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Subject: Governance

Important aspects of Society

  • Digital Health in India

    Central idea

    • Digital health, a transformative force, can revolutionize global healthcare by improving quality, accessibility, and efficiency, with the G20 nations wielding substantial influence due to their GDP and population share.

    Digital Health

    • Digital health encompasses the use of digital technologies and data to enhance healthcare delivery and outcomes. This field includes electronic health records, mobile health applications, telemedicine, wearable health devices, health analytics, and more.
    • The goal is to make healthcare more personalized, efficient, accessible, and cost-effective by integrating technology into various aspects of patient care and health management

    Key challenges facing digital health within the G20

    • Disparities in National Digital Health Strategies: Different G20 member states have varying levels of advancement in their digital health strategies. These disparities can hinder collaboration and the development of a unified approach to digital health.
    • Data Privacy Concerns: The collection and processing of sensitive personal health information in digital health systems raise significant data privacy concerns.
    • Interoperability Issues: Interoperability, especially between electronic health record (EHR) systems, is crucial for the seamless exchange of health data. Inconsistencies in standards and infrastructure pose challenges to data sharing and healthcare coordination.
    • Coordination During Global Health Crises: The COVID-19 pandemic has highlighted the need for coordinated responses to global health crises. Uneven responses and a lack of coordination among countries and healthcare providers can impede efforts to effectively manage pandemics.

    The G20’s Approach

    • Emphasized digital health since the initiation of the Sustainable Development Goals in 2016.
    • Prioritized addressing challenges since the Argentine presidency of 2018.
    • Endeavor to design consistent e-health systems, data protection measures, and interoperability improvements.
    • Introduced the G20 Digital Health Task Force in 2020 for a tech-augmented pandemic response approach.

    Measures to Strengthen Digital Health

    • Common Minimum Framework (CMF) for Health Data Protection:
      • Map existing data protection provisions and customize for health data.
      • Review the roles of data control agencies.
      • Enhance the security and resilience of health data systems.
      • Promote awareness of health data privacy.
    • Secure Cross-Border Health Data Exchange:
      • Study successful cross-border data sharing initiatives.
      • Develop guidelines for countries to share specific health data for research.
    • Digital Public Infrastructure (DPI) for Health:
      • Extend the emphasis on DPI to health sector-specific DPIs.
      • Promote knowledge-sharing, innovation, and public-private partnerships.
    • Centers of Excellence (CoEs) in Health-Tech:
      • Establish CoEs specializing in AI and emerging tech for healthcare.
      • Ensure ethical and inclusive health-tech development.
    • Telemedicine Task Force:
      • Create a dedicated task force to promote telemedicine.
      • Identify best practices, develop ethical guidelines, and explore investment opportunities.
    • Financing Digital Health Innovations:
      • Create a US$ 150-million fund (potentially within WHO) to support global-impact digital health startups.
      • Address digital gender gap and health access for marginalized communities.
    • Joint Responses to Health Crises:
      • Establish an international health-tech-focused think tank.
      • Led by WHO, focus on tech-enabled pandemic response strategies and capacity building.
    • Digital Health Repository:
      • Create a G20 Digital Health Policy Repository (DHPR) for open-access knowledge sharing.
      • Host digital health laws, policies, and data protection regulations.

    Conclusion

    • The G20’s commitment to an interconnected digital health ecosystem is crucial. As the G20 health ministers emphasized, existing initiatives should be coordinated to maximize their impact, ensuring that digital health becomes a cornerstone of future healthcare systems.

  • Gyan Sahayak Scheme for Contractual Teachers

    Gyan Sahayak Scheme

    Central Idea

    • The Gyan Sahayak Scheme, introduced by the Gujarat state government, has stirred controversy, facing opposition from various quarters of society.

    Why discuss this?

    • The scheme seeks to address teacher vacancies in government schools through contractual appointments until regular appointments are finalized.
    • Many states in India have opted for the contractual filling of govt job vacancies ever since the regime change in 2014.

