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

  • Swachh Bharat Puraskar (PIB)

    What are Swachh Bharat Puruskar ?

    • he Swachh Bharat (2020) Awards were conferred to the best performing States/UTs, districts, blocks, GPs and others in various categories marking six years of the Swachh Bharat Mission (SBM) launch.
    • The awards were given by Department of Drinking Water and Sanitation (DDWS).
    • Top Awards were conferred upon Gujarat, Uttar Pradesh, Haryana, Telangana, Tamil Nadu, Madhya Pradesh, Punjab& others.
    • Gujarat was felicitated with the first prize in the state category; Tirunelveli, Tamil Nadu as best district; Khachrod, Ujjain, Madhya Pradesh as best block; and Chinnaur, (Salem) as the best Gram Panchayat for Swachh Sundar Samudayik Shauchalaya (SSSS) campaign organized from 1st Nov 2019 to 30th April 2020.
    • For the week-long Gandagi Se Mukt campaign launched by Prime Minister, Shri Narendra Modi on 8th August 2020, Telangana received the top award for maximum Shramdaan participation.

     

  • CBD Oil

    Context- Earlier this week, late actor Irrfan Khan’s wife Sutapa Sikdar made an appeal to legalise CBD oil in India for its potential to treat cancer. Her appeal followed the criticism of actor Rhea Chakrabaorty after it was reported that she had administered CBD oil, used as a pain reliever for some, to Sushant Singh Rajput when he was alive.

    About CBD oil ?

    • CBD oil is an extract from the cannabis plant. The two main active substances in it are cannabidiol or CBD and delta-9 tetrahydrocannabinol, or THC.
    • The high that is caused by the consumption of cannabis is due to THC. CBD, however, does not cause a “high” or any form of intoxication.
    • CBD oil is made by extracting CBD from the cannabis plant, then diluting it with a carrier oil like coconut or hemp seed oil.
    • Cannabidiol can reduce pain and anxiety. It also reduces psychotic symptoms associated with conditions such as schizophrenia as well as epilepsy.
    • There is not enough robust scientific evidence to prove that CBD oil can safely and effectively treat cancer.
    • CBD oil manufactured under a license issued by the Drugs and Cosmetics Act, 1940 can be legally used. However, the use of cannabis as a medicine is not much prevalent in India.

  • Obesity in India

    Adults in urban India consume much more fat than those in rural areas, found the latest survey by the Indian Council of Medical Research and National Institute of Nutrition.

    Do you know?

    Over-nutrition is also a form of malnutrition.

    ‘What India Eats’ Survey

    • Adults in India’s urban centres consumed 51.6 grammes fat per day per head on an average. The volume was 36 g in rural areas, according to the survey report What India Eats.
    • The report categorised fat into two groups:
    1. Visible or added fat, comprising oils and fat in preparing food, in fried food and those derived from meat and poultry
    2. Invisible fat, including fat/oils from rice, pulses, nuts and oilseeds

    Urban-Rural data

    • 84 per cent of the rural population secured their energy (E) per day requirement from total fats/oils, or visible / added fats.
    • On the other hand, less than 20 per cent of the urban population derived their E / day from this category.
    • In urban areas of the country, northern India had the highest intake of added fat with 45.9 g / day.
    • Southern India reported the lowest per capita consumption of added fat/oils with 22.9 g / day in this segment of the population.
    • In the urban region of north India, fat intake (67.3 g) was among the highest; and overweight, obesity and abdominal obesity were highest when compared to other regions.

  • Dealing with the problems of medical education

    The article discusses the issues with medical education in India and how it affects the principle of equality.

    Role of private entities

    • Due to demand for high-quality medical care on the one hand and constraints on public resources on the other, private entities have been permitted to establish medical educational institutions to supplement government efforts.
    • In the field of health care, there is a continuing shortage of health-care personnel.
    • The infrastructure required for high-quality modern medical education is expensive.
    • The three stated objectives of medical education has been — providing health-care personnel in all parts of the country, ensuring quality and improving equity.
    • None of the three stated objectives of medical education has been achieved by the private sector.
    • Though they are supposed to be not-for-profit, taking advantage of the poor regulatory apparatus and the ability to both tweak and create rules, these private entities, with very few exceptions, completely commercialised education.

