June 2022
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Health Sector – UHC, National Health Policy, Family Planning, Health Insurance, etc.

Malnutrition in India is a worry in a modern scenario

Note4Students

From UPSC perspective, the following things are important :

Prelims level: Not much

Mains level: Paper 2- Malnutrition challenge

Context

The country’s response to its burden of malnutrition and growing anaemia has to be practical and innovative.

What is malnutrition?

  • Malnutrition refers to deficiencies, excesses or imbalances in a person’s intake of energy and/or nutrients.
  • The term malnutrition covers 2 broad groups of conditions.
  • One is ‘undernutrition’—which includes stunting (low height for age), wasting (low weight for height), underweight (low weight for age) and micronutrient deficiencies or insufficiencies (a lack of important vitamins and minerals).
  • The other is overweight, obesity and diet-related non-communicable diseases (such as heart disease, stroke, diabetes, and cancer).

What are the root causes of malnutrition in India?

The following three deficits are the root cause of malnutrition in India.

1) Dietary deficit

  • There is a large dietary deficit among at least 40 per cent of our population of all age groups, shown in— the National Nutrition Monitoring Bureau’s Third Repeat Survey (2012), NFHS 4, 2015-16, the NNMB Technical Report Number 27, 2017.
  • Our current interventions are not being able to bridge this protein-calorie-micronutrient deficit.
  • The NHHS-4 and NFHS-5 surveys reveal an acute dietary deficit among infants below two years, and considerable stunting and wasting of infants below six months.
  • Unless this maternal/infant dietary deficit is addressed, we will not see rapid improvement in our nutritional indicators.

2) Information deficit at household level

  • We do not have a national IEC (information, education and communication) programme that reaches targeted households to bring about the required behavioural change regarding some basic but critical facts.
  • For example, IEC tells about the importance of balanced diets in low-income household budgets, proper maternal, child and adolescent nutrition and healthcare.

3) Inequitable market conditions

  • The largest deficit, which is a major cause of dietary deficiency and India’s chronic malnutrition, pertains to inequitable market conditions.
  • Such market conditions deny affordable and energy-fortified food to children, adolescents and adults in lower-income families.
  • The market has stacks of expensive fortified energy food and beverages for higher income groups, but nothing affordable for low-income groups.

The vicious cycle of malnutrition

  • Link with mother: A child’s nutritional status is directly linked to their mother.
  • Poor nutrition among pregnant women affects the nutritional status of the child and has a greater chance to affect future generations.
  • Impact on studies: Undernourished children are at risk of under-performing in studies and have limited job prospects.
  • Impact on development of the country: This vicious cycle restrains the development of the country, whose workforce, affected mentally and physically, has reduced work capacity.

Marginal improvement on Stunting and Wasting

  • The National Family Health Survey (NFHS-5) has shown marginal improvement in different nutrition indicators, indicating that the pace of progress is slow.
  • This is despite declining rates of poverty, increased self-sufficiency in food production, and the implementation of a range of government programmes.
  • Children in several States are more undernourished now than they were five years ago.
  • Increased stunting in some states: Stunting is defined as low height-for-age.
  • While there was some reduction in stunting rates (35.5% from 38.4% in NFHS-4) 13 States or Union Territories have seen an increase in stunted children since NFHS-4.
  • This includes Gujarat, Maharashtra, West Bengal and Kerala.
  • Wasting remains stagnant: Wasting is defined as low weight-for-height.
  • Malnutrition trends across NFHS surveys show that wasting, the most visible and life-threatening form of malnutrition, has either risen or has remained stagnant over the years.

Prevalence of anaemia in India

  • What is it? Anaemia is defined as the condition in which the number of red blood cells or the haemoglobin concentration within them is lower than normal.
  • Consequences: Anaemia has major consequences in terms of human health and development.
  • It reduces the work capacity of individuals, in turn impacting the economy and overall national growth.
  • Developing countries lose up to 4.05% in GDP per annum due to iron deficiency anaemia; India loses up to 1.18% of GDP annually.
  • The NFHS-5 survey indicates that more than 57% of women (15-49 years) and over 67% children (six-59 months) suffer from anaemia.

