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  • 100 years of periyar because of whom tamil nadu became modern and progressive

    PeriyarContext

    • We celebrate Periyar E.V. Ramasamy’s birth anniversary (September 17) as Social Justice Day.

    Who is periyar?

    • Erode Venkatappa Ramasamy, revered as Periyar or Thanthai Periyar, was an Indian social activist and politician who started the Self-Respect Movement and Dravidar Kazhagam. He is known as the ‘Father of the Dravidian movement’. He rebelled against Brahminical dominance and gender and caste inequality in Tamil Nadu.

    Who started self-respect movement?

    • The self-respect movement was founded by V.Ramaswamy Naicker, commonly known as Periyar. It was a dynamic social movement aimed at destroying the contemporary Hindu social order in its totality and creating a new, rational society without caste, religion and god.

    PeriyarWhy Periyar is called as vaikom hero?

    • V. Ramasamy Periyar led the famous Vaikom Sathya Graha in 1924, where the people of down trodden community were prohibited to enter into the temple. Finally the Travancore government relaxed such segregation and allowed the people to enter into the temple. Hence periyar was given the title of ‘Vaikom Hero’.

    Leadership at a critical juncture

    • The satyagraha began with the active support of the Kerala Pradesh Congress Committee.
    • Within a week all its leaders were behind bars. George Joseph sought directions from Gandhi and C. Rajagopalachari. He also wrote to Periyar pleading with him to lead the satyagraha.
    • Periyar was in the midst of political work. As he was then the president of the Tamil Nadu Congress Committee, Periyar handed over temporary charge to Rajaji before reaching Vaikom in 1924.
    • From that date to the day of the victory celebrations in 1925, he was in the struggle giving it leadership at a critical juncture.

    PeriyarPeriyar’s role

    • Against violence – Periyar presided over the satyagraha in the face of violence and indignity inflicted by the orthodox and the repression of the police.
    • Mobilising – To mobilise support, he visited villages in and around Vaikom and delivered public speeches in several towns.
    • Gandhi – When the Kerala leaders asked for Gandhi’s permission to make the satyagraha an all-India affair, Gandhi refused saying that volunteers from Tamil Nadu would keep it alive.
    • In reports – the British Resident said in his report to the government of Madras: “In fact, the movement would have collapsed long ago but for the support it has received from outside Travancore…”
    • Historian T.K. Ravindran — observes that Periyar’s arrival gave “a new life to the movement”.

    His Vision for the future

    • Ideas on rationality: When he presented his thoughts, there was nuance, honesty, and an explicitness, which prompted even people practising different faiths to discuss and debate his ideas on rationality and religion.
    • Freedom of expression: Periyar himself said, “Everyone has the right to refute any opinion. But no one has the right to prevent its expression.”
    • Eradication of social evils: Periyar is often referred to as an iconoclast, for the rebellious nature of his ideas and the vigour with which he acted. His vision for the future was a part of all his actions. He did not merely aim at the eradication of social evils; he also wanted to put an end to activities that do not collectively raise standards of society.

    Foundation of rationalism

    • He understood the evolution of political thought: Periyar’s vision was about inclusive growth and freedom of individuals. He was an important ideologue of his day because of the clarity in his political stand. More importantly, he understood the evolution of political thought and was able to glide through time with this.
    • He presented rationalism as a solid foundation: For thinking along these lines. He said, “Wisdom lies in thinking. The spearhead of thinking is rationalism.” Periyar was way ahead of his time.
    • Concern towards poor: “Whomsoever I love and hate, my principle is the same. That is, the educated, the rich and the administrators should not suck the blood of the poor.”
    • Periyar proclaimed that he would always stand with the oppressed: In the fight against oppressors and that his enemy was oppression. There have been several social reformers in Tamil Nadu who shared their revolutionary thoughts with the people in the past century. In that spectrum, Periyar occupies a unique place because he made interactions of multiple worlds possible.

    Periyar said, “Any opposition not based on rationalism or science or experience, will one day or other, reveal the fraud, selfishness, lies, and conspiracies.”

    Conclusion

    • His works against the Bhraminical dominance, oppression of women in Tamil Nadu, caste prevalence are exemplary. Periyar promoted the principles of rationalism, self-respect, women’s rights and eradication of caste. He opposed the exploitation and marginalisation of the people of South India and the imposition of what he considered Indo-Aryan India.

    Mains question

    Q.Discuss the future vision of periyar by discussing his role in vaikom satyagraha. Do you think he has placed foundation of rationalism in Tamil Nadu?

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  • (Download) UPSC Mains 2022: GS-1 question paper PDF | 85% of Questions in GS-1 directly from CD’s test series & Samachar Manthan

    (Download) UPSC Mains 2022: GS-1 question paper PDF | 85% of Questions in GS-1 directly from CD’s test series & Samachar Manthan

    Civilsdaily firmly believes that a dream can’t become reality through magic. It takes sweat, dual-sided determination, and the hard work of both mentors and students. Doing the best in 2021 puts them in the best place for 2022. 

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    GS-1 Question Paper of IAS mains 2022

    Ques1. स्पष्ट करें कि मध्यकालीन भारतीय मंदिरों की मूर्तिकला उस दौर के सामाजिक जीवन का प्रतिनिधित्व करती है। (150 शब्दों में उत्तर दें)

    Ques 1. How will you explain that medieval Indian temple sculptures represent the social life of those days ? (Answer in 150 words)

    Ques2. अधिकांश भारतीय सिपाहियों वाली ईस्ट इंडिया की सेना क्यों तत्कालीन भारतीय शासकों की संख्याबल में अधिक और बेहतर सुसज्जित सेना से लगातार जीतती रही ? कारण बताएँ । (150 शब्दों में उत्तर दें)

    Why did the armies of the British East India Company – mostly comprising of Indian soldiers – win consistently against the more numerous and better equipped armies of the then Indian rulers ? Give reasons. (Answer in 150 words)

