first six months, the government may adjust the initial budget estimates based on how much of the allocated funds have been utilised and what additional resources may be necessary.

    Comparisons with Previous Years

    • Budgetary Estimates: The comparison of the Budget Estimates (BE) for health between 2023-24 and 2025-25, reveals minimal increases:
      • Overall Health Ministry Budget: 1.98% increase
      • National Health Mission (NHM): 1.16% increase
      • PMJAY: 1.4% increase
    • Overall Health Ministry budget: The present allocation made in the current Budget is deemed to be inadequate for expanding health coverage services and enhancing the impact of flagship health programs, particularly in light of rising non-communicable diseases and the goal of universal health coverage by 2030.
    • Misleading Comparisons: When we compare the Budget estimates with the previous Revised estimates (RE) the budgetary increase of nearly 12% is misleading, as the RE reflects actual spending rather than the program’s needs.

    Missed Opportunities

    • Health Workforce Development: While the budget mentioned an increase in new medical colleges, it failed to address the critical need for a multi-layered, multi-skilled health workforce.
    • Drug Pricing Mechanisms: Although customs duties were waived on three anti-cancer drugs. However, the budget missed the chance to implement price controls and pooled procurement strategies that could have lowered drug costs across both public and private healthcare sectors. Establishing such mechanisms could enhance the affordability and accessibility of essential medications.
    • Climate-Resilient Agriculture: While the budget committed to climate-resilient agriculture, which is crucial for food security, it did not sufficiently link these efforts to health outcomes, such as nutrition and public health, which are critical in the context of rising health challenges.

    Challenges to the Inclusivity of PMJAY

    • Limited Coverage of Middle Class: PMJAY primarily targets the bottom 40% of the population based on economic status, leaving the middle class without coverage.
    • Focus on Secondary and Tertiary Care: The program emphasizes secondary and tertiary healthcare, often neglecting primary care services. This approach limits comprehensive health coverage and fails to address preventive healthcare needs, which are crucial for achieving UHC.
    • Awareness and Accessibility Issues: There is a significant disparity in awareness and accessibility of PMJAY across states.
      • For example, awareness is notably higher in Tamil Nadu (80%) compared to Bihar (20%). 

    Way forward: 

    • Targeted Funding for Flagship Programs: Need to allocate a more substantial increase in the budget for the National Health Mission (NHM) and Pradhan Mantri Jan Arogya Yojana (PMJAY) to the eradication of non-communicable diseases, tuberculosis elimination by 2025.
    • Strengthen Primary Healthcare: Govt. should ensure adequate funding for primary healthcare services, which form the foundation for preventive and community health initiatives.

    Mains PYQ:

    Q The public health system has limitations in providing universal health coverage. Do you think that the private sector can help in bridging the gap? What other viable alternatives do you suggest? (2015)