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  • What is lost and gained in NFHS-6 

    Why in the News?

    The preliminary fact sheets of NFHS-6 (2023-24) have been released by the Ministry of Health and Family Welfare, covering nearly 6.8 lakh households across all States and Union Territories except Manipur. For the first time, several critical health and demographic indicators have been omitted from the preliminary release.

    What is the National Family Health Survey (NFHS)?

    It is a large-scale, multi-round household survey conducted across India to collect comprehensive data on population dynamics, health, nutrition, and family welfare. Launched in 1992-93, it acts as a critical health “dashboard” that helps the Ministry of Health and Family Welfare (MoHFW) and other agencies evaluate existing government schemes, set development benchmarks, and design new public health policies.

    Key Features & Objectives

    1. Nodal Agency: The International Institute for Population Sciences (IIPS), Mumbai, coordinates and provides technical guidance for the survey. 
    2. Policy Support: It supplies high-quality, reliable, and comparable data to track progress toward the global Sustainable Development Goals (SDGs). 
    3. Granular Scope: The survey covers national and state levels, and since NFHS-4, it provides highly localized estimates down to the district level.

    How has NFHS evolved as India’s principal health and demographic database?

    1. Coverage: NFHS-6 collected information from nearly 6.8 lakh households across India, excluding Manipur.
    2. Policy Significance: Provides nationally representative data for health, nutrition, fertility, gender and social indicators.
    3. Survey Expansion: NFHS has progressively expanded its scope while retaining previous questions for comparability.
    4. Digital Transformation: NFHS-4 introduced district-level estimates and tablet-based data collection.
    5. Expanded Domains: NFHS-5 added education, disability, access to toilets, health insurance, bank accounts, bathing practices during menstruation, abortion-related indicators and age coverage up to 49 years for women and 54 years for men.
    6. Broader Adult Coverage: NFHS-6 expanded adult measurements to all individuals aged 15 years and above.

    Why has the reduction in indicators in NFHS-6 generated concern?

    1. Indicator Reduction: NFHS-6 preliminary fact sheet contains 101 indicators compared to 131 in NFHS-5, representing a reduction of nearly 23% in reported indicators.
    2. Net Change: 43 indicators were dropped and 13 were added, producing a net reduction of 30 indicators.
    3. Data Continuity Issue: Several long-running indicators are unavailable in the preliminary release.
    4. Policy Monitoring Gap: Removal affects trend analysis across survey rounds.
    5. Comparability Challenge: Limits direct comparison of progress in key health and demographic outcomes.

    Which important indicators have been removed from the preliminary fact sheets?

    Health Indicators

    1. Anaemia: Removed from preliminary fact sheets despite being a major public health concern.
    2. Mortality Indicators: Infant mortality, neonatal mortality and under-five mortality are absent.
    3. Sex Ratio at Birth: No current survey-based estimate available.
    4. Cancer Screening: Indicators covering cervical, breast and oral cancer screening removed.
    5. Comprehensive HIV Knowledge: Certain HIV-related indicators no longer available in the fact sheet.

    Living Conditions Indicators

    1. Sanitation Coverage: Household sanitation data absent.
    2. Clean Cooking Fuel Usage: Indicator removed from preliminary release.
    3. Internet Access: Household-level population living in households with internet access not reported.

    Why was anaemia removed and what does the evidence show?

    1. Worsening Trend: Anaemia has consistently shown deterioration in previous survey rounds.
    2. Children’s Anaemia: Increased from 58.6% (NFHS-4, 2015-16) to 67.1% (NFHS-5, 2019-21).
    3. Women’s Anaemia: Increased from 53.1% to 57% among women aged 15–49 years.
    4. Pregnant Women: Rose from 50.4% to 52.2%.
    5. Geographic Spread: Anaemia increased in 28 States and Union Territories.
    6. Severe Burden States: Assam recorded 35.7% to 68.4%; Mizoram recorded 19.3% to 46.4%.
    7. Policy Importance: Anaemia was a major target of the Anaemia Mukt Bharat campaign launched in 2018.
    8. Measurement Method: Earlier surveys measured haemoglobin using finger-prick blood samples.
    9. Methodological Concerns: Researchers questioned the reliability of portable analysers used for anaemia estimation.
    10. Future Tracking: Anaemia will now be monitored separately through the Diet and Biomarkers Survey under the National Institute of Nutrition.
    11. Alternative Data Collection: NFHS-6 collected venous blood and urine biomarkers instead of finger-prick methods.
    12. Additional Biomarkers: Survey collected information on nutritional deficiencies and obesity.
    13. Pending Release: Detailed biomarker dataset has not yet been released.

    What new themes and indicators have been introduced in NFHS-6?

    Digital Inclusion

    1. Digital Literacy: Introduced new questions assessing digital capabilities.
    2. Internet Use: Expanded assessment of digital access and usage patterns.
    3. Financial Fraud Awareness: Added questions on awareness of digital and financial fraud.

    Social and Economic Inclusion

    1. Direct Benefit Transfers (DBT): Added questions on DBT access and receipt.
    2. Self-Help Group Membership: Introduced indicators on SHG participation.

    Public Health

    1. Hepatitis-B Testing: Included testing among men and women.
    2. Hepatitis-B Child Testing: Included dried blood spot collection among children aged 4-5 years.
    3. Expanded Biomarkers: Added broader nutritional and obesity-related measurements.

    What methodological and definitional changes have occurred in NFHS-6?

    1. HIV Module Revision: HIV testing component removed from survey implementation.
    2. Knowledge Questions Retained: HIV/AIDS knowledge, attitudes and behaviour questions retained.
    3. Ownership Redefinition: Women’s ownership of house or land shifted to a household-level measure.
    4. Hepatitis-B Classification: Moved from individual measure to birth-dose measure.
    5. Education Indicator Revision: Pre-school attendance reclassified into younger age bands.
    6. Demographic Revisions: Several indicators modified through definitional changes rather than removal.

    What do NFHS-6 findings reveal about maternal and child health outcomes?

    Maternal Healthcare

    1. Antenatal Care: Mothers receiving at least four antenatal check-ups increased by about seven percentage points compared with NFHS-5.
    2. Institutional Deliveries
      1. Institutional Births: Continued improvement in institutional delivery coverage.
    3. Child Nutrition
      1. Stunting Reduction: Number of children under five who are stunted declined.
      2. Exclusive Breastfeeding: Declined among infants under six months.
    4. Contraception
      1. Modern Contraceptive Use: Declined from 56.4% to 52.7%.

    How have gender and social indicators changed between NFHS-5 and NFHS-6?