    Ques3. औपनिवेशिक भारत की अठारहवीं शताब्दी के मध्य से क्यों अकाल पड़ने में अचानक वृद्धि देखने को मिलती है ? कारण बताएँ। (150 शब्दों में उत्तर दें)

    Why was there a sudden spurt in famines in colonial India since the mid-eighteenth century? Give reasons. (Answer in 150 words)

    4. प्राथमिक चट्टानों की विशेषताओं एवं प्रकारों का वर्णन कीजिए। (150 शब्दों में उत्तर दें)

    Describe the characteristics and types of primary rocks. ( Answer in 150 words)

    5. भारतीय मौसम विज्ञान विभाग द्वारा चक्रवात प्रवण क्षेत्रों के लिए मौसम-सम्बन्धी चेतावनियों के लिए निर्धारित रंग-संकेत के अर्थ की चर्चा करें। (150 शब्दों में उत्तर दें)

    Discuss the meaning of color-coded weather warnings for cyclone-prone areas given by the India Meteorological Department. ( Answer in 150 words)

    6. ‘दक्कन ट्रैप’ की प्राकृतिक संसाधन-सम्भावनाओं की चर्चा कीजिए । ( 150 शब्दों में उत्तर दें)

    Discuss the natural resource potentials of Deccan Trap’. (Answer in 150 words)

    7. भारत में पवन ऊर्जा की संभावना का परीक्षण कीजिए एवं उनके सीमित क्षेत्रीय विस्तार के कारणों को समझाइए। ( 150 शब्दों में उत्तर दें)

    Examine the potential of wind energy in India and explain the reasons for their limited spatial spread. (Answer in 150 words)

    8. पारिवारिक सम्बन्धों पर ‘वर्क फ्रॉम होम’ के असर की छानबीन तथा मूल्यांकन करें। (150 शब्दों में उत्तर दें)

    Explore and evaluate the impact of ‘Work From Home on family relationships. (Answer in 150 words)

    9. उपभोक्ता संस्कृति के विशेष परिप्रेक्ष्य में नव मध्यवर्ग के उभार से टीयर 2 शहरों का विकास। किस तरह सम्बन्धित है ? (150 शब्दों में उत्तर दें)

    How is the growth of Tier 2 cities related to the rise of a new middle class with an emphasis on the culture of consumption ? (Answer in 150 words)

    10. भारत के जनजातीय समुदायों की विविधताओं को देखते हुए किस विशिष्ट सन्दर्भ के अन्तर्गत उन्हें किसी एकल श्रेणी में माना जाना चाहिए ? (150 शब्दों में उत्तर दें)

    Given the diversities among tribal communities in India, in which specific contexts 10 should they be considered as a single category? (Answer in 150 words)

    11. राज्यों एवं प्रदेशों का राजनीतिक और प्रशासनिक पुनर्गठन उन्नीसवीं शताब्दी के मध्य से निरंतर चल रही एक प्रक्रिया है। उदाहरण सहित विचार करें। (250 शब्दों में उत्तर दें)

    The political and administrative reorganization of states and territories has been a continuous ongoing process since the mid-nineteenth century. Discuss with examples. (Answer in 250 words) 

    12. भारतीय परम्परा और संस्कृति में गुप्त काल और चोल-काल के योगदान पर चर्चा करें । (250 शब्दों में उत्तर दें) 

    Discuss the main contributions of the Gupta period and the Chola period to Indian heritage and culture. (Answer in 250 words) 

    13.  भारतीय मिथक, कला और वास्तुकला में सिंह एवं वृषभ की आकृतियों के महत्व पर विचार करें । (250 शब्दों में उत्तर दें) 

    Discuss the significance of the lion and bull figures in Indian mythology, art, and architecture. (Answer in 250 words) 

    14. समुद्री धाराओं को प्रभावित करने वाली शक्तियों कौन सी हैं ? विश्व के मत्स्य उद्योग में इनके योगदान का वर्णन करें। (250 शब्दों में उत्तर दें) 

    What are the forces that influence ocean currents? Describe their role in the fishing industry of the world. (Answer in 250 words) 

    15. रबर उत्पादक देशों के वितरण का वर्णन करते हुए उनके द्वारा सामना किए जाने वाले प्रमुख पर्यावरणीय मुद्दों को इंगित कीजिए। (250 शब्दों में उत्तर दें)

    Describing the distribution of rubber-producing countries, indicate the major environmental issues faced by them. ( Answer in 250 words)

    16. अंतर्राष्ट्रीय व्यापार में जलसंधि व स्थलसंधि के महत्त्व का उल्लेख कीजिए । (250 शब्दों में उत्तर दें)

    Mention the significance of straits and isthmus in international trade. (Answer in 250 words)

    17. क्षोभमंडल वायुमंडल का एक महत्त्वपूर्ण परत है जो मौसम प्रक्रियाओं को निर्धारित करता है। कैसे ? (250 शब्दों में उत्तर दें)

    Troposphere is a very significant atmospheric layer that determines weather 15 processes. How? (Answer in 250 words)

    18. भारतीय समाज में जाति, क्षेत्र तथा धर्म के समानांतर ‘पंथ’ की विशेषता की विवेचना कीजिए । (250 शब्दों में उत्तर दें) 

    Analyse the salience of ‘sect’ in Indian society vis-a-vis caste, region and religion. (Answer in 250 words)

    19. क्या सहिष्णुता, सम्मिलन एवं बहुलता मुख्य तत्त्व हैं जो धर्मनिरपेक्षता के भारतीय रूप का निर्माण करते हैं ? तर्कसंगत उत्तर दें। (250 शब्दों में उत्तर दें)

    Are tolerance, assimilation, and pluralism the key elements in the making of an Indian form of secularism? Justify your answer. ( Answer in 250 words) 

    20. अपर्याप्त संसाधनों की दुनिया में भूमंडलीकरण एवं नए तकनीक के रिश्ते को भारत के विशेष सन्दर्भ में स्पष्ट करें। (250 शब्दों में उत्तर दें)

    Elucidate the relationship between globalization and new technology in a world of scarce resources, with special reference to India. (Answer in 250 words)



    1


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    What The Hindu mentioned about Civilsdaily Mentorship

  • How lower fertility rate hampers demographic dividend in number of ways

    fertility rateContext

    • Though the Global population, in terms of numbers, has been steadily increasing the average global fertility rate has been consistently declining over the past 70 years.

    What Reports say?

    • Reports suggest that the global population could grow to around 8.5 billion in 2030.
    • According to the World Population Prospects 2022, Average number of children per woman in the reproductive age group has declined by 50%, from an average of five children per woman in 1951 to4 children in 2020.

    What is Fertility?

    • Fertility is the quality or state of being fertile.
    • Fertility is the ability to reproduce through normal sexual interaction. In other words it is the natural capacity to conceive a biological child.
    • Fertilitychanges with age. Both males and females become fertile in their teens following puberty.

    fertility rate What is fertility rate?

    • The number of live births in women over a specific length of time.
    • Total fertility rate is the average number of children born to a woman during her lifetime.

    Recent findings

    The newly released World Population Prospectus notes that the global fertility rate fell from three in 1990 to 2.3 in 2021.

    Overview of fertility dynamics

    • Reason: Speeding up the social phenomenon of demographic transition.
    • Poorer countries: speeding up the Transition a lot faster than the richer ones.
    • Britain: Took 130 years to transition from a fertility rate of five per woman in 1800 to two in 1930, whereas
    • South Korea: Took 20 years from 1965 to 1985 to achieve the same. South Korea reporting the lowest fertility rate, 1.05 children per woman.
    • Most advanced economies: Have their fertility rate below the replacement rate of 2.1.
    • Sub-Saharan African countries: Expected to contribute more than half the population growth after 2050 and grow through 2100. For example, Niger a sub Saharan country with highest fertility rate in the world, estimated to be 91 children per woman.
    • What is Demographic transition: is a long-term trend of declining birth and death rate. It is shift from high birth rates to low birth rates in societies with minimal technology, education (especially of women) and economic development and from high death rates to Low death rates in societies with advanced economies and development.

    fertility rate
    Where India Stands

    • According to National Family Health Survey (NFHS), fertility rate falling below the replacement level for the first time to 2.0 in 2021.dropped from 2.2 to 2.0.
    • only five States have a fertility rate above the replacement rate: Bihar (3), Meghalaya (2.9), Uttar Pradesh (2.4), Jharkhand (2.3), and Manipur (2.2)
    • At the time of Independence, India’s fertility rate was six per woman, and it had taken 25 years to reach five, with the government launching the first ever family planning program in the world in 1952.
    • India’s fertility further declined to four in the 1990s when Kerala became the first State in India to have a fertility rate below replacement l
    • Increased use of contraception, more years of average schooling, better health care, and an increase in the mean marriage age of women are of the reasons behind the steady dip in fertility rate.

    Lower fertility rate as cause and consequences on the economy

    Positive impact:

    • Lower fertility leads to rise in women’s education.
    • Window of time where the ration of working-age population is higher than that of the dependent age groups.
    • This high proportion of people in the workforce boosts income and investment, and higher level of saving.
    • Lower pressure on land, water and other resources and would also contribute to achieving environmental goals.
    • Advanced health care and better nutrition, results in increased life expectancy and productivity of citizens.

     

    Negative impact:

    • Lower fertility impacts women’s education positively, which in turn lowers the fertility of the next generations.
    • While the income rises with better health care and better infrastructure development, Fertility drops.
    • A fall in fertility rate beyond replacement level would have a negative effect on the proportion of the working population, which in turn will affect output in an economy.
    • After the window of demographic dividend, the huge working age population moves to old age, supported by fewer workers.
    • Japan was the first country to experience the implications of falling fertility rates. Country is now facing fiscal challenges to meet rising social security costs.

    Experiments to deal with fertility decline

    Countries across the globe are experimenting with policies to boost fertility.

    • Germany: found success in boosting births through liberal labour laws, allowing more parental leave and benefits.
    • Denmark: offering state-funded IVF for women below 40 years
    • Hungary: Recently nationalized IVF clinics.
    • Poland: Gives out monthly cash payments to parents having more than two children
    • Russia: Makes one-time payment to parents when their second child is born. Reinstituted the Soviet-era ‘Mother Heroine’ title, who bore and raised more than 10 children amounting to almost a one-time payment of 13 lakh.

    Way ahead

    • Need of the hour is to ensure liberal labor reforms, encourage higher female labor force participation, higher focus on nutrition and health.
    • Although India’s working age population will continue to grow for many more decades, it would need to keep an eye on fertility dips.

    Mains Question

    What are Implications of lower fertility rate on the economy? What steps could be taken to deal with fertility decline? Discuss.

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  • How to prepare for UPSC  2023 even if you’ve just started preparation? | Parth sir’s Masterclass | FREE Preparatory Package & a Detailed Blueprint for the next 8 months

    How to prepare for UPSC 2023 even if you’ve just started preparation? | Parth sir’s Masterclass | FREE Preparatory Package & a Detailed Blueprint for the next 8 months

    Register for the recorded session

    To make this a holistic learning experience we have a special FREE preparatory package for you. Details below.


    UPSC Prelims 2023 is scheduled for May 28th, 2023. That’s just 8 months away. As an aspirant, even if you are a beginner you might have already started preparation, some of you are taking a repeat attempt after a failed one in 2022.

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    Time isn’t the main thing, it’s the only thing

    For beginners who are going to have 2023 as their first UPSC attempt, we know you are confused and have a lot of questions in your mind. Not only on the best sources, the best strategy but also on how to execute and go about it.

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    Key Takeaways of Masterclass with Parth Verma, Senior Mentor and Core faculty of Civilsdaily. Other than those mentioned above we will be discussing the following points:

    1. Analysing the trend of UPSC and devising an evolving adaptive strategy.

    2. How to cover the syllabus? The syllabus, not the books, must be completed. Focussing on the essentials first.

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    6. The skill of taking notes. What topics necessitate notes and which do not?

    7. Working hard in the right direction vs. working hard in the wrong direction Is it possible to be successful solely by studying hard?

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    9. Revision techniques that are common, standard, and used frequently. What exactly are they?


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    As a part of this Masterclass by Parth sir you are entitled to these:

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    What The Hindu mentioned about Civilsdaily Mentorship

  • SC seeks Centre’s reply on issue of Marital Rape

    The Supreme Court has sought a response from the government on appeals to criminalize marital rape.

    Split opinions on Marital Rape

    rape

    • This follows a split decision from the Delhi High Court on whether or not to prosecute husbands for non-consensual intercourse with their wives.

    What is Marital Rape?

    • Marital rape is the act of sexual intercourse with one’s spouse without her consent.
    • It is no different manifestation of domestic violence and sexual abuse.
    • It is often a chronic form of violence for the victim which takes place within abusive relations.

    Status in India

    • Historically considered as right of the spouses, this is now widely classified as rape by many societies around the world.
    • In India, marital rape is not a criminal offense (as protected under IPC section 375).
    • India is one of fifty countries that have not yet outlawed marital rape.

    Reasons for disapproval of this concept

    • The reluctance to define non-consensual sex between married couples as a crime and to prosecute has been attributed to:
    1. Traditional views of marriage
    2. Interpretations of religious doctrines
    3. Ideas about male and female sexuality
    4. Cultural expectations of subordination of a wife to her husband
    • It is widely held that a husband cannot be guilty of any sexual act committed by himself upon his lawful wife their on account of their mutual matrimonial consent.

    Why it must be a crime?

    • Associated physical violence: Rape by a spouse, partner or ex-partner is more often associated with physical violence.
    • Mental harassment: There is research showing that marital rape can be more emotionally and physically damaging than rape by a stranger.
    • Compulsive relationship: Marital rape may occur as part of an abusive relationship.
    • Revengeful nature: Furthermore, marital rape is rarely a one-time event, but a repeated if not frequent occurrence.
    • Obligation on women: In the case of marital rape the victim often has no choice but to continue living with their spouse.

    Violation of fundamental rights

    • Marital rape is considered as the violation of FR guaranteed under Article 14 of the Indian constitution which guarantees the equal protection of laws to all persons.
    • By depriving married women of an effective penal remedy against forced sexual intercourse, it violates their right to privacy and bodily integrity, aspects of the right to life and personal liberty under Article 21.

    Problems in prosecuting marital rape

    • Lack of awareness: A lack of public awareness, as well as reluctance or outright refusal of authorities to prosecute, is common globally.
    • Gender norms: Additionally, gender norms that place wives in subservient positions to their husbands, make it more difficult for women to recognize such rape.
    • Acceptability of the concept: Another problem results from prevailing social norms that exist.

    Present regulations in India

    • Indian Penal Code criminalizes rape in most cases, although marital rape is not illegal when the woman is over the age of 18.
    • However, until 2017, men married to those between 15 and 18 could not be convicted of rape.
    • Marital rape of an adult wife, who is unofficially or officially separated, is a criminal offence punishable by 2 to 7 year in prison; it is not dealt by normal rape laws which stipulate the possibility of a death sentence.
    • According to the Protection of Women From Domestic Violence Act (2005), other married women subject to such crime by their husband may demand for financial compensation.
    • They also have the right to continue to live in their marital household if they wish, or may approach shelter or aid homes.

    However, marital rape is still not a criminal offence in this case and is only a misdemeanor.

    Arguments against criminalization

    • Subjective: It is very subjective and intricate to determine whether consent was acquired or not.
    • Prone to Misuse: If marital rape is criminalized without adequate safeguards it could be misused like the current dowry law by the dissatisfied wives to harass and torture their Husbands.
    • Burden on Judiciary: It will increase the burden of judiciary which otherwise may serve other more important causes.

    Way forward

    • Sanctioning marital rape is an acknowledgment of the woman’s right to self-determination (i.e., control) of all matters relating to her body.
    • In the absence of any concrete law, the judiciary always finds it difficult to decide the matter of domestic rape in the absence of solid evidence.
    • The main purpose of marriage is procreation, and sometimes divorce is sought on the ground of non-consummation of marriage.
    • Before giving a final interpretation, the judiciary must balance the rights and duties of both partners.

     

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  • Complex issue of Assisted Suicide

    suicide

    A renowned French filmmaker died earlier this week by assisted suicide at the age of 91.

    What is Assisted Suicide?

    • Assisted suicide and euthanasia are practices under which a person intentionally ends their life with active assistance from others.
    • These have long been contentious topics of debate as they involve a complex set of moral, ethical and in some cases, religious questions.
    • Several European nations, some states in Australia and Colombia in South America allow assisted suicide and euthanasia under certain circumstances.

    Difference between assisted suicide and euthanasia

    • Euthanasia is the act of intentionally ending a life to relieve suffering – for example a lethal injection administered by a doctor.
    • Intentionally helping another person to kill themselves is known as assisted suicide.
    • This can include providing someone with strong sedatives with which to end their life or buying them a ticket to Switzerland (where assisted suicide is legal) to end their life
    • Euthanasia can further be divided into active and passive.
    • The practice of passive euthanasia involves simply stopping lifesaving treatment or medical intervention with the consent of the patient or a family member or a close friend representing the patient.
    • Active euthanasia, which is legal in only a few countries, entails the use of substances to end the life of the patient.

    India and Assisted suicide/ Euthanasia

    • In a landmark judgment, the Supreme Court of India legalised passive euthanasia in 2018, stating that it was a matter of ‘living will’.
    • According to the judgment, an adult in his conscious mind is permitted to refuse medical treatment or voluntarily decide not to take medical treatment to embrace death in a natural way, under certain conditions.

    Consideration for ‘living will’

    • In the 538-page judgment, the court laid down a set of guidelines for ‘living will’ and defined passive euthanasia and euthanasia as well.
    • It also laid down guidelines for ‘living will’ made by terminally ill patients who beforehand know about their chances of slipping into a permanent vegetative state.
    • The court specifically stated that the rights of a patient, in such cases, would not fall out of the purview of Article 21 (right to life and liberty) of the Indian Constitution.
    • The SC’s judgment was in accordance with its verdict in March 2011 on a separate plea.
    • While ruling on a petition on behalf of Aruna Shanbaug Case, the court had allowed passive euthanasia for the nurse who had spent decades in a vegetative state.

    Who was Aruna Shanbaug?

    • Shanbaug had become central to debates on the legality of right to die and euthanasia in India.
    • Shanbaug died of pneumonia in March 2015 at the age of 66, 42 years of which she had spent in a room at KEM Hospital in Mumbai, after a brutal rape left her in a permanent vegetative state.

    Recent cases in India

    • In 2018, an old couple from Mumbai wrote to then President Kovind, seeking permission for active euthanasia or assisted suicide.
    • Neither of them suffered from a life-threatening ailment.
    • The couple stated in their plea that they had lived a happy life and didn’t want to depend on hospitals for old age ailments.

    Justification for Euthanasia/Assisted Suicide

    • It provides a way to relieve extreme pain.
    • Euthanasia can save  life  of  many  other  people  by  donation  of  vital organs.

    Issues with such killings

    • Euthanasia can be misused. Many psychiatrists are of the opinion that a terminally ill person or someone who is old and suffering from an incurable disease is often not in the right frame of mind to take a call.
    • Family members deciding on behalf of the patient can also lead to abuse of the law legalizing euthanasia as it can be due to some personal interest.

     

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  • [Burning Issue] Low Health Expenditure in India- Prospects and Challenges

    health

    Context

    • According to the latest National Health Accounts Report, India’s total health expenditure went down from 3.9 per cent of the Gross Domestic Product (GDP) in 2013-14 to 3.2 per cent in 2018-19.
    • The fact is alarming as it points toward the reducing health expenditure of the government at a time when the Health sector in the country is already under pressure from multiple issues such as poor infrastructure and the burden of the pandemic.
    • In this context, in this edition of the burning issue, we will talk about India’s healthcare sector, issues that ail it and possible solutions to these issues.

    About the National Health Accounts Report

    health
    • India’s National Health Accounts (NHA) estimates report for FY 2018-19 is the sixth in the series of NHA reports prepared by the National Health Systems Resource Centre (NHSRC).
    • The report is based on the globally accepted framework of System of Health Accounts, 2011, which enables cross-comparability of estimates across time along with international comparisons.
    • The NHA report presents two estimates for the expenditure incurred within the health sector during a financial year: Current Health Expenditure (CHE) and total Health Expenditure (THE).
    • CHE includes the recurring expenses corresponding to the final consumption of health goods and services within a financial year. THE, on the other hand, reflects both current and capital expenditure incurred in the health sector within a financial year.

    About the Healthcare Sector in India

    • The Healthcare industry in India comprises hospitals, medical devices, clinical trials, outsourcing, telemedicine, medical tourism, health insurance, and medical equipment.
    • The hospital industry in India accounts for 80% of the total healthcare market. The hospital industry is expected to reach $132 bn by 2023 from $61.8 bn in 2017; growing at a CAGR of 16-17%.
    • In 2020, India’s Medical Tourism market was estimated to be worth $5-6 Bn and is expected to grow to $13 Bn by 2026.
    • The primary care industry is currently valued at $13 bn. The share of the organized sector is practically negligible in this case.
    • ‘Public Health’ subject comes under the state list under the 7th schedule of the constitution.

    Some Data about Healthcare Expenditure in India

    • According to the latest National Health Accounts Report, the current health expenditure(CHE) for the year was Rs 5,40,246 crore or 90.58 percent, while the rest was capital expenditures. Of the government health expenditure, the Union government’s share was 34.3 percent.
    • Out-of-pocket expenditure on healthcare by households has declined by 16 percentage points, from 64.2 per cent to 48.2 per cent in the same period. It was even higher in 2004-2005, at 69.4 per cent. While this is a welcome improvement, the figure remains significantly higher than the global average.
    • The economic burden of healthcare in India is largely borne by households that contribute Rs 3,24,717 crore to the current healthcare expenditure.
    • For 2018-19, the health expenditure for India was estimated to be Rs 4, 470 per capita.
    • Among the different types of healthcare providers, the major share of CHE is incurred at private hospitals (28.7 percent), followed by pharmacies (22.6 percent), and government hospitals (17.3 percent).

    Challenges in the Healthcare sector in India

    (A) Outdated Medical education in India

    • Limited government seats: The number of seats available for medical education in India is far less than the number of aspirants who leave school with the dream of becoming doctors.
    • Lack of skills: Though the institutes are managing to hire professors and lecturers, there is a lack of technical skills. Finding faculties in clinical and non-clinical disciplines is difficult and there are very few faculty development programs for upskilling the existing lot.
    • Lack of digital infrastructure: The gap in digital learning infrastructure is currently the biggest challenge the sector is facing. There is an urgent need to adopt technology and have resources available to facilitate e-learning.
    • Lack of research and innovation: there haven’t been much ground-breaking research in the medical field. The education system needs to focus more on increasing the quality of research. Additionally, since the industry-academia partnership is not available, hence innovation also takes a back seat.
    • No. of doctors-Deficiency: The doctor-patient ratio of 1:1655 in India as against WHO norm of 1:1000 clearly shows the deficit of MBBS.
    • Inadequate capacity of the health system: to cater to the healthcare demands of a large population as evident from multiple months waiting for an operation even at large healthcare centers like AIIMS.

    (B) Suffering from several Paradoxes

    • Healthcare is a fundamental right, but it is not fundamentally right in India: The expenditure on healthcare is one of the lowest in the world. Though our economy has grown robustly post-liberalization, investment in healthcare has consistently hovered around 1% of the GDP. In the 2020-21 Budget, it was 1.02% of overall expenditure.
    • The sector attracts investments, but delivery remains contentious: India’s healthcare sector has attracted a steady stream of investments. Lack of penetration, inflated billing, opaqueness in diagnosis, and poor quality of service has ensured that most Indians get treated below the standards prescribed by the WHO.
    • Among the cheapest in the world, yet unaffordable for most locally: Healthcare in India is cheap. Yet India has one of the world’s highest rates of out-of-pocket spending in healthcare. Millions in India cannot afford these procedures in their own country.
    • Less health infrastructure, but medical tourism booms: There is a dearth of medical schools and clinicians. Most hospitals in India are overburdened, understaffed, and ill-equipped. However, all this has not prevented the private healthcare sector to establish sophisticated medical tourism facilities on the plank of ‘world-class service at low cost’.

    (C) Rising Burden of Non-Communicable Diseases

    • According to the study report ‘India State-Level Disease Burden Initiative’ in 2017 by the Indian Council of Medical Research (ICMR), it is estimated that the proportion of deaths due to Non-Communicable Diseases (NCDs) in India has increased from 37.9% in 1990 to 61.8% in 2016.

    (D) Inadequate Mother and Child Healthcare

    • Maternal mortality causes 56,000 deaths every year in India, accounting for 20 percent of maternal deaths around the world.
    • The inadequate healthcare system and lack of healthcare facilities in most regions have elevated the number of maternal mortality cases in India. 

    (E) Receding government from the health sector

    • Currently, government hospitals are having only a 30% share of the total number of hospital beds available in India.
    • Also, 70% of new beds added in hospitals are coming from private hospitals rather than government hospitals. This disproportionately impacts poor people more.
    • India’s rich and middle classes have opted out of public health completely, leaving the poor with unconscionably meager services.

    How pandemic has further exposed the Healthcare sector in India?

     (1) Poor Infrastructure

    • In the 2019 Global Health Security Index, which measures pandemic preparedness for countries based on their ability to handle the crisis, India ranked 57, lower than the US at 1, the UK at 2, Brazil at 22, and Italy at 31.
    • As per the OECD data available for 2017, India reportedly has only 0.53 beds available per 1,000 people as against 0.87 in Bangladesh, 2.11 in Chile, 1.38 in Mexico, 4.34 in China, and 8.05 in Russia.

    (2) Fewer doctors per thousand

    • The WHO mandates that the doctor-to-population ratio should be 1:1,000, while India had a 1:1,404 ratio as of February 2020.
    • In rural areas, this doctor-patient ratio is as low as 1:10,926 doctors as per National Health Profile 2019.

    (3) Denial of healthcare by Private hospitals

    • Despite private hospitals accounting for 62 percent of the total hospital beds as well as ICU beds and almost 56 percent of the ventilators, they are handling only around 10 percent of the workload.
    • Private hospitals are reportedly denying treatment to the poor. Cases of overcharging patients are also being reported in private hospitals.

     (4) Negligence for mental healthcare

    • Mental health problems were already a major contributor to the burden of illness in India which usually gets unnoticed.
    • The widespread anxiety due to the lockdown has frustrated the laborers, farmers, and various vulnerable sections to a great extent due to the fear of impoverishment and loss of livelihoods.

    Ayushman Bharat- A Game Changer Scheme

    • Ayushman Bharat Scheme was launched in 2018, as a step toward Universal Health Coverage (UHC) and would provide quality health services to eligible patients and protect them from financial hardship.
    • It aims to provide 110 million “poor, deprived rural families” with an annual family health insurance cover of up to Rs 5 lakh in Secondary and tertiary healthcare.

    Outcomes of the scheme

    Positive outcomes

    • More than 20.8 lakh people from marginalized sections received health treatment worth Rs. 5000 crores in the initial 200 days of the scheme.
    • The portability of the scheme helped several migrant workers access health benefits in the state of migration during COVID times irrespective of their home states.

    Negative outcomes

    • One of the primary objectives of this scheme is to decrease the out-of-pocket (OOP) expenditure on health in India. Multiple research studies suggest that insurance schemes for the poor in India have failed to provide the much-needed relief, with OOP figures higher for those using insurance schemes, compared to those who do not. Predominant reasons are shoddy implementation, lack of infrastructure and corruption.
    • As per the latest data available, over 12.5 crore Ayushman cards have been issued and about 1.23 crore people have availed the benefit of this scheme (merely 2 percent of the 50 crore target beneficiaries).
    • In addition, Ayushman beneficiaries are denied benefits they were previously entitled to under other schemes—a pregnant woman below-poverty line beneficiary of AB-PMJAY scheme, going for institutional delivery no longer receives the assistance of Rs 1,500 under Janani Surakhsa Yojana.

    Some achievements in the Healthcare sector

    • Out-of-pocket expenditure on healthcare by households has declined by 16 percentage points, from 64.2 per cent to 48.2 per cent in the same period. It was even higher in 2004-2005, at 69.4 per cent. The decreasing share of OOPE signals the declining incidence of financial hardships faced by households while accessing healthcare in India.
    • The increasing share of social security expenditure on health from 6 per cent in 2013-14 to 9.6 per cent of THE in 2018-19, indicates the increasing reach of social security measures in the country. This kind of payment mechanism enables risk protection thus preventing households from incurring catastrophic health expenditure.
    • More than half of the government’s current expenditure (55 per cent) has been on strengthening primary healthcare centers. This not only ensures quality services at the grassroots level but also reduces the chances of ailments requiring secondary or tertiary health care services.
    • Increasing health insurances– Health insurance contributes 20% to the non-life insurance business, making it the 2nd largest portfolio. The gross direct premium income underwritten by health insurance grew 17.16% year on year to reach $6.87 bn in FY20

    Models to improve the healthcare system in India

    (A) Concept of Family Health Teams: 

    • 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.

     (B) Move beyond doctor-led systems:

    • India needs to move beyond the doctor-led system. Instead of wasting gynecologists 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.

    (C) National Health Service:

    • It is based on the UK’s health model. It is similar to creating an All India Service on the lines IAS and IPS for the healthcare services in India. It would help bring uniformity in structure and services related to healthcare in India.

    Other Possible solutions

     (1) Promote Universal health coverage

    • As part of the SDGs, all countries have pledged to deliver universal health coverage (UHC) by 2030.
    • This includes India. But, sadly, nearly 50 percent of the world’s population lacks essential health services.

     (2) Increasing healthcare professionals in numbers

    • Considering the rise in the population, new diseases and infections, India is in dire need of more medical staff and amenities.
    • If India wants to achieve a 1:1,000 ratio, it will need an additional 2.07 million doctors by 2030. For this, the government needs to increase its spending on the health sector.

     (3) Revamping medical education

    • There is a needs to rapidly build medical institutions and increase the number of doctors.
    • It needs to aid attempts at constructing new medical institutes, hospitals, Primary health centers and New AIIMS.

     (4) Helping the downtrodden

    • Rather than dumping them on government hospitals only, the private hospitals should be held accountable to take on their treatment.
    • They can make up for the loss by cross-subsidizing treatments of patients with premium insurance policies.

    (5) Enhancing future pandemic preparedness

    • This can be done by strengthening the disease surveillance system, Primary health centers, and the Pharmaceutical industry for rapid production of essential medicines and testing kits.

     (6) Optimum use of technology

    • The COVID-19 crisis has elevated the importance of digital tools and e-health.
    • There is a growing use of mobile apps, online consultations, e-pharmacies, and other tools such as NetMeds, Dhani App and telemedicine.

     (7) Looping-in private players

    • For too long, India has allowed the private health sector to grow, with little regulation.
    • The lack of alignment between the public and private sectors has been exposed to COVID-19 testing and treatment in India.
    • The time is ripe to loop in private players and promote the industrialization of the health sector.

    (8) Review of the existing system: 

    • Bringing such a transformative health system will require a comprehensive review of the existing training institutions, standardizing curricula and the qualifying criteria.
    • Improving Federal cooperation in the health sector as health is a state subject.

    Conclusion

    • India’s healthcare system is too small for such a large population. There seems to be a long battle ahead. The public healthcare system cannot be improved overnight. 
    • The country needs all hands on deck-both public and private sectors- working together and delivering the best healthcare services for all citizens.
    • Ultimately, the onus of governance always rests with the government, which needs to set standards, invest resources, ensure quality, and strategically purchase services from the private sector, as needed.
  • Eklavya Schools get short shrift in teacher recruitments

    The Ministry of Tribal Affairs has so far been unable to fix the teacher shortage faced across 378 of Eklavya model residential schools (EMRS) that are currently functional.

    Eklavya Model Residential Schools (EMRS)

    • EMRS started in the year 1997-98 to impart quality education to Scheduled Tribes (ST) children in remote areas in order.
    • It aims to enable them to avail of opportunities in high and professional educational courses and get employment in various sectors.
    • The schools focus not only on academic education but on the all-round development of the students.
    • Each school has a capacity of 480 students, catering to students from Class VI to XII.
    • Hitherto, grants were given for construction of schools and recurring expenses to the State Governments under Grants under Article 275 (1) of the Constitution.
    • Eklavya schools are on par with Navodaya Vidyalaya and have special facilities for preserving local art and culture besides providing training in sports and skill development.

    Features of Eklavya Schools

    • Admission to these schools will be through selection/competition with suitable provision for preference to children belonging to Primitive Tribal Groups, first-generation students, etc.
    • Sufficient land would be given by the State Government for the school, playgrounds, hostels, residential quarters, etc., free of cost.
    • The number of seats for boys and girls will be equal.
    • In these schools, education will be entirely free.

    Where are the Eklavya schools located?

    • It has been decided that by the year 2022, every block with more than 50% ST population and at least 20,000 tribal persons, will have an EMRS.
    • Wherever density of ST population is higher in identified Sub-Districts (90% or more), it is proposed to set up Eklavya Model Day Boarding School (EMDBS) on an experimental basis.
    • They aim for providing additional scope for ST Students seeking to avail school education without residential facility.

     

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  • Highlights of India Discrimination Report, 2022

    Oxfam India’s latest ‘India Discrimination Report 2022’ finds women in India despite their same educational qualifications and work experience as men will be discriminated in the labour market due to societal and employers’ prejudices.

    About the report

    • The Oxfam India report refers to unit-level data from:
    1. 61st round National Sample Survey (NSS) data on employment-unemployment (2004-05)
    2. Periodic Labour Force Survey in 2018-19 and 2019-20 and
    3. All India Debt and Investment Survey by the government

    Key highlights

    (1) Decline of women in workforce

    • As per the Union Ministry of Statistics & Programme Implementation (MoSPI), LFPR for women in India was only 25.1 percent in 2020-21 for urban and rural women.
    • This is considerably lower than Brazil, Russia, China and South Africa as per the latest World Bank estimates.
    • The LFPR for women in India has rapidly declined from 42.7 percent in 2004-05 to mere 25.1 percent in 2021 showing the withdrawal of women from the workforce.

    (2) Earning Gap

    • There is also a significant gap in the earnings between men and women in the case of regular and self-employment in urban areas.
    • The average earning is INR 15,996 for men and merely INR 6,626 for women in urban areas in self-employment.
    • The men’s average earning is nearly 2.5 times that of the earnings of women

    (3) Communal aspects of discrimination

    • Oppressed communities such as Dalits and Adivasis along with religious minorities such as Muslims also continue to face discrimination in accessing jobs, livelihoods, and agricultural credit.
    • The mean income for SCs or STs persons in urban areas who are regular employed is INR 15,312 as against INR 20,346 for persons belonging to the General Category.
    • The rural SC and ST communities are facing increase in discrimination in casual employment, the report shows.
    • The data shows that the unequal income among urban SC and ST casual wage work is because of 79 percent discrimination in 2019-20.

    (4) Muslims and economic backwardness

    • Muslims continue to face multidimensional challenges in accessing salaried jobs and income through self-employment as compared to non-Muslims.
    • In rural areas, the sharpest increase of 17 percent in unemployment was for Muslims as compared to non-Muslims during the first quarter of the COVID-19 pandemic.
    • 6 percent of the urban Muslims population aged 15 and above were engaged in regular salaried jobs whereas 23.3 percent of non-Muslims are in regular salaried jobs in 2019-20.
    • The lower employment for urban Muslims attributes 68.3 percent to discrimination in 2019-20.
    • The report shows that the discrimination faced by Muslims in 2004-05 was 59.3 percent, indicating an increase in discrimination by 09 percent over the last 16 years.

    Recommendations from the report

    • Actively enforce effective measures for the implementation of the right to equal wages and work for all women.
    • Work to actively incentivise the participation of women in workforce including enhancements in pay, upskilling, job reservations and easy return-to-work options after maternity.
    • Work to actively challenge and change societal and caste/religion-based norms, around women’s’ participation in labour markets.
    • Strengthen civil society’s engagement in ensuring a more equitable distribution of household work and childcare duties between women and men and facilitating higher participation of women in labour market
    • Implement “living wages” as opposed to minimum wages, particularly for all informal workers and formalise contractual, temporary and casual labour as much as possible.
    • Extend priority lending and credit access to all farmers, regardless of social groups and penalize biased lending.

    Back2Basics: Labour Force Participation Rate (LFPR)

    • It is the percentage of the population which is either working (employed) or seeking for work (unemployed).
    • According to the International Labour Organisation (ILO), the LFPR is a ‘measure of the proportion of a country’s working-age population that engages actively in the labour market, either by working or looking for work’.
    • The breakdown of the labour force (formerly known as economically active population) by sex and age group gives a profile of the distribution of the labour force within a country.
    • As per the ministry of statistics and programme implementation, LFPR for women in India was only 25.1% in 2020-21.

     

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  • Why Should India choose manufacturing over services?

    ManufacturingContext

    • Manufacturing can create higher productivity jobs.

    What is service sector?

    • The service sector, also known as the tertiary sector, is the third tier in the three-sector economy. Instead of product production, this sector produces services maintenance and repairs, training, or consulting. Examples of service sector jobs include housekeeping, tours, nursing, and teaching.

    What is called manufacturing sector?

    • Manufacturing is the making of goods by hand or by machine that upon completion the business sells to a customer. Items used in manufacture may be raw materials or component parts of a larger product. The manufacturing usually happens on a large-scale production line of machinery and skilled labor.

    ManufacturingShould India focus on manufacturing over services?

    • Services sector failed to create more jobs: So far, in services, we have certainly developed some advantage and we are doing rather well. Services’ share of the economy has gone up to over 50% of the GDP. However, this sector has not been able to create enough jobs in a commensurate manner. The result is that agriculture still continues to sustain nearly half of India’s workforce, which means that 15% of GDP is supporting some 45% of the workforce.
    • Manufacturing can provide productive jobs: We need more productive job opportunities for the workforce to shift away from agriculture. We need to focus attention on the manufacturing sector because of the direct and indirect jobs that it can create.
    • Empirical fact: It is an empirical fact that manufacturing of all productive sectors has the highest backward and forward linkages.
    • Significant potential: So, all together, there is significant potential for the manufacturing sector to create higher productivity jobs for people stuck in agricultural activities. That is the future for India.

    ManufacturingWhat is PLI Scheme?

    • As the name suggests, the scheme provides incentives to companies for enhancing their domestic manufacturing apart from focusing on reducing import bills and improving the cost competitiveness of local goods.
    • PLI scheme offers incentives on incremental sales for products manufactured in India.
    • The scheme for respective sectors has to be implemented by the concerned ministries and departments.

    Criteria laid for the scheme

    • Eligibility criteria for businesses under the PLI scheme vary based on the sector approved under the scheme.
    • For instance, the eligibility for telecom units is subject to the achievement of a minimum threshold of cumulative incremental investment and incremental sales of manufactured goods.
    • The minimum investment threshold for MSME is Rs 10 crore and Rs 100 crores for others.
    • Under food processing, SMEs and others must hold over 50 per cent of the stock of their subsidiaries, if any.
    • On the other hand, for businesses under pharmaceuticals, the project has to be a green-field project while the net worth of the company should not be less than 30 per cent of the total committed investment.

    What are the incentives offered?

    • An incentive of 4-6 per cent was offered last year on mobile and electronic components manufacturers such as resistors, transistors, diodes, etc.
    • Similarly, 10 percent incentives were offered for six years (FY22-27) of the scheme for the food processing industry.
    • For white goods too, the incentive of 4-6 per cent on incremental sales of goods manufactured in India for a period of five years was offered to companies engaged in the manufacturing of air conditioners and LED lights.

    Benefits of PLI

    • The scheme has a direct employment generation potential of over 2,00,000 jobs over 5 years.
    • It would lead to large scale electronics manufacturing in the country and open tremendous employment opportunities. Indirect employment will be about 3 times of direct employment as per industry estimates.
    • Thus, the total employment potential of the scheme is approximately 8,00,000.

    Conclusion

    • In order to integrate India as a pivotal part of this modern economy, there is a strong need to step up our manufacturing capabilities.

    Mains question

    Q.Should India focus on manufacturing over services for job creation? Discuss the role Production Linked Incentive Scheme could play in boosting manufacturing in India.

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