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Subject: Governance

Important aspects of Society

Centre extends Police Modernisation Scheme
The Union government has approved the continuation of a police modernization scheme for five years up to 2025-26 with a financial outlay of ₹26,275 crores.

What is the Modernization of Police Forces Scheme?
- Police’ and ‘law and order’ fall under the category of subjects within the domain of the State as per Entry 2 of List II of the VIIth Schedule in the Constitution of India.
- Thus, the principal responsibility for managing these subjects lies with the State Governments.
- However, the States have not been able to fully modernize and equip their police forces up to the desired level due to financial constraints.
- It is in this context that the Ministry of Home Affairs (MHA) has been supplementing the efforts and resources of the States, from time to time, by implementing the MPF Scheme since 1969-70.
Objectives:
- The focus of the scheme is to strengthen police infrastructure at cutting edge level by constructing secure police stations, training centers, police housing (residential), equipping the police stations with the required mobility, modern weaponry, communication equipment, and forensic set-up, etc.
Components of the scheme
- The scheme included security-related expenditure in J&K, northeastern States, and Maoist-affected areas, for raising new battalions, developing high-tech forensic laboratories and other investigation tools.
- Provisions have been made under the scheme for internal security, law and order, and the adoption of modern technology by the police.
- Assistance will be given to the States for narcotics control and strengthening the criminal justice system by developing a robust forensic setup in the country.
Funding pattern
- Under the Scheme, the States are grouped into two categories, namely Category ‘A’ and Category ‘B’ for the purpose of funding both under ‘Non-Plan’ and Plan.
- Category ‘A’ States, namely, J&K and 8 North Eastern States including Sikkim will be eligible to receive financial assistance on a 90:10 Centre: State sharing basis.
- The remaining States will be in Category ‘B’ and will be eligible for financial assistance on a 60:40 Centre: State sharing basis.
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February 14, 2022
Intensified Mission Indradhanush (IMI) 4.0 launched
The Union Health Minister has launched the Intensified Mission Indradhanush (IMI) 4.0.

About IMI 4.0
- The IMI 4.0 will have three rounds and will be conducted in 416 districts (including 75 districts identified for Azadi ka Amrit Mahotsav) across 33 States and UTs, a Health Ministry statement said.
- It will immensely contribute in filling the gaps and make lasting gains towards universal immunisation.
- It will ensure that Routine Immunisation (RI) services reach the unvaccinated and partially vaccinated children and pregnant women” he said.
What is Mission Indradhanush ?
- With the aim to increase the full immunisation coverage, the PM launched Mission Indradhanush in December 2014.
- It aimed to cover the partially and unvaccinated pregnant women and children in pockets of low immunisation coverage, high-risk and hard-to-reach areas and protect them from vaccine preventable diseases.
- The first two phases of the Mission resulted in 6.7% increase in full immunisation coverage in a year.
Aims and objectives
- It aims to immunize all children under the age of 2 years, as well as all pregnant women, against eight vaccine-preventable diseases.
- The diseases being targeted are diphtheria, whooping cough, tetanus, poliomyelitis, tuberculosis, measles, meningitis and Hepatitis B.
- In 2016, four new additions have been made namely Rubella, Japanese Encephalitis, Injectable Polio Vaccine Bivalent and Rotavirus.
- In 2017, Pneumonia was added to the Mission by incorporating the Pneumococcal conjugate vaccine under Universal Immunisation Programme
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February 10, 2022
Pradhan Mantri Matru Vandana Yojana (PMMVY)
The government’s recent announcement that the maternity benefits program which provides ₹5,000 for the first child will be extended to cover the second child only if it is a girl has met with sharp criticism from activists who have demanded that it be universalized.

