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

  • Why is India rethinking its Anaemia Policy?

    Central Idea

    • Anaemia questions are excluded from National Family Health Survey (NFHS-6) due to concerns about accuracy, emphasizing the need for precise estimates to address India’s growing anaemia burden.
    • NFHS-5 data reveals a significant increase in anaemia prevalence in India, underscoring the urgency of accurate estimates to effectively tackle this public health challenge.

    National Family Health Survey (NFHS)

    • NFHS is a large-scale, multi-round survey conducted in a representative sample of households throughout India.
    • Three rounds of the survey have been conducted since the first survey in 1992-93.
    • The International Institute for Population Sciences (IIPS) Mumbai, is the nodal agency, responsible for providing coordination and technical guidance for the survey.
    • IIPS collaborates with a number of Field Organizations (FO) for survey implementation.
    • The survey provides state and national information for India on fertility, infant and child mortality, the practice of family planning, maternal and child health, reproductive health etc.

    Each successive round of the NFHS has had two specific goals:

    1.      To provide essential data on health and family welfare needed by the Ministry of Health and Family Welfare and other agencies for policy and programme purposes, and

    2.      To provide information on important emerging health and family welfare issues.

     Anaemia: A bigger menace

    • Anaemia is characterized by low red blood cells or haemoglobin levels, leading to symptoms like fatigue and weakness.
    • Iron deficiency is the primary cause, but deficiencies in folate, vitamins B12, and A also contribute.
    • Addressing nutritional deficiencies is crucial for prevention and treatment.

    Shift to DABS-I for Anaemia Assessment

    • The Health Ministry shifted anaemia assessment to Diet and Biomarkers Survey in India (DABS-I) for more accurate prevalence estimates.
    • DABS-I is a comprehensive dietary survey collecting individual data to assess food and nutrient adequacy nationwide.

    Reasons for Methodology Change

    • Concerns of Over-Diagnosis: Using WHO cut-offs may not suit the Indian population due to various factors that influence anaemia.
    • Inadequacy of WHO Cut-Offs: Country-specific cut-offs are needed as the WHO’s haemoglobin cut-offs may not reflect the Indian anaemia situation accurately.
    • Differences in Blood Sampling Methods: Venous blood sampling is more accurate than the capillary blood sampling used in previous surveys.

    Role of DABS-I Dietary Survey

    • DABS-I collects detailed dietary intake data to understand nutritional patterns and deficiencies contributing to anaemia.
    • It provides information on nutrient composition in foods from different regions, aiding targeted interventions.

    Prevalence of Anaemia in India

    • High Burden: Anaemia is a significant public health concern in India, with a high prevalence across different population groups.
    • Anaemia among Women: Data from national surveys indicate that a considerable percentage of women in India, particularly those in the reproductive age group, are affected by anaemia.
    • Anaemia among Children: Anaemia is also prevalent among children in India, with a substantial proportion experiencing this condition at a young age.

    Causes and Risk Factors

    • Nutritional Deficiencies: Iron deficiency is the primary cause of anaemia in India. Inadequate intake and absorption of iron, along with deficiencies in other key nutrients, contribute to the problem.
    • Socioeconomic Factors: Factors such as poverty, limited access to nutritious food, and inadequate healthcare contribute to the high prevalence of anaemia in certain socioeconomically disadvantaged populations.
    • Infections and Diseases: Certain infections, such as malaria and helminthiasis, and chronic diseases like kidney disease and cancer, can increase the risk of developing anaemia.

    Impact on Health and Well-being

    • Physical Symptoms: Anaemia can cause a range of physical symptoms, including fatigue, weakness, shortness of breath, and impaired cognitive function.
    • Maternal and Child Health: Anaemia in pregnant women increases the risk of complications during pregnancy and childbirth. It can also lead to low birth weight and developmental issues in infants.
    • Impaired Growth and Development: Anaemia among children can hinder their growth, development, and overall well-being. It may affect cognitive function, school performance, and future productivity.

    Government Initiatives and interventions

    • National Nutrition Programs: The Government of India has implemented various programs, such as the National Iron+ Initiative and the Pradhan Mantri Matru Vandana Yojana, to address anaemia and improve maternal and child health.
    • Supplementation and Fortification: Iron and other micronutrient supplementation programs, along with food fortification initiatives, aim to enhance iron intake and combat anaemia.
    • Awareness and Education: Public awareness campaigns and educational programs focus on promoting nutrition, especially among vulnerable groups, and raising awareness about the importance of addressing anaemia.

    Challenges and Future Directions

    • Access to Healthcare and Nutritious Food: Improving access to quality healthcare services, affordable nutritious food, and clean drinking water is crucial in addressing anaemia in India.
    • Multisectoral Collaboration: Addressing anaemia requires collaboration across various sectors, including healthcare, nutrition, education, and social welfare, to develop comprehensive strategies and interventions.
    • Monitoring and Evaluation: Regular monitoring and evaluation of anaemia prevalence, intervention effectiveness, and progress towards targets are essential to track improvements and identify areas that require further attention.