    1. Women’s Empowerment
      1. Internet Usage: Significant increase in women’s internet use.
      2. Spousal Violence: Women reporting spousal violence declined from 29.3% to 22.3%.
    2. Health Insurance
      1. Coverage Expansion: Increased from 33.7% to 88.2% of households in West Bengal.
      2. Largest State-Level Improvement: Andhra Pradesh increased from 21% to 63.6%.
    3. Nutrition Transition
      1. Overweight and Obesity: Share of women classified as overweight or obese increased in every State.

    What policy gaps emerge from the omission of key indicators?

    1. Mortality Monitoring Gap: Absence of infant and child mortality data weakens health assessment.
    2. Gender Monitoring Gap: Missing sex ratio at birth limits monitoring of gender discrimination.
    3. Nutrition Monitoring Gap: Lack of anaemia data affects evaluation of Anaemia Mukt Bharat.
    4. Environmental Health Gap: Missing sanitation and cooking fuel indicators weaken tracking of Swachh Bharat and clean energy transitions.
    5. Cancer Surveillance Gap: Absence of screening indicators limits preventive healthcare assessment.
    6. Evidence Gap: No alternative survey currently provides many of these indicators at NFHS scale.

    Conclusion

    NFHS-6 presents a mixed picture of India’s health transition. Improvements in maternal healthcare, institutional deliveries, health insurance coverage and digital inclusion indicate progress in human development outcomes. However, the omission of critical indicators such as anaemia, mortality and sex ratio at birth creates significant gaps in public health monitoring and long-term trend analysis. The challenge before policymakers is to balance methodological improvements with a continuity of data. This will ensure that India’s most important health survey remains both scientifically robust and policy relevant.

    PYQ Relevance

    [UPSC 2022] In a crucial domain like the public healthcare system, the Indian State should play a vital role to contain the adverse impact of marketisation of the system. Suggest some measures through which the State can enhance the reach of public healthcare at the grassroots level.

    Linkage: Public healthcare delivery depends on robust health data for identifying gaps, targeting interventions and evaluating outcomes. NFHS-6 is a key instrument for evidence-based public health policymaking; therefore, the omission of indicators such as anaemia, mortality and sex ratio at birth may weaken assessment of healthcare outcomes and grassroots service delivery.

  • Pradhan Mantri Surakshit Matritva Abhiyaan (PMSMA)

    Why in the news?

    The Pradhan Mantri Surakshit Matritva Abhiyaan (PMSMA) completed 10 years on 9 June 2026. Since its launch in 2016, over 7.5 crore pregnant women have received antenatal care services under the scheme.

    About PMSMA

    • Launched: 9 June 2016
    • Ministry: Ministry of Health and Family Welfare
    • Objective:
      • Ensure safe pregnancy and childbirth.
      • Provide free and quality antenatal care (ANC).
      • Identify and manage high-risk pregnancies (HRPs).

    Beneficiaries

    • Pregnant women in Second trimester (13-27 weeks) and Third trimester (28 weeks till delivery)
    • Special focus on High-risk pregnancies and Women missing routine ANC services

    Key Features

    Monthly ANC Services

    • Conducted on the 9th of every month.
    • Available at designated government health facilities.

    Service Package

    • Clinical examination, Blood and urine tests, Ultrasonography, Free medicines, Nutrition counselling, Birth preparedness counselling, and Safe pregnancy awareness

    High-Risk Pregnancy (HRP) Identification

    What is a high-risk pregnancy?

    • Pregnancies with conditions that increase the risk of complications for the mother or baby.

    PMSMA Screens for 25 HRP Conditions

    • Important conditions include: Severe anaemia, HIV/AIDS, Syphilis, Gestational diabetes, Pregnancy-induced hypertension, Hypothyroidism, Tuberculosis, Malaria, Hepatitis B, Twin/multiple pregnancy, Previous Caesarean section, History of stillbirth, Teenage pregnancy, Advanced-age pregnancy, Negative blood group

    Follow-up Mechanism

    • HRPs linked to nearest: First Referral Unit (FRU)
    • Individual tracking till safe delivery.

    Extended PMSMA (2022)

    • Launched in January 2022.
    • Purpose: Strengthen follow-up care for high-risk pregnancies.

    Features

    • Additional ANC visits.
    • Continuous monitoring.
    • SMS reminders to: Beneficiary and ASHA worker
    • Financial incentives for pregnant women and Accredited Social Health Activist (ASHA)

    [2024] With reference to the ‘Pradhan Manti 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 specialties can volunteer to provide service 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

  • Report on Datasets for State Finance Commissions (SFCs)

    Why in the news?

    The Ministry of Panchayati Raj released the Report of the Committee on Datasets for State Finance Commissions to strengthen evidence-based fiscal decentralisation and improve financial governance of local bodies.

    Key Highlights

    • Released by V. Anantha Nageswaran.
    • The report aims to strengthen: Fiscal decentralisation, Local public finance, and Data-driven governance
    • Focuses on improving data availability for Panchayats and State Finance Commissions (SFCs)

    Why is the Report Important?

    According to the Chief Economic Adviser:

    • Better data leads to better governance.
    • Sound fiscal decisions require: Reliable data, Timely data, and Granular (local-level) data
    • Effective delivery of services such as: Drinking water, Roads, Street lighting, Anganwadi services depend on empowered local governments.

    Major Recommendations

    • Panchayat-Level Fiscal Database: Creation of comprehensive databases on: Revenue, Expenditure, Assets, Liabilities.
    • Use of Panchayat Advancement Index (PAI): Classification of PAI indicators for SFC analysis and recommendations.
    • State Finance Commission Cells: Dedicated SFC Cells in State Governments, to support: Data collection, Research, Technical analysis
    • Standardised Accounting Framework: Uniform accounting and reporting systems across States.
    • Common Reporting Framework: Standard format for SFC reports. Enables comparison and consistency.
    • Data Handbooks: Publication of comprehensive Panchayat data handbooks.
    • State Finance Commission Manual: Preparation of a standard operational guide for future SFCs.

    State Finance Commission (SFC)

    • Constitutional Basis: Article 243-I: Provides for constitution of a State Finance Commission by the Governor every five years.
    • Functions
      • Review financial position of Panchayats.
      • Recommend distribution of State taxes, Duties, Tolls, Fees between State Government and local bodies.
      • Suggest measures to improve local finances.

    [2025] Consider the following statements :
    I. Panchayats at the intermediate level exist in all States.
    II. To be eligible to be a Member of a Panchayat at the intermediate level, a person should attain the age of thirty years.
    III. The Chief Minister of a State constitutes a commission to review the financial position of Panchayats at the intermediate levels and to make recommendations regarding the distribution of net proceeds of taxes and duties, leviable by the State, between the State and Panchayats at the intermediate level.
    Which of the statements given above are not correct?

