Note4Students
From UPSC perspective, the following things are important :
Prelims level: South China Sea
Mains level: India’s Necklace of Diamonds Strategy
India and Vietnam signed a MoU on mutual logistics support.
India and other such Logistics Agreements
- Logistics agreements are administrative arrangements facilitating access to military facilities for exchange of fuel.
- It provides for logistical support and increasing operational turnaround of the military when operating away from India.
- India has signed several logistics agreements including with all Quad countries, France, Singapore and South Korea beginning with the Logistics Exchange Memorandum of Agreement (LEMOA) with the U.S. in 2016.
What makes this newer agreement special?
- The MoU is the first such major agreement which Vietnam has signed with any country.
- Both nations signed key pacts including a rare 10-year vision document.
- Both have similar territorial challenges from China.
Why Vietnam is at the centre of India’s policy to counter China?
- India entered the contested region of the South China Sea via Vietnam.
- India signed an agreement with Vietnam in October 2011 to expand and promote oil exploration in the South China Sea.
- It stood by its decision despite China’s challenge to the legality of Indian presence.
- Hanoi has been publicly sparring with Beijing over its claims to the South China Sea for some years now.
- India and Vietnam share a Comprehensive Strategic Partnership since 2016 and defence cooperation is a key pillar of this partnership.
- Vietnam is an important partner in India’s Act East policy.
Significance of such ties
- If China wants to expand its presence in South Asia and the Indian Ocean region, the thinking in New Delhi goes, India can do the same thing in East Asia.
- India can develop robust ties with states on China’s periphery such as Vietnam without giving China a veto on such relationships.
Contributing factor: India’s Necklace of Diamonds Strategy
- Over the past few years, China is expanding its footprint in the Indian Ocean through its ‘Debt Trap Diplomacy’ and ‘String of Pearls Strategy’.
- Through its String of Pearls strategy, China is expanding its footprints to contain Indian hold in the Indian Ocean.
- It is creating a ring around India through strategically placed nations such as at Chittagong (Bangladesh), at Karachi, Gwadar port (Pakistan) and at Colombo, Hambantota (both in Sri Lanka) and other facilities.
What is Necklace of Diamonds Strategy?
- It strategy aims at garlanding China or in simple words, the counter encirclement strategy.
- India is expanding its naval bases and is also improving relations with strategically placed countries to counter China’s strategies.
- Under this strategy, India’s strategic bases include-
- Changi Naval Base, Singapore
- Sabang Port, Indonesia
- Duqm Port, Oman
- Assumption Island, Seychelles
- Chabahar Port, Iran
- Apart from getting direct access to the strategically placed naval bases, India is also developing new naval bases, developing the old bases to garland China.
Conclusion
- India has a perfect antidote for Chinese expansion.
- It has been successful in establishing healthy relations with all the nations on China’s periphery.
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From UPSC perspective, the following things are important :
Prelims level: Corvettes
Mains level: Indian navy modernization
The Defence Acquisition Council (DAC) has given the Acceptance of Necessity (AoN) for the procurement of next-generation Corvettes for the Indian Navy at an approximate cost of Rs 36,000 crore.
What is a Corvette?
- A Corvette is the smallest class of naval ships and it falls below the warship class of a frigate.
- These are highly agile ships and are categorised as missile boats, anti-submarine ships, coastal patrol crafts and fast attack naval vessels.
- The word corvette itself is derived from French and Dutch origin.
- During World War II, the term Corvette was used to describe vessels which had anti-submarine roles assigned to them.
- Modern Corvettes can go up to 2,000 tons in displacement which helps in keeping them agile.
What kind of Corvettes does the Indian Navy possess?
- The Indian Navy at present has the Kamorta Class Corvettes, which are also known as Project 28.
- These ships have an anti-submarine role and are manufactured at Garden Reach Shipbuilders and Engineers in Kolkata.
- The four Kamorta Class Corvettes that the Indian Navy possesses are named INS Kamorta, INS Kadmatt, INS Kiltan and INS Kavaratti.