  • Revised Guidelines for Deemed University Status

    university

    Central Idea

    • The University Grants Commission (UGC) has released revised guidelines allowing higher education institutions to apply for deemed university status.
    • The new guidelines aim to establish more quality-focused deemed universities by simplifying the eligibility criteria.

    University Grants Commission (UGC)

    • UGC is a statutory body under the University Grants Commission Act, of 1956.
    • It is charged with the task of coordinating and maintaining standards of higher education in India.
    • It provides recognition to universities and also allocates funds to universities and colleges.
    • It is headquartered are in New Delhi, and it also has 6 regional centres.
    • All grants to universities and higher learning institutions are handled by the UGC.
    • In 2015-16, the Union government initiated a National Institutional Ranking Framework (NIRF) under UGC to rank all educational institutes.

     

    Why in the news?

    • Light but tight regulatory framework: The guidelines are based on the principle of a “light but tight” regulatory framework envisioned in the National Education Policy 2020.

    What is Deemed University?

    A Deemed University is a status granted to higher educational institutions in India by the Department of Higher Education (DHE) under the Ministry of Education based on the recommendation of the University Grants Commission (UGC).

    State University Deemed University
    Establishment Created by state government through legislative assembly act Granted autonomy by the UGC based on academic and research merits
    Funding Fully funded by the state government Self-funded
    Fee Structure Regulated and streamlined according to government guidelines Freedom to set their own fee structure
    Curriculum Regulated and aligned with UGC guidelines Autonomy to design their own courses and curriculum
    Research Research programs and activities aligned with government norms Emphasis on research with credible research output
    Infrastructure Facilities and infrastructure as per government provisions State-of-the-art infrastructure
    Affiliated Institutes Can have affiliated colleges and institutes Generally have a single institution
    Admission Process Follows state government guidelines for admissions Can set their own admission policies and criteria
    Degree Granting Authorized to award degrees and diplomas Authorized to award degrees and diplomas
    Flexibility Governed by UGC regulations and guidelines Autonomy in decision-making and flexibility in operations

     

    New changes introduced-

    Eligibility Criteria and Changes

    • Previous eligibility criteria: Under the 2019 guidelines, institutions with an existence of at least 20 years were eligible to apply for deemed university status.
    • Revised eligibility criteria: The revised guidelines replace the previous criteria with requirements such as multi-disciplinarity, NAAC grading, NIRF ranking, and NBA grading.
    • Criteria for application: Institutions with valid accreditation by NAAC, NBA accreditation for eligible programs, or ranking in the top 50 of specific categories in NIRF for the last three years can apply for deemed university status.

    Cluster of Institutions and Distinct Institution Category

    • Cluster of institutions: A cluster of institutions managed by multiple sponsoring bodies or a society can also apply for deemed university status.
    • Distinct Institution category: The guidelines introduce the “Distinct Institution” category, exempting institutions focusing on unique disciplines, addressing strategic needs, preserving Indian cultural heritage or the environment, dedicated to skill development, sports, languages, or other disciplines determined by the Expert Committee.

    Changes in Faculty Strength and Corpus Fund

    • Increased faculty strength: The revised guidelines increase the required faculty strength from 100 to 150.
    • Increased corpus fund for private institutions: The corpus fund requirement for private institutions has been increased from Rs 10 crore to Rs 25 crore.

    Executive Councils and Academic Bank of Credits

    • Creation of executive councils: Private universities seeking deemed university status will be required to create executive councils, similar to central universities.
    • Mandatory registration on Academic Bank of Credits: Deemed universities must register on the Academic Bank of Credits (ABC) and can offer twinning programs, joint degree programs, and dual degree programs.

    Off-Campus Centers and Future Plans

    • Off-campus centers eligibility: Deemed universities with a minimum ‘A’ grade or ranked from 1 to 100 in the “universities” category of NIRF rankings are eligible to establish off-campus centers.
    • Future removal of “deemed to be university” term: The UGC chairperson stated that the term “deemed to be university” will be removed once the Higher Education Commission of India is established through an act of Parliament.
    • Current number of deemed institutions: Currently, there are around 170 deemed institutions in the country.

    Back2Basics:

    NAAC NIRF NBA
    Full Form National Assessment and Accreditation Council National Institutional Ranking Framework National Board of Accreditation
    Governing Body University Grants Commission (UGC) Ministry of Education, Government of India All India Council for Technical Education (AICTE)
    Purpose Assessing and accrediting higher education Ranking higher education institutions Accrediting technical education programs in engineering
    Assessment Criteria Quality parameters and predefined criteria Teaching, learning, research, graduation outcomes, etc. Criteria and standards for quality technical education
    Accreditation Grades A, A+, B, B+, C – –
    Focus Evaluating institution’s quality and performance Ranking institutions based on various parameters Accrediting engineering programs for quality technical education
    Scope All higher education institutions in India All higher education institutions in India Technical education programs in the field of engineering

  • NCERT drops Periodic Table from Class X book

    ncert curriculum periodic table

    Central Idea

    • Changes notified by NCERT: The NCERT notified changes in its June 2022 circular, omitted the Periodic Table from 10th class books. This has been widely debated in academic circles.
    • New textbooks hit the market: The textbooks with the deletions and changes have now been released in the market.