    [A] I and II only

    [B] II and III only

    [C] I and III only

    [D] I, II and III

  • The ordinance question before the SC

    Why in the News?

    The Supreme Court recently witnessed the swearing-in of five new judges after a Presidential Ordinance increased its sanctioned strength from 34 to 38 judges. While two appointments filled pre-existing vacancies, three judges were appointed to posts that exist solely because of the Ordinance.

    How has the Ordinance altered the composition of the Supreme Court?

    1. Presidential Ordinance: Increased the sanctioned strength of the Supreme Court from 34 judges to 38 judges.
    2. Five New Appointments: Five judges were sworn in following the Ordinance.
    3. Existing Vacancies: Two appointments filled already existing lawful vacancies.
    4. Ordinance-Created Posts: Three appointments were made against posts created solely through the Ordinance.
    5. Temporary Basis: The additional posts continue only so long as the Ordinance remains operational or is replaced by legislation.
    6. Constitutional Provision: Article 124 leaves determination of the number of Supreme Court judges to Parliament.

    Why does the issue raise concerns regarding judicial independence?

    1. Security of Tenure: Judicial independence requires judges to occupy constitutionally secure offices free from executive discretion.
    2. Executive Dependence: Ordinance-created positions remain dependent upon the executive’s temporary legislative action.
    3. Institutional Perception: Independence includes not merely actual autonomy but also the appearance of autonomy from political branches.
    4. Temporary Offices: Judges occupying posts that may disappear if the Ordinance lapses could create perceptions of institutional dependence.
    5. Basic Structure Doctrine: Judicial independence forms part of the Constitution’s basic structure and cannot be diluted indirectly.

    How does the controversy relate to the NJAC judgment and judicial primacy?

    1. NJAC Judgment (2015): Supreme Court Advocates-on-Record Association v. Union of India struck down the 99th Constitutional Amendment and the National Judicial Appointments Commission (NJAC).
    2. Parliamentary Support: The amendment was passed by 367 votes to 1 in the Lok Sabha and ratified by States.
    3. Composition of NJAC: Included the Chief Justice of India, two senior-most judges, the Union Law Minister, and two eminent persons.
    4. Veto Provision: Any two members could veto a recommendation.
    5. Judicial Concern: The Court held that this arrangement undermined judicial primacy in appointments.
    6. Present Contradiction: Critics argue that accepting appointments against Ordinance-created posts appears inconsistent with the Court’s earlier insistence on institutional independence.

    Why is the use of Ordinances controversial in constitutional governance?

    1. Article 123 Power: Enables the President to promulgate Ordinances when Parliament is not in session.
    2. Temporary Nature: Ordinances cease to operate six weeks after Parliament reassembles unless approved.
    3. Executive Withdrawal: Ordinances may be withdrawn before parliamentary approval.
    4. Democratic Concern: Frequent reliance on Ordinances may bypass normal legislative scrutiny.
    5. Institutional Stability: Temporary laws may create uncertainty in long-term institutional arrangements such as judicial appointments.

    What has the Supreme Court previously held regarding Ordinance-making powers?

    1. D.C. Wadhwa v. State of Bihar (1986): Held that repeated re-promulgation of Ordinances amounts to a fraud on the Constitution.
    2. Krishna Kumar Singh v. State of Bihar (2017): Seven-judge Bench ruled that Ordinance-making cannot become a parallel source of legislation.
    3. Legislative Supremacy: Ordinances are intended as exceptional measures, not substitutes for parliamentary law-making.
    4. Constitutional Morality: Executive convenience cannot replace legislative deliberation.

    What legal uncertainties arise if the Ordinance lapses?

    1. Reversion of Strength: Supreme Court strength would revert from 38 to 34 judges.
    2. Status of Judges: Questions may arise regarding judges appointed against Ordinance-created posts.
    3. Unsettled Position: No direct precedent exists concerning judges appointed to judicial offices that cease due to lapse of an Ordinance.
    4. De Facto Doctrine: Judicial acts may continue to remain valid under the doctrine affirmed in Gokaraju Rangaraju v. State of Andhra Pradesh (1980).
    5. Institutional Litigation: Potential legal challenges may emerge regarding continuation of such appointments.

    How has the Collegium’s decision to recommend appointments against Ordinance-created judicial posts generated constitutional concerns?

    1. Anticipated Vacancies: Forthcoming retirements are expected to create regular vacancies in the Court.
    2. Possible Regularisation: Some Ordinance-appointed judges may subsequently occupy these permanent posts.
    3. Continuing Uncertainty: At least one appointment remains dependent on the validity of the Ordinance.
    4. Expectation of Ratification: The decision assumes Parliament will replace the Ordinance with legislation.
    5. Balancing Priorities: The Collegium sought to address judicial vacancies while relying on future legal regularisation.

    Does judicial independence require more than formal constitutional safeguards?

    1. Substantive Independence: Independence is not merely the legal authority to disagree with the executive.
    2. Perception of Neutrality: Courts must remain visibly detached from political dependence.
    3. Institutional Confidence: Public trust depends on the judiciary appearing free from executive patronage.
    4. Constitutional Culture: Independence requires an instinctive separation from executive influence, not merely procedural safeguards.
    5. Separation of Powers: Long-term legitimacy rests on maintaining clear constitutional boundaries among institutions.

    Conclusion

    The controversy is less about the competence of the appointed judges and more about the constitutional method through which their offices were created. The episode highlights the tension between addressing judicial vacancies and preserving judicial independence. A constitutional democracy requires not only an independent judiciary but also institutional arrangements that are visibly free from executive dependence and temporary political contingencies.

    PYQ Relevance

    [UPSC 2014] Critically examine the Supreme Court’s judgement on the National Judicial Appointments Commission (NJAC) Act, 2014 with reference to appointment of judges of higher judiciary in India.

    Linkage: The PYQ examines judicial independence and the constitutional principles governing appointments to the higher judiciary. The article questions whether appointments to Ordinance-created Supreme Court posts are consistent with the judiciary’s insistence on institutional independence reflected in the NJAC judgment.

  • Nepal on Kalapani-Lipulekh-Limpiyadhura Dispute

    Why in the news?

    Shisir Khanal, Foreign Minister of Nepal, stated that Nepal seeks resolution of the Kalapani-Lipulekh-Limpiyadhura border dispute with India through diplomatic means and is not seeking third-party mediation.

    Key Highlights

    • Nepal reiterated its claim over the Kalapani, Lipulekh, and Limpiyadhura trijunction.
    • Nepal clarified: Contact with the United Kingdom was regarding access to historical documents, not mediation.
    • India’s stand: Border issue should be resolved through existing bilateral mechanisms. No scope for third-party intervention.
    • Issue resurfaced after India announced the 2026 Kailash-Mansarovar Yatra route through Lipulekh Pass.
    • Nepal protested to India and China regarding use of the disputed area.