    Demand for regulation and equity

    • There have been attempts to regulate fees, sometimes by governments and sometimes by courts.
    •  These efforts have not been fruitful.
    • The executive, primarily the Medical Council of India, has proven unequal to the task of ensuring that private institutions comply with regulations.
    •  When the courts are approached, which issues are seen as important depends on the Bench.
    • It was in this situation that led to the introduction of the National Eligibility-cum-Entrance Test (Undergraduate), or NEET-UG, as a single all-India gateway for admission to medical colleges.
    •  Challenged in courts, after an initial setback, the NEET scheme has been upheld.

    How NEET affected equity

    • NEET may have improved the quality of candidates admitted to private institutions to some extent, but it seems to have further worsened equity.
    • Under any scheme of admission, the number of students from government schools who are able to get admission to a medical college is very low.
    • With NEET, the number has become lower.
    • The high fees of private medical colleges have always been an impossible hurdle for students from government schools, whatever the method used for admission.

    Way forward

    • The basic cause of inequity in admission to higher educational institutions is the absence of a high quality school system accessible to all.
    • Allowing government medical colleges to admit students based on marks in Standard XII and using NEET scores for admission to private colleges will be more equitable right now.

    Conclusion

    Only a resolute government, determined to ensure that economic policy facilitates quality and equity in education, can do it.

  • Assisted Reproductive Technology (Regulation) Bill, 2020

    The Centre moved to standardize protocols of the growing fertility industry and introduced the Assisted Reproductive Technology (Regulation) Bill, 2020, in Lok Sabha on the first day of the monsoon session of Parliament.

    Try this question for mains:

    Q. What is Assisted Reproductive Technology? Discuss the salient features of ART Regulation Bill, 2020?

    Features of the ART Regulation Bill, 2020

    (1) Defining ART

    • The Bill defines ART to include all techniques that seek to obtain a pregnancy by handling the sperm or the oocytes (immature egg cell) outside the human body and transferring the gamete or the embryo into the reproductive system of a woman.
    • Examples of ART services include gamete (sperm or oocyte) donation, in-vitro-fertilisation (fertilising an egg in the lab), and gestational surrogacy (the child is not biologically related to surrogate mother).
    • ART services will be provided through: (i) ART clinics, which offer ART related treatments and procedures, and (ii) ART banks, which store and supply gametes.

    (2) Regulation of ART clinics and banks

    • The Bill provides that every ART clinic and the bank must be registered under the National Registry of Banks and Clinics of India.
    • The National Registry will be established under the Bill and will act as a central database with details of all ART clinics and banks in the country.
    • State governments will appoint registration authorities for facilitating the registration process.
    • Clinics and banks will be registered only if they adhere to certain standards (specialised manpower, physical infrastructure, and diagnostic facilities).
    • The registration will be valid for five years and can be renewed for a further five years. Registration may be cancelled or suspended if the entity contravenes the provisions of the Bill.

    (3) Conditions for gamete donation and supply

    • Screening of gamete donors, collection and storage of semen, and provision of oocyte donor can only be done by a registered ART bank.
    • A bank can obtain semen from males between 21 and 55 years of age, and oocytes from females between 23 and 35 years of age.
    • An oocyte donor should be an ever-married woman having at least one alive child of her own (minimum three years of age).
    • The woman can donate oocyte only once in her life and not more than seven oocytes can be retrieved from her.
    • A bank cannot supply gamete of a single donor to more than one commissioning couple (couple seeking services).

    (4) Conditions for offering ART services

    • ART procedures can only be carried out with the written informed consent of both the party seeking ART services as well as the donor.
    • The party seeking ART services will be required to provide insurance coverage in the favour of the oocytes donor (for any loss, damage, or death of the donor).
    • A clinic is prohibited from offering to provide a child of pre-determined sex. The Bill also requires checking for genetic diseases before the embryo implantation.