    What is Periodic Table?

    Description
    History Developed by Dmitri Mendeleev in 1869. He arranged elements based on their atomic masses and predicted the existence of undiscovered elements.
    Organization Elements are arranged based on their atomic numbers, electron configurations, and properties.
    Periods There are seven periods (rows) in the table, representing different principal energy levels.
    Groups The table has 18 groups (columns), with elements in the same group sharing similar properties.
    Main Groups Elements in groups 1, 2, and 13 to 18 are referred to as main group elements.
    Transition Metals Groups 3 to 12 consist of transition metals, known for their variable oxidation states.
    Lanthanides The first row of the f-block contains the 15 lanthanide elements.
    Actinides The second row of the f-block contains the 15 actinide elements.
    Periodic Trends Various trends exist across the table, such as atomic radius, ionization energy, and electronegativity.
    Periodic Law The chemical and physical properties of elements repeat in a periodic manner based on their atomic numbers.
    Modern Versions Modern versions incorporate atomic numbers and reflect our understanding of atomic structure.
    International Union of Pure and Applied Chemistry (IUPAC) IUPAC is the international organization responsible for the standardization of chemical nomenclature, symbols, and the Periodic Table.
    Database Management Several organizations and databases manage and maintain comprehensive information about the elements, their properties, and the Periodic Table. Examples include the IUPAC, the National Institute of Standards and Technology (NIST), and the Royal Society of Chemistry (RSC).

     

    Why this matters?

    • NCERT textbooks as a cornerstone: NCERT textbooks are considered a cornerstone for guiding the publication of State board textbooks, affecting nearly 60 State boards.
    • Concerns for non-science stream students: With a significant number of students opting for Arts and Commerce streams, they may lose the opportunity to learn crucial basic Chemistry concepts now only accessible in Class XI.

    Controversial Deletions and Omissions by NCERT

    • Fundamental knowledge of chemistry: Experts argue that leaving out the periodic table and logical organization of elements from the textbooks hinders students’ understanding of fundamental chemistry concepts.
    • Rationalization of contents due to the pandemic: The NCERT claims that the exercise of reducing the content load on students is carried out across all classes in response to the COVID-19 pandemic.
    • Previous controversial deletions: Earlier, NCERT dropped Darwin’s theory of evolution from Class X textbooks and deleted chapters from Political Science textbooks, including Democracy and Diversity, Popular Struggles and Movements, Political Parties, and Challenges to Democracy.

    Additional controversial omissions

    • Exclusion of Maulana Abul Kalam Azad: Any mention of Maulana Abul Kalam Azad, a freedom fighter and India’s first Education Minister, has been deleted from the textbooks.
    • Omission of J&K’s accession to India: The fact that Jammu and Kashmir acceded to India on the basis of autonomy has been removed from the revised Class XI textbook.
    • Further omissions in the CBSE syllabus: The history of Mughal courts, references to the 2002 communal riots in Gujarat, the Naxalite movement, and mention of Dalit writers were also omitted from the CBSE syllabus.

    Reasons cited for curriculum revamp

    • Multiple sets of authors: Textbooks have undergone changes over the years, written by different sets of historians. There have been no controversies regarding these changes.
    • Celebration of diversity and assimilation: Exclusively holding on to one set of textbooks is contrary to the spirit of a civilization that celebrates diversity and assimilation.
    • NCF’s efforts for inclusive representations: The National Curriculum Framework (NCF) aims to bring a plurality of voices and more inclusive representations of marginalized and previously excluded history.

    Allegations of Distortions in history textbooks

    • Deliberate distortions: Some sections of the media allege that the corrections and improvements made in the NCERT history textbooks are deliberate distortions or rewriting of history.
    • Sense of entitlement: The charge of rewriting history under a specific ideology betrays a sense of entitlement, suggesting that only one set of historians had the knowledge to determine what should be taught.
    • Autonomy breach: While autonomy in academic and intellectual activities is crucial, the notion that institutional autonomy has been undermined and academic freedom is under stress is a one-sided and pointless exercise.

    Way forward

    • Logical revision: There is an urgent need for a comprehensive revision of NCERT textbooks, not only in history but in all subjects, to incorporate new knowledge and discoveries.
    • Prudent use of existing textbooks: Until a detailed plan and advice for a comprehensive revision of books and syllabi is formulated, NCERT has chosen to use the existing textbooks.
    • Presenting facts lucidly: Textbooks should present facts lucidly, allowing students to acquire the knowledge they seek.
    • Avoid politicizing: Academics and politicians should refrain from politicizing school textbooks and instead focus on telling students the stories of the past without weaving in half-truths or erasing vast chunks of history.
    • Addressing gaps and inclusivity: Continuous revision of the curriculum is necessary to address gaps, make textbooks relevant, and ensure inclusivity.

     

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  • Mandatory Anti-Tobacco Warnings on OTT Platforms

    tobacco

    Central Idea

    • Over-the-top (OTT) streaming platforms must display anti-tobacco warnings similar to those seen in movies screened in theatres and on TV.
    • The requirement is based on a Union Health Ministry notification that amends the rules under the Cigarettes and Other Tobacco Products Act (COTPA), 2004.