    Understanding the Gyan Sahayak Scheme

    • Interim Solution: The scheme aims to temporarily fill teaching positions in primary, secondary, and higher secondary government schools until regular appointments could be made.
    • Basis in National Education Policy (NEP) 2020: The scheme draws inspiration from the NEP 2020, which emphasizes the need for teachers with interdisciplinary skills, beyond traditional academic subjects.

    Scope of the Scheme

    • Applicability: The Gyan Sahayak Scheme is applicable to government and grant-in-aid schools, particularly Mission Schools of Excellence.
    • Vacancy Statistics: The government announced the hiring of 15,000 Gyan Sahayaks for primary schools and 11,500 for secondary and higher secondary schools.
    • Salary Structure: Gyan Sahaks receive varying monthly salaries based on their school level: Rs 21,000 for primary, Rs 24,000 for secondary, and Rs 26,000 for higher secondary.
    • Vacancy Context: Gujarat reports an estimated 32,000 teaching vacancies in government and grant-in-aid schools, primarily affecting primary and secondary schools. Some secondary schools rely on Pravasi teachers to meet staffing needs.

    Eligibility Criteria

    • Primary Gyan Sahayak: Candidates must have cleared the Gujarat Examination Board’s Teachers Eligibility Test (TET)-2.
    • Secondary and Higher Secondary Gyan Sahayak: Candidates should have cleared the Teacher Aptitude Test (TAT).
    • Age Limit: Both primary and secondary school Gyan Sahayaks must be under 40 years of age, while higher secondary school Gyan Sahayaks can be up to 42 years old.
    • Merit-Based Selection: Selection involves the preparation of a merit list based on percentile ranks from TET-2 results, followed by the allocation of Gyan Sahayak positions to School Management Committees (SMCs) through district education officers.

  • Why Special and Local Laws also need to be reformed?

    Special and Local Laws

    Central Idea

    • Recent legislative bills aimed at amending criminal laws in India have garnered significant attention for ushering in long-awaited reforms.
    • However, these reforms primarily focus on one aspect of India’s complex criminal justice system.
    • What remains often overlooked are the extensive Special and Local Laws (SLLs) that encompass some of the most critical offences and procedures.

    What are Special and Local Laws (SLLs)?

    • Cognizable crimes are categorized either under the ‘Indian Penal Code (IPC)’ or under the ‘Special and Local Laws (SLL)’.
    • The SLL identify criminal activities that the state government frames for specific issues.

    Significance of SLLs

    • Quantitative Importance: In 2021, nearly 39.9% of all cognizable offenses registered fell under SLLs, according to Crime in India Statistics.
    • Qualitative Relevance: SLLs have ignited crucial debates concerning the boundaries of the state’s power in criminalization, particularly with respect to individual rights and liberties.

    Need for Reform in SLLs

    • Diverse Substantive Issues: SLLs, like the Unlawful Activities (Prevention) Act, 1967 (UAPA) and the Maharashtra Control of Organised Crime Act, 1999 (MCOCA), suffer from ambiguous and vague definitions of offenses, raising concerns about their application to civil or regulatory wrongs.
    • Procedural Challenges: SLLs have diluted universally accepted due process values, with examples like expanded search and seizure powers under the UAPA and admissibility of police-recorded confessions under the MCOCA.
    • Bail Hurdles: Stringent provisions under SLLs, such as Section 43(D)(5) of the UAPA and Section 37 of the Narcotic Drugs and Psychotropic Substances Act, 1985, make securing bail nearly impossible.

    Shift from Complete Codification

    • IPC’s Original Vision: The Indian Penal Code (IPC), enacted in 1860, aimed to comprehensively codify all criminal laws, inspired by Jeremy Bentham’s idea of a “Pannomion”—a single, comprehensive collection of rules.
    • Changing Landscape: Over time, there has been a shift towards enacting and applying SLLs, which has deviated from the original concept of complete codification.
    • Unsuccessful Aspects: While the IPC faces criticism for its archaic morality and colonial roots, it is essential to acknowledge its success in codifying penal laws.