    About the Kalapani-Lipulekh-Limpiyadhura Dispute

    • Tri-junction area involving: India, Nepal and China (Tibet Autonomous Region).

    Strategic Importance

    • Lipulekh Pass: An important Himalayan mountain pass.
      • Used for: Kailash-Mansarovar Yatra and Trade with Tibet.

    Origin of the Dispute

    Treaty of Sugauli (1816)

    • Signed between British East India Company and Kingdom of Nepal.
    • Treaty defined Kali River as western boundary of Nepal.

    Core Issue

    • Disagreement over Origin/source of Kali River.
    • Nepal claims Limpiyadhura is the river’s origin. Hence Kalapani, Lipulekh, and Limpiyadhura belong to Nepal.
    • India maintains a different interpretation of river origin and boundary alignment.

    Recent Developments

    2020 Map Controversy

    • Nepal released a new political map including Kalapani, Lipulekh, and Limpiyadhura.
    • Nepal amended constitution to incorporate the map.

    Nepal’s New Political Context

    • Current government led by Balendra Shah.The
    • Foreign Minister said Nepal seeks a development-focused relationship with India. Wants to move beyond “old geopolitical baggage”.

    India-Nepal Cooperation

    • Recent Developments: Operationalisation of Peer-to-peer cross-border digital payment system.
    • Agreement Between: Nepal Clearing House Ltd and National Payments Corporation of India (NPCI).

    About Kailash-Mansarovar Yatra

    • Pilgrimage to Mount Kailash and Lake Mansarovar.
    • Sacred to Hindus, Buddhists, Jains, Bon followers.
    • Indian routes Lipulekh Pass (Uttarakhand) and Nathu La Pass (Sikkim).

    [2020] Consider the following statements:

    1. The value of Indo-Sri Lanka trade has consistently increased in the last decade.
    2.“Textile and textile articles” constitute an important item of trade between India and Bangladesh.
    3. In the last five years, Nepal has been the largest trading partner of India in South Asia.

    Which of the statements given above is/are correct?
    a) 1 and 2 only
    b) 2 only
    c) 3 only
    d) 1, 2 and 3

  • India’s Health Transformation

    Why in the news?

    India highlighted major achievements in healthcare over the past 12 years, focusing on universal health coverage, affordable healthcare, digital health, disease control, and healthcare infrastructure expansion.

    Key Highlights

    • Over 44 crore families are insured under Ayushman Bharat.
    • More than 1.86 lakh Ayushman Arogya Mandirs are operational.
    • Over: 47 crore telemedicine consultations delivered.
    • 12 new AIIMS have been operational since 2014.
    • Generic medicines available: 50–90% cheaper through Jan Aushadhi Kendras.
    • Maternal and child mortality have significantly reduced.
    • TB incidence and malaria deaths declined sharply.

    Ayushman Bharat Programme

    Ayushman Bharat is India’s flagship universal health coverage programme launched in 2018.

    Four Pillars

    1. AB-PMJAY
    2. Ayushman Arogya Mandirs
    3. PM-ABHIM
    4. Ayushman Bharat Digital Mission (ABDM)

    AB-PMJAY

    • Ayushman Bharat Pradhan Mantri Jan Arogya Yojana
    • World’s largest publicly funded health insurance scheme.
    • Provides: ₹5 lakh annual insurance per family.
    • Covers: About 12 crore vulnerable families.
    • 44.14 crore Ayushman cards issued.
    • 12.03 crore hospitalisations covered.
    • Treatment worth: ₹1.80 lakh crore provided.
    • 36,218 hospitals empanelled.
    • Extends insurance coverage to: All citizens above 70 years.

    Ayushman Arogya Mandirs (AAMs)

    • Purpose: Community-level comprehensive primary healthcare centres.
    • Preventive healthcare, Diagnostics, Mental healthcare, Teleconsultation, Free medicines, and Emergency care.
    • 1.86 lakh+ centres operational.
    • Over 540 crore cumulative footfall.

    PM-ABHIM

    • Pradhan Mantri Ayushman Bharat Health Infrastructure Mission
    • Objective: Strengthen healthcare infrastructure and pandemic preparedness.
    • Integrated public health labs.
    • Critical care hospital blocks.
    • Urban and rural wellness centres.
    • Disease surveillance systems.
    • Outlay: ₹64,180 crore.

    Ayushman Bharat Digital Mission (ABDM)

    • Objective: Develop citizen-centric digital healthcare ecosystem.
    • ABHA: Ayushman Bharat Health Account.
    • 14-digit digital health ID.
    • Portable digital health records.
    • Paperless healthcare access.
    • Better health data integration.
    • 20.49 crore app registrations.
    • 27,328 healthcare facilities connected.

    National Health Mission (NHM)

    • National Rural Health Mission
    • National Urban Health Mission.
    • Pradhan Mantri Surakshit Matritva Abhiyan: Free antenatal care for pregnant women.
    • Janani Suraksha Yojana: Promotes institutional deliveries.
    • Janani Shishu Suraksha Karyakram: Free delivery and treatment for mothers and newborns.
    • Mission Indradhanush: Vaccinate partially immunised and unvaccinated children and pregnant women.
      • 5.46 crore children vaccinated.
      • 1.32 crore pregnant women covered.
      • WHO Recognition: India declared free from maternal and neonatal tetanus in 2015.

    U-WIN Platform

    • Purpose: Digital immunisation tracking platform.
    • 11.87 crore children registered.
    • 3.96 crore pregnant women registered.

    Tuberculosis Elimination

    • Programme: National Tuberculosis Elimination Programme
    • Pradhan Mantri TB Mukt Bharat Abhiyaan: Community participation for TB elimination.
    • Support System: Nikshay Mitras provide nutritional and social support.

    Malaria Elimination

    • National Framework for Malaria Elimination launched in 2016.
    • Goal: Eliminate malaria by 2027.
    • Other Disease Control Achievements Improvements in: HIV/AIDS, Kala-azar, Dengue, Japanese Encephalitis, Leprosy, and Lymphatic Filariasis.

    COVID-19 Response

    • 220 crore vaccine doses administered.
    • Testing labs expanded: From 14 to 3,400.
    • Oxygen-supported beds increased significantly.
    • Vaccine Maitri: Vaccines supplied to nearly 100 countries.

    Non-Communicable Diseases (NCDs)

    • Screenings Conducted Over: 60 crore cancer screenings.
    • Diseases Covered: Oral cancer, Breast cancer, Cervical cancer, Diabetes, Hypertension.