    What is COTPA, 2004?

    Description
    Purpose Regulate production, sale, distribution, and consumption of tobacco products
    Prohibition of Smoking in Public Places Smoking prohibited in public areas like offices, restaurants, parks, public transport, etc.
    Health Warnings on Tobacco Products Mandatory display of health warnings on cigarette packages and other tobacco products
    Ban on Advertisement and Promotion Prohibition on direct and indirect advertising of tobacco products
    Prohibition on Sale to Minors Selling tobacco products to individuals below 18 years of age is strictly prohibited
    Packaging and Labelling Requirements Health warnings and pictorial representations of harmful effects on cigarette packages
    Powers of Enforcement Authorities empowered to enforce the act, conduct inspections, and seize contraband products

    New requirements for Anti-Tobacco Warnings

    • Publishers of online curated content displaying tobacco products or their use must show anti-tobacco health spots at the beginning and middle of the program.
    • When tobacco products or their use are displayed during the program, an anti-tobacco health warning must be prominently displayed as a static message at the bottom of the screen.
    • The warning message should be legible and readable, with black font on a white background.
    • The specified warnings are ‘Tobacco causes cancer’ or ‘Tobacco kills.’
    • Health spots, warnings, and audio-visual disclaimers should be in the same language as used in the show.

    Negative health impacts of tobacco

    • Cancer: Tobacco use is the leading cause of preventable cancer. It can cause cancer of the lungs, mouth, throat, larynx, pancreas, bladder, kidney, and cervix.
    • Respiratory diseases: It may cause chronic obstructive pulmonary disease (COPD), which includes chronic bronchitis and emphysema. It can also worsen asthma symptoms.
    • Cardiovascular diseases: Consumption increases the risk of heart attack, stroke, and other cardiovascular diseases. It damages blood vessels and increases the risk of blood clots.
    • Reproductive health: Tobacco use can lead to infertility, premature birth, and low birth weight in babies.

    Socio-economic impact

    (1) On an individual level:

    • Decreased productivity: Smoking-related illnesses can result in absenteeism from work, decreased work performance, and increased medical expenses.
    • Decreased life expectancy: Tobacco consumption can lead to decreased life expectancy, which reduces the overall productive years of an individual.

    (2) On a societal level:

    • Healthcare cost: Tobacco consumption can lead to decreased economic development due to the increased burden of healthcare costs and decreased productivity.
    • Increased social expenditure: According to a study conducted by the World Health Organization (WHO), tobacco-related illnesses cost India about $22.4 billion in healthcare costs and lost productivity annually

    Why tobacco isn’t completely banned?

    • Revenue loss: The industry contributes a significant amount of tax revenue to the government. Banning tobacco would result in the loss of these tax revenues, which are used for various public welfare programs and initiatives.
    • Economic Impact: The tobacco industry provides employment to a large number of people, especially in the agricultural sector, where tobacco farming is prevalent.
    • Not a psychotropic substance: While the harmful effects of tobacco are well-documented, banning a legal product entirely requires careful consideration and legal processes.
    • Regulatory approach: Instead of a complete ban, the Indian government has adopted a regulatory approach to control tobacco use.

    Way forward

    • Strengthen tobacco control laws: Review and enhance existing laws to effectively reduce tobacco consumption.
    • Conduct public awareness campaigns: Educate the public about the health risks of tobacco use and the benefits of quitting.
    • Expand access to tobacco cessation programs: Increase availability of affordable and effective programs to support individuals who want to quit tobacco.
    • Implement sin taxes on tobacco products: Increase taxes to discourage consumption, especially among price-sensitive populations.
    • Enforce smoke-free environments: Strictly implement smoke-free laws in public places, workplaces, and public transport.
    • Support tobacco farmers: Provide alternative livelihood options and assistance for farmers transitioning away from tobacco farming.
    • Conduct research and surveillance: Invest in data collection and analysis to inform evidence-based policies and interventions.
    • Collaborate with international organizations: Partner with global entities like WHO to leverage expertise and resources in tobacco control.

     

     

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  • Low Enrollment of Muslims in Higher Education

    muslim

    Central Idea

    • All India Survey on Higher Education (AISHE) 2020-21 conducted by the Ministry of Education reveals the underrepresentation of Muslims in higher education compared to other communities.

    What is the AISHE?

    • To portray the status of higher education in the country, the Ministry of Education conducts an annual web-based AISHE since 2010-11.
    • Data is collected on several parameters such as teachers, student enrolment, programmes, examination results, education finance and infrastructure.
    • Indicators of educational development such as Institution Density, Gross Enrolment Ratio, Pupil-teacher ratio, Gender Parity Index, Per Student Expenditure will also be calculated from the data collected through AISHE.
    • These are useful in making informed policy decisions and research for development of the education sector.

    AISHE 2020-21 data on Minority Education

    The survey highlights a decline in Muslim enrollment, potentially due to economic constraints and limited opportunities for pursuing higher education.