Way forward

1] Increase investment:

  • There is a greater need now to increase investment in women and children’s health and nutrition to ensure their sustainable development and improved quality of life.
  • Saksham Anganwadi and the Prime Minister’s Overarching Scheme for Holistic Nourishment (POSHAN) 2.0 programme have seen only a marginal increase in budgetary allocation this year (₹20,263 crore from ₹20,105 crore in 2021-22).
  • Additionally, 32% of funds released under POSHAN Abhiyaan to States and Union Territories have not been utilised.

2] Adopt outcome oriented approach on the nutrition programme

  • India must adopt an outcome-oriented approach on nutrition programmes.
  • It is crucial that parliamentarians begin monitoring needs and interventions in their constituencies and raise awareness on the issues, impact, and solutions to address the challenges at the local level.
  • Direct engagement: There has to be direct engagement with nutritionally vulnerable groups and ensuring last-mile delivery of key nutrition services and interventions.
  • This will ensure greater awareness and proper planning and implementation of programmes.
  • This can then be replicated at the district and national levels.

3] Increase awareness and mother’s education

  • With basic education and general awareness, every individual is informed, takes initiatives at the personal level and can become an agent of change.
  •  Various studies highlight a strong link between mothers’ education and improved access and compliance with nutrition interventions among children.

4] Monitoring

  • There should be a process to monitor and evaluate programmes and address systemic and on the ground challenges.
  • A new or existing committee or the relevant standing committees meet and deliberate over effective policy decisions, monitor the implementation of schemes, and review nutritional status across States.

Conclusion

We must ensure our young population has a competitive advantage; nutrition and health are foundational to that outcome.

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Health Sector – UHC, National Health Policy, Family Planning, Health Insurance, etc.

Accessible India Campaign

Note4Students

From UPSC perspective, the following things are important :

Prelims level: Accessible India Campaign

Mains level: Facilitating PWDs

With its deadline of June 2022 almost up, the status of targets under the Accessible India Campaign (AIC) is likely to be discussed during a meeting of the Central Advisory Board on Disability.

What is Accessible India Campaign?

  • Accessible India Campaign or Sugamya Bharat Abhiyan is a program that is launched to serve the differently-able community of the country.
  • The flagship program has been launched on 3 December 2015, the International Day of People with Disabilities.
  • The program comes with an index to measure the design of disabled-friendly buildings and human resource policies.
  • The initiative also in line with Article 9 of the (UN Convention on the Rights of Persons with Disabilities) which India is a signatory since 2007.
  • The scheme also comes under the Persons with Disabilities Act, 1995 for equal Opportunities and protection of rights which provides non-discrimination in Transport to Persons with Disabilities.

Recent developments

  • The Central Public Works Department (CPWD) released the Harmonised Guidelines and Standards for Universal Accessibility in India 2021.
  • Drafted by a team of the IIT-Roorkee and the National Institute of Urban Affairs of the MoHUA, the revised guidelines aim to give a holistic approach.
  • Earlier, the guidelines were for creating a barrier-free environment, but now they are focusing on universal accessibility.

Key highlights

  • Ramps: The guidelines provide the gradient and length of ramps — for example, for a length of six metres, the gradient should be 1:12. The minimum clear width of a ramp should be 1,200 mm.
  • Beyond PwDs: While making public buildings and transport fully accessible for wheelchair users is covered in the guidelines, other users who may experience temporary problems have also been considered. For instance, a parent pushing a child’s pram while carrying groceries or other bags, and women wearing saris.
  • Women friendly: Built environment needs for accessibility for women should consider diverse age groups, diverse cultural contexts and diverse life situations in which women operate. Diverse forms of clothing (saris, salwar-kameez, etc.) and footwear (heels, kolhapuri chappals, etc.) require a certain orientations.
  • Accessibility symbols: The guidelines call for accessibility symbols for PwD, family-friendly facilities and transgender to be inclusively incorporated among the symbols for other user groups.
  • Targeted authorities: The guidelines are meant for State governments, government departments and the private sector, as well as for reference by architecture and planning institutes.