    Affordable Healthcare

    • Jan Aushadhi Kendras: Pradhan Mantri Bhartiya Janaushadhi Pariyojana
    • Benefits: Generic medicines available at 50–80% lower prices.

    AMRIT Pharmacies

    • Objective: Provide discounted life-saving medicines and implants.
    • Impact: ₹8,400 crore patient savings.

    Emergency Healthcare

    Ambulance Services

    • Dial 108: Medical emergencies.
    • Dial 102: Pregnant women and child transport.

    Digital Healthcare

    • eSanjeevani
    • 47 crore+ teleconsultations.
    • 2.34 lakh healthcare providers onboarded.

    Tele-MANAS

    • Purpose: Mental health tele-counselling service.
    • Coverage: Available in 20 languages across all States and UTs.
    • i-DRONE: Drone-based delivery of: Medicines, Vaccines, and Blood samples.
    • AI-enabled Clinical Decision Support Systems (CDSS).
    • “Cough Against TB” tool for TB screening.
    • MadhuNetrAI for diabetic retinopathy detection.

    Medical Education Expansion

    • Medical colleges more than doubled since 2014.
    • 157 new nursing colleges approved.
    • AYUSH Integration: Ministry of AYUSH established in 2014.
      • AYUSH facilities integrated with public health centres.
      • AYUSH Visa introduced in 2023.

    [2022] With reference to Ayushman Bharat Digital Mission, consider the following statements:
    1. Private and public hospitals must adopt it.
    2. As it aims to achieve universal health coverage, every citizen of India should be part of it ultimately.
    3. It has seamless portability across the country.
    .Which of the statements given above is/are correct?

    [A] 1 and 2 only

    [B] 3 only

    [C] 1 and 3 only

    [D] 1, 2 and 3

  • [6th June 2026] The Hindu OpED: India needs innovative stratergies to eliminate TB

    PYQ Relevance[UPSC 2022] What is the basic principle behind vaccine development? How do vaccines work? What approaches were adopted by the Indian vaccine manufacturers to produce COVID-19 vaccines?Linkage: The PYQ tests understanding of vaccine science, indigenous vaccine development, and the role of biotechnology in addressing public health challenges. The PreVenTB Trial evaluates indigenous vaccines (VPM1002 and Immuvac) for TB prevention, highlighting India’s growing capabilities in vaccine research and the use of biotechnology to combat infectious diseases.

    Mentor’s Comment

    India’s fight against tuberculosis (TB) has received a major boost with the publication of the ICMR-led PreVenTB Trial. The trial found that the indigenous vaccine candidates VPM1002 and Immuvac provide protection against both pulmonary TB and the difficult-to-diagnose extrapulmonary TB (EPTB). The findings are significant as they offer new evidence from a large real-world Indian population at a time when India continues to bear one of the world’s highest TB burdens. They also strengthen hopes for achieving TB elimination, even as TB remains the leading infectious disease killer globally. 

    Why has a “one-size-fits-all” vaccine approach failed in TB control?

    1. Diverse Disease Pathways: TB infection can remain latent for years, progress to subclinical disease, or develop into active pulmonary or extrapulmonary TB.
    2. Biological Complexity: Individuals differ in infection status, age, comorbidities, and immune responses.
    3. Vaccine Limitations: Previous TB vaccine development largely focused on preventing pulmonary TB.
    4. Unrealistic Expectations: Search for a single vaccine capable of preventing all forms of TB has repeatedly disappointed global TB control efforts.

    How severe is the TB burden and why does it demand urgent action?

    1. Global Mortality: TB continues to kill more people annually than any other infectious disease.
    2. Burden in LMICs: Incidence in many low- and middle-income countries remains between 200-300 cases per 100,000 population.
    3. Elimination Threshold: TB incidence must decline to 10-20 cases per 100,000 population to approach elimination.
    4. Indian Context: India carries one of the world’s highest TB burdens, requiring sustained public health investments.
    5. Long-Term Challenge: Elimination demands decades of coordinated interventions rather than a single technological solution.

    What are the key pillars of a layered TB elimination strategy?

    1. Better Detection
      1. Advanced Diagnostics: Enables identification of subclinical TB before progression to active disease.
      2. Risk-Based Screening: Supports early detection among vulnerable populations.
      3. Public Health Impact: Reduces transmission and disease progression.
    2. Preventive Therapy
      1. Latent TB Treatment: Prevents inactive infection from progressing to active disease.
      2. Targeted Intervention: Particularly relevant for household contacts and high-risk populations.
    3. Vaccination
      1. Critical Tool: Complements diagnostics and preventive therapy.
      2. Population Protection: Reduces progression from infection to disease.
      3. Integrated Strategy: Most effective when combined with nutrition and case management.

    What are the major findings of the PreVenTB Trial?

    1. Institution: Conducted by the Indian Council of Medical Research (ICMR).
    2. Scale: Conducted at multiple sites across India.
    3. Participants: More than 12,700 household contacts of TB patients.
    4. Target Group: Individuals aged six years and above, including those with comorbidities and varying infection status.
    5. Vaccines Evaluated: VPM1002 and Immuvac.
      1. Efficacy of VPM1002
        1. Extrapulmonary TB Protection: 50.4% efficacy against EPTB.
        2. Pulmonary TB Protection: 21.4% efficacy against pulmonary TB overall.
      2. Efficacy of Immuvac
        1. Overall Protection: 64.6% efficacy against all forms of TB.
        2. Children Protection: More than 60% efficacy among children aged 6–10 years.
        3. Progression Prevention: More than 60% efficacy against progression to disease among individuals with latent infection.

    Significance

    1. First-of-Its-Kind Evidence: Demonstrates efficacy against both pulmonary and extrapulmonary TB.
    2. Real-World Conditions: Large Phase III trial conducted in an Indian population.
    3. Broad Coverage: Includes multiple age groups and disease forms.

    Why is extrapulmonary TB an important policy concern?

    Extrapulmonary tuberculosis (TB) is an active Mycobacterium tuberculosis infection occurring in organs other than the lungs. It accounts for 15% to 40% of all TB cases and primarily affects lymph nodes, pleura, the spine, and the central nervous system.

    1. Hidden Burden: Harder to diagnose than pulmonary TB.
    2. Missed Cases: Frequently underreported and undetected.
    3. Higher Morbidity: Associated with severe complications and mortality.
    4. Clinical Impact: A reduction of over 50% in EPTB cases would significantly lower patient suffering and healthcare costs.
    5. Novel Evidence: Current findings provide rare vaccine efficacy data against EPTB.

    What opportunities do the findings create for children and adolescents?

    1. Strong Signal: Vaccine efficacy exceeded 60% among school-age children and adolescents.
    2. Policy Gap: India currently lacks a structured TB vaccination strategy beyond infancy.
    3. Booster Potential: Findings may support future booster-dose vaccination programmes.
    4. Disease Prevention: Offers protection before transition to adulthood, when disease burden increases.

    Why is nutrition emerging as a critical component of TB control?

    1. Low BMI Impact: Reduced vaccine efficacy observed among individuals with low Body Mass Index.
    2. Immune Function: Nutritional status influences vaccine effectiveness and disease resistance.
    3. Integrated Approach: Vaccination must be aligned with nutritional interventions.
    4. Policy Relevance: Supports strengthening nutrition-TB convergence programmes.

    What operational advantages does VPM1002 offer?

    1. Single-Dose Vaccine: Simplifies deployment.
    2. Modified BCG Platform: Uses an established vaccine platform.
    3. Manufacturing Ease: Can be produced at scale.
    4. Cost Effectiveness: Suitable for large population programmes.
    5. LMIC Relevance: Practical for resource-constrained settings.

    What lessons can India draw from previous vaccine decisions?

    1. TrueNat Example: Indigenous molecular test adopted by the National TB Elimination Programme before WHO qualification.
    2. COVID-19 Response: Covaxin received approval under a “clinical trial mode” during the pandemic to accelerate access while evidence accumulated.
    3. Rotavirus Vaccine: Indigenous vaccines were introduced despite early uncertainty and later demonstrated significant reductions in severe disease and child mortality.
    4. Policy Lesson: Timely deployment based on credible evidence can yield substantial public health gains.

    What should India’s future TB strategy look like?

    1. Targeted Vaccination: Deployment of VPM1002 and Immuvac among household contacts and high-risk groups.
    2. School-Based Vaccination: Focus on adolescents and school-going children.
    3. Preventive Therapy: Integration with latent TB treatment programmes.
    4. Nutritional Support: Strengthening nutrition interventions for vulnerable populations.
    5. Case-Based Management: Improved diagnosis and treatment adherence.
    6. Public Health Investment: Sustained funding and surveillance systems.
    7. Combination Approach: Multiple interventions rather than reliance on a single vaccine breakthrough.

    Conclusion

    The PreVenTB Trial offers a promising pathway for strengthening India’s TB elimination efforts through indigenous vaccines and targeted interventions. Achieving the goal of a TB-Mukt Bharat by 2025 and contributing to SDG 3’s target of ending the TB epidemic by 2030 will require a combination of vaccination, nutrition, early detection, and sustained public health action.

    Value Addition

    Tuberculosis (TB): Key Facts

    1. Causative Agent: Mycobacterium tuberculosis
    2. Transmission: Airborne droplets
    3. Types: Pulmonary TB and Extrapulmonary TB
    4. Latent TB: Infection without symptoms; can later progress to active disease
    5. SDG Target: End TB epidemic by 2030

    National TB Elimination Programme (NTEP)

    1. Formerly Revised National TB Control Programme (RNTCP)
    2. Based on National Strategic Plan for TB Elimination
    3. Uses molecular diagnostics and universal drug susceptibility testing
    4. Provides free diagnosis and treatment

    Major Government Initiatives

    1. Ni-kshay Portal: Facilitates digital tracking of TB patients.
    2. Ni-kshay Poshan Yojana: Provides nutritional support to TB patients.
    3. TB Mukt Bharat Abhiyan: Supports community participation in TB elimination.
    4. PM TB Mukt Bharat Abhiyan: Encourages adoption of TB patients through Ni-kshay Mitras.

  • 4 Years of Jan Samarth Portal

    Why in the news?

    Jan Samarth Portal has completed four years since its launch on 6 June 2022, marking progress in digital financial inclusion and seamless credit delivery.

    About Jan Samarth Portal

    • A single-window digital platform for credit-linked government schemes.
    • Connects:
      • Beneficiaries
      • Banks
      • Government schemes through one integrated system.
    • Objective:
      • Simplify access to institutional credit.
      • Improve financial inclusion and digital lending.
    • Sectors covered:
      • Agriculture
      • Business
      • Housing
      • Renewable energy
      • Livelihoods.

    Schemes Available on the Portal

    Agriculture and Rural Sector

    • Kisan Credit Card
    • Agriculture Infrastructure Fund
    • Agri Clinics and Agri Business Centres Scheme (ACABC)

    Business and Livelihood

    • Pradhan Mantri Mudra Yojana
    • PM SVANidhi
    • Prime Minister’s Employment Generation Programme
    • Loan for Startups

    Renewable Energy

    • Rooftop Solar Installation Financing.

    Housing

    • Home loans for:
      • Economically Weaker Sections (EWS)
      • Lower Income Group (LIG)
      • Middle Income Group (MIG)

    Scale and Impact

    • Applications Processed 54.10 lakh applications processed.
    • Loan Value ₹3,00,951 crore applications processed through the portal.
    • Digital Approvals
    • 49.55 lakh beneficiaries approved.
    • ₹2,76,493.78 crore sanctioned digitally.

    [2020] Under the Kisan Credit Card scheme, short-term credit support is given to farmers for which of the following purposes?
    1.Working capital for maintenance of farm assets
    2.Purchase of combine harvesters, tractors and mini trucks
    3.Consumption requirements of farm households
    4.Post-harvest expenses
    5.Construction of family house and setting up of village cold storage facility
    Select the correct answer using the code given below:

    [A] 1, 2 and 5 only

    [B] 1, 3 and 4 only

    [C] 2, 3, 4 and 5 only

    [D] 1, 2, 3, 4 and 5

  • Old ties, new Nepal: What India needs to negotiates

    Why in the News?

    The visit of Rabi Lamichhane, chief of Nepal’s ruling Rashtriya Swatantra Party (RSP), to India has emerged as the most significant political engagement between the two countries since Nepal’s new government assumed office. This comes at a time when Prime Minister Balen Shah has imposed restrictions on foreign travel and prioritized domestic governance, resulting in limited high-level diplomatic exchanges. 

    Why Does Lamichhane’s Visit Mark a Turning Point in India-Nepal Relations?

    Political Transition

    1. Emerging Leadership: Rabi Lamichhane represents a new generation of political actors challenging Nepal’s traditional political establishment.
    2. Changing Political Landscape: Nepal’s political discourse is increasingly shaped by younger leaders and new political formations.
    3. Generational Shift: Nepal’s median age is approximately 38 years, while decision-making is gradually moving towards younger leadership groups.

    Diplomatic Significance

    1. Highest-Level Engagement: Lamichhane’s visit constitutes the most significant political engagement since Nepal’s new government came to power.
    2. Deadlock Resolution: The visit helps break a period of limited diplomatic interaction between the two countries.
    3. Recognition of New Nepal: India acknowledges that future engagement cannot remain confined to traditional political actors.