    Addressing the Limitation: A Second Generation of Reforms

    • Incorporating SLLs: All SLLs that criminalize or seek to criminalize specific conduct should be integrated as separate chapters within the larger penal code.
    • Procedural Integration: SLLs creating distinct procedures for reporting offenses, arrests, investigations, prosecutions, trials, evidence, and bail should be included either as separate procedures within the CrPC or as exceptions to its general provisions.

    Conclusion

    • As India increasingly relies on Special and Local Laws for various reasons, it is vital to ensure that these laws do not overshadow the original concept of codifying penal laws, as embodied in the IPC and CrPC.
    • Failing to incorporate the substantive and procedural aspects of SLLs into ongoing reform efforts represents a significant limitation.
    • Therefore, a second generation of reforms is imperative to address these gaps and maintain the integrity of India’s criminal justice system.

  • In India, reproductive autonomy remains a pipedream

    Central idea

    • A recent Supreme Court case in India has spotlighted reproductive autonomy. It centers on a 27-year-old mother of two, grappling with an unwanted pregnancy due to lactational amenorrhea, igniting a debate on India’s abortion rights, known for their relative liberalism.

    Background

    • India’s population policy promotes a two-child norm, making it seemingly unremarkable for a woman to seek an abortion to avoid becoming a mother for the third time.
    • However, this case is far from straightforward due to the pregnancy being at 26 weeks, exceeding the gestational limit prescribed in the 2021 Medical Termination of Pregnancy (MTP) Act.
    • In such cases, medical practitioners’ opinions hold paramount importance.

    Reproductive Autonomy vs. Ethical Concerns

    • Interchangeable Terminology: The heart of the matter lies in the interchangeable use of terms like foetus, child, and baby, particularly given the advanced stage of pregnancy. This linguistic flexibility can significantly impact the ethical considerations of the case.
    • Concerns of Foeticide: As the pregnancy had reached 26 weeks, concerns emerged regarding the termination possibly constituting “foeticide.” The advanced stage of pregnancy blurs the line between a developing foetus and a potentially viable child, leading to ethical dilemmas.
    • Justice Nagarathna’s Emphasis: Justice Nagarathna emphasized the paramount importance of prioritizing the petitioner’s decision and upholding her reproductive autonomy. Her stance echoes Justice D Y Chandrachud’s earlier observation regarding the intrinsic right of pregnant women to choose abortion without the need for consent or authorization from a third party.
    • Balancing Reproductive Autonomy and Ethics: The case highlights the intricate balance required between recognizing and safeguarding the fundamental rights of pregnant women to make choices about their bodies and reproductive health, while simultaneously addressing the ethical dimensions of such decisions within the framework of societal values and laws.

    The legal framework and amendments pertaining to abortion in India

    • MTP Act of 1971: The Medical Termination of Pregnancy (MTP) Act of 1971 was the foundational legislation that regulated abortion in India. It permitted abortions up to 20 weeks of gestation under specific conditions, such as the risk to the life or physical or mental health of the pregnant woman.
    • Amendment in 2021: In 2021, the MTP Act underwent significant amendments to modernize and liberalize India’s abortion laws. The key changes included:
      • Extending the permissible gestational limit from 20 to 24 weeks.
      • Expanding access to abortion services by allowing a broader range of healthcare providers to perform abortions, including mid-level providers.
    • Constitution of Medical Boards: The 2021 amendment introduced provisions for the constitution of Medical Boards. These boards consist of medical experts responsible for assessing cases where pregnancy termination is sought beyond 24 weeks.
    • Reducing Dependency on Courts: By allowing Medical Boards to make determinations, the amendment sought to reduce the burden on the judicial system and expedite the decision-making process for cases involving late-term pregnancies.

    Way forward

    • Citizen with Agency: The petitioner approached the court as an empowered citizen, asserting her right to make choices about her own body.
    • Socially Accepted Context: Her pregnancy occurred within societal norms, emphasizing that reproductive autonomy applies broadly.
    • Sound Mental Health: Her rational decision challenges stereotypes about individuals seeking abortions.
    • Absence of Foetal Anomalies: Her request is driven by personal choice, not medical necessity.
    • Reproductive Choice: She firmly expressed her desire not to have another child, highlighting the importance of individual reproductive decisions.
    • Seeking State Support: By seeking state support for safe abortion services, she aligns with international commitments on access to reproductive healthcare as a human right.