What is PMMVY?
- Launched in 2017, this scheme provides ₹5,000 for the birth of the first child to partially compensate a woman for the loss of wages.
- It also aims to improve the nutritional well-being of the mother and the child.
- The amount is given in three installments upon meeting certain conditions.
- It is combined with another scheme, Janani Suraksha Yojana, under which nearly ₹1,000 is given for an institutional birth so that a woman gets a total of ₹6,000.
Eligibility Conditions

The first transfer (at pregnancy trimester) of ₹1,000 requires the mother to:
- Register pregnancy at the Anganwadi Centre (AWC) whenever she comes to know about her conception
- Attend at least one prenatal care session and take Iron-folic acid tablets and TT1 (tetanus toxoid injection)
- Attend at least one counseling session at the AWC or healthcare centre.
The second transfer (six months of conception) of ₹2,000 requires the mother to:
- Attend at least one prenatal care session and TT2
The third transfer (three and a half months after delivery) of ₹2,000 requires the mother to:
- Register the birth
- Immunize the child with OPV and BCG at birth, at six weeks, and at 10 weeks
- Attend at least two growth monitoring sessions within three months of delivery
Additionally, the scheme requires the mother to:
- Exclusively breastfeed for six months and introduce complementary feeding as certified by the mother
- Immunize the child with OPV and DPT
- Attend at least two counselling sessions on growth monitoring and infant and child nutrition and feeding between the third and sixth months after delivery
Why in news?
- Under the revamped PMMVY under Mission Shakti, the maternity benefit amounting to ₹6000 is also to be provided for the second child.
- However, this is only in case the second is a girl child, to discourage pre-birth sex selection and promote the girl child.
Issues with this provision
- To provide maternity benefit only to the mother of the firstborn is illegal as the National Food Security Act, 2013 lays down that every pregnant woman and lactating mother are entitled to it.
- For second child as a girl, it is to promote the birth of a girl child is nothing but posturing since it penalizes the mother for not giving birth to a girl child.
- Subsequent adding of more conditions to the scheme will prove to be a bureaucratic nightmare, which can be overcome if the scheme is universalized.
- Women will be able to access the scheme only after the delivery, which will not have any impact on their nutritional uptake during the course of their pregnancy.
Before judging this factual information, take this PYQ form 2019:

Q.Which of the following statements is/are correct regarding the Maternity Benefit (Amendment) Act, 2017?
1. Pregnant women are entitled to three months pre-delivery and three months post-delivery paid leave.
2. Enterprises with creches must allow the mother a minimum of six crèche visits daily.
3. Women with two children get reduced entitlements.
Select the correct answer using the code given below.

(a) 1 and 2 only

(b) 2 only

(c) 3 only

(d) 1, 2 and 3

[wpdiscuz-feedback id=”6pftvi12o6″ question=”Please leave a feedback on this” opened=”1″]Post your answers here.[/wpdiscuz-feedback]
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February 8, 2022
Paray Shikshalaya Initiative
The West Bengal government has launched ‘Paray Shikshalaya’ Initiative.

Paray Shikshalaya
- It is an open-air classroom in the neighborhood programme – for students from class 1 to 7.
- The aim of this initiative is to encourage students who dropped out of schools during the Covid-19 pandemic to continue their education.
Why was this initiative launched?
- In view of the rising demand for physical classes, the state government reopened schools.
- Classroom teaching could not be called on due to fear of spikes in covid cases.
- Hence, students are being called in batches.
Where were these classes held?
- Schools which do not have open-air spaces conducted the classes in neighbourhood parks and grounds.
- Local councilors and MLAs helped set up infrastructure in such parks like putting up makeshift shades and chairs, besides making mid-day meal arrangements for the students.
- Schools which have open-air spaces held the classes there.
- Benches were set up for students and blackboards were placed to provide a real classroom experience.
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February 8, 2022
Upsetting the Centre-state balance
Context

The proposed amendment to Rule 6 of the IAS (Cadre) Rules 1954, seeks to do away with the consent of both the officer and the state government.