    (1) Decline in Muslim Enrollment:

    • Muslim enrollment in higher education declined by 8% in the 2020-21 academic year, while other marginalized communities experienced improved enrollment rates.
    • Economic impoverishment forces talented Muslim students to prioritize earning opportunities after completing school, rather than pursuing higher education.
    • Drastic declines were reported in UP (36%), J&K (26%), Maharashtra (8.5%), and TN (8.1%).
    • Delhi witnessed a significant portion of Muslim students failing to enroll for higher education.

    (2) Uttar Pradesh’s Low Enrollment Rate:

    • Muslims constitute around 20% of the population in the state.
    • Despite an increase in the number of colleges in UP, mere 4.5% Muslim enrollment is in higher education.

    (3) Kerala’s Exceptional Performance:

    • Kerala stands out as the only state where 43% of Muslims pursue higher education, bucking the trend of low enrollment.

    (4) Female enrolment improving:

    • Muslim and other minority communities exhibit higher female student enrollment than male students, indicating progress for women in minority communities.
    • Male members of the Muslim community face pressure to earn a living early, potentially hindering their pursuit of higher education.

    (5) Lack of Muslim Teachers:

    • Muslim representation among teachers in higher education institutions is alarmingly low, comprising only 5.6%.
    • General Category teachers account for 56%, while OBC, SC, and ST teachers make up 32%, 9%, and 2.5%, respectively.
    • Gender disparities among teachers persist, with only 59 female Muslim teachers for every 100 male Muslim teachers.

    Reasons for such low enrollment

    • Religious influence: Certain societal and cultural norms within the Muslim community prioritize early marriage and family responsibilities over pursuing higher education, especially for female students.
    • Economic Challenges: The Muslim community faces financial limitations that hinder their ability to afford higher education expenses, including tuition fees and accommodation.
    • Lack of Awareness and Guidance: Many Muslim students, particularly those from marginalized backgrounds, lack information about available higher education opportunities, scholarships etc.
    • Preferences for religious preachings: Many families prefer religious teachings at Madrasas over STEM education considering the acute competition and lack of reservation facilities.
    • Stereotypes and Discrimination: Instances of religious discrimination and bias discourage Muslim students from pursuing higher education and create a sense of unwelcomeness in educational institutions.
    • Socio-political Factors: Political decisions, policy changes, or the withdrawal of educational support programs can have a direct impact on the enrollment of Muslim students in higher education.

    Schemes promoting Muslim education in India

    • Maulana Azad National Fellowship: Provides scholarships for minority students pursuing M Phil and Ph D programs.
    • National Minorities Development and Finance Corporation (NMDFC): Offers interest-free loans and scholarships to economically disadvantaged minority students.
    • Nai Udaan Scheme: Provides free coaching and assistance for competitive exams to minority students.
    • Seekho Aur Kamao (Learn and Earn) Scheme: Offers skill development and vocational training to enhance employability among minority students.
    • Pre-Matric and Post-Matric Scholarship Schemes: Provides financial assistance for educational expenses to increase access to education for minority students.
    • Bridge Courses and Remedial Coaching: Helps minority students bridge educational gaps and improve academic performance.

    Way Forward

    Following efforts should be made to address the declining enrollment of Muslim students in higher education:

    • Providing scholarships and financial aid to economically disadvantaged Muslim students.
    • Creating awareness programs to highlight the importance of higher education and its long-term benefits.
    • Collaborating with community organizations to develop mentoring and support systems for Muslim students.
    • Implementing policies that promote inclusive education and equal opportunities for all communities.
    • Encouraging the recruitment and representation of Muslim teachers and non-teaching staff in higher education institutions.

     

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  • Menstrual Health in India

    Menstrual Health

    Central Idea

    • In a recent incident in Maharashtra, a man mistakenly perceived period stains on his sister’s clothes as a sign of a sexual relationship, highlighting the prevalence of misinformation about menstruation in urban India. Despite living in the public domain, girls and women face challenges related to periods due to shame, stigma, and discrimination.

    What is Menstruation?

    • Menstruation, or period, is normal vaginal bleeding that occurs as part of a woman’s monthly cycle.
    • It is a normal process for girls and women who have reached puberty.
    • Every month, girl or women’s body prepares for pregnancy.
    • If no pregnancy occurs, body gets rid of the lining in the uterus.
    • The menstrual blood is partly blood and partly tissue from inside the uterus.
    • The length of a period can be different for each person, but usually lasts for 3-7 days.

    Barriers to Menstrual Hygiene in Urban Areas

    • Lack of Awareness: Low-income groups in urban areas have limited understanding of periods and menstrual health, leading to poor practices and hygiene management.
    • Limited Access to Menstrual Products: While period products are more easily available in urban areas, they are often wrapped in paper or black plastic bags, contributing to the associated shame and stigma.
    • Inadequate Toilet Facilities: Low-income slums, pavement dwellers, educational institutions, and workplaces lack easily accessible, safe, clean, and convenient toilet facilities.
    • Poor Waste Management: Improper disposal of menstrual waste poses health risks to sanitation workers who are forced to sort through waste without proper protection, undermining their health and dignity.