Policy measures for PwDs

  • India is a signatory to the UN Convention the Right of Persons with Disabilities, which came into force in 2007.
  • The Union Minister for Social justice and Empowerment has also launched the Sugamya Bharat App to complain for ease accessibility for PwDs.
  • India has its dedicated the Rights of Persons with Disabilities Act, 2016, which is the principal and comprehensive legislation concerning persons with disabilities.

 

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Police Reforms – SC directives, NPC, other committees reports

What are Mutual Legal Assistance Treaties (MLATs)?

Note4Students

From UPSC perspective, the following things are important :

Prelims level: Mutual Legal Assistance Treaties (MLATs)

Mains level: Prevention of juvenile crimes

The CBI is in the process of sending requests to several countries seeking information under the MLATs about those involved in the online sexual abuse of minors and circulation of child pornographic material on social media platforms.

What are MLATs?

  • The MLATs in criminal matters are the bilateral treaties entered between the countries for providing international cooperation and assistance.
  • These agreements allow for the exchange of evidence and information in criminal and related matters between the signing countries.

Benefits of Treaty

  • It enhances the effectiveness of participating countries in the investigation and prosecution of crime, through cooperation and mutual legal assistance.
  • It will provide a broad legal framework for tracing, restrain and confiscation of proceeds and instruments of crime as well as the funds meant to finance terrorist acts.
  • It will be instrumental in gaining better inputs and insights in the modus operandi of organized criminals and terrorists.
  • These in turn can be used to fine-tune policy decisions in the field of internal security.

Enforcing MLATs in India

  • The Ministry of Home Affairs (MHA) is the nodal Ministry and the Central authority for seeking and providing mutual legal assistance in criminal law matters.
  • The Ministry of External Affairs (MEA) may be involved in this process when such requests are routed through diplomatic channels by these Ministries.
  • Section 105 of the Criminal Procedure Code (CrPC) speaks of reciprocal arrangements to be made by the Centre with the Foreign Governments

 

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International Space Agencies – Missions and Discoveries

Chinese astronauts enter Tiangong Space Station

Note4Students

From UPSC perspective, the following things are important :

Prelims level: Tiangong space station

Mains level: Not Much

Three Chinese astronauts floated into the country’s new Tiangong space station for a three-month mission.

Tiangong Space Station

  • Tiangong means “Heavenly Palace”.
  • It was 10.4 metres long and 3.35 metres wide at its widest point, and weighed 8.6 metric tonnes.
  • It was launched on September 15, 2016 and, in late 2016, hosted two Chinese astronauts for 30 days in what was China’s longest manned space mission so far.
  • The recently decommissioned space lab followed the Tiangong-1, China’s first space station, which crashed into the southern Pacific Ocean on April 1, 2018 after Chinese scientists lost control of the spacecraft.
  • China had launched Tiangong-1 in 2011 as proof-of-concept of technologies for future stations.
  • The Tiangong will be fully operational by the end of 2022.

Features of this Space Station

  • The significant feature of Tiangong is its two robotic arms.
  • The US has previously expressed concern over its ability to grab objects including satellites from space.
  • The 10-meter-long arm was in action previously seen in action successfully grabbing and moving a 20 tonne Tianzhou-2 cargo ship in a test.
  • One of the noteworthy tasks for the Shenzhou-14 crew is to test and operate the large and small
  • The small arm is quite flexible and can perform operations with greater precision.

 

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Innovations in Sciences, IT, Computers, Robotics and Nanotechnology

What are eVTOL Aircrafts?

Note4Students

From UPSC perspective, the following things are important :

Prelims level: eVTOL Aircrafts

Mains level: Not Much

The Union Civil Aviation Ministry is exploring the possibility of inviting manufacturers of Electric Vertical Take-off and Landing (eVTOL) aircraft to set up base in India.

What is eVTOL?

  • EVTOL aircraft is one that uses electric power to hover, take off, and land vertically.
  • Most eVTOLs also use what is called as distributed electric propulsion technology which means integrating a complex propulsion system with the airframe.
  • There are multiple motors for various functions; to increase efficiency; and to also ensure safety.
  • It works on electric propulsion based on progress in motor, battery, fuel cell and electronic controller technologies.
  • It is also fuelled by the need for new vehicle technology that ensures urban air mobility (UAM).

Features of eVTOL

  • eVTOL is emerging as a runway independent technological solution” for the globe’s transportation needs.
  • There are an estimated 250 eVTOL concepts or more being fine-tuned to bring alive the concept of UAM.
  • Some of these include the use of multi-rotors, fixed-wing and tilt-wing concepts backed by sensors, cameras and even radar.
  • The key word here is “autonomous connectivity”. Some of these are in various test phases.
  • In short, eVTOLs have been likened to “a third wave in an aerial revolution”; the first being the advent of commercial flying, and the second, the age of helicopters.

What are the developments in powering eVTOLs?

  • The roles eVTOLs adopt depends on battery technology and the limits of onboard electric power.
  • Power is required during the key phases of flight such as take-off, landing and flight (especially in high wind conditions).
  • There is a “Diamond Nuclear Voltaic (DNV) technology” using minute amounts of carbon-14 nuclear waste encased in layered industrial diamonds to create self-charging batteries.
  • There are some industry experts who are questioning the use of only batteries and are looking at hybrid technologies such as hydrogen cells and batteries depending on the flight mission.

What are the challenges?

  • As the technology so far is a mix of unpiloted and piloted aircraft, the areas in focus include “crash prevention systems”.
  • There are also issues such as ensuring safety in case of power plant or rotor failure.
  • Aircraft protection from cyberattacks is another area of focus.
  • A third area is in navigation and flight safety and the use of technology when operating in difficult terrain, unsafe operating environments, and also bad weather.

 

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Wildlife Conservation Efforts

World’s first Fishing Cat Census done in Chilika

Note4Students

From UPSC perspective, the following things are important :

Prelims level: Fishing Cats

Mains level: Not Much

The Chilika Lake, Asia’s largest brackish water lagoon, has 176 fishing cats, according to a census done by the Chilika Development Authority (CDA) in collaboration with the Fishing Cat Project (TFCP).

About Fishing Cats

  • About twice the size of a typical house cat, the fishing cat is a feline with a powerful build and stocky legs.
  • It is an adept swimmer and enters water frequently to prey on fish as its name suggests.
  • It is known to even dive to catch fish.
  • It is nocturnal and apart from fish also preys on frogs, crustaceans, snakes, birds, and scavenges on carcasses of larger animals.
  • It is capable of breeding all year round but in India its peak breeding season is known to be between March and May.

Conservation status

  • IUCN Red List: Endangered
  • CITES: Appendix II
  • Indian Wildlife (Protection) Act, 1972: Schedule I

Various threats

  • One of the major threats facing the fishing cat is the destruction of wetlands, which is its preferred habitat.
  • As a result of human settlement, drainage for agriculture, pollution, and wood-cutting most of the wetlands in India are under threat of destruction.
  • Another threat to the fishing cat is the depletion of its main prey-fish due to unsustainable fishing practices.
  • It is also occasionally poached for its skin.

Back2Basics: Chilika Lake

  • Chilika Lake is a brackish water lagoon, spread over the Puri, Khurda and Ganjam districts of Odisha.
  • It is located at the mouth of the Daya River, flowing into the Bay of Bengal, covering an area of over 1,100 km2.
  • It is the largest coastal lagoon in India and the largest brackish water lagoon in the world after The New Caledonian barrier reef.
  • It has been listed Ramsar Site as well as a tentative UNESCO World Heritage site.

Its formation

  • The process of the formation of the Chilika might have begun in the latter part of the Pleistocene epoch, around 20,000 years ago.
  • India’s peninsular river Mahanadi carried a heavy load of silt and dumped part of it at its delta.
  • As the sediment-laden river met the Bay of Bengal, sand bars were formed near its mouth.
  • These created a backflow of the seawater into the sluggish fresh water at the estuary, resulting in the huge brackish water lake.
  • Marine archaeological studies on the Odisha coast clearly show that the Chilika once acted as a safe harbor for cargo ships bound for Southeast Asia and other parts of the world.

 

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Agricultural Sector and Marketing Reforms – eNAM, Model APMC Act, Eco Survey Reco, etc.

How to keep inflation under control

Note4Students

From UPSC perspective, the following things are important :

Prelims level: Not much

Mains level: Paper 3- Tackling inflation

Context

The economy now seems to be largely out of the shadow of Covid-19, and only a notch better than in 2019-20. But the big question remains: can India rein in the raging inflation that is at 7.8 per cent (CPI for April 2022), with food CPI at 8.4 percent, and WPI at more than 15 per cent?

Need for bold steps on three fronts to tackle inflation

  • Unless bold and innovative steps are taken at least on three fronts, GDP growth and inflation both are likely to be in the range of 6.5 to 7.5 per cent in 2022-23.
  • 1] Tightening of loose monetary policy: The Reserve Bank of India (RBI) is mandated to keep inflation at 4 per cent, plus-minus 2 per cent.
  • The RBI has already started the process of tightening monetary policy by raising the repo rate, albeit a bit late.
  • It is expected that by the end of 2022-3, the repo rate will be at least 5.5 per cent, if not more.
  • It will still stay below the likely inflation rate and therefore depositors will still lose the real value of their money in banks with negative real interest rates.
  • That only reflects an inbuilt bias in the system — in favour of entrepreneurs in the name of growth and against depositors, which ultimately results in increasing inequality in the system.
  • 2] Prudent fiscal policy: Fiscal policy has been running loose in the wake of Covid-19 that saw the fiscal deficit of the Union government soar to more than 9 per cent in 2020-21 and 6.7 per cent in 2021-22, but now needs to be tightened.
  • Government needs to reduce its fiscal deficit to less than 5 per cent, never mind the FRMB Act’s advice to bring it to 3 per cent of GDP.
  • However, it is difficult to achieve when enhanced food and fertiliser subsidies, and cuts in duties of petrol and diesel will cost the government at least Rs 3 trillion more than what was provisioned in the budget.
  • 3] Rational trade policy: Export restrictions/bans go beyond agri-commodities, even to iron ore and steel, etc. in the name of taming inflation.
  • But abrupt export bans are poor trade policy and reflect only the panic-stricken face of the government.
  • A more mature approach to filter exports would be through a gradual process of minimum export prices and transparent export duties for short periods of time, rather than abrupt bans, if at all these are desperately needed to favour consumers.
  • Liberal import policy: A prudent solution to moderate inflation at home lies in a liberal import policy, reducing tariffs across board.

Way forward

  • If India wants to be atmanirbhar (self-reliant) in critical commodities where import dependence is unduly high, it must focus on two oils — crude oil and edible oils.
  • In crude oil, India is almost 80 per cent dependent on imports and in edible oils imports constitute 55 to 60 per cent of our domestic consumption.
  • In both cases, agriculture can help.
  • Ethanol production: Massive production of ethanol from sugarcane and maize, especially in eastern Uttar Pradesh and north Bihar, where water is abundant and the water table is replenished every second year or so through light floods, is the way to reduce import dependence in crude oil.
  • Palm plantation: In the case of edible oils, a large programme of palm plantations in coastal areas and the northeast is the right strategy.

Conclusion

We need to invest in raising productivity, making agri-markets work more efficiently.

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