What makes All-India services different?
- Article 309: Under Article 309 of the Constitution, the Centre and states are empowered to erect and maintain services for running their administration.
- Both the Centre and the states exercise full control over their services independently of each other.
- Article 312: Unlike a central service or state service, an All-India Service is compositely administered under Article 312.
- While recruitment and allotment to a cadre (state) are determined by the Centre, the states determine the work and posting.
- Balance between Centre and states: Hence, All-India Services are carefully balanced between the Centre and the states.
- The Indian Administrative Service (IAS), Indian Police Service (IPS), and Indian Forest Service (IFS) are the three All-India Services.
- Being an All-India Service, officers of the IAS are posted to the states, from where they are deputed to the Centre with the tripartite consent of the officer, the state government and the central government.
Issues with the proposed changes
- The proposed amendment to Rule 6 of the IAS (Cadre) Rules 1954, seeks to do away with the consent of both the officer and the state government.
- Reasons for amendment: The reason for the amendment, as declared by the central government, is to ensure adequate availability of IAS officers for central deputation, which at present is “not sufficient to meet the requirement at the Centre”.
- However, the central government has gone beyond its declared reason and stretched the cadre rules to also allow for appropriation of IAS officers “in public interest”.
- The Centre has virtually conferred upon itself the plenipotentiary power to pull out any number of IAS officers from the states.
- States may divest IAS officers of key posts: To protect their administration from becoming paralysed, states may resort to altering their Transaction of Business Rules to divest IAS officers of key posts in the state, and vesting the same with the state officers.
- Alternately, states may conjure provisional berths for retired bureaucrats to re-enter administration as special appointees, outside the cadre rules.
- Flouting of cadre rules by States: As it is, the implementation of cadre rules is left to the mercy of the states, with the Centre showing a disinclination to enforce them.
- Some states openly flout the cadre rules with impunity in matters of postings and transfers.
- The Civil Services Board has been rendered impotent, non-cadre officers are being unilaterally appointed to IAS cadre posts, and the minimum tenure guarantee is openly flouted.
- Against federalism: Not only could it allow distrust to fester in Centre-state relations, it would also result in the functional depreciation of the IAS in the states.
Conclusion

It is important for the states to be reassured that they are in control of their administration, and for the service to not lose its relevance.

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February 8, 2022
Weighing in on a health data retention plan
Context

The National Health Authority (NHA) — the body responsible for administering the Ayushman Bharat Digital Mission (ABDM) — has initiated a consultation process on the retention of health data by healthcare providers in India. The consultation paper asks for feedback on what data is to be retained, and for how long.

Issues with the policy for healthcare data retention
- Risk of over-collection: A simple classification system, as suggested in the consultation paper, exposes individuals to harms arising from over-collection and retention of unnecessary data.
- At the same time, this kind of one-size-fits-all system can also lead to the under-retention of data that is genuinely required for research or public policy needs.
- Instead, we should seek to classify data based on its use.
Do we need a policy for the mandatory retention of health data?
- Currently, service providers can compete on how they handle the data of individuals or health records, in theory, each of us can choose a provider whose data policies we are comfortable with.
- Whether the state should mandate a retention period at all is an open question.
- Given the landscape of healthcare access in India, including through informal providers, many patients may not think about this factor in practice.
- Nonetheless, the decision to take the choice out of the individual’s hands should not be taken lightly.
Balancing the policy for public health data retention with the right to privacy
- Four-part test for privacy: The Supreme Court of India has clarified that privacy is a fundamental right, and any interference into the right must pass a four-part test: legality; legitimate aim; proportionality, and appropriate safeguards.
- Health data and privacy: The mandatory retention of health data is one such form of interference with the right to privacy.
- 1] Legality: In this context, the question of legality becomes a question about the legal standing and authority of the NHA.
- Since the NHA is not a sector-wide regulator, it has no legal basis for formulating guidelines for healthcare providers in general.
- 2]Legitimate aim: The aim of data retention is described in terms of benefits to the individual and the public at large.
- Benefits to the individuals: Individuals benefit through greater convenience and choice, created through portability of health records.
- The broader public benefits through research and innovation, driven by the availability of more and better data to analyse.
- Risk involved: Globally, legal systems consider health data particularly sensitive, and recognise that improper disclosure of this data can expose a person to a range of significant harms.
- Benefits must be clearly defined: As per Indian law, if an individual’s rights are to be curtailed due to anticipated benefits, such benefits cannot be potential or speculatory: they must be clearly defined and identifiable.
- 3] Proportionality: This is the difference between saying that data on patients with heart conditions will help us better understand cardiac health — a vague explanation — and being able to identify a specific study that will include data from that patient.
- It would further mean demonstrating that the study requires personally identifiable information, rather than just an anonymous record — the latter flowing from the principle of proportionality, which requires choosing the least intrusive option available.
- 4] Safeguard: Standards for anonymisation are still developing.
- We are not yet able to rule out the possibility of anonymised data still being linked back to specific individuals.
- In other words, even anonymisation may not be the least intrusive solution to safeguarding patients’ rights in all scenarios.
Way forward
- Clear and specific case for retention: The test for retaining data should be that a clear and specific case has been identified for such retention, following a rigorous process run by suitable authorities.
- Anonymise data: A second safeguard would be to anonymise data that is being retained for research purposes — again, unless a specific case is made for keeping personally identifiable information.
- If neither of these is true, the data should be deleted.
- Express and informed consent: An alternate basis for retaining data can be the express and informed consent of the individual in question.
- User-based classification process: Health-care service providers — and everyone else — will have to comply with the data protection law, once it is adopted by Parliament.
- The current Bill already requires purpose limitation for collecting, processing, sharing, or retaining data; a use-based classification process would thus bring the ABDM ecosystem actors in compliance with this law as well.
Consider the question “What are the advantages and concerns with the retention of public health data? Suggest the ways to ensure the privacy-centric public health data retention policy.”