- The first of these was commissioned in 2014 and the last one in 2020.
What new capabilities will the new generation Corvettes have?
- The next-generation Corvettes will be manufactured for various roles like surveillance missions, escort operations, deterrence, surface action group operations, search and attack and coastal defence.
- It is worth noting that these roles will be in addition to the anti-submarine roles being already performed by the existing Corvettes in the Navy.
- Corvettes will be constructed based on new in-house design of the Indian Navy using latest technology of ship buildings.
- They would contribute to further the government’s initiative of Security and Growth for all in the region (SAGAR).
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From UPSC perspective, the following things are important :
Prelims level: Dostarlimab
Mains level: NA
A trial on 18 colorectal cancer patients in the US found that cancer could be treated without chemotherapy or surgery. The world is sitting up and taking note of Dostarlimab, which has been called a wonder drug.
What is Dostarlimab?
- Dostarlimab is an experimental drug. It contains laboratory-produced molecules.
- It acts as substitute antibodies. It is sold under the brand name Jemperli.
- It was approved for medical use in the United States and the European Union in 2021.
- Its side-effects include vomiting, joint pain, itching, rash, fever etc.
What are the findings?
- The trial showed that immunotherapy alone – without any chemotherapy, radiotherapy, or surgery that have been staples of cancer treatment.
- It could completely cure the patients with a particular kind of rectal cancer called ‘mismatch repair deficient’ cancer”.
- All 12 patients had completed the treatment and were followed for six to 25 months after.
- No cases of progression or recurrence had been reported during the follow-up.
- The response too was rapid, with symptoms resolving in 81% of the patients within nine weeks of starting the therapy.
Is Dostarlimab actually very effective?
- Dostarlimab is not a new drug but a combination of drugs that are already approved for use in immunotherapy.
- There is a possibility that Dostarlimab may improve the outcome and survival rate in rectal cancer patients but to say it as a magic drug for cancer is completely going overboard.
How does this drug cure?
- PD1 is a protein that regulates immune function and can sometimes keep T cells from killing cancer cells.
- The therapy in the trial used PD1 blockades, allowing T cells to kill cancer cells.
- ‘Mismatch repair deficient’ cancer is most common among colorectal, gastrointestinal, and endometrial cancers.
- Patients suffering from this condition lack the genes to correct typos in the DNA that occur naturally while cells make copies.
- Immunotherapy belongs to a category called PD1 blockades that are now recommended for the treatment of such cancers rather than chemotherapy or radiotherapy.
Will Indian patients get access to the drug?
- At present, Indian doctors seem to be generally wary of prescribing Dostarlimab for their patients.
- Experts have termed as optimistic the findings of an ongoing trial—a group of rectal cancer patients showed no signs of a tumour after taking the drug for six months.
- None of the participants reported any severe side-effects either.
- Yet, doctors say they want to assess the duration of the response.
What do we know about the clinical trial?
- Cancer was treated in all the patients and could not be detected by physical examination, endoscopy, positron emission tomography, or magnetic resonance imaging.
- Thus, there is a thought that cancer can be treated without chemotherapy or surgery.
Is it too early to celebrate?
- Cancer specialists said initial signals show how precision medicine is building the future but they need to test more patients from different areas and other types of cancers.
- The combination of drugs was administered to a small number of patients and for a specific type of cancer.
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Note4Students
From UPSC perspective, the following things are important :
Prelims level: Features of UPI
Mains level: Not Much
The RBI has proposed to allow the linking of credit cards with the Unified Payments Interface (UPI).
Integrating Credit Cards to UPI
- The integration will first begin with the indigenous RuPay credit cards.
- Both the RuPay network and UPI are managed by the same organisation – the National Payments Corporation of India (NPCI).
What is UPI?
- UPI is an instant real-time payment system developed by National Payments Corporation of India (NPCI) facilitating inter-bank transactions.
- The interface is regulated by the Reserve Bank of India and works by instantly transferring funds between two bank accounts on a mobile platform.