    (5) Rights of a child born through ART 

    • A child born through ART will be deemed to be a biological child of the commissioning couple and will be entitled to the rights and privileges available to a natural child of the commissioning couple.
    • A donor will not have any parental rights over the child.

    (6) National and State Boards

    • The Bill provides that the National and State Boards for Surrogacy constituted under the Surrogacy (Regulation) Bill, 2019 will act as the National and State Board respectively for the regulation of ART services.
    • Key powers and functions of the National Board include:
    1. advising the central government on ART related policy matters,
    2. reviewing and monitoring the implementation of the Bill,
    3. formulating code of conduct and standards for ART clinics and banks, and
    4. overseeing various bodies to be constituted under the Bill
    • The State Boards will coordinate enforcement of the policies and guidelines for ART as per the recommendations, policies, and regulations of the National Board.

    (7) Offences and penalties

    • Offences under the Bill include:

    (i) abandoning, or exploiting children born through ART, (ii) selling, purchasing, trading, or importing human embryos or gametes, (iii) using intermediates to obtain donors, (iv) exploiting commissioning couple, woman, or the gamete donor in any form, and (v) transferring the human embryo into a male or an animal.

    • These offences will be punishable with a fine between five and ten lakh rupees for the first contravention.
    • For subsequent contraventions, these offences will be punishable with imprisonment for a term between eight and 12 years, and a fine between 10 and 20 lakh rupees.
    • Any clinic or bank advertising or offering sex-selective ART will be punishable with imprisonment between five and ten years, or fine between Rs 10 lakh and Rs 25 lakh, or both.
    • No court will take cognizance of offences under the Bill, except on a complaint made by the National or State Board or any officer authorised by the Boards.

    With inputs from PRS: https://www.prsindia.org/billtrack/assisted-reproductive-technology-regulation-bill-2020

  • What is a Yo-Yo Test?

    In his interaction with fitness experts and influencers the PM asked about the yo-yo test, that is a vital part of the Indian cricket team’s fitness routine.

    Try this MCQ:

    Q.The Yo-Yo test sometimes seen in news is related to:

    Sports/ Healthcare/ Robotics/ Automation

    What is the Yo-Yo test?

    • The test was developed by Danish football physiologist Jens Bangsbo.
    • Two cones are placed 20 metres apart, and the athlete has to run between them when the beep goes off.
    • The beeps become more frequent after one minute, and if the athlete fails to reach the line within that time, he is expected to catch up within two more beeps.
    • The test is stopped if the player fails to catch up before the beeps run out.
    • The test has a beginner and an advanced level, and players are given scores. The minimum score set by the Board of Control for Cricket in India to pass the test is 16.1.

  • Issues with E-learning in India

    Pandemic has forced learning to the online mode. But there are several concerns with the online leaning. The article discusses the same.

    Providing learning opportunity in pandemic

    • The main thrust of providing learning opportunities while schools are shut is online teaching.
    • There are several sets of guidelines and plans issues by the government, the National Council of Educational Research and Training (NCERT) and the Central Board of Secondary Education (CBSE) for this purpose.
    • The Internet space is teeming with learning schemes, teaching videos, sites and portals for learning opportunities.

    3 issues with online learning

    1) Increasing inequality

    • Calamities, be they natural or man-made, affect the underprivileged the hardest,  COVID-19 is no exception.
    •  The COVID-19 shutdown has affected opportunity for the poor even harder than their counterparts from well-to-do sections of society.
    • The government began plans for students with no online access only by the end of August.
    • But online or digital education is available is for students with only online access.
    • Thus, digital India may become even more unequal and divided than it already is.

    2) Pedagogical issues leading to bad quality education

    • The quality of online teaching-learning leaves much to be desired.
    • Listening to lectures on the mobile phone, copying from the board where the teacher is writing, frequent disconnections can hardly and organically connect the child’s present understanding with the logically organised bodies of human knowledge.
    • The secondary students are in a better position still because of their relative independence in learning and possible self-discipline.
    • The beginners in the lower primary can get nothing at all from this mode of teaching.