Conclusion

A privacy-centric process is needed to determine what data to retain and for how long.

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February 7, 2022
What is E-SHRAM Portal?
Over 2 crore people who have signed up for the Centre’s portal for unorganised sector workers hold a Graduate Degree.

E-Shram
- On August 26, 2021, the Ministry of Labour and Employment (MOLE) launched the E-Shram, the web portal for creating a National Database of Unorganized Workers (NDUW), which will be seeded with Aadhaar.
- It seeks to register an estimated 398-400 million unorganized workers and to issue an E-Shram card.
Issues with E-Shram

(A) Time constraints
- Long process: Given the gigantic nature of registering each worker, it will be a long-drawn process.
- No gestation period: The Government has not mentioned a gestation period to assess its strategy and efficiency.
- No hasty process: Employers are or required their workers to register even. While the Government can appeal to them, any penal measure will hurt the ease of doing business.
(B) Pandemic hides
- Considering the estimated 380 million workers as the universe of registration — debatable as the novel coronavirus pandemic has pushed lakhs of workers into informality.
(C) Data security
- Privacy: One of the vital concerns of e-portals is data security, including its potential abuse especially when it is a mega-sized database.
- No national framework yet: There are also media reports pointing out the absence of a national architecture relating to data security.
- Local server issues: It has been reported that in some states such as Maharashtra, the server was down for a few days.
(D) Structural issue
- Aadhaar seeding: Many workers will not have an Aadhaar-seeded mobile or even a smartphone. Aadhaar-seeding is a controversial issue with political overtones, especially in the North-eastern regions.
- Eligibility: There are several issues concerning the eligibility of persons to register as well as the definitional issues.
- Exclusion: By excluding workers covered by EPF and ESI, lakhs of contract and fixed-term contract workers will be excluded from the universe of UW. Hazardous establishments employing even a single worker will have to be covered under the ESI, which means these workers also will be excluded.
- No benefits for the aged: The NDUW excludes millions of workers aged over 59 from its ambit, which constitutes age discrimination.
(D) Complex identities of workers
- Migration: Many are circular migrant workers and they quickly, even unpredictably, move from one trade to another.
- Mixed work: Many others perform formal and informal work as some during non-office hours may belong to the gig economy, for example as an Uber taxi or a Swiggy employee. They straddle formal and informal sectors.
- Gig workers: Even though MOLE has included gig workers in this process, it is legally unclear whether the gig/platform worker can be classified first as a worker at all.
(E) Other impediments
- Dependence on States: The central government will have to depend on the state governments for this project to be successful.
- Lack of coordination: In many States, the social dialogue with the stakeholders especially is rather weak or non-existent. The success of the project depends on the involvement of a variety of stakeholders apart from trade unions.
- Corruption: There is also the concern of corruption as middle-service agencies such as Internet providers might charge exorbitant charges to register and print the E-Shram cards.
Benefits: No immediate carrot
- Workers stand to gain by registration in the medium to long run.
- But the instant benefit of accident insurance up to ₹0.2 million to registered workers is surely not an attractive carrot.
- The main point of attraction is the benefits they stand to gain during normal and crisis-ridden periods such as the novel coronavirus pandemic now which the Government needs to disseminate properly.
Way forward
- E-Shram is a vital system to provide hitherto invisible workers much-needed visibility.
- It will provide the Labour Market Citizenship Document to them.
- The govt should go one step further for triple linkage for efficient and leakage-less delivery of all kinds of benefits and voices to workers/citizens: One-Nation-One-Ration Card (ONOR), E-Shram Card (especially bank account seeded), and the Election Commission Card.
- Last but not least, registrations cannot be a source of exclusion of a person from receiving social assistance and benefits.
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February 4, 2022
Back in news: MGNREGA
Mahatma Gandhi National Rural Employment Guarantee Act (MGNREGA) workers are still waiting for almost ₹3,360 crore in pending wage payments, with the largest pending payments in West Bengal, Uttar Pradesh and Rajasthan.

What is MGNREGA?
- The MGNREGA stands for Mahatma Gandhi National Rural Employment Guarantee Act of 2005.
- This is labour law and social security measure that aims to guarantee the ‘Right to Work’.
- The act was first proposed in 1991 by P.V. Narasimha Rao.
Features of the scheme
- MGNREGA is unique in not only ensuring at least 100 days of employment to the willing unskilled workers, but also in ensuring an enforceable commitment on the implementing machinery i.e., the State Governments, and providing a bargaining power to the labourers.
- The failure of provision for employment within 15 days of the receipt of job application from a prospective household will result in the payment of unemployment allowance to the job seekers.
- Employment is to be provided within 5 km of an applicant’s residence, and minimum wages are to be paid.
- Thus, employment under MGNREGA is a legal entitlement.
Tap to read more about MGNREGS:

[Burning Issue] Reorienting MGNREGA in times of COVID
February 3, 2022
Missed opportunity to opportunity of employment-centred and inclusive growth
Context

India continues to rank poorly in various global indices that reflect the quality of life, human capital or human development in the country. In this context, it was expected that the current Budget would see an expansion in government spending on the social sector.

Need for greater spending on social sector
- In Human Development Index, India ranks 131 out of 189 countries and on the Global Hunger Index, it ranks 101 out of 116 countries.
- The pandemic over the last two years has had a severe impact on the health, education and food security of the poor and informal sector workers.
- The country has been experiencing increasing inequality over the last couple of decades.
Marginal increase in allocation for school education
- In the budget, the government announced that it will expand its ‘one class, oneTVchannel’ scheme instead of announcing enhanced allocations for schools the government announced that it will expand its ‘one class, oneTVchannel’ scheme instead of announcing enhanced allocations for schools so that they can reopen with vigour.
- The budget for school education at ₹63,449 crore is a slight improvement over last year’s ₹54,873 crore (2021-22 budget estimates, BE) and a mere increase of 6% in nominal terms compared to 2020-21 BE of ₹59,845 crore.
- After rechristening the school mid-day meal scheme as Pradhan Mantri Poshan Shakti Nirman, simply called PM Poshan, the allocation for the scheme has reduced from ₹11,500 crore last year to ₹10,233 crore this year.
Low allocation for health
- Despite repeated statements about strengthening the public health system, the overall budget for the Department of Health and Family Welfare at ₹83,000 crore has gone up by only 16% over the BE for 2021-22 and by less than ₹1,000 crore compared to the RE for 2021-22, which is ₹82,921 crore.
- However, by including water and sanitation in the budget for health, there is an increase being shown in health spending as a proportion of GDP.
- Also, even though the budget for the Jal Jeevan Mission has increased from ₹50,000 crore to ₹60,000 crore, only 44% of the allocated funds to the Department of Water and Sanitation for 2021-22 has been spent as on end December 2021.
No indication of plan to extend the PMGKAY
- 60% of the population are covered by ration cards currently under the National Food Security Act.
- Those who were eligible benefited from the additional free foodgrains that they have been given under the Pradhan Mantri Garib Kalyan Anna Yojana (PMGKAY).
- However, the food subsidy (BE) for 2022-23 at ₹2.06 lakh crore is only enough to cover the regular NFSA entitlements.
- The indication is that there is no plan to extend the PMGKAY.
- The food subsidy RE for 2021-22 is ₹2.86 lakh crore.
Other schemes
- Budgets for important schemes such as Saksham Anganwadi, maternity entitlements and social security pensions are around the same as the allocations for last year.
- The allocation for MGNREGA at ₹73,000 crore also does not reflect the increased demand for work or thethe pending wages of ₹21,000 crore.
Continued negligence
- The resources allocated for crucial government schemes in the fields of health, education, nutrition, and social protection have remained stagnant or show negligent increase.
- In fact, the budgets for these schemes have been declining in real terms since 2015.
- The World Social Protection Report 2020-22, brought out by the International Labour Organization, shows that the spending on social protection (excluding health) in India is 1.4% of the GDP, while the average for low-middle income countries is 2.5%.
Conclusion

