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  • [Yojana Archive] Fighting Femicide

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    September 2021: “Nari Shakti”

    Context: Violence Against Women (VAW)

    • VAW is a growing concern throughout the region and within South Asia, which is home to one-fifth of the world population, violence, or the risk of violence, permeates every aspect of women’s lives from birth to death.
    • It is estimated that one-third of South Asian women experience violence throughout their lives and VAW is institutionalised through family structures, wider social and economic frameworks, and cultural and religious traditions.
    • This violence is insidious, it is a widely accepted method for controlling women, is largely overlooked by law enforcement agencies, and is ignored by those in power.
    • The violence against women is more glaring as Covid-19 pandemic exacerbated the condition of women in every walk of life.

    Definition of Femicide

    • The term femicide was originally defined as the killing of women but has been adapted over time to represent the act of killing women because of their gender.
    • In this sense, femicide is understood to be motivated by misogyny and prejudice against women.
    • For a case to be considered femicide there must be an implied intention to carry out the crime and a demonstrated connection between the crime and the gender of the victim.
    • Throughout India, several forms of violence against women fit within the definition of femicide including domestic violence, honour killings, dowry deaths, sex-selective abortions, infanticide, domestic violence, and witch-hunting.

    A case severed by the Pandemic

    • A 53% rise is seen in crime against women in 2020 from cases rising from 1411 cases/month to 2165 cases/month after a lockdown was imposed.
    • In India, the mortality rate for women from Covid is 3.3 per cent compared to 2.9 per cent for men.
    • This paper will focus on domestic violence, dowry deaths, and sex-selective abortions.

    [A] Domestic Violence

    • Domestic violence is prevalent across India and is widely accepted as a legitimate part of family life by both women and men.
    • The family institution is an extremely important aspect of Indian culture and is central to the country’s social and economic frameworks.
    • However, for many women the family does not represent a safe and protective unit, rather it reinforces wider patterns of gender discrimination and legitimises violence as a method for controlling and subjugating women.
    • The most recent National Family Health Survey found that in India 34% of women between the ages of 15-49 have experienced violence at some point since they turned 15 and that 37% of married women have experienced violence.

    [B] Dowry Deaths

    • Dowry is a cultural tradition in which the family of the bride gives cash and presents to the family of the groom.
    • It was originally meant to support new couples beginning their married life.
    • However, India’s prevailing patriarchy as well as rising economic demands have turned dowry into a commercial transaction that is underpinned by socio-economic standing and reinforces the financial dependency of women on their husbands.
    • The dowry system also reinforces discrimination against women and dowry-related deaths continue to compromise women’s safety throughout India, Pakistan, Nepal, and Bangladesh.
    • According to NCRB reports, on average, every hour a woman succumbs to dowry deaths in India with the annual figure rising upwards to 7000.
    • Violence against women often increases when a family requests a larger dowry after marriage or shows dissatisfaction with the dowry they have received.

    [C] Sex-selective abortions

    • The practice of sex-selected abortions throughout South Asia, particularly in India, highlights the extent of patriarchy and misogyny throughout the region.
    • It is a particularly insidious form of violence because it prevents girl children from being born purely because they are girls.
    • The practice of sex-selective abortions is growing throughout the region.
    • About 6.8 million lesser female births will be recorded across India by 2030 because of the persistent usage of selective abortions, researchers estimate.
    • The increasing availability of prenatal technologies means that families are able to determine the sex of the foetus and are choosing to abort female foetuses at an alarming rate.
    • An estimated 10 million female foetuses have been aborted over the past two decades.

    Responses to Femicide

    • New laws and policies as well as growing support from law enforcement agencies and civil society groups are empowering women to seek assistance in the case of violence and abuse.
    • Furthermore, efforts are being made to improve the implementation of legislation that is helping to increase the rate of conviction and reducing the prevalence of gender-related crimes.

    [A] Legal Protection

    • Dowry Prohibition Act, 1961:  It bans the request and payment of the dowry of any form as a precondition for marriage.
    • Pre-Conception and Pre-Natal Diagnostic Techniques (PCIPNDT) Act, 1994: It prohibits the use of prenatal technologies to determine the sex of a foetus and several states have launched vigilance cells to curb incidences of female foeticide.
    • IPC and CrPC: There is no legislation directly addressing honour killings and currently, the crime is dealt with under the Indian Penal Code or the Criminal Procedure Code.

    [B] Affirmative Actions

    • Women’s organisations have also worked to educate women on their rights and provide support to those who have experienced violence.
    • Many NGOs across the country provide counselling, legal support, and livelihood programmes for women so that they can become more empowered and financially independent.
    • This is paralleled by government initiatives to promote women’s social and political empowerment.

    [C] Political Empowerment

    • The reservation of 33% of seats in India’s local government increased women’s political participation and has led to more gender friendly governance.
    • The development of further affirmative legislation in the State of Goa, which allocates nearly half of the state’s representative council seats for women.
    • However, in the year 2020, India ranked 142 among 193 countries in terms of the per centage of women in Parliament.
    • A total of 78 women MPs were elected in 2019 i.e., 14.4%.
    • The number of women voters had risen from 47% (2014) to about 48% (2019) while women MPs in the 16th Lok Sabha stand at 11.2% after more than 70 years of Independence.

    Unaddressed Issues

    • In spite of these efforts femicide persists throughout India.
    • While legislation may protect victims of violence in theory in many cases the penalties outlined within the legislation are weak.
    • Furthermore, the implementation of these laws remains limited and, in many cases, ineffective in preventing femicide or prosecuting the perpetrators of this violence.
    • A lack of commitment to ending VAW at the political level is evident across India and is preventing substantive action at the legislative, policy, and programmatic level.
    • A lack of funding and infrastructure to address violence remains one of the biggest impediments to the effective implementation of this legislation and little budgetary allocations are directed towards the reduction of violence against women and the realisation of women’s rights.

    Approaches Required to Address Femicide

    • Efforts must be made to encourage and support governments to develop effective and comprehensive approaches to femicide.
    • Legislation is also essential for addressing structural gender discrimination as well as cultural and social legitimisation of violence against women.
    • Tackling femicide is extremely difficult especially given that gender discrimination and violence against women are so embedded within India’s social, cultural, and economic structures.
    • Responses to femicide must be comprehensive and involve the development and implementation of strong legislation, gender-sensitive law enforcement policies and protocols.
    • There needs to be awareness-raising at the grassroots level, support for individuals and families experiencing violence, and the realisation of women’s social, economic, and political rights.

    Increase in Support Services for Women

    • There is inadequate support available for women who experience violence and in many cases their lack of resources means they are forced to endure ongoing violence.
    • Support programmes can strengthen infrastructure by increasing shelter homes and improving medical facilities.
    • This infrastructure ensures that women who wish to leave violent situations have safe alternative accommodation, medical services, and social-support services.
    • Support services can also educate women on their rights and the legislation protecting them from violence and can assist them to make positive changes in their lives and to respond to violence.
    • Awareness-building programmes around women’s rights are essential to addressing the underlying causes of domestic violence.
    • Currently, only approximately 1% of women report incidences of abuse and many are not aware of their rights or legislation protecting them from violence and harassment.

    Conclusion: Addressing Patriarchy

    • Femicide cannot be fully addressed without tackling the widespread patriarchy and misogyny that permeates much of Indian society.
    • It is vital that the overwhelming culture of patriarchy is taken into consideration when developing interventions so that outdated attitudes towards women are replaced with respect and gender sensitivity.
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  • WTO & Related issues

    Context

    Created in 1995, during the heyday of neoliberalism, the World Trade Organization (WTO) became a shining example of triumphant free-market capitalism. Now, the WTO is facing a serious existential crisis.

    Challenges facing WTO

    1) Disfunctional appellate body

    • The United States, which played a pivotal role in establishing the WTO, seems to have lost interest in it.
    • The feeling in the US is that the WTO hasn’t served the American national interest by failing to stem China’s rise and regularly indicting the U.S. in several trade disputes.
    • The continuation of the U.S. policy on the WTO is most evident in the sustained crippling of the Appellate Body (AB).
    • Three out of seven AB members serve on any one case.
    • However, since December 2019, the AB has stopped functioning due to rising vacancies.
    • Countries now have an easy option not to comply with the WTO panel decisions by appealing into the void.
    • If no solution is found soon, the WTO’s rules-based order will start crumbling.

    2) Public stockholding for food security purposes

    • No solution has been found to the public stockholding for food security purposes despite a clear mandate to do so in the 2015 Nairobi ministerial meeting.
    • This is of paramount concern for countries like India that use Minimum Support Price (MSP)-backed mechanisms to procure foodgrains.
    • With rising prices and the need to do higher procurement to support farmers and provide food to the poor at subsidised prices, India might breach the cap.
    •  Although countries have agreed that legal suits will not be brought if countries breach the cap (the so-called ‘peace clause’), it is imperative to find a permanent solution such as not counting MSP-provided budgetary support as trade-distorting.

    3) Disagreement on TRIPS waiver for Covid-19

    • The WTO member countries continue to disagree on the need of waiving the Trade-Related Aspects of Intellectual Property Rights (TRIPS) agreement for COVID-19 related medical products.
    • It was exactly a year back when India and South Africa proposed a TRIPS waiver to overcome intellectual property (IP)-related obstacles in increasing accessibility of COVID-19 medical products, including vaccines.

    4)  Regulating irrational subsidies provided for fishing

    • Irrational subsidies provided for fishing that has led to the overexploitation of marine resources by countries like China, which is the largest catcher and exporter of fish.
    • The WTO is close to signing a deal on regulating irrational subsidies
    • This agreement should strike a balance between conserving ocean resources and the livelihood concerns of millions of small and marginal fishermen in countries like India.

    5) Fragmentation of global governance due to plurilateral trade agreements

    • The gridlock at the WTO has led to the emergence of mega plurilateral trade agreements like the Comprehensive and Progressive Agreement for Trans-Pacific Partnership (CPTPP) and Regional Comprehensive Economic Partnership (RCEP) agreement.
    • These mega plurilateral agreements not only fragment the global governance on international trade but also push the multilateral order to the margin, converting the WTO to what some call an “institutional zombie”.

    Conclusion

    Notwithstanding its flaws, the WTO is the only forum where developing countries like India, not party to any mega plurilateral trade agreements, can push for evolving an inclusive global trading order that responds to the systemic imbalances of extant globalisation. What is at stake is the future of trade multilateralism and not just an institution, in which India has a huge interest.

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  • Major Tribes in India and PVTGs

    07th Oct 2021

     

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    Major Tribes in India: Arranged State-wise

    Andhra Pradesh:  Andh, Sadhu Andh, Bhagata, Bhil, Chenchus (Chenchawar), Gadabas, Gond, Goundu, Jatapus, Kammara, Kattunayakan, Kolawar, Kolam, Konda, Manna Dhora, Pardhan, Rona, Savaras, Dabba Yerukula, Nakkala, Dhulia, Thoti, Sugalis, Banjara, Kondareddis, Koya, Mukha Dhora, Valmiki , Yenadis, Sugalis, Lambadis.

    Arunachal Pradesh: Apatanis, Abor, Dafla, Galong, Momba, Sherdukpen, Singpho, Nyishi, Mishmi, Idu, Taroan, Tagin, Adi, Monpa, Wancho

    Assam: Chakma, Chutiya, Dimasa, Hajong, Garos, Khasis, Gangte, Karbi, Boro, Borokachari, Kachari, Sonwal, Miri, Rabha, Garo

    Bihar: Asur, Baiga, Birhor, Birjia, Chero, Gond, Parhaiya, Santhals, Savar, Kharwar, Banjara, Oraon, Santal, Tharu

    Chhattisgarh: Agariya, Bhaina, Bhattra, Biar, Khond, Mawasi, Nagasia, Gond, Binjhwar, Halba, Halbi, Kawar, Sawar,

    Goa: Dhodia, Dubia, Naikda, Siddi,Varli, Gawda.

    Gujarat: Barda, Bamcha, Bhil, Charan, Dhodia, Gamta, Paradhi, Patelia, Dhanka, Dubla, Talavia, Halpati, Kokna, Naikda, Patelia, Rathawa, Siddi.

    Himachal Pradesh: Gaddis, Gujjars, Khas, Lamba, Lahaulas, Pangwala, Swangla, Beta, Beda Bhot, Bodh.

    Jammu and Kashmir: Bakarwal, Balti, Beda, Gaddi, Garra, Mon, Purigpa, Sippi, Changpa, Gujjar.

    Jharkhand:  Birhors, Bhumij, Gonds, Kharia, Mundas, Santhals, Savar, Bedia, Ho, Kharwar, Lohra, Mahli, Parhaiya, Santal, Kol, Banjara.

    Karnataka: Adiyan, Barda, Gond, Bhil, Iruliga, Koraga, Patelia, Yerava, Hasalaru, Koli Dhor, Marati , Meda, Naikda, Soligaru.

    Kerala: Adiyan, Arandan, Eravallan, Kurumbas, Malai arayan, Moplahs, Uralis, Irular, Kanikaran, Kattunayakan, Kurichchan, Muthuvan.

    Madhya Pradesh: Baigas,  Bhils, Bharia, Birhors, Gonds, Katkari, kharia, Khond, Kol, Murias, Korku, Mawasi, Pardhan, Sahariya,

    Maharashtra:  Bhaina, Bhunjia, Dhodia, Katkari, Khond, Rathawa, Warlis, Dhanka, Halba, Kathodi, Kokna, Koli Mahadev, Pardhi, Thakur,

    Manipur: Naga, Kuki, Meitei, Aimol, Angami, Chiru, Maram, Monsang, Paite, Purum, Thadou, Anal, Mao, Tangkhul, Thadou, Poumai Naga.

    Meghalaya: Chakma, Garos, Hajong, Jaintias Khasis, Lakher, Pawai, Raba, Mikir.

    Mizoram: Chakma, Dimasa, Khasi, Kuki, Lakher, Pawi, Raba, Synteng, Lushai

    Nagaland:  Angami, Garo, Kachari, Kuki, Mikir, Nagas, Sema, Ao, Chakhesang, Konyak, Lotha, Phom, Rengma, Sangtam.

    Odisha:  Gadaba, Ghara, Kharia, Khond, Matya, Oraons, Rajuar, Santhals, Bathudi, Bathuri, Bhottada, Bhumij, Gond, Juang, Kisan, Kolha, Kora, Khayara, Koya, Munda, Paroja, Saora, Shabar, Lodha.

    Rajasthan: Bhils, Damaria, Dhanka, Meenas(Minas), Patelia, Sahariya, Naikda, Nayaka, Kathodi.

    Sikkim:  Bhutia, Khas, Lepchas, Limboo, Tamang

    Tamil Nadu: Adiyan, Aranadan, Eravallan, Irular, Kadar, Kanikar, Kotas, Todas, Kurumans, Malayali,

    Telangana: Chenchus.

    Tripura: Bhil, Bhutia, Chaimal, Chakma, Halam, Khasia, Lushai, Mizel, Namte, Mag, Munda, Riang,

    Uttarakhand: Bhotias, Buksa, Jannsari, Khas, Raji, Tharu.

    Uttar Pradesh: Bhotia, Buksa, Jaunsari, Kol, Raji, Tharu, Gond, Kharwar, Saharya , Parahiya, Baiga, Agariya, Chero

    West Bengal: Asur, Khond, Hajong, Ho, Parhaiya,  Rabha, Santhals, Savar, Bhumij, Bhutia, Chik Baraik, Kisan, Kora, Lodha, Kheria, Khariam, Mahali, Mal Pahariya, Oraon,

    Andaman and Nicobar:  Oraons, Onges, Sentinelese, Shompens.

    Particularly Vulnerable Tribal Groups

    The government of India follows the following criteria for the identification of PVTGs. 

    • Pre-agricultural level of technology
    • Low level of literacy
    • Economic backwardness
    • A declining or stagnant population.

    Accordingly, 75 PTVGs have been identified in the country. 

    State / UT NamePVTGs Name
    Andhra Pradesh and Telangana1. Bodo Gadaba 2. Bondo Poroja 3. Chenchu 4. Dongria Khond 5. Gutob Gadaba 6. Khond Poroja 7. Kolam 8. Kondareddis 9. Konda Savaras 10. Kutia Khond 11. Parengi Poroja l2. Thoti
    Bihar and Jharkhand13. Asurs 14. Birhor 15. Birjia 16. Hill Kharia 17. Konvas 18. Mal Paharia 19. Parhaiyas 20. Sauda Paharia 21. Savar
    JharkhandSame as above
    Gujarat22. Kathodi 23. Kohvalia 24. Padhar 25. Siddi 26. Kolgha
    Karnataka27. Jenu Kuruba 28. Koraga
    Kerala29. Cholanaikayan (a section of Kattunaickans) 30. Kadar 31. Kattunayakan 32. Kurumbas 33. Koraga
    Madhya Pradesh and Chhattisgarh34. Abujh Macias 35. Baigas 36. Bharias 37. Hill Korbas 38. Kamars 39. Saharias 40. Birhor
    ChhattisgarhSame as above
    Maharashtra41. Katkaria (Kathodia) 42. Kolam 43. Maria Gond
    Manipur44. Marram Nagas
    Odisha45. Birhor 46. Bondo 47. Didayi 48. Dongria-Khond 49. Juangs 50. Kharias 51. Kutia Kondh 52. Lanjia Sauras 53. Lodhas 54. Mankidias 55. Paudi Bhuyans 56. Soura 57. Chuktia Bhunjia
    Rajasthan58. Seharias
    Tamil Nadu59. Kattu Nayakans 60. Kotas 61. Kurumbas 62. Irulas 63. Paniyans 64. Todas
    Tripura65. Reangs
    Uttar Pradesh and Uttarakhand66. Buxas 67. Rajis
    West Bengal68. Birhor 69. Lodhas 70. Totos
    Andaman & Nicobar Islands71. Great Andamanese 72. Jarawas 73. Onges 74. Sentinelese 75. Shorn Pens

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  • Last Minute Revision Modules for UPSC CSE Prelims 2021

    Revision and practice of the mock test have incomparable importance in the UPSC Prelims examination. Considering this year’s prelims being just a week ahead, it’s high time that all of the appearing aspirants should go through the important and most repetiting topics being asked in the exam.

    Looking at the demand of the examination, we have started the “Mission Nikalo Prelims’ initiative for better coverage of the syllabus. We have cherrypicked the ‘60 most important topics‘ from where a maximum number of questions have been asked by UPSC in the past 10 years. We have accompanied the mock tests so that the practice angle should also get covered.

    It’s the best time to give the final touch to your preparation and cover the topics which have left due to a dearth of time. The link to the initiative is given below:

    Mission Nikalo Prelims (Click here)

    All the best!

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  • A strategy for India in a world that is adrift

    This article discusses new situations prompted by the tectonic shifts in India’s internal and external environment to take another look at India’s path to power in a world between orders.

    New global order: No Order

    • Multipolarity: The world is today adrift. We are neither in a bipolar Cold War nor in a multipolar world, though perhaps tending towards a world of several power centres.
    • Lack of cohesion: The lack of a coherent international response to the COVID-19 pandemic is proof of an absence of international order and of the ineffectiveness of multilateral institutions.
    • Climate ignorance: So is the ineffective international response to climate change and other transnational threats.

    What are the major shifts in global order?

    • Secular stagnation
    • Retreat from globalisation
    • Regionalisation of trade
    • Shifting balance of power
    • Rise of China and others
    • Structural China-United States strategic rivalry

    All above factors have shifted the geopolitical and economic centres of gravity from the Atlantic to Asia.

    Major Concerns

    • Chauvinism: Inequality between and within states has bred a narrow nationalism and parochialism.
    • Existential threats: We are entering a new polarised information age, and face ecological crises of the Anthropocene, making climate change an existential threat.

    Asia as the nucleus: With focus on China

    • Shift of focus by the US: Over the next decade we expect Asia to remain the cockpit of geopolitical rivalries, and that the US remains the most formidable power, though its relative power is declining.
    • China at the centre: China sees a window of opportunity but acts in a hurry, suggesting that she believes that window may close or is already closing due to push back from the West and others.

    China’s expansionism

    • China’s crowded geography constrains her both on land and at sea.
    • Hence it expects her profile and power to continue expanding, particularly in our periphery.
    • The result is likely continued friction, some cooperation, and quasi-adversarial relations between India and China, which others will take advantage of.
    • Overall, we do not expect conventional conflict between the great powers in Asia, though other forms and levels of violence and contention in the international system will rise, with Taiwan a special case.

    Opportunities in disguise for India

    • The uncertainty and changing geopolitical environment clearly pose considerable challenges to Indian policy.
    • However, it also throws up certain opportunities, enhancing our strategic options and diplomatic space, if we adjust policies internally and externally, particularly in the subcontinent.

    How can India reap the benefits?

    • Enhancing ties with the US: Increasing security congruence with the US could enable growing cooperation in fields significant for India’s transformation: energy, trade, investment, education and health.
    • Climate cooperation: Other areas in which India and the U.S. could increase cooperation are: climate change and energy, tech solutions for renewable energy, and on digital cooperation.
    • Neighbourhood first: Several middle powers like Sri Lanka, Bangladesh, Indonesia in the neighbourhood are now India’s natural partners.
    • Digital space: This time of transition between orders is also when new standards and norms are being developed, particularly in the digital space. India can and must be present at the creation.
    • Maritime cooperation: At sea, the balance is today more favourable to us than before, possibly more so than on the continent. India must bat for the creation of a Maritime Commission in IOR.

    Bottlenecks in India’s neighbourhood policy

    • Over securitisation of policy: towards our neighbours has driven trade underground, criminalised our borders.
    • Conducive environment for entry of China: This has enabled the large-scale entry of Chinese goods destroying local industry in the northeast.
    • Lack of self-strengthening: While lessening dependence on China, and seeking external balancing, our primary effort has to concentrate on self-strengthening.
    • Lack of socio-political enterprise: If there is one country which in terms of its size, population, economic potential, scientific and technological capabilities can match or even surpass China, it is India.

    Way forward for India

    (A) Bringing multipolarity in Asia.

    • The way forward should be based on the core strategic principles in Non-Alignment 2.0 which are still relevant: independent judgement, developing our capacities, and creating an equitable and enabling international order for India’s transformation.
    • Today’s situation makes India’s strategic autonomy all the more essential.

    (B) Making an issue-based coalition

    • India must adjust to changing circumstances. We have no choice but to engage with this uncertain and more volatile world.
    • One productive way to do so would be through issue-based coalitions including different actors, depending on who has an interest and capability.

    (C) Reviving SAARC

    • India must craft and reinvigorate regional institutions and processes in the neighbourhood, reviving the South Asian Association for Regional Cooperation (SAARC) for instance.
    • India could be the primary source of both prosperity and security in the neighbourhood — the subcontinent and the Indian Ocean Region.

    Conclusion

    • Economic policy must match political and strategic engagement.
    • Globalisation has been central to India’s growth.
    • A more active regional and international role for India is incompatible with a position on the margins of the global economy.
    • Self-reliance in today’s world and technologies can only be realised as part of the global economy.
    • We should not imitate China’s claims to being a civilisational state and its adoption of victimhood.
    • Instead, we should affirm our own strength and historic national identity.

     

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  • Government asks Supreme Court to set norms for quota in promotions

    The Union government has urged the Supreme Court to do away with the requirement of collecting quantifiable data by the Centre and states to determine the representation of people belonging to Scheduled Castes (SCs) and Scheduled Tribes (STs) while implementing reservation in promotion.

    Supreme Court directive on Quota in Promotions

    Background

    • The top court has called it “disturbing” that the Union government did not discontinue reservation in promotion for people belonging to SC/STs.
    • It referred to their numbers exceeded the upper ceiling of 15% and 7.5% respectively, of positions in some classes of central government jobs.

    Quota in Promotions: A timeline

    What was the case?

    • The Union government has been pressing for reservation in promotion proportionate to the population of SCs and STs as per a 1995 judgment by the top court in the RK Sabharwal case.
    • It wants it to be left open to the Centre and states to decide on promotional avenues for SCs and STs.
    • It claims that the condition regarding collection of quantifiable data to show inadequacy of representation of SCs/STs is “vague”.
    • Advocates representing general category have contended that the reservation cannot be for an indefinite period and that it must stop as soon as the upper ceiling has been reached.
    • Further, they have emphasised that reservation in promotion should be cadre-based only after quantifiable data is collected and the creamy layer has been excluded.

    Defying the need for quantifiable data

    • Attorney General sought to convince the court that the roster system, based on the proportionate population of SCs/STs, has been working quite well in all government departments.
    • The condition of collecting quantifiable data on inadequacy of representation of SCs/STs may not be required at all.
    • He urged that there is no need to verify any further or collect quantifiable data after the roster system.

    Referring to the Nagraj Case

    • Article 16(4A) of Indian Constitution allows reservations to SCs and STs in promotions, as long as the government believes that they are not adequately represented in government services.
    • In 2006, a Constitution bench’s ruling in the M Nagaraj case made it incumbent upon the state to collect quantifiable data showing inadequacy of representation in public employment.
    • This was to be done in addition to maintaining overall administrative efficiency.

    Why such demand by the Centre?

    • The Attorney General has said that it is tough for a member of the SC/ST to reach the ‘Group A’ category jobs.
    • The time has come for the apex court to firm up and draw the basis for reservation in promotions for SC/ST candidates to fill up vacancies in top jobs.
    • The Bench referred to records filed before it to note that there was low representation of SC/ST category in Group A jobs.
    • Instead of improving the situation in the Group A ranks, the court said, efforts are on to ensure adequate representation in Groups B and C. This was not fair, it remarked.

    Must read:

    [Burning Issue] SC judgement on Reservation not being a Fundamental Right

     

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  • Nobel Prize 2021

    (1) Nobel Prize for Economic Sciences, 2021

    The 2021 Nobel Prize in Economic Sciences has been awarded in one half to Canadian-born David Card and the other half jointly to Israeli-American Joshua D Angrist and Dutch-American Guido W Imbens.

    • David Card has been awarded for his empirical contributions to labor economics. Joshua D Angrist and Guido W Imbens won the award “for their methodological contributions to the analysis of causal relationships.”
    • The 2020 Nobel Prize in Economic Sciences was awarded to Paul R Milgrom and Robert B Wilson “for improvements to auction theory and inventions of new auction formats”.

    Contributions

    • David Card: He has analyzed how minimum wages, immigration and education impact the labor market.
      • One of the significant findings of this research was that“increasing the minimum wage does not necessarily lead to fewer jobs”.
      • It also led to the understanding that“people who were born in a country can benefit from new immigration, while people who immigrated at an earlier time risk being negatively affected”.
      • It also illuminated the role of resources available in school in shaping the future of students in the labor market.
    • Joshua Angrist and Guido Imbens: They were rewarded for their “methodological contributions” to the research tool.
      • Their work demonstrated “how precise conclusions about cause and effect can be drawn from natural experiments”.

     (2) Nobel Prize for Chemistry, 2021

    The 2021 Nobel Prize in Chemistry was awarded to Benjamin List and David MacMillan for the development of asymmetric organocatalysis.

    • Last year, the honour went to Frenchwoman Emmanuelle Charpentier and American Jennifer Doudna, for developing the gene-editing technique known as CRISPR-Cas9 – DNA snipping “scissors”.

    About the Development

    • They have developed a new and ingenious tool for molecule building: organocatalysis.
      • Many research areas and industries are dependent on chemists’ ability to construct molecules that can form elastic and durable materials, store energy in batteries or inhibit the progression of diseases. This work requires catalysts.
      • According to researchers, there were just two types of catalysts available: metals and enzymes. Catalysts are any substance that increases the rate of a reaction without itself being consumed.
    • In 2000, they, independent of each other, developed a third type of catalysis. It is called asymmetric organocatalysis and builds upon small organic molecules.
    • Significance:
      • Its uses include research into new pharmaceuticals and it has also helped make chemistry greener.
      • Both these sets of catalysts (metals and enzymes) had limitations.
      • Heavier metals are expensive, difficult to mine, and toxic to humans and the environment.
        • Despite the best processes, traces remained in the end product; this posed problems in situations where compounds of very high purity were required, like in the manufacture of medicines.
        • Also, metals required an environment free of water and oxygen, which was difficult to ensure on an industrial scale.
      • Enzymes on the other hand, work best when water is used as a medium for the chemical reaction. But that is not an environment suitable for all kinds of chemical reactions.

    Organocatalysis

      • Organic compounds are mostly naturally-occurring substances, built around a framework of carbon atoms and usually containing hydrogen, oxygen, nitrogen, sulphur, or phosphorus.
      • Life-supporting chemicals like proteins, which are long chains of amino acids (carbon compounds containing nitrogen and oxygen) are organic.
      • Enzymes are also proteins, and therefore, organic compounds. These are responsible for many essential biochemical reactions.
      • Organocatalysts allow several steps in a production process to be performed in an unbroken sequence, considerably reducing waste in chemical manufacturing.
      • Organocatalysis has developed at an astounding speed since 2000. Benjamin List and David MacMillan remain leaders in the field, and have shown that organic catalysts can be used to drive multitudes of chemical reactions.
        • Using these reactions, researchers can now more efficiently construct anything from new pharmaceuticals to molecules that can capture light in solar cells.

    Asymmetric Organocatalysis

      • The process called asymmetric organocatalysis has made it much easier to produce asymmetric molecules – chemicals that exist in two versions, where one is a mirror image of the other.
      • Chemists often just want one of these mirror images – particularly when producing medicines – but it has been difficult to find efficient methods for doing this.
      • Some molecules with mirror versions have different properties. An example is the chemical called carvone, which has one form that smells like spearmint and a counterpart that smells like the herb, dill.
      • Different versions of the same molecule might have different effects when ingested. Then it becomes important to be able to make only the mirror image of a drug that has the desired physiological effect.

    (3) Nobel Prize in Physics, 2021

    The 2021 Nobel Prize in Physics is awarded with one half jointly to Syukuro Manabe, Klaus Hasselmann and the other half to Giorgio Parisi “for groundbreaking contributions to our understanding of complex physical systems.”

    • This is the first time climate scientists (Manabe and Hasselmann) have been awarded the Physics Nobel. Last year, the award was given for the research into black holes.

    Manabe and Hasselmann

    • Awarded for work in physical modelling of Earth’s climate, quantifying variability and reliably predicting global warming.
    • Demonstrated how increases in the amount of carbon dioxide in the atmosphere would increase global temperatures, laying the foundations for current climate models.

    Parisi

    • Awarded for “the discovery of the interplay of disorder and fluctuations in physical systems from atomic to planetary scales.”
    • He “built a deep physical and mathematical model” that made it possible to understand complex systems in fields such as mathematics, biology, neuroscience and machine learning.

    (4) Nobel Prize for Physiology/Medicine, 2021

    Recently, two United States-based scientists, David Julius and Ardem Patapoutian have been awarded the 2021 Nobel Prize for Physiology/Medicine for their discoveries of receptors for temperature and touch.

    • They have focused their work on the field of somatosensation, that is the ability of specialized organs such as eyes, ears and skin to see, hear and feel.

    About the Discoveries

    David Julius:

    • He discovered TRPV1, a heat-sensing receptor.
    • His findings on the skin’s sense of temperature was based on how certain cells react to capsaicin, the molecule that makes chili peppers spicy, by simulating a false sensation of heat.

    Ardem Patapoutian

    • He discovered two mechanosensitive ion channels known as the Piezo channels.
      • The Piezo1 is named after the Greek word for pressure, ‘píesi’.
    • He is credited for finding the cellular mechanism and the underlying gene that translates a mechanical force on our skin into an electric nerve signal.

    Significance of Discoveries

      • The findings have allowed us to understand how heat, cold and mechanical force can initiate the nerve impulses that allow us to perceive and adapt to the world around us.
      • This knowledge is being used to develop treatments for a wide range of disease conditions, including chronic pain.

    Back To Basics: About Nobel Prizes

    • The will of the Swedish scientist Alfred Nobel established the five Nobel prizes in 1895.
    • The Nobel Prizes are a set of recognition given to fields of Chemistry, Literature, Peace, Physics, and Physiology or Medicine by The Nobel Foundation.
      • The Nobel Foundation is a private institution established in 1900, has ultimate responsibility for fulfilling the intentions in Alfred Nobel’s will.
    • The prizes in Chemistry, Literature, Peace, Physics, and Physiology or Medicine were first awarded in 1901.
    • In 1968, Sveriges Riksbank established the Sveriges Riksbank Prize in Economic Sciences in Memory of Alfred Nobel.

     

  • Mosquirix: First malaria vaccine to get WHO nod

    In a historic move, the World Health Organization (WHO) has endorsed the first anti-malarial vaccine, as mankind enters a key turning point in a battle waged relentlessly over decades between man and mosquito, the vector.

    Mosquirix

    • RTS,S/ASO1 (RTS.S), trade name Mosquirix acts against P. falciparum, the most deadly malaria parasite globally, and the most prevalent in Africa.
    • The vaccine was able to prevent approximately 4 in 10 cases of malaria over a 4-year period in Africa.
    • This is the first malaria vaccine that has completed the clinical development process.
    • It is also the first malaria vaccine to be introduced by three national ministries of health through their childhood immunization programs — more than 800,000 children in Ghana, Kenya, and Malawi.
    • have been vaccinated, and are benefiting from the added protection provided by the vaccine as part of a pilot program.

    How the vaccine can help?

    • WHO’s recommendation is based on the advice of its two global advisory bodies, one for immunization and the other for malaria.
    • WHO has recommended that in the context of comprehensive malaria control, the RTS,S/AS01 malaria vaccine be used for the prevention of P. falciparum malaria in children living in regions with moderate to high transmission as defined by it.
    • The malaria vaccine should be provided in a schedule of 4 doses in children from 5 months of age for the reduction of malaria disease and burden.

    Back2Basics: Malaria

    • Malaria is caused by the bite of the female Anopheles mosquito if the mosquito itself is infected with a malarial parasite.
    • There are five kinds of malarial parasites — Plasmodium falciparum, Plasmodium vivax (the commonest ones), Plasmodium malariae, Plasmodium ovale and Plasmodium knowlesi.
    • Therefore, to say that someone has contracted the Plasmodium ovale type of malaria means that the person has been infected by that particular parasite.
    • Malaria is treated with prescription drugs to kill the parasite. Chloroquine is the preferred treatment for any parasite that is sensitive to the drug.

    Countries that have eliminated malaria

    • Globally, the elimination net is widening, with more countries moving towards the goal of zero malaria.
    • In 2019, 27 countries reported fewer than 100 indigenous cases of the disease, up from 6 countries in 2000.
    • Countries that have achieved at least 3 consecutive years of zero indigenous cases of malaria are eligible to apply for the WHO certification of malaria elimination.
    • 11 countries have been certified as malaria-free: United Arab Emirates (2007), Morocco (2010), Turkmenistan (2010), Armenia (2011), Sri Lanka (2016), Kyrgyzstan (2016), Paraguay (2018), Uzbekistan (2018), Algeria (2019), Argentina (2019), and El Salvador (2021).

    Burden of Malaria in India

    • In 2018, the National Vector-borne Disease Control Programme (NVBDCP) estimated that approximately 5 lakh people suffered from malaria.
    • 63% of the cases were of Plasmodium falciparum.
    • The recent World Malaria Report 2020 said cases in India dropped from about 20 million in 2000 to about 5.6 million in 2019.

     

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  • Renaming of the Jim Corbett National Park

    The Union Minister of State for Environment, Forest and Climate Change has recently proposed to change the name of Corbett National Park to Ramganga National Park.

    Who was Jim Corbett?

    • Born in Nainital in 1875, Edward James Corbett lived in India till Independence, after which he left for Kenya where he died in 1955.
    • India’s best known hunter, Corbett earned fame after he tracked down and killed a number of man-eating tigers and leopards (he is said to have killed over a dozen).
    • An ace shot, Corbett was called upon regularly by the government to track and shoot man-eaters in the villages of Garhwal and Kumaon in Uttarakhand.

    Corbett National Park

    • Jim Corbett National Park is a national park in India located in the Nainital district of Uttarakhand state.
    • The first national park in India, it was established in 1936 during the British Raj and named Haily National Park after a governor of the United Provinces in which it was then located.
    • It was renamed Ramganga National Park, named after the river that flows through it, shortly after Independence and was rechristened yet again as Corbett National Park in 1956.
    • Jim Corbett had played a leading role in its establishment and had died the year before.
    • The park was the first to come under the Project Tiger initiative.

    The tiger reserve

    • The national park along with the neighbouring 301-sq km-Sonanadi Wildlife Sanctuary together make the critical tiger habitat of the Corbett Tiger Reserve.
    • With its hills, grasslands and streams, it is ideal tiger territory.
    • The place from where Project Tiger was launched in 1973, with its tiger population at 163, it boasts of a single largest tiger population in a tiger reserve and one of the highest tiger densities in the country.

     

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  • Bhoramdeo Tiger Reserve: Fourth TR in Chhattisgarh

    The National Tiger Conservation Authority (NTCA) approved the Chhattisgarh government’s proposal to declare the combined areas of the Guru Ghasidas National Park and Tamor Pingla Wildlife Sanctuary as a Tiger Reserve.

    Bhoramdeo Tiger Reserve

    • The new Reserve is located in the northern part of the state, bordering Madhya Pradesh and Jharkhand.
    • This will be the fourth Tiger Reserve in Chhattisgarh, after the Udanti-Sitanadi, Achanakmar, and Indravati Reserves.
    • The proposal was considered under Section 38V(1) of The Wildlife (Protection) Act, 1972.
    • This section says that the State Government shall, on the recommendation of the Tiger Conservation Authority, notify an area as a tiger reserve.

    A decade in making

    • The Tamor Pingla Wildlife Sanctuary was identified as part of the Sarguja Jashpur Elephant Reserve in 2011.
    • The Guru Ghasidas National Park used to be part of the Sanjay National Park in undivided Madhya Pradesh.
    • Both were identified as reserve forests, and had been in line to be notified as Tiger Reserve since 2011.

    Medium-sized reserve

    • The constituent units of the new Tiger Reserve, Guru Ghasidas National Park and Tamor Pingla Wildlife Sanctuary, are spread over 1,44,000 hectares (1,440 sq km) and 60,850 hectares (608.5 sq km) respectively.
    • Guru Ghasidas National Park is in Koriya district; Tamor Pingla is in Surajpur district in the northwestern corner of Chhattisgarh.

     

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  • Tribes in news: Mundapota Kela

    Members of the Mundapota Kela community in Odisha perform an unthinkable act of their head buried in soil, which requires exceptional breath control, for a living.

    Mundapota Kela

    • The community — Mundapota Kela (a denotified tribe) — is left with few members who earn a livelihood with this bizarre act.
    • It is believed to have migrated to Odisha from Rayalaseema area of Andhra Pradesh decades ago.
    • Being street performers, they travel from one village to another and bury their heads in soil for several minutes.
    • They collect rice, vegetables and money from villagers for putting up the show.

    Try answering this PYQ:

    Q.Consider the following statements about Particularly Vulnerable Tribal Groups (PVTGs) in India:

    1. PVTGs reside in 18 States and one Union Territory.
    2. A stagnant or declining population is one of the criteria for determining PVTG status.
    3. There are 95 PVTGs officially notified in the country so far.
    4. Irular and Konda Reddi tribes are included in the list of PVTGs.

    Which of the statements given above are correct?

    (a) 1, 2 and 3

    (b) 2, 3 and 4

    (c) 1, 2 and 4

    (d) 1, 3 and 4

     

    Post your answers here:

     


    Back2Basics: De-Notified Tribes

    • Denotified Tribes (DNTs), also known as Vimukta Jati are the tribes that were listed originally under the Criminal Tribes Act of 1871 as Criminal Tribes.
    • Once a tribe became “notified” as criminal, all its members were required to register with the local magistrate, failing which they would be charged with a “crime” under the Indian Penal Code.
    • The Criminal Tribes Act was repealed in 1949 and thus ‘de-notified’ the tribal communities.
    • The denotified tribes were reclassified as “habitual offenders” in 1959.
    • The UN’s anti-discrimination body Committee on the Elimination of Racial Discrimination (CERD) asked India to repeal the Habitual Offenders Act (1952) and effectively rehabilitate the denotified and nomadic tribes on 9 March 2007.
    • A National Commission for Denotified, Nomadic and Semi-Nomadic Tribes (NCDNSNT) was setup in 2003 to study various developmental aspects under the chairmanship of Shri. Balkrishna Renke.

     

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  • [pib] Central Asian Flyway

    The two-day meeting of 30 range countries of Central Asian Flyway has begun.

    What is Central Asian Flyway?

    • Central Asian Flyway (CAF) is a flyway covering a large continental area of Eurasia between the Arctic Ocean and the Indian Ocean and the associated island chains.
    • It comprises several important migration routes of waterbirds, most of which extend from the northernmost breeding grounds in Siberia to the southernmost non-breeding wintering grounds in West Asia, India, the Maldives and the British Indian Ocean Territory.
    • The CAF range is essentially centred on one of the three major wintering areas of waterfowl in the Old World, namely the Indian subcontinent, the other two being Africa.
    • There are also the African-Eurasian Flyway (AEWA) to the west, and south-east Asia in the East Asian – Australasian Flyway (EAAF) to the east.
    • These wintering areas are geographically separate, and present entirely different ecological, historical and cultural situations.

    Range countries

    • The flyway covers 30 countries of North, Central and South Asia and Trans-Caucasus.
    • India is the core country of the CAF and supports 257 species of water birds.

    Major migratory birds

    • Critically Endangered – northern bald ibis, white-bellied heron, Baer’s pochard
    • Endangered – greater adjutant
    • Vulnerable – black-necked crane, Indian skimmer, lesser adjutant, masked finfoot, Socotra cormorant, wood snipe
    • Near Threatened – black-headed ibis, lesser flamingo, pygmy cormorant, white-eyed gull

    Why designate such flyways?

    • Approximately one in five of the world’s 11,000 bird species11,000 bird species migrate, some covering enormous distances.
    • Conserving migratory birds requires cooperation and coordination along the entire flyway between countries and across national boundaries.

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  • Last Minute Revision Modules for UPSC CSE Prelims 2021

    Revision and practice of the mock test have incomparable importance in the UPSC Prelims examination. Considering this year’s prelims being just a week ahead, it’s high time that all of the appearing aspirants should go through the important and most repetiting topics being asked in the exam.

    Looking at the demand of the examination, we have started the “Mission Nikalo Prelims’ initiative for better coverage of the syllabus. We have cherrypicked the ‘60 most important topics‘ from where a maximum number of questions have been asked by UPSC in the past 10 years. We have accompanied the mock tests so that the practice angle should also get covered.

    It’s the best time to give the final touch to your preparation and cover the topics which have left due to a dearth of time. The link to the initiative is given below:

    Mission Nikalo Prelims (Click here)

    All the best!

  • From IIT to Civil services | Life beyond Tech World | Jayant Nahata, AIR 56, UPSC 2020 || UNHERD: Civilsdaily’s Toppers Talk Series (Link inside)

    From IIT to Civil services | Life beyond Tech World | Jayant Nahata, AIR 56, UPSC 2020 || UNHERD: Civilsdaily’s Toppers Talk Series (Link inside)

    Talk to Jayant’s UPSC Mentors- https://bit.ly/Free_One_to_One_Mentorship

    In this Unherd Interview, We are joined by AIR 56 Jayant Nahata.

    A graduate from IIT Delhi, Jayant looked beyond the tech industry and wanted to be part of the social development of society.

    “Do you want the pain of hard work or do you want the regret of failure?” is the mantra that kept him going through the UPSC preparation.

    Maintaining consistency and managing time is one of the most difficult issues faced by many aspirants. Take this opportunity to learn the techniques of time management and planning from Jayant.

    Civilsdaily is proud to present AIR 56 Jayant Nahata and congratulate him on his future endeavors.

    Let’s hear more from the winner himself in the video.

    To know more about Civilsdaily:-

    https://www.civilsdaily.com/ias-2021-22-mentorship/

    Heartiest congratulations to Jayant Nahata

    AIR 65

    UPSC Civil Services 2020

  • UPSC Prelims 2021 || Ten Things to Avoid to Clear Prelims || by Santosh Gupta (Link Inside)

    UPSC Prelims 2021 || Ten Things to Avoid to Clear Prelims || by Santosh Gupta (Link Inside)

    Hello Aspirants, are you committing the same mistakes again and again, which could cost your Prelims? Santosh Sir discusses 10 most common mistakes which you must avoid to clear prelims. Watch the above video to understand how to utilize the remaining days and how to remain confident.

    How to solve paper and manage time, watch here:- https://youtu.be/tcJj4P0a_x8

    How to avoid silly mistakes, watch this video of him. It is most important for all of you appear for prelims 2021:- https://youtu.be/AfavQ_6ne7Q

    How to utilise remaining days for revision effectively for Prelims:- https://youtu.be/m1LLOStMiF0

    Connect with our mentors:- https://bit.ly/Free_One_to_One_Mentorship

    To know more about Civilsdaily IAS:- https://www.civilsdaily.com/ias-2021-22-mentorship/


    About Santosh Gupta sir:-
    Santosh Gupta sir has scored above 140 twice in UPSC prelims and always 130 plus in all 6 attempts. He wrote all 6 mains and appeared for Interviews 3 times. He has qualified UPSC EPFO and BPSC 56-59th also.

    He has been teaching and mentoring UPSC aspirants for the last 5 years with tremendous interest in environment and ecology and Polity.

  • Over 80 Civilsdaily students became RANKERS in UPSC civil services 2020(30 in top 100)| YOU can be NEXT| New batch of Foundation 2022 Starting  Oct 16th| Schedule your free mentorship call

    Over 80 Civilsdaily students became RANKERS in UPSC civil services 2020(30 in top 100)| YOU can be NEXT| New batch of Foundation 2022 Starting Oct 16th| Schedule your free mentorship call

    Civilsdaily helped over 80 aspirants become Rankers in the UPSC exam 2020!

    30 Civilsdaily students secured ranks in the top 100 (more than any other institute)!

    Our results improved by 80% in just one year!

    Our top rankers from UPSC 2020

    Now, we are launching another batch of Foundation 2022 using the same strategy and plan that got us this incredible result.

    80 Students realized their dream of cracking the exam. YOU could be next!

    So, what is Foundation 2022, and how will it help you?

    1. It is a complete program for IAS 2022 which includes:
    2. Master Classes -to ensure comprehensive coverage of all the portions of static syllabus along with an in-depth analysis.
    3. Ultimate Assessment Program – to evaluate your level of preparation through various tests- Prelims, Mains, Essay, Samachar Manthan, Decimate Prelims.
    4. A dedicated mentor to guide you through the maze of the UPSC exam.
    5. Exclusive membership to Civilsdaily Community on Habitat.

    What is Ultimate Assessment Program 2022

    A mentor-guided assessment program to keep you on track at all times and bring in strategic interventions when and where required.

    How are we going to approach UPSC IAS 2022?

    Broadly, six factors determine your success in cracking this prestigious IAS exam.

    The most important being understanding the expectations of UPSC. According to that planning and strategizing. Then Learning – Knowledge and information. Then Analyzing – making linkages, connections, etc. After that, Executing and utilizing information, and Constant course correction – because mistakes are inevitable, need to rectify them asap.

    How will it help you?

    Through our mentorship-driven and personalized approach, we’re hell-bent on simplifying things for you. Hence, we have come up with a plan that you will instantly connect with you and give you a vibe that yes you can do it!

    1. Integrated Approach

    Preparation for Prelims and Mains is harmonized. You study a subject, attempt prelims tests, and then attempt mains tests for the same. This leads to solid preparation.

    Many institutes out there will not able to present an integrated approach. They offer separate timetables for prelims and mains confusing the students further. That’s not the case with us!

    2. Priority-wise Coverage of subjects

    We are starting with the most important subjects from the exam perspective first. These are very predictable + have a very high return on investment. They need to be mastered if one has to have a shot at the exam. Polity, Modern History, and Economics. The lower priority ones follow afterward.

    3. Logical Division of Topics

    Subjects have been divided into topics that logically fit together. Eg. for Polity we ask you to prepare in 2 parts – first, till Central Government and second, from State Government and beyond. This division is not ad-hoc and does not break the flow of your studies.

    4. Base and Advanced Sources

    We have divided the sources into 2 parts, Base Sources, and Advanced Sources. Base sources are those which you have to master. You should come to advanced sources only when you are thorough with the Base Sources.

    All this is under the guidance of a dedicated mentor who will oversee your progress, help you strategize your preparation, plan it and make it measurable, help you analyze and evaluate your preparation; and introduce strategic interventions wherever and whenever required.

    Here’s what students have to say about the program:

    Do not wait, start on the right track. Civilsdaily has helped 80 aspirants become rankers. You can be next!

  • On Digital Health ID, proceed with caution

    Much recently, the Prime Minister had launched the Digital Health ID project (DHID), generating debate on issues related to the use of technology in a broken health system.

    Explained: Digital Health ID

    Good intents of the DHID

    • The key objective of DHID is to improve the quality, access and affordability of health services by making the service delivery “quicker, less expensive and more robust”.
    • The ambition is undoubtedly high. Given that health systems are highly complex, the DHID would hardly be able to address some of the issues plaguing it.

    Why need DHID?

    (a) Record maintenance

    • The use of technology for record maintenance is not just inevitable but necessary. Its time has certainly come.
    • A decade ago, the process to shift towards electronic medical records was initiated in the private sector.
    • It met with limited success, despite the strong positives.
    • With DHID, the burden of storing and carrying health records for every visit to the doctor is minimised.

    (b) Better tracking of medical history

    • The doctor has instant access to the patient’s case history –the treatment undertaken, where and with what outcomes — enabling more accurate diagnosis and treatment.
    • As the DHID enables portability across geography and healthcare providers, it also helps reduce re-testing or repeating problems every time a patient consults a new doctor.
    • That’s a huge gain, impacting the quality of care and enhancing patient satisfaction and confidence.

    (c) Better Diagnosis

    • DHID can have a transformative impact in promoting ecosystems that function as paperless facilities.
    • Paperless hospitals can promote early diagnosis before the patient reaches the doctor after spending long hours in queue.
    • The doctor can already go through the patient’s record and the pharmacist can make the drugs available by the time the patient reached its counter.

    (d) Promoting medical research

    • Digitisation of medical records is another important positive, given the problems related to space and retrieving huge databases.
    • Well organised repositories that enable easy access to records can stimulate much-needed research on medical devices and drugs.
    • This storehouse of patient data can be valuable for clinical and operational research.

    Given our population, would this be an idealistic expectation?

    • We need to conduct pilot studies to assess the use of technology for streamlining patient flows and medical records and thereby increase efficiencies across different typologies of hospitals and facilities.
    • While technology helps smoothen processes and enhance patient experience, there is a cost attached.
    • Investments have to be made upfront and results should not be expected overnight.

    Issues with DHID

    (a) A costly affair

    • In the immediate short run, DHID will increase administrative costs by about 20 per cent, due to the capital investment in data infrastructure.
    • Over the long run, the additional cost to healthcare is expected to be about 2 per cent.
    • Any scaling up of this reform would require extensive fiscal subsidies and more importantly providing techno-logistical support to both government and private hospitals.

    (b) Privacy concerns

    • Most important is the issue of privacy, the high possibility of hacking and breach of confidentiality.
    • The possibility of privacy being violated increases with the centralisation of all information.
    • Though it is said that the patient is the owner of the information, how many of us deny access, as a matter of routine, when we download apps or programmes that seek access to all our records?
    • How far is this “consent” practical for an illiterate, vulnerable patient desperate to get well?
    • So, taking refuge behind a technical statement that access is contingent on patient consent is unconvincing.

    Ground situation in India

    • Inherently unaffordable healthcare: The costs in the Indian context can be high and that should lead to a careful assessment of the project.
    • Digital divide: Such a scenario is not inconceivable and in the case of health, may cause immense hardship to the most marginalised sections of our population.
    • Infrastructure gap: A large majority of facilities do not have the required physical infrastructure — electricity, accommodation, trained personnel.
    • Usual nature of technical glitches: Cards getting corrupted, servers being down, computers crashing or hanging, and power outages are common in India.
    • Conformity over data synchronization: The inability to synchronise biometric data with ID cards has resulted in large-scale exclusions of the poor from welfare projects.
    • Accuracy of records: Besides, the efficacy of the DHID hinges on the assumption that every visit and every drug consumed by the patient is faithfully and accurately recorded.
    • Increased workload on Medical Professionals: Moreover, while electronic mapping of providers may enable patients to spot a less busy doctor near their location, it is simplistic to assume that the patient will go there.

    Plugging the existing gaps

    • Patient preference for a doctor is dependent upon perception and trust. Likewise, teleconsultations need a huge backend infrastructure and organisation.
    • Teleconsulting has certainly helped patients access medical advice for managing minor ailments, getting prescriptions on the phone and even getting drugs delivered home.
    • But in handling chronic diseases that necessitate continuity of care, teleconsultations have been problematic and cannot be substituted for actual physical examination.
    • Continuity of care is central to good outcomes in inpatient management of chronic diseases.
    • The one serious shortcoming of using teleconsultation for such management is the high attrition rate of doctors within the context of an overall shortage of doctors.
    • Technology can be of little use in the absence of doctors and basic infrastructure.

    Way forward

    • What is needed is building very robust firewalls and trust.
    • Seeing the frequency with which Aadhaar cards have been breached, it is not unreasonable to be concerned with this issue and the implications it has at the family and societal levels.
    • For this reason, instead of a big bang approach, it is better to go slow and steady.
    • That’s the only way to ensure that a good policy does not die along the way due to poor implementation.

     

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