    3)  An unwarranted thrust on online education, post-COVID-19

    • All reliable studies seem to indicate that Information and Communication Technology (ICT) in the classroom helps in already well-functioning systems, and either has no benefits or negative impact in poorly performing systems.
    • That does not indicate much hope from IT in our education system.
    • Transformation of schools in the current understanding of pedagogy, suitability of learning material and quality of learning provided through IT will further devastate the already inadequate system of school education in the country.
    • Of course, IT can be used in a balanced manner where it can help; but it should not be seen as a silver bullet to remedy all ills in the education system.

    Importance of institutional environment

    • The institutional environment plays an important role online teaching.
    • Even when the institutions function sub-optimally, students themselves create an environment that supports their growth morally, socially and intellectually in conversations and interactions with each other.
    • The online mode of teaching completely forecloses this opportunity.

    Conclusion

    Our democracy and public education system should try to address the issues raised here while promoting the online mode of education.

  • [pib] YuWaah Platform

    Ministry of Youth Affairs & Sports and United Nations Children Fund (UNICEF) are set to establish YuWaah, Generation Unlimited (GenU), a global multi-stakeholder platform in India.

     YuWaah Platform

    As per the Statement of Intent, the objectives of this project are:

    • Support young people by providing entrepreneurship classes (online and offline) with successful entrepreneurs and experts, towards establishing an entrepreneurial mindset among young people.
    • Upskilling of young people on 21st-century skills, life skills, digital skills through online and offline channels and support them through self-learning, for their productive lives and the future of work.
    • Create linkages with aspirational economic opportunities to connect young people with employment opportunities, including building pathways to connect them with jobs or self-employment.
    • Providing career guidance support to young people through career portal as well as through job-readiness and self-exploration sessions to make young people career-ready.

  • Crisis in education in rural India and NEP

    The article analyses the missing focus on the rural youth in the National Education Policy 2020 and its implications.

    Education in rural India and NEP

    • Poor quality education marks and mars the lives of rural citizens.
    • The NEP fails to address the growing school differentiation in which government schools are now primarily attended by children of disadvantaged castes and Adivasi groups.
    • The mushrooming of private schools caters to the aspirations of the more advantaged castes and classes.
    • The NEP overlooks the complexity of contemporary rural India, which is marked by a sharp deceleration of its economy, extant forms of distress, and widespread poverty.
    • Rural candidates are finding it increasingly difficult to gain entry into professional education.
    • The lack of fit between their degrees and the job market means that several lakhs of them find themselves both “unemployable” and unemployed.

    What the NEP misses

    • NEP overlooks the general adverse integration of the rural into the larger macroeconomy and into poor quality mass higher education.
    • The report calls for the “establishment of large, multi-discipline universities and colleges” and places emphasis on online and distance learning (ODL).
    • However, correspondence courses and distance education degrees have become a source of revenue generation for universities.
    • The possibility of forging and promoting environmental studies for local ecological restoration and conservation are missing.
    • Emphasis on local health and healing traditions from the vast repertoire of medical knowledge is missing.
    • Vernacular architectural traditions and craftsmanship to use local resources find no mention at all in the NEP.

    Neoliberal ideas in NEP

    • The NEP moots the possibility of establishing “Special Education Zones” in disadvantaged areas and in “aspirational districts”.
    • But the report provides no details as to how such SEZs will function and who will be the beneficiaries of such institutions.

    Conclusion

    The NEP fails to cater to the needs of rural India’s marginalised majority, who in so many ways are rendered into being subjects rather than citizens.

  • Making malnutrition free India by 2030

    The article analyses the problem of malnutrition in India and suggests the pathways to achieve the malnutrition free India by 2030.