    Conclusion

    • This case underscores the battle between reproductive autonomy and ethical considerations surrounding abortion in India. As women navigate the complex journey to assert their reproductive rights, questions arise about whether they can truly claim ownership of their bodies on their own terms.

  • Money Laundering Probe against a Political Party

    Central Idea

    • The Enforcement Directorate (ED) is contemplating adding a political party as an accused in a money laundering probe linked to the now-defunct Excise Policy of the Delhi government.

    Booking a Political Party for Money Laundering

    • Applicable Law: Section 70 of the Prevention of Money Laundering Act (PMLA) addresses offences by companies, and it can be invoked in this case.
    • Definition of “Company”: While a political party isn’t a ‘company’ under the Companies Act, the PMLA includes an explanation that broadens the scope to include ‘associations of individuals,’ potentially encompassing political parties.

    Precedent for such Cases

    • If pursued, this action could set a significant precedent in India’s legal landscape.
    • Previously, political parties have been investigated under the Income Tax Act.
    • Trusts and NGOs are already within the purview of the PMLA, as per a notification by the Finance Ministry.

    Connection between Charges and Political Party

    • The central allegation by the ED is that the political party received the proceeds of crime in the excise scam.
    • An additional explanation in Section 70 of the PMLA specifies that a “company may be prosecuted, notwithstanding whether the prosecution or conviction of any legal juridical person shall be contingent on the prosecution or conviction of any individual.”
    • This implies that even if cases involving party members fail, the party can still be prosecuted for money laundering separately.

  • Confronting the long-term risks of Artificial Intelligence

    AI

    What’s the news?

    • The film ‘Ex Machina’ highlights the unpredictability of AI risks as technology evolves.

    Central idea

    • In the digital age, sharing personal information has become riskier due to cyberattacks and data breaches. Once fictional, AI now impacts various sectors, bringing evolving risks that require global governance.

    Short-term risks associated with AI

    • Malfunction of AI Systems: Ensuring that AI systems do not malfunction in their day-to-day tasks, especially in critical infrastructure like water and electricity supply, to prevent disruptions and harm to society
    • Immediate Dangers of Runaway AI: Although improbable, the potential for AI systems to go rogue and manipulate crucial systems, leading to catastrophic consequences even in the near future,

    Long-term risks associated with AI

    • AI and Biotechnology: The combination of AI and biotechnology could alter human emotions, thoughts, and desires, posing profound ethical and societal challenges.
    • Human-Level AI: Advanced AI systems capable of human-level or superhuman performance may emerge, potentially acting on misaligned or malicious goals.
    • Dire Consequences: Superintelligent AI with harmful intentions could have catastrophic consequences for society and human well-being.
    • Ethical and Safety Concerns: Developing AI with such capabilities raises significant ethical and safety concerns.

    AI

    Challenges in Aligning AI with Human Values

    • Transparency and Explainability: Many AI systems, particularly deep learning models, are often seen as black boxes where it’s challenging to understand how they make decisions.
    • Human Control: Ensuring that humans maintain control over AI systems and that AI does not act autonomously in ways that could harm individuals or society is a key challenge.
    • Ethical Decision-Making: Developing AI that can make ethical decisions in complex situations, such as autonomous vehicles deciding how to respond to potential accidents, is an ongoing challenge.
    • Cultural and Societal Values: Different cultures and societies have varying values and norms. Aligning AI with human values involves navigating these differences and ensuring that AI systems respect cultural diversity.
    • Long-Term Considerations: As AI evolves and becomes more powerful, addressing long-term ethical considerations, such as the potential for superintelligent AI, is a critical challenge.

    The Threat of Militarized AI

    • The merging of AI with warfare intensifies long-term risks.
    • Treaties like the Non-Proliferation of Nuclear Weapons show global norms can be established.
    • Nations need clear rules for AI’s role in warfare.

    The Uncharted Territory of AI Governance

    • There’s no unified global approach to AI regulation.
    • Only 37 laws included the term artificial intelligence among 127 countries, