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Subject: Governance

Important aspects of Society

  • [pib] PMKVY 3.0

    The Ministry of Skill Development and Entrepreneurship (MSDE) has launched Pradhan Mantri Kaushal Vikas Yojana (PMKVY) 3.0.

    Note the differences between all three versions of PMKVY.

    PMKVY 3.0

    • PMKVY 3.0 envisages training of eight lakh candidates over the scheme period of 2020-2021.
    • This phase three will focus on new-age and COVID-related skills.
    • The 729 PM Kaushal Kendras (PMKKs), empanelled non-PMKK training centres and more than 200 industrial training institutes under Skill India will be rolling out under it.
    • On the basis of the learning gained from PMKVY 1.0 and PMKVY 2.0, the MSDE has improved the newer version of the scheme to match the current policy doctrine and energize the skilling ecosystem.

    Implementation

    • PMKVY 3.0 will be implemented in a more decentralized structure with greater responsibilities and support from States/UTs and Districts.
    • District Skill Committees (DSCs), under the guidance of State Skill Development Missions (SSDM), shall play a key role in addressing the skill gap and assessing demand at the district level.
    • The new scheme will be more trainee- and learner-centric addressing the ambitions of aspirational Bharat.
    • PMKVY 2.0 broadened the skill development with the inclusion of Recognition of Prior Learning (RPL) and focus on training.
    • With the advent of PMKVY 3.0, the focus is on bridging the demand-supply gap by promoting skill development in areas of new-age and Industry 4.0 job roles.

    Back2Basics: PMKVY 1.0

    • PMKVY is a skill development initiative scheme of the Government of India for recognition and standardization of skills launched on16 July 2015;.
    • The aim of the scheme is to encourage aptitude towards employable skills and to increase the working efficiency of probable and existing daily wage earners, by giving monetary awards and rewards and by providing quality training to them.
    • For this qualification plans and quality, plans have been developed by various Sector Skill Councils (SSC) created with the participation of Industries.
    • National Skill Development Council (NSDC) has been made coordinating and driving agency for the same.

  • Covid-19 vaccine policy

    The article explains the challenge in the vaccination program for the Covid-19 vaccine.

    Issue of lack of data about the vaccine

    • In the COVID vaccine roll out, there is no clear data for either of the two vaccines proposed for use in the programme.
    • We do not know if they provide protection for life, for a year or six months, its efficacy among the elderly or the very sick or in stopping new infections.
    • Getting such data requires at least three years and cannot be obtained in a few months.

    Guidelines for implementing vaccine programme

    • Given these limitations, the government has drawn up strategic guidelines for implementing an vaccine programme covering 30 crore people by July.
    • The guidelines draw upon the knowledge of running national campaigns acquired over three decades of implementing the Universal Immunisation Programme.
    • These guidelines detail the skills, roles and responsibilities of the required human resources, logistics for delivering vaccines at point of use, physical infrastructure, monitoring systems based on digital platforms and feedback systems for reporting adverse events.
    • The approach involves 19 departments, donor organisations and NGOs at the national, state, district and block level.
    • The guidelines also mention the priority criteria — caregivers, front line workers of the departments of health, defence, municipalities and transportation; persons above the age of 50 and those below 50 having diabetes, hypertension, cancers and lung diseases.

    Issues with the guidelines

    • Of the 28,932 cold chain points, half are in the five southern states, Maharashtra and Gujarat.
    • Combined with poor human resources — doctors, nurses, pharmacists — a weak private sector, poor safety and hygiene standards, frequent power outages, poor infrastructure, the capacity to implement with the expected speed, quality and accuracy is daunting.
    • The immunisation can disrupt routine health service delivery — antenatal care, national programmes like those pertaining to TB or other immunisation drives.
    • While data for the above-50-year-olds is available in the electoral rolls, line listing of the under 50s with comorbidities can be challenging.
    • Not only are urban-rural variations substantial, but urban areas have weak public health infrastructure and a multiple number of private providers due to the poor implementation of the Clinical Establishment Act, 2010.
    • Patient tracking can be problematic.
    • The non-availability of efficacy data could also impact the procurement and supply of vaccines, result in huge wastage, and can introduce scope for errors and duplication.

    Way forward

    • Central to the success of the roll out will be the confidence of the people in the vaccines.
    • Coming out of this messy situation is necessary and one option — as adopted for the polio eradication programme — is to establish an independent team of experts under the aegis of the WHO to ensure the safety of the vaccine.
    • This will create confidence in the community and international authorities as well.

    Conclusion

    it is important to understand that vaccination is an incomplete solution to ending the epidemic, since the virus is mutating. Adopting safe behaviour is.

  • India’s burden of heart diseases

    According to the Global Burden of Disease, nearly a quarter (24.8 per cent) of all deaths in India is due to cardiovascular diseases (CVDs).

    The fastest-growing economy has some perils. In this newscard, you will get to see how CVDs are a legacy of economic growth.

    Global Burden of Disease (GBD) Report

    • The GBD is a comprehensive regional and global research program of disease burden that assesses mortality and disability from major diseases, injuries, and risk factors.
    • GBD is a collaboration of over 3600 researchers from 145 countries.
    • It is based out of the Institute for Health Metrics and Evaluation (IHME) at the University of Washington and funded by the Bill and Melinda Gates Foundation.

    Indian burden of CVDs

    • About a third of the senior citizens have been diagnosed with hypertension, 5.2% with chronic heart disease and 2.7% with stroke
    • Even an analysis of the medical certification of cause of death (MCCD) reports points to an increase in the proportion of deaths due to CVD. It went from 20.4 per cent in 1990 to 27.1 per cent in 2004.
    • According to MCCD report, 2018, CVDs accounted for more than half (57%) of the total deaths in the age group of 25–69 years.
    • Case fatality due to CVD in low-income countries, including India, appears to be much higher than in middle and high-income countries.
    • In India, for example, the mean age at which people get the first myocardial infarction is 53 years, which is about 10 years earlier than their counterparts in developed countries.
    • About a third (32 per cent) of the senior citizens have been diagnosed with hypertension, 5.2 per cent were diagnosed with chronic heart disease and 2.7 per cent with stroke.

    Women are more vulnerable

    • Numerous studies have also pointed out that CVD remains the number-one threat to women’s health as more women than men die annually due to these diseases.
    • A Harvard study shows low high-density lipoproteins and high triglycerides appear are the main factors that increase the chances of death from cardiovascular disease in women over age 65.
    • As per the LASI report, gender differences were evident in cross-state variations.
    • CVD among men was higher in Kerala (45 per cent), Goa (44 per cent), Andaman and Nicobar (41 per cent) and lower in Chhattisgarh (15 per cent), Meghalaya (16 per cent), Nagaland (17 per cent).

    Why CVDs are prevalent in India?

    • Epidemiological evidence suggests that CVD is associated with behavioural factors such as smoking, alcohol use, low physical activity, and insufficient vegetable and fruit intake.
    • In the Indian context, poverty, maternal malnutrition, and early life changes enhance an individual’s risk of CVDs.
    • Rural to urban migration that happens in distress leads to over-crowded and unclean environments in urban slums.
    • Problems of inadequate housing, indoor pollution, infectious diseases, inappropriate diet, stress and smoking crop up as a result.

    Need of the hour

    • CVD-risk prevention is one of the important priorities among India’s sustainable development goals.
    • In an earlier estimate, WHO had said with India’s present CVD burden, the country would lose $237 billion from the loss of productivity and spending on healthcare over 10 years (2005–2015).
    • This is because the diseases affect the country’s working population.

    Way ahead

    • The government should devise an approach that can improve the efficiency of care and health system preparedness to curb the CVD epidemic currently sweeping India.
    • Attempts in direction to preserve the traditional lifestyle are also necessary.

  • Improving the diet of low income households to address malnutrition

    The article suggests the ways to deal with the menace of malnutrition in the country.

    Findings of the first phase of NFHS-5

    • Recently, the first phase of the NFHS-5 survey was published.
    • The deteriorating nutrition and anaemia indicators, especially among children is a cause for concern.
    • More deterioration in nutrition indicators following the COVID-19 pandemic is feared in the next phase of NFHS-5.
    • This deterioration would be on account of loss of livelihoods, reduced food consumption among the poor and disruption of government nutrition programmes.

    Challenges

    • Unlike a disease outbreak there may not be any popular demand to address malnutrition — the public, by and large, does not have adequate information about the damage malnutrition causes.
    • Hence, in the Indian context, it becomes the responsibility of the government/civil society to first provide information and awareness to the community about malnutrition.

    Steps to be taken

    • The government should examine the current nutrition-related programmes, and analysing why they are not able to reduce malnutrition faster.
    • Additional interventions could be introduced in pockets, identified as high-burden districts.
    • There should be different norms and more intensive interventions within the ICDS for these chronically malnourished pockets.
    • We need to know if the National Nutrition Policy 1993 is still operational.
    • If not, it seems that we are attempting to address this problem without a policy framework or plan of action.

    Addressing the root cause of malnutrition in India

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

    1) Dietary deficit

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

    2) Information deficit at household level

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

    3) Inequitable market conditions

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

    Conclusion

    Raising the diet of our people from subsistence level to higher levels of nourishment by overcoming the triple deficit is the only way to improve the nutritional indicators of our population — amongst children, adolescents and adults.

  • Social sector: the post-Covid priority

    The article highlights the need for more focus on the social sector in the post-Covid society and suggest ways to do the same.

    Why focus on social sector

    • No country has progressed without investing in the social sector.
    • India is committed to achieving the Sustainable Development Goals (SDGs) by 2030, and social sector development is important in reaching them.
    • Progress in this sector has intrinsic (for its own sake) and instrumental (for higher growth) value.
    • It is needed even to build a $5 trillion economy faster.

    India’s social sector expenditure

    • India’s progress in the social sector has been much slower compared to its GDP growth.
    • In the social sector expenditure, the share of education as a percentage of GDP has been stagnant around 2.8-3 per cent during 2014-15 to 2019-20.
    • In the case of health, the expenditure as a percentage of GDP increased from 1.2 per cent to 1.5 per cent.
    • This is lower than the required 2-3 per cent of GDP.
    • An increase in health expenditure is also important to take care of the present and future pandemics.
    • There are supply side problems regarding the health infrastructure.
    • It is essential to have a huge increase in public expenditure on health and provide accessible, affordable and quality health coverage to all.

    Following are some key issues in the social sector India needs to focus on.

    1) The problem of undernutrition

    • The NFHS-5 report shows that malnutrition level has reduced marginally in a few states and has worsened in some other states between 2015-16 and 2019-20.
    • We can’t have a society with 35 per cent of our children suffering from malnutrition.
    • Apart from undernutrition, obesity seems to be increasing in both rural and urban areas.
    • There is a need to raise allocations for ICDS and other nutrition programmes.
    • The determinants of nutrition are agriculture, health, women’s empowerment, including maternal and child practices, social protection, nutrition education, sanitation and drinking water.
    • The Poshan Abhiyan is a good programme, but has to cover all these determinants with a multi-pronged approach to reduce undernutrition.

    2) Quality education

    • Quality education is key for raising human development.
    • The pandemic has enhanced inequalities in education and has revealed the widening digital gap.
    • Equality of opportunity in terms of quality education is the key for raising human development and for reducing inequalities in the labour market.
    • Several committees have recommended that public expenditure on education should be at 6 per cent of GDP.

    3) Social safety nets

    •  It is known that migrant workers were the most affected during the pandemic and that they do not have any safety nets.
    • There is a need to have safety nets like an employment guarantee scheme for the urban poor and facilities for migrants.
    • Similarly in rural areas, allocations to MGNREGA have to be increased because of the reverse migration.

    4) Programs for vulnerable section need to be continued

    • The government has done well in providing cooking gas through Ujjwala Yojana and electricity through Saubhagya Yojana, introducing programmes such as Swachh Bharat Abhiyan and initiatives for housing, financial inclusion and providing loans to the self-employed.
    • These programmes have helped the vulnerable sections, particularly women.
    • Another initiative of the government was to facilitate direct benefit transfers (DBT) for welfare schemes.
    • These initiatives have to be continued.

    Way forward

    • The government should give more focus to the social sector with better policies and implementation.
    • It has to work closely with the states in revitalising the social sector as major expenditures particularly on health and education are met by them.
    • The 15th Finance Commission also seems to have mentioned that health expenditure should be increased to 2.1 per cent of GDP.
    • The Commission may also suggest some incentives for states to increase health expenditure.
    • Both Centre and states should have a five-year vision on the social sector.

    Consider the question “No country has progressed without investing in the social sector. In the post pandemic world India needs to chart the plan to invest more in the sector. In light of this, examine the challenges in the social sector and suggest the ways to deal with them.

    Conclusion

    India, aspiring to be a global power, should have a harmonious and inclusive social sector development. This is also important for achieving the SDGs, reducing inequalities and building a $5 trillion economy faster.

  • Salary to women for domestic work

    Recently, a political party promised salaries to housewives as a part of its electoral campaign in Tamil Nadu. This led to the debate on the issue. The article deals with the issue.

    Salary for housework: Historical background

    • Demand for wages against housework was first raised at the third National Women’s Liberation conference in Manchester, England.
    •  In 2012, the then minister for Women and Child development announced that the government was considering mandating a salary for housework to wives, from husbands.
    •  The purpose, once again, was to empower women financially and help them live with dignity.

    Recognising the value of unpaid domestic work

    • Time-use data from 2019 gathered by the National Sample Survey Organisation revealed that only about a quarter of men and boys above six years engaged in unpaid household chores, compared to over four-fifths of women.
    • Every day, an average Indian male spends 1.5 hours per day in unpaid domestic work, compared to about five hours by a female.
    • Housework demands effort and sacrifice, 365 days a year, 24/7.

    Issues with paying for domestic work

    •  Asking men to pay for wives’ domestic work could further enhance their sense of entitlement.
    • It may also put the additional onus on women to perform.
    • There is a risk of formalising the patriarchal Indian family where the position of men stems from their being “providers” in the relationship.

    Way forward

    • Despite a legal provision, equal inheritance rights continue to be elusive for a majority of women.
    • More than creating a new provision of salary for housework, we need to strengthen awareness, implementation and utilisation of other existing provisions.
    • Starting from the right to reside in the marital home, to streedhan and haq meher, to coparcenary and inheritance rights as daughters and to basic services, free legal aid and maintenance in instances of violence and divorce.
    • Women should be helped to reach their full potential through quality education, access and opportunities of work, gender-sensitive and harassment-free workplaces and attitudinal and behaviour change within families to make household chores more participative.

    Conclusion

    Just like we do not want women to commodify their reproductive services because of their inherently exploitative nature — we have, therefore, banned commercial surrogacy in the country — let us not allow commodification of housework and personal care.

  • Issues with Harsher Punitive measures for the sexual violence

    Harsher punishment for sexual violence

    • Recently, the Maharashtra cabinet approved the Shakti Bill, enlarging the scope of harsher and mandatory sentences — including the death penalty — for non-homicidal rape.
    • The Shakti Bill comes amid the recent legislative trend to invoke the death penalty for sexual offences.
    • In 2020, the Andhra Pradesh government passed the Disha Bill, pending presidential assent, that provides the death penalty for the rape of adult women.

    Issues with the Bills

    1) Focus on reporting of police complaint

    • The most severe gaps in the justice delivery system are related to reporting a police complaint.
    • The focus of the criminal justice system needs to shift from sentencing and punishment to the stages of reporting, investigation and victim-support mechanisms.
    • The bill does not address these concerns.

    2) Impact on rate of conviction

    • Harsh penalties often have the consequence of reducing the rate of conviction for the offence.
    • A study published in the Indian Law Review based on rape judgments in Delhi shows a lower rate of conviction after the removal of judicial discretion in 2013.
    • Introducing harsher penalties does not remove systemic prejudices from the minds of judges and the police.

    3) Harsher punishment would deter complainants

    • Studies on child sexual abuse have shown that in the few cases of convictions, the minimum sentence was the norm and the award of the maximum punishment was an exception.
    • Crime data from the National Crime Records Bureau shows that in 93.6 per cent of these cases, the perpetrators were known to the victims.
    • Introducing capital punishment would deter complainants from registering complaints.
    • The Shakti Bill ignores crucial empirical evidence on these cases.

    4) Moving away from standard of affirmative consent

    • An affirmative standard of consent is rooted in unequivocal voluntary agreement by women through words, gestures or any form of verbal or non-verbal communication.
    • In a sharp departure, the bill stipulates that valid consent can be presumed from the “conduct of the parties” and the “circumstances surrounding it”.
    • The vaguely worded explanation in the bill holds dangerous possibilities of expecting survivors to respond only in a certain manner, thus creating the stereotype of an “ideal” victim.
    • It also overlooks the fact that perpetrators are known to the survivors in nearly 94 per cent of rapes, which often do not involve any brutal violence.

    Conclusion

    Punitive responses to sexual violence need serious rethinking, given the multitude of perverse consequences and their negligible role in addressing the actual needs of rape survivors.

  • [pib] Longitudinal Ageing Study of India (LASI)

    The Union Minister for Health & Family Welfare has released INDIA REPORT on Longitudinal Ageing Study of India (LASI) Wave-1.

    Discuss various issues pertaining to old-age care in India.

    Longitudinal Ageing Study of India (LASI)

    • LASI is a full–scale national survey of scientific investigation of the health, economic, and social determinants and consequences of population ageing in India.
    • The LASI, Wave 1 covered a baseline sample of 72,250 individuals aged 45 and above till the oldest-old persons aged 75 and above from all States and UTs of India (excluding Sikkim).
    • It is India’s first and the world’s largest ever survey that provides a longitudinal database for designing policies and programmes for the older population in the broad domains of social, health, and economic well-being.
    • The evidence from LASI will be used to further strengthen and broaden the scope of National Programme for Health Care of the Elderly.
    • It would also help in establishing a range of preventive and health care programmes for older population and most vulnerable among them.

    Why need such survey?

    • In 2011 census, the 60+ population accounted for 8.6% of India’s population, accounting for 103 million elderly people.
    • Growing at around 3% annually, the number of elderly age population will rise to 319 million in 2050.
    • 75% of the elderly people suffer from one or the other chronic disease.
    • 40% of the elderly people have one or the other disability and 20% have issues related to mental health.
    • This report will provide base for national and state level programmes and policies for elderly population.

  • Need to focus on the well-being of the child from womb to first five years

    The article analyses the data of NHFS-5 and try to factors responsible for the outcomes.

    Analysing health and nutrition of child through NHFS-5

    • The recently released fifth round of the National Family Health Survey (NFHS-5) provide insights into some dimensions of micro-development performance before COVID struck.
    • The latest round only has data for 17 states and five Union territories.
    • Madhya Pradesh, Uttar Pradesh, Punjab, Rajasthan and Tamil Nadu are notable exclusions.
    • Many of the child-related outcomes are also determined by state-level implementation, therefore neither success nor failure can be attributed to state or the centre alone.

    Let’s understand the data

    • The NFHS has 42 indicators related to child’s health and nutrition.
    • Indicators fall into nine categories and each of these can be divided into outcomes and inputs.
    • For example, neonatal, infant and under-5 mortality rates can be thought of as outcomes.
    • Similarly, all the nutrition indicators —stunting, wastage, excess wastage, underweight and overweight can also be classified as outcomes.
    • In contrast, the post-natal care indicators relating to visits made by health workers and the extent and nature of feeding for the child can be classified as inputs.

    Outcomes of the survey

    • On the front of wasting (weight for height of children) these is an improvement because even though the gains were marginal, they reversed a negative trend between 2005 and 2015. 
    • India continues to be successful in preventing child deaths, but the health and nutrition of the surviving, living child has deteriorated, somewhat worryingly.
    • India continued to make progress in preventing child-related deaths (neonatal, infants and under-5).
    • The pace of improvement in child mortality slowed down relative to the previous 10 years (Fig.1).
    • Figure 2 shows the six indicators where outcomes have deteriorated. These all relate to what happens after survival:
    • The health (anaemia, diarrhoea, and acute respiratory illness (ARI)) and nutrition (stunting, and overweight) of the child deteriorated between 2015 and 2019.
    • The absolute deterioration in health and nutrition indicators must be seen against the fact that they reversed the historic trends of steady improvements.

    What explains the outcomes

    • Implementation capacity of individual states probably played an important role.
    • Sector-specific factors such as changing diets are also implicated.
    • A broader deterioration in outcomes hints at the likelihood of a common factor, namely the macro-economic growth environment, which determines employment, incomes and opportunities.
    • At the least, it is safe to conjecture that some of these outcomes are inconsistent with the narrative of a rapidly growing economy.

    Conclusion

    As discussed in Chapter 5 of the Economic Survey of 2015-16, perhaps the next big welfare initiative of the government should be a mission-mode focus on the well-being of the early child (and of course the mother), from the womb to the first five years, which research shows is critical for realising its long run potential as an individual.

  • School Bag Policy, 2020

    The Directorate of Education has issued a circular asking school to follow the new ‘School Bag Policy, 2020’ released by the National Council of Educational Research and Training (NCERT).

    Q.What are the features of the School Bag Policy, 2020? Discuss how heavy school bags are a serious threat to the health and learning capability of students.

    School Bag Policy, 2020

    • According to the circular, schoolteachers should inform the students in advance about the books and notebooks to be brought to school on a particular day.
    • They frequently need to check their bags to ensure that they are not carrying unnecessary material.
    • It adds that the teachers should take the responsibility of checking the weight of school bags of the students every three months on a day selected for the whole class.
    • It also holds that any information about heavy bags should be communicated to the parents.
    • The circular also says that it is the duty and the responsibility of the school management to provide quality potable water in sufficient quantity.
    • It adds that files and thin/light exercise books should be preferred to thick/heavy ones.

    Prescribed weights

    The weight of the school bags, as per the policy, should be

    • 6 to 2.2 kg for students of Classes I and II
    • 7 to 2.5 kg for Classes III, IV and V
    • 2 to 3 kg for Classes VI and VII
    • 5 to 4 kg for Class VIII
    • 5 to 4.5 kg for Classes IX and X
    • 5 to 5 kg for Classes XI and XII

    Why heavy school bags are a curse?

    • Heavy school bags are a serious threat to the health and well-being of students.
    • A heavy backpack can pull on the neck muscles contributing to headache, shoulder pain, lower back pain and neck and arm pain.
    • Not just this, carrying backpacks over one shoulder is a wrong practice as it makes muscles strain.
    • The spine leans to the opposite side, stressing the middle back, ribs, and lower back more on one side than the other and this muscle imbalance can cause muscle strain, muscle spasm, and back pain.
    • Heavy school bags are also one of the major reasons for cervical and lumbar pains.
    • The posture of the body also gets affected to a great extent which in the long term develops imbalances in the body and affects the health of the nervous system.