    Severity of the nourishment problem in India

    • There were  189.2 million undernourished people (28 per cent of the world) in India in 2017-19, as per the combined report of FAO, IFAD, UNICEF, WFP and WHO (FAO, et.al. 2020) on “The state of Food Security and Nutrition in the World”.
    •  India accounts for 28 per cent (40.3 million) of the world’s stunted children (low height-for-age) under five years of age, and 43 per cent (20.1 million) of the world’s wasted children (low weight-for-height) in 2019.
    • In India, the problem has been more severe amongst children below the age of five years.
    • As per the National Family Health Survey (NFHS, 2015-16), the proportion of underweight and stunted children was as high as 35.8 per cent and 38.4 per cent respectively.
    • In several districts of Bihar, Jharkhand, Uttar Pradesh, Madhya Pradesh, Rajasthan and even Gujarat, the proportion of underweight children was more than 40 per cent.

    Aims of the National Nutrition Mission (NNM)

    • Ending all forms of malnutrition by 2030 is also the target of Sustainable Development Goal (SDG-2) of Zero Hunger.
    • Towards this end, NNM aims to reduce stunting, underweight and low birth weight each by 2 per cent per annum.
    • It aims to reduce anaemia among children, adolescent girls and women, each by 3 per cent per annum by 2022.
    • However, the Global Burden of Disease Study 1990–2017 has estimated that if the current trend continues, India cannot achieve these targets under NNM by 2022.

    Understanding the key determinants and deciding policy response

    1) Mothers’ education

    • Mothers’ education, particularly higher education, has the strongest inverse association with under-nutrition.
    • Women’s education has a multiplier effect not only on household food security but also on the child’s feeding practice and the sanitation facility.
    • Despite India’s considerable improvement in female literacy, only 13.7 per cent of women have received higher education (NFHS, 2015-16).
    • Therefore, programmes that promote women’s higher education such as liberal scholarships for women need to be accorded a much higher priority.

    2) Sanitation and access to safe drinking water

    • The second key determinant of child under-nutrition is the wealth index, which subsumes access to sanitation facilities and safe drinking water.
    • WASH initiatives, that is, safe drinking water, sanitation and hygiene, are critical for improving child nutritional outcomes.
    • In this context, the Swachh Bharat Abhiyan aims to eliminate open defecation and bring about behavioural changes in hygiene and sanitation practices.
    • In five years of the Abhiyan, as per government records, rural sanitation coverage has gone from 38.7 per cent in 2014 to 100 per cent in 2019, while the sanitation coverage in urban cites has gone up to 99 per cent by September 2020.
    • This remarkable achievement of the Swachh Bharat Abhiyan, subject to third-party evaluations, is expected to have a multiplier effect on nutritional outcomes.

    3) Leveraging agricultural policies

    • We should leverage agricultural policies and programmes to be more “nutrition-sensitive” and reinforcing diet diversification towards a nutrient-rich diet.
    • Food-based safety nets in India are biased in favour of staples: rice and wheat.
    • They need to provide a more diversified food basket, including coarse grains, millets, pulses and bio-fortified staples.
    • Bio-fortification is very cost-effective in improving the diet of households and the nutritional status of children.
    • The Harvest-Plus programme of CGIAR can work with the Indian Council of Agricultural Research (ICAR) to grow new varieties of nutrient-rich staple food crops.

    4) Promotion of exclusive breastfeeding, complementary foods, diversified diet

    • The promotion of exclusive breastfeeding and the introduction of complementary foods and a diversified diet after the first six months is essential to meet the nutritional needs of infants and ensure appropriate growth and cognitive development of children.

    5) Access to prenatal and postnatal care

    • Access and utilisation of prenatal and postnatal health care services also play a significant role in curbing undernutrition among children.
    • Aanganwadi workers and community participation can bring significant improvements in child-caring practices.

    Consider the question “Assess the severity the problem of malnutrition in India and suggest the measure to achieve the goal of malnutrition free India by 2030”

    Conclusion

    To contribute towards the holistic nourishment of children and a malnutrition free India by 2030, the government needs to address the multi-dimensional determinants of malnutrition on an urgent basis.