Why such move?
- The linkage of UPI and credit cards could possibly result in credit card usage zooming up in India given UPI’s widespread adoption.
- The integration also opens up avenues to build credit on UPI through credit cards in India, where in the last few years, a number of startups like Slice, Uni, One etc. have emerged.
- The move could also be a push to increase adoption by banking on UPI’s large user base.
- So far, UPI could only be linked to debit cards and bank accounts.
- This will provide additional convenience to the users and enhance the scope of digital payments.
What could be the hurdles?
- There are some regulatory areas that would have to be addressed before the linkage happens.
- For instance, it is not clear how the Merchant Discount Rate (MDR) will be applied to UPI transactions done through credit cards.
- UPI and RuPay attract zero-MDR, meaning that no charges are applied to these transactions, which is a key reason behind the prolific adoption of UPI both by users and merchants.
- The norm has faced pushback from the payments industry.
- It has argued that it limits the aggregators’ ability to invest in and maintain the financial infrastructure of the payment ecosystem that they have built.
- Applicability of zero-MDR on UPI could also be a reason why other card networks such as Visa and Mastercard may not have been onboarded to UPI for credit cards yet.
Note: MDR is a fee that a merchant is charged by their issuing bank for accepting payments from their customers via credit and debit cards.
What is the big picture?
- UPI has become the most inclusive mode of payment in India with over 26 crore unique users and five crore merchants on the platform.
- The progress of UPI in recent years has been unparalleled.
- Many other countries are engaged with us in adopting similar methods in their countries.
- In May, UPI processed 5.95 billion transactions worth over Rs 10 trillion, a record high since its launch in 2016.
- NPCI is looking to soon process a billion transactions a day.
Try this PYQ from CSP 2017:
Q.Which one of the following best describes the term “Merchant Discount Rate” sometimes seen in news?
(a) The incentive given by a bank to a merchant for accepting payments through debit cards pertaining to that bank
(b) The amount paid back by banks to their customers when they use debit cards for financial transactions for purchasing goods or services
(c) The charge to a merchant by a bank for accepting payments from his customers through the bank’s debit cards
(d) The incentive is given by the Government to merchants for promoting digital payments by their customers through Point of Sale (PoS) machines and debit cards
Post your answers here.
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From UPSC perspective, the following things are important :
Prelims level: CiSS Application
Mains level: Child rights issue
The National Commission for the Protection of Child Rights (NCPCR) has launched a “CiSS application” under the Baal Swaraj portal to help in the rehabilitation process of Children in Street Situations (CiSS).
CiSS Application
- The CiSS application is used for receiving data of children in street situations from all the states and union territories, tracking their rescue and rehabilitation process.
- The initiative is taken under the direction of the Supreme Court of India.
- The program embodies Article 51 (A) of the Constitution of India, as it provides a platform to the public and organizations catering to the welfare of the children to report any child in need of assistance.
- The platform serves to collect data and report to the District Child Protection Officer (DCPO) for them to take necessary action.
- It also provides a platform for professionals and organizations to provide any help that they can to children in need.
- Help can be provided in the form of open shelters, counselling services, medical services, sponsorships, de-addiction services, education services, legal/paralegal services, volunteering etc.
Its working framework
- It categorizes any child under ‘Children in Street Situation’ if the child is living on the streets alone, living on the streets during the day, or living on the streets with the family.
- The root cause of this phenomenon is the migration of families from rural to urban areas in search of a better standard of living.
How does it work?
It follows six stages framework for the rehabilitation of children.
- Collection of the child’s details, which is accomplished through the portal.
- Social Investigating Report (SIR)e. investigating the child’s background. This is done under the supervision of the District Child Protection Unit (DCPU) by the District Child Protection Officer (DCPO) by conversing and counselling the child.
- Formulating an Individual Care Plan (ICP) for the child.
- Child Welfare Committee (CWC) based on the SIR submitted to the CWC.
- Allocating the schemes and benefits that the beneficiary can avail of.
- A checklist is made for the evaluation of the progress i.e. (Follow Ups).
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From UPSC perspective, the following things are important :
Prelims level: Environmental Performance Index
Mains level: Western anti-India lobby
India has objected to a report, called the EPI, 2022, that places the country last (along with Nigeria) on a list of 180 countries on managing climate change, environmental health, and ecosystem vitality.
Environmental Performance Index
- The report is prepared by researchers at the Yale and Columbia universities.
- It provides a data-driven summary of the state of sustainability around the world.
- Using 40 performance indicators across 11 issue categories, the EPI ranks 180 countries on climate change performance, environmental health, and ecosystem vitality.
- These indicators provide a gauge at a national scale of how close countries are to established environmental policy targets.
- The EPI offers a scorecard that highlights leaders and laggards in environmental performance and provides practical guidance for countries that aspire to move toward a sustainable future.
Why the report is inherently biased?
- The US placed itself at the 20th spot of the 22 wealthy democracies in the global west and 43rd overall.
- The relatively low ranking has put all blame on the rollback policies during the Trump administration.
- It goes on to preach that developing countries do not have to sacrifice sustainability for economic security.
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Note4Students
From UPSC perspective, the following things are important :
Prelims level: The Spratly Islands
Mains level: Paper 2- IPEF and challenges
Context
The Indo-Pacific region has been under pressure and East Asia, in particular, has had to weather repeated storms.
Background
- Recently, U.S. President Joseph Biden was on his five-day visit to Asia.
- During this visit, the new conservative South Korean government showed a willingness to expand the presence of a U.S. missile defence system in the country, which had earlier angered China.
- In Japan, the administration promised him that it was ready to do away with its long-standing 1% GDP ceiling for annual defence spending.
- Mr. Biden said at a press conference that the U.S. would intervene militarily to defend Taiwan if it came under attack from China.
- The President and members of his delegation later clarified that there is no change in the substance of American foreign policy, which is still governed by the Taiwan Relations Act.
- As per the 1979 Congressional law, the U.S. “shall provide Taiwan with arms of a defensive character” so that the region can defend itself.
- The law says nothing about the U.S. being required to step in militarily to defend Taiwan in the event of an invasion by China.
China-challenge in Indo-Pacific
- South Korea and Japan face regular nuclear and missile threats from North Korea.
- Challenge to international maritime law: China not only challenges international maritime laws in the South China Sea, but also confronts Japan over the Senkaku Islands.
- Spratly Islands dispute: Six nations, including China and Taiwan, are involved in the dispute over the Spratly Islands, which are supposedly sitting on vast reserves of oil and natural gas.
- Militarisation of disputed isles: China has vigorously militarised some portions of the disputed isles, islets and coral reefs; and countries like Vietnam and the Philippines are anxious not to be left behind.
Will IPEF framework help in tackling challenges from China?
- The US has sought to deal with China by establishing an Indo-Pacific Economic Framework (IPEF) with Australia, Brunei, India, Indonesia, Japan, South Korea, Malaysia, New Zealand, the Philippines, Singapore, Thailand, and Vietnam.
- Four pillars of IPEF: The IPEF will work on fine-tuning four major pillars: standards and rules for digital trade; resilient supply chains; green energy commitments; and fair trade.
- Issues of trade and tariffs: However, there is discontent that the framework does not address issues of trade and tariffs.
- Lack of trade component: Asian partners really want is trade, they want market access.
- And the trade component of the IPEF is really lacking.
Two facets of Indo-Pacific
- 1] Balance relations with US and China: One is that China’s neighbours would rather balance relations between Washington and Beijing.
- 2] Extent of resistance: Second is the extent to which countries in the region will want to get on the anti-China bandwagon, economic or strategic.
- Whether it is in East, Southeast or South Asia, every country has its own unique relationship with Beijing.
- India may be a part of the Quad, but is quite mindful that it is the only country in the group that shares a land border with China.
- South Korea and Japan are part of a strong American security/strategic partnership but will be keen on maintaining their economic status with China.
- This is also true for the Association of South East Asian Nations.
Conclusion
Given the complex nature of the threats and the challenges the Indo-Pacific faces, drawing up any strategy remains to be an uphill task.
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Note4Students
From UPSC perspective, the following things are important :
Prelims level: Core inflation
Mains level: Paper 3- Inflation challenge
Context
A rate hike in the monetary policy committee’s June meeting was a foregone conclusion after the spike in inflation and an off-cycle surprise interest rate hike on May 4.
Reasons fast forwarding of interest rate hike
- 1] Broad based inflation: A confluence of factors has pushed inflation higher and made it persistent and broad-based.
- 2] Policy rates are still negative: Even with this hike, the repo rate, the signalling tool for bank interest rates, is still below pre-pandemic levels.
- The real policy rate (repo rate less expected inflation) remains negative and has some distance to cover before it reaches positive territory — where the RBI would like to see it.
- 3] Lag in effect: Monetary policy impacts growth, and thereafter, inflation with a lag.
- To control inflation, the RBI needed to act faster by front loading rate hikes.
- 4] Elevated inflation expectations: The risk of inflation expectations getting unmoored had risen.
- Household and business inflation expectations remain elevated, as indicated by the RBI’s inflation expectations survey of households.
- 5] Interest rate hike in the US: The aggressive stance of the US Federal Reserve and ensuing tightening financial conditions.
- India is better placed today than in 2013 to face the Fed’s actions with a stronger forex shield.
How US Fed’s actions affect India?
- India is not insulated.
- Capital outflow: The headwinds now are stronger than in 2013 and we have seen net capital outflows since October 2021.
- S&P Global expects the US federal funds rate to be hiked to 3-3.25 per cent in 2023, higher than the pre-pandemic level, and highest since early 2008.
- Despite a strong forex hoard, the RBI has had to deploy monetary policy to mute the impact of the Fed’s actions.
Inflation and its impact
- Upward pressure on food inflation: The pressure on food inflation has increased owing to the impact of the freak heatwave on wheat, tomatoes and mangoes, which is driving prices higher.
- This is on top of rising input costs for agricultural production, the global surge in food prices and the expected sharper than usual rise in minimum support price.
- Fuel inflation will remain high, duty cuts notwithstanding, as global crude prices remain volatile at elevated levels.
- Core inflation, the barometer of demand, is a complex story.
- Goods (despite only partial pass-through of input costs) are witnessing higher inflation than services.
- That’s because services faced tighter restrictions during the Covid-19 waves, restricting their consumption and the pricing power of providers as well.
- Service categories that are mostly regulated, such as public transport, railways, water and education, have over 50 per cent weight in core services.
- However, prices of discretionary services such as airlines, cinema, lodging and other entertainment are rising.
- Transportation-related services have seen the sharpest rise in the past six months due to fuel price increases.
- Impact on the poor: For those at the bottom of the pyramid, high inflation hits harder because energy and food are a big chunk of their consumption basket.
Growth prospects
- S&P Global has recently cut the growth outlook for major economies for 2022 — that of the US to 2.4 per cent from 3.2 per cent, for Eurozone to 2.7 per cent from 3.3 per cent earlier, and for China to 4.2 per cent from 4.9 per cent.
- This will hurt exports which are very sensitive to global demand.
Monetary policy actions
- Not all aspects of supply-driven inflation can be addressed via monetary policy.
- So the authorities are complementing monetary policy actions by using the limited fiscal space to cut duties and extend subsidies to the vulnerable.
Conclusion
Monetary tightening impacts growth with a lag of at least 3-4 quarters and the fact that real interest rates are negative and borrowing rates still below pre-pandemic levels, implies monetary policy is unlikely to be growth-restrictive for this year.
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Note4Students
From UPSC perspective, the following things are important :
Prelims level: National Health Mission
Mains level: Paper 2- Reforms in healthcare
Context
The lesson emerging from the pandemic experience is that if India does not want a repeat of the immeasurable suffering and the social and economic loss, we need to make public health a central focus.
Need for institutional reforms in the health sector
- The importance of public health has been known for decades with every expert committee underscoring it.
- Ideas ranged from instituting a central public health management cadre like the IAS to adopting an institutionalised approach to diverse public health concerns — from healthy cities, enforcing road safety to immunising newborns, treating infectious diseases and promoting wellness.
- Covid has shifted the policy dialogue from health budgets and medical colleges towards much-needed institutional reform.
About National Health Mission (NHM)
- The National Health Mission (NHM) seeks to provide universal access to equitable, affordable and quality health care which is accountable, at the same time responsive, to the needs of the people, reduction of child and maternal deaths as well as population stabilization, gender and demographic balance.
- The Framework for Implementation of NUHM has been approved by the Cabinet on May 1, 2013.
- NHM encompasses two Sub-Missions, National Rural Health Mission (NRHM) and National Urban Health Mission (NUHM).
- The National Rural Health Mission (NRHM) was launched in 2005 with a view to bringing about dramatic improvement in the health system and the health status of the people, especially those who live in the rural areas of the country.
Learning from the failure of National Health Mission (NHM)
- The National Health Mission (NHM) has been in existence for about 15 years now and the health budget has trebled— though not as a proportion of the GDP.
- Despite this less than 10 per cent of the health facilities below the district level can attain the grossly minimal Indian public health standards.
- Clearly, the three-tier model of subcentres with paramedics, primary health centres with MBBS doctors and community health centres (CHC) with four to six specialists has failed.
- Lack of accountability framework: The model’s weakness is the absence of an accountability framework.
- The facilities are designed to be passive — treating those seeking care.
Suggestions
- 1] FHT: Instead of passive design of NHM, we need Family Health Teams (FHT) like in Brazil, accountable for the health and wellbeing of a dedicated population, say 2,000 families.
- The FHTs must consist of a doctor with a diploma in family medicine and a dozen trained personnel to reflect the skill base required for the 12 guaranteed services under the Ayushman Bharat scheme.
- A baseline survey of these families will provide information about those needing attention.
- Family as a unit: The team ensures a continuum of care by taking the family as a unit and ensuring its well-being over a period.
- Nudging these families to adopt lifestyle changes, following up on referrals for medical interventions and post-operative care through home visits for nursing and physiotherapy services would be their mandate.
- 2] Health cadre: The implication of and central to the success of such a reset lies in creating appropriate cadres.
- 3] Clarity to nomenclatures: There is also a need to declutter policy dialogue and provide clarity to the nomenclatures.
- Currently, public health, family medicine and public health management are used interchangeably.
- While the family doctor cures one who is sick, the public health expert prevents one from falling sick.
- The public health management specialist holds specialisation in health economics, procurement systems, inventory control, electronic data analysis and monitoring, motivational skills and team-building capabilities, public communication and time management, besides, coordinating with the various stakeholders in the field.
- 4] Move beyond doctor-led systems: India needs to move beyond the doctor-led system and paramedicalise several functions.
- Instead of wasting gynaecologists in CHCs midwives (nurses with a BSc degree and two years of training in midwifery) can provide equally good services except surgical, and can be positioned in all CHCs and PHCs.
- This will help reduce C Sections, maternal and infant mortality and out of pocket expenses.
- 5] Counsellors and physiotherapists at PHC: Lay counsellors for mental health, physiotherapists and public health nurses are critically required for addressing the multiple needs of primary health care at the family and community levels.
- 6] Review of existing system: Bringing such a transformative health system will require a comprehensive review of the existing training institutions, standardising curricula and the qualifying criteria.
- Increase spending on training: Spending on pre-service and in-service training needs to increase from the current level of about 1 per cent.
- 7] Redefining of functions: A comprehensive redefinition of functions of all personnel is required to weed out redundancies and redeploy the rewired ones.
Conclusion
Resetting the system to current day realities requires strong political leadership to go beyond the inertia of the techno-administrative status quoist structures. We can.
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