    Priority Signal from India

    1. Strategic Importance: Prime Minister Narendra Modi conveyed that Nepal remains India’s “priority partner.”
    2. Future Cooperation: India expressed willingness to elevate bilateral relations to “greater heights.”
    3. Continuity in Engagement: New Delhi signalled that engagement will continue irrespective of changes in Nepal’s domestic political landscape.

    How Is Nepal’s New Political Leadership Different from the Traditional Establishment?

    Governance-First Approach

    1. Domestic Prioritisation: Prime Minister Balen Shah has emphasized governance reforms over foreign policy activism.
    2. Foreign Travel Restriction: Shah imposed a self-declared restriction on foreign travel during the initial phase of his tenure.
    3. Administrative Focus: Greater emphasis on domestic accountability and service delivery.

    Protocol Changes

    1. Rank-Based Engagement: Shah declared that he would not meet officials below his own rank.
    2. Departure from Convention: Represents a shift from established diplomatic practices.
    3. Assertion of Sovereignty: Reflects increasing confidence among Nepal’s new political leadership.

    Anti-Establishment Politics

    1. Political Disruption: New political actors challenge long-established parties.
    2. Youth Mobilisation: Younger voters increasingly favour alternatives to traditional elites.
    3. Institutional Reconfiguration: Nepal’s political system is experiencing a broader transition.

    Why Can India No Longer Depend Solely on Traditional Political Networks in Nepal?

    Historical Pattern

    1. Elite-Centric Engagement: India traditionally dealt with established political leaders and long-term political actors.
    2. Political Continuity: Familiar actors often alternated in government, facilitating predictable diplomacy.
    3. Institutional Comfort: New Delhi developed extensive networks with traditional parties.

    Changing Political Reality

    1. New Stakeholders: Emerging leaders possess different political priorities and constituencies.
    2. Youth Influence: Younger demographics increasingly shape electoral outcomes.
    3. Political Fragmentation: Greater diversity within Nepal’s political landscape.

    Diplomatic Adaptation

    1. Broader Outreach: India must engage across the political spectrum.
    2. Institutional Engagement: Relationships cannot depend on a limited set of actors.
    3. Long-Term Relevance: Successful diplomacy requires adaptation to Nepal’s evolving political realities.

    How Did the 2015 Constitutional Crisis Damage India’s Image in Nepal?

    Constitutional Dispute

    1. Madhesi Concerns: India raised concerns regarding representation and rights of Madhesis with strong social and cultural links to India.
    2. Constitution Drafting: Differences emerged during Nepal’s constitution-making process.
    3. Political Sensitivity: Sovereignty concerns became central to public debate.

    Border Blockade Legacy

    1. Economic Disruption: The India-Nepal border witnessed months-long disruptions.
    2. Public Hardship: Fuel shortages and supply constraints generated public dissatisfaction.
    3. Political Fallout: The episode became a defining moment in Nepalese perceptions of India.

    Trust Deficit

    1. Anti-India Sentiment: Sections of Nepal’s population viewed India as interfering in domestic affairs.
    2. Youth Perception: Negative narratives gained traction among younger Nepalese citizens.
    3. Diplomatic Challenge: Residual mistrust continues to influence bilateral relations.

    Why Has the “Big Brother” Narrative Become a Strategic Challenge for India

    1. Perception Problem
      1. Big Brother Image: India is viewed by some Nepalese groups as an overbearing neighbour.
      2. Sovereignty Concerns: Domestic political debates often invoke concerns regarding external influence.
      3. Political Mobilisation: Anti-India narratives occasionally become instruments of domestic politics.
    2. India’s Preferred Image
      1. Elder Brother Approach: India seeks to project itself as a supportive and benevolent partner.
      2. Mutual Respect: Emphasizes cooperation rather than dominance.
      3. Shared Prosperity: Focuses on development and connectivity partnerships.
    3. Strategic Consequences
      1. Influence Competition: Perceptions shape Nepal’s foreign policy choices.
      2. Youth Outreach Requirement: Future relations depend significantly on younger generations.
      3. Diplomatic Sensitivity: Managing perceptions becomes as important as managing policies.

    How Deep Is India-Nepal Interdependence Despite Political Differences?

    1. Open Border
      1. Mobility Framework: Citizens enjoy unrestricted cross-border movement.
      2. Social Integration: Facilitates extensive familial and cultural connections.
      3. Economic Benefits: Supports employment and commercial activities.
    2. Migration Linkages
      1. Nepalese in India: Approximately 80 lakh Nepalese citizens live and work in India.
      2. Indians in Nepal: Around 6 lakh Indians reside in Nepal.
      3. Human Connectivity: Creates one of the world’s most extensive people-to-people networks.
    3. Economic Interdependence
      1. Trade Relationship: India remains Nepal’s largest trading partner.
      2. Investment Flows: Indians account for nearly 30% of foreign investment in Nepal.
      3. Remittances: Estimated remittance flows amount to nearly US$3 billion from Nepal to India and US$1 billion from India to Nepal.
    4. Civilisational Bonds
      1. Shared Heritage: Common religious, cultural and historical traditions.
      2. Cross-Border Communities: Deep kinship networks across the border.
      3. Societal Integration: Civilisational links reinforce strategic relations.

    How Is China Benefiting from India’s Trust Deficit in Nepal?

    1. Geopolitical Competition
      1. Strategic Location: Nepal lies between two major Asian powers.
      2. Balancing Strategy: Kathmandu increasingly seeks leverage through diversified partnerships.
      3. Competitive Diplomacy: India and China compete for influence.
    2. China Card Diplomacy
      1. Political Instrument: Nepalese political actors increasingly use ties with China to strengthen bargaining power vis-à-vis India.
      2. Strategic Signalling: Chinese engagement provides alternatives to dependence on India.
      3. Policy Flexibility: Kathmandu seeks greater strategic autonomy.
    3. Boundary Dispute Context
      1. Territorial Claims: Nepal alleged Indian encroachment on Nepalese territory.
      2. Third-Party Involvement: Nepal sought Chinese and UN engagement on the issue.
      3. India’s Position: New Delhi firmly rejected any external role in resolving bilateral boundary matters.
    4. Institutional Penetration
      1. Diplomatic Presence: China maintains sustained engagement with Nepal’s political actors.
      2. Policy Influence: Beijing seeks long-term strategic partnerships.
      3. Regional Competition: Nepal has become an important arena of India-China competition.

    Why Is Connectivity Emerging as India’s Most Effective Diplomatic Tool?

    1. Development Partnership: Strengthens economic integration, delivers infrastructure benefits, and reinforces India’s role as a trusted development partner.
    2. Seamless Connectivity: Expands road, rail, air and digital links, facilitating trade, mobility and regional integration.
    3. Civilisational Linkages: Leverages shared cultural and religious heritage to strengthen people-to-people ties and soft power.
    4. Strategic Advantage: Generates goodwill, counters growing Chinese influence, and promotes long-term bilateral stability.

    What Should Be India’s Approach Towards the New Nepal?

    1. Respect for Sovereignty: Adopt a non-interference approach, engage all political stakeholders, and treat Nepal as an equal partner.
    2. Broad-Based Engagement: Build ties beyond traditional elites through outreach to emerging leaders, youth groups and institutions.
    3. Connectivity and Development: Expand infrastructure, digital integration and economic cooperation to deepen mutual interdependence.
    4. Trust-Based Diplomacy: Strengthen public goodwill, address historical mistrust and replace “big brother” perceptions with a partnership model.

    Conclusion

    As Nepal’s political landscape evolves, India must move beyond historical ties and engage a new generation of leaders through respect, trust and development partnership. An approach based on sovereignty, connectivity and equal partnership will be key to sustaining strong India-Nepal relations in a changing geopolitical environment.

    Value Addition

    India-Nepal Border Facts

    Border Length: 1,751 km open international border.

    Indian States Sharing Border

    1. Uttarakhand
    2. Uttar Pradesh
    3. Bihar
    4. West Bengal
    5. Sikkim

    Major India-Nepal Connectivity and Infrastructure Projects

    1. Jayanagar-Kurtha-Bijalpura Railway: Connects Jayanagar (Bihar, India) with Kurtha and Bijalpura (Madhesh Province, Nepal). It is Nepal’s first broad-gauge passenger railway and strengthens cross-border trade, mobility and regional integration.
    2. Motihari-Amlekhgunj Petroleum Pipeline: Connects Motihari (Bihar, India) with Amlekhgunj (Nepal). It is South Asia’s first cross-border petroleum pipeline and ensures reliable fuel supply while reducing transportation costs and leakages.
    3. Arun-III Hydropower Project: Located on the Arun River in Sankhuwasabha district of eastern Nepal. Developed by India’s SJVN Ltd, it strengthens bilateral energy cooperation and facilitates power exports to India.
    4. Cross-Border Transmission Lines: Includes the Muzaffarpur (Bihar)-Dhalkebar (Nepal) transmission line and new high-capacity corridors. These facilitate electricity trade and support Nepal’s emergence as a power-exporting nation.
    5. Integrated Check Posts (ICPs): Operational at Raxaul-Birgunj, Jogbani-Biratnagar, Sunauli-Bhairahawa and Nepalgunj Road-Nepalgunj. They streamline customs clearance, trade logistics and border management.
    6. Terai Road Project: India-assisted road network across Nepal’s Terai region improves connectivity along the India-Nepal border and enhances economic integration.
    7. Cross-Border Rail Corridors (Proposed/Under Development):
      1. Jogbani (Bihar)-Biratnagar (Nepal)
      2. Raxaul (Bihar)-Kathmandu Railway
      3. Nautanwa (UP)-Bhairahawa (Nepal)
    8. These projects aim to connect Nepal’s major economic centres with Indian transport networks.

    Important Border Areas Frequently in News

    1. Kalapani: Strategic Himalayan region claimed by both India and Nepal; located near the India-Nepal-China tri-junction.
    2. Lipulekh Pass: Important trade and pilgrimage route connecting India with Tibet; frequently features in territorial disputes.
    3. Limpiyadhura: Claimed by Nepal as part of its territory and included in Nepal’s revised political map in 2020.
    4. Susta: Border dispute area along the Gandak River due to changes in river course.

    Important Border Crossing Points

    1. Raxaul-Birgunj: Nepal’s busiest trade gateway; handles a major share of bilateral trade.
    2. Sunauli-Bhairahawa: Key route for trade and Buddhist tourism.
    3. Jogbani-Biratnagar: Major commercial corridor in eastern Nepal.
    4. Banbasa-Mahendranagar: Important western border crossing.
    5. Panitanki-Kakarbhitta: Connects eastern Nepal with West Bengal and the Siliguri Corridor.

    PYQ Relevance

    [UPSC 2022] “India is an age-old friend of Sri Lanka.” Discuss India’s role in the recent crisis in Sri Lanka in the light of the preceding statement.

    Linkage: The PYQ tests India’s neighbourhood policy, management of bilateral relations, and balancing of strategic interests in South Asia. Similar to Sri Lanka, the article examines how India must adapt its diplomacy towards a changing Nepal while preserving influence amid growing Chinese presence and shifting domestic politics.

  • India-U.K. Critical Minerals Partnership

    Why in the news?

    India and the United Kingdom launched the Critical Minerals Global Supply Chain Observatory (GSCO) to strengthen cooperation in critical minerals, clean energy, and resilient supply chains.

    Key Highlights

    • Observatory launched: Critical Minerals Global Supply Chain Observatory (GSCO).
    • Objective: Monitor and analyse global critical mineral supply chains using data-driven systems.
    • Aim:
      • Expand cooperation in:
        • Critical minerals
        • Technology sharing
        • Clean energy transition
        • Supply chain resilience
    • Jointly operated by:
      • Technology Innovation in Exploration and Mining Foundation (TEXMiN)
      • Indian Institute of Technology (ISM) Dhanbad
      • University of Cambridge
    • First announced during:
      • Visit of Keir Starmer to India in October 2025.
    • Indian side:
      • Union Mines Minister G. Kishan Reddy highlighted the role of the initiative in strengthening global supply chains.
    • Other areas discussed during India-U.K. talks:
      • Trade
      • Defence
      • AI
      • Climate cooperation
      • Technology
      • Education
      • People-to-people ties
    • External Affairs Minister: S. Jaishankar held discussions with U.K. Foreign Secretary Yvette Cooper.

    What are Critical Minerals?

    • Critical minerals are minerals essential for:
      • Clean energy technologies
      • Electronics
      • Defence manufacturing
      • Electric vehicles
      • Renewable energy systems
    • Examples: Lithium, Cobalt, Nickel, Graphite, and Rare Earth elements
    • Importance: Supply disruptions can affect economic and national security.

    [2025] Consider the following statements:
    I. India has joined the Minerals Security Partnership as a member.
    II. India is a resource-rich country in all the 30 critical minerals that it has identified.
    III. The Parliament in 2023 has amended the Mines and Minerals (Development and Regulation) Act, 1957 empowering the Central Government to exclusively auction mining lease and composite license for certain critical minerals.
    Which of the statements given above are correct?

    [A] I and II only

    [B] II and III only

    [C] I and III only

    [D] I, II and III