    Did you know?

    • The menstrual cycle can be affected by external factors such as stress, changes in temperature and altitude, and even exposure to certain chemicals and toxins.
    • This can cause changes in the length of the cycle, the intensity of bleeding, and the severity of symptoms.
    • There is also a small percentage of women who experience menorrhagia, which is an excessive bleeding during menstruation. This can be caused by hormonal imbalances, fibroids, endometriosis, and other underlying medical conditions.

    Actions for Improvement

    • Awareness and Education: Continuous efforts should be made to raise awareness about periods, address harmful social norms, and challenge gender stereotypes related to menstruation.
    • Availability of Menstrual Products: Reusable and disposable menstrual products should be made more accessible through retail outlets, government schemes, social enterprises, and NGOs, ensuring people have the freedom to choose the products they prefer.
    • Female-Friendly Toilets: Initiatives such as ‘She Toilets’ and ‘Pink Toilets’ that provide safe, private, and clean facilities with essential amenities for managing periods should be expanded.
    • Menstrual Waste Management: Innovative solutions like providing dustbins and incinerators in female toilets, along with waste segregation initiatives like the ‘Red Dot Campaign’ and ‘PadCare Labs,’ can contribute to proper waste management.

    Way ahead: Addressing Remaining Gaps

    • Reaching Marginalized Groups: Efforts should be made to reach people living in unregistered slums, pavements, refugee camps, and other vulnerable conditions in urban areas. Outreach programs, community engagement, and partnerships with local organizations can help provide access to accurate information, menstrual products, and improved facilities.
    • Worksites Support: Both formal and informal worksites need to cater to the menstrual needs of women who work. This can include providing clean and private toilet facilities, ensuring access to menstrual products, and promoting supportive workplace policies that address menstrual health needs.
    • Innovations in Menstrual Waste Management: Continued support for innovative solutions in menstrual waste management is essential. This includes safe and effective methods for disposal, such as incineration or environmentally friendly alternatives, as well as scalable approaches that can be adopted in different urban contexts.
    • Engaging Men and Boys: Promoting gender equality and breaking menstrual taboos require engaging men and boys as allies and advocates. Educating them about menstrual health, addressing gender stereotypes, and fostering supportive attitudes can help create an environment of acceptance and inclusion.
    • Research and Data Collection: Robust research and data collection on menstrual health in urban areas are crucial for evidence-based interventions and policy formulation. Collecting data on access to facilities, product usage, hygiene practices, and health outcomes can guide targeted efforts and measure progress.
    • Strengthening Partnerships: Collaboration among government agencies, NGOs, private sector entities, and community-based organizations is vital for comprehensive and sustainable interventions.
    • Education and Awareness: Continuously raising awareness about menstrual health is pivotal. This includes comprehensive menstrual health education in schools, community workshops, and media campaigns to dispel myths, challenge social norms, and promote positive attitudes towards menstruation.
    • Policy Advocacy: Advocating for supportive policies at the local, regional, and national levels can help address systemic gaps. This involves advocating for menstrual health as a public health priority, ensuring budget allocations for menstrual health initiatives, and integrating menstrual health into broader policies related to health, education, sanitation, and gender equality.

    Conclusion

    • As the world observes Menstrual Hygiene Day (28 May), it is essential to recognize menstrual health as vital to personal health, public health, and human rights for all. Urban India must overcome taboos, improve awareness, enhance access to products and facilities, and promote proper waste management. By addressing these issues, we can empower girls and women to navigate public spaces with dignity and ensure their overall well-being.

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    Must read:

    Menstrual health hygiene and sexual and reproductive health: The link

     

  • Iron Fortification: Health Risks of Excessive Iron Intake

    iron

    Central Idea

    • Iron is an essential mineral for bodily functions, but excessive intake can be harmful.
    • Fortification of food with iron is a suggested method for treating iron deficiency anemia.
    • Excess consumption of fortified foods or simultaneous consumption of multiple fortified foods can lead to excessive iron intake.

    What is Iron Fortification?

    • Iron fortification refers to the process of adding iron to food products to increase their iron content.
    • It is done using various forms of iron, such as iron salts or iron powders, which are added to the food during processing.
    • It is a public health strategy employed to address iron deficiency, particularly in populations where inadequate iron intake is prevalent.
    • The goal is to provide a significant portion of the recommended daily iron intake through fortified foods, contributing to the prevention and treatment of iron deficiency anaemia.

    Implications for Iron Overload

    • Comorbidities: Iron overload conditions, such as thalassemia, hemochromatosis, and chronic liver disease, have impaired iron excretion mechanisms.
    • Blooding events: Iron absorption is balanced by steady and minimal excretion, except during bleeding events.
    • Menstrual bleeding: Women can excrete iron through menstrual bleeding, while men are less capable of iron excretion.
    • Oxidative stress: Increased iron intake can lead to oxidative stress, cellular damage, and impaired mitochondrial function.
    • Heart ailments: High serum ferritin levels (a marker of iron storage) are associated with an increased risk of chronic diseases such as high fasting serum glucose, high total cholesterol, high triglycerides, and hypertension.
    • Liver damage: Very high amounts of iron can activate hepatic stellate cells and cause excessive deposition of extracellular matrix in the liver. Prolonged liver iron overload can lead to liver fibrosis and cirrhosis.

    Challenges and consequences

    • Minimal absorption: Only a small percentage of ingested iron from fortified foods is absorbed, with the rest passing through the intestine.
    • Digestive issues: Unabsorbed iron can cause inflammation in the gastrointestinal lining and disrupt the colonic microbiota, leading to abdominal discomfort and gastrointestinal issues.
    • Issues with nutrition absorption: Excessive iron in the gastrointestinal tract can impair the absorption of other essential minerals like zinc and copper and potentially result in other deficiencies.

    Way Forward

    • Implement individualized strategies for iron intake rather than mandatory fortification programs to avoid unsupervised high iron intake across diverse populations.
    • Ensure thorough monitoring and detection of adverse events related to iron intake.
    • Precision in public health approaches is necessary to prevent the risk of iron overload and potential long-term chronic illnesses associated with excess iron.
    • Evaluate the specific dietary iron needs of different population segments to avoid unnecessary excess iron consumption.

     

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  • Highlights of the Joint Malnutrition Estimates (JME)

    Central Idea

    • According to the Joint Malnutrition Estimates (JME) by UNICEF, WHO, and the World Bank, India has shown a reduction in stunting among children under five.

    Such reports (including NFHS) are credible sources of information to substantiate your answers in Mains answer writing ….

    What is Stunting and Wasting?

      Stunting Wasting
    Definition Impaired growth and development due to chronic malnutrition. Rapid weight loss and muscle wasting in a short period.
    Measurement Height-for-age comparison against standardized growth reference. Weight-for-height comparison against standardized growth reference.
    Causes Insufficient intake of essential nutrients, frequent infections, poor maternal health. Inadequate caloric intake, poor feeding practices, infectious diseases.
    Effects Irreversible consequences, reduced cognitive development, increased disease vulnerability. Increased morbidity and mortality, severe malnutrition.
    Time Frame Long-term condition Short-term condition
    Overall Nutritional Status Reflects chronic malnutrition Represents acute malnutrition
    Focus Impacts growth and development Impacts weight and muscle mass

     

    Decline in Child Stunting in India

    • The prevalence of stunting in India dropped from 41.6% in 2012 to 31.7% in 2022, with 1.6 crore fewer stunted children recorded.
    • India’s share of the global burden of stunting declined from 30% to 25% in the past decade.

    Concerns over Wasting

    • Wasting remains a concern in India, with an overall prevalence of 18.7% in 2022.
    • India contributes 49% to the global burden of wasting, reflecting the severity of this malnutrition indicator.
    • Two-thirds of wasting cases in India may be attributed to maternal malnutrition, leading to low birth weight for height.

    Rise in Obesity

    • The prevalence of obesity in India increased marginally from 2.2% in 2012 to 2.8% in 2022.
    • India’s obesity classification remains low compared to the global prevalence of 5.6%.
    • Obesity contributes to 8.8% of the global burden, with 31.8 lakh obese children in India.

    Way Forward

    • The JME report highlights the need for accelerated efforts to achieve global nutrition targets.
    • India’s progress aligns with the National Family Health Survey (NFHS) data, indicating a reduction in stunting.
    • More research is needed to understand the complexities of wasting, particularly its links to maternal malnutrition.
    • Continued focus on addressing malnutrition, access to health services, and maternal nutrition is crucial for further improvement.
    • Learning more about wasting and its determinants will be essential for tailored interventions in India and Asia.

     

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  • Debate over Fortified Rice

    fortified rice

    Central Idea

    • The Union Food Ministry refuted the allegations made by the Opposition regarding the distribution of Fortified Rice through fair price shops.

    What is Fortified Rice?

    • Fortified rice refers to the process of enhancing regular rice with essential nutrients to address nutritional deficiencies in populations that heavily rely on rice as a staple food.
    • These added nutrients aim to improve the nutritional value of rice and combat specific deficiencies prevalent in certain regions or population groups.
    • The fortification process involves coating the rice grains with a nutrient-rich powder or premix.
    • The specific nutrients added to fortified rice can vary, but commonly include:
    1. Iron: Iron is often added to fortified rice to address iron deficiency anaemia, a widespread nutritional problem globally.
    2. Vitamins: Essential vitamins such as vitamin A, vitamin B-complex (including thiamine, riboflavin, niacin, and folic acid), and vitamin D may be included in fortified rice to address specific vitamin deficiencies prevalent in target populations.
    3. Minerals: Other minerals like zinc, calcium, and iodine may be incorporated into fortified rice, depending on the specific nutritional needs and deficiencies of the target population.

    Need for fortification

    • Data from the National Family Health Survey 2019-21 shows that 57 per cent of women in the reproductive age group (15-49) are deficient in iron.
    • Moreover, studies have shown that about a fifth of the children (0-5 years) who do not have access to a nutritious and diversified diet suffer from vitamin-A deficiency.
    • Vitamin D deficiency has been termed a silent epidemic.

    Advantages offered

    • Health: Fortified staple foods will contain natural or near-natural levels of micro-nutrients, which may not necessarily be the case with supplements.
    • Taste: It provides nutrition without any change in the characteristics of food or the course of our meals.
    • Nutrition: If consumed on a regular and frequent basis, fortified foods will maintain body stores of nutrients more efficiently and more effectively than will intermittently supplement.
    • Economy: The overall costs of fortification are extremely low; the price increase is approximately 1 to 2 percent of the total food value.
    • Society: It upholds everyone’s right to have access to safe and nutritious food, consistent with the right to adequate food and the fundamental right of everyone to be free from hunger.

    Issues with fortified food

    • Against nature: Fortification and enrichment upset nature’s packaging. Our body does not absorb individual nutrients added to processed foods as efficiently compared to nutrients naturally occurring.
    • Bioavailability: Supplements added to foods are less bioavailable. Bioavailability refers to the proportion of a nutrient your body is able to absorb and use.
    • Immunity issues: They lack immune-boosting substances.
    • Over-nutrition: Fortified foods and supplements can pose specific risks for people who are taking prescription medications, including decreased absorption of other micro-nutrients, treatment failure, and increased mortality risk.

    Possible health hazard

    • Thalassemia, sickle cell anaemia and malaria are conditions where there is already excess iron in the body, whereas TB patients are unable to absorb iron.
    • Consumption of iron-fortified foods among patients of these diseases can reduce immunity and functionality of organs.

    Ministry’s justification of Fortified Rice

    • The Ministry cited various studies to support the assertion that consumption of fortified rice leads to a significant improvement in haemoglobin levels and a reduction in the prevalence of anaemia.
    • Rice fortification has been adopted by seven countries, including the U.S., since 1958, highlighting its effectiveness as a public health intervention.
    • Ongoing evaluation, conducted by NITI Aayog in collaboration with the Indian Council of Medical Research, is being carried out to assess the impact and effectiveness of fortified rice.
    • Evaluation studies focusing on pilot districts are currently underway to gather comprehensive data and insights.

    Way Forward

    • Collaborative efforts between the Ministry, NITI Aayog, and other relevant institutions should be prioritized to conduct a thorough and independent evaluation of the fortified rice program.
    • Transparent communication of evaluation results and findings is crucial to foster trust and address any potential shortcomings or areas of improvement.
    • Incorporating feedback and recommendations from stakeholders will be valuable in enhancing the implementation and impact of the fortified rice distribution program.
    • Continuous monitoring and assessment of the program’s effectiveness should be a priority, enabling necessary adjustments and improvements to be made in a timely manner.

     

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  • What is PARAKH Program?

    Central Idea

    • The Ministry of Education has organized a workshop in New Delhi to discuss the unification of 60 school examination boards operating across different states and union territories.
    • The key component of this plan is PARAKH, the National Assessment Centre established under the National Council of Educational Research and Training.

    What is PARAKH?

    • PARAKH stands for Performance Assessment, Review, and Analysis of Knowledge for Holistic Development.
    • It is an organization created to bring school boards from various states and union territories onto a unified platform.
    • It has been launched as part of the implementation of the National Education Policy (NEP)-2020.
    • It acts as a constituent unit of the NCERT.
    • It is tasked with holding periodic learning outcome tests like the National Achievement Survey (NAS) and State Achievement Surveys.
    • It will work on three major assessment areas: large-scale assessments, school-based assessment, and examination reforms.

    Key objectives of PARAKH

    • Uniform Norms & Guidelines: Setting comprehensive norms, standards, and guidelines for student assessment and evaluation in all recognized school boards.
    • Enhance Assessment Pattern: Encouraging school boards to adopt assessment patterns aligned with the skill requirements of the 21st century.
    • Reduce Disparity in Evaluation: Establishing uniformity across state and central boards, which currently employ different evaluation standards, resulting in significant score disparities.
    • Benchmark Assessment: Developing a benchmark assessment framework to move away from rote learning and align with the objectives of the NEP 2020.

    Outcomes of the recent workshop

    (1) Establishing Equivalence of Boards

    • The Centre is planning for the equivalence of boards to facilitate seamless transitions for students across different boards or regions.
    • The objective is to align curriculum standards, grading systems, and evaluation methodologies to enhance the credibility and recognition of certificates and grades obtained across boards.

    (2) Moving away from Rote Examination Culture

    • The workshop highlighted the need to reassess the prevailing rote examination culture in the education system.
    • There is a growing realization that holistic assessments, considering various dimensions of a student’s abilities and potential, are equally important.

    (3) Standardization and Fairness in Assessments

    • The discussion emphasized the importance of well-designed and standardized question papers to ensure fairness and consistency across schools and boards.
    • Striking a balance between formative and summative assessments was identified as a means to reduce the burden of high-stakes examinations while effectively measuring student progress.

    Conclusion

    • PARAKH’s significance lies in its potential to bring about transformative change, facilitating collaboration, and benchmarking assessments.
    • It is an important step towards creating a standardized and equitable assessment system, providing students with a fair platform to demonstrate their abilities and skills.

     

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