This continued negligence does not bode well for inclusive development in India.

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February 2, 2022
How the Budget can push India’s health system transformation
Context

After decades of low government expenditure on health, the Covid pandemic created a societal consensus on the need to strengthen our health system.

Steps to strengthen our health system
- The Fifteenth Finance Commission recommended greater investment in rural and urban primary care, a nationwide disease surveillance system extending from the block-level to national institutes, a larger health workforce and the augmentation of critical care capacity of hospitals.
- The Union budget of 2021 reflected these priorities in a proposed Pradhan Mantri Aatmanirbhar Swasth Bharat Yojana (PMASBY) to be made operational over six years, with a budget of Rs 64,180 crore.
- Broader vision of health: The Finance Minister also projected a broader vision of health beyond healthcare by merging allocations to water, sanitation, nutrition and air pollution control with the health budget.
- Under the Ayushman Bharat umbrella the Digital Health Mission was launched in September 2021.
- The Health Infrastructure Mission, launched in October 2021, was a renamed and augmented version of the PMASBY.
- These missions join the two other components of Ayushman Bharat launched in 2018.
- The Comprehensive Primary Health Care (CPHC) component is nested in the National Health Mission (NHM) while the Pradhan Mantri Jan Arogya Yojana (PMJAY) is steered by the National Health Authority (NHA).
Way forward
- While much of the following needs to be done by the states, the Centre should incentivise and support such efforts by the states.
- Link synergically: Primary healthcare services under the CPHC and linkage with water, sanitation, nutrition and pollution control programmes will strengthen the capacity of the health system for health promotion and disease prevention.
- The budget of 2022 must not only fund these missions adequately but indicate how they will link synergically while functioning under different administrative agencies.
- Allocate more funds: The NHM received only a 9.6 per cent increase in the 2021 budget.
- PMJAY did not see an increase in allocation last year, because its utilisation for non-Covid care declined sharply in the previous year.
- More importantly, limiting cost coverage to hospitalised care reduces the PMJAY’s capacity to significantly lower out-of-pocket expenditure (OOPE) on health, which is driven mostly by outpatient care and expenditure on medicines.
- Focus on Digital Heath Mission: The Digital Health Mission can enhance efficiency of the health systems in a variety of ways.
- These include better data collection and analysis, improved medical and health records, efficient supply chain management, tele-health services, support for health workforce training, implementation of health insurance programmes, real time monitoring and sharper evaluation of health programme performance along with effective multi-sectoral coordination.
- Improve the skill and number of healthcare workers: We need to increase the numbers and improve the skills of all categories of healthcare providers.
- While training specialist doctors could take time, the training of frontline workers like Accredited Social Health Activists (ASHAs) and Auxiliary Nurse Midwives (ANMs) can be done in a shorter time.
- Upgrade district hospitals: District hospitals need to be upgraded, with greater investment in infrastructure, equipment and staffing.
- In underserved regions, such district hospitals should be upgraded to become training centres for students of medical, nursing and allied health professional courses.
Conclusion

The expanded ambit of health, as defined in last year’s budget, must continue for aligning other sectors to public health objectives. The Union budget of 2022 can add further momentum to our health system transformation.

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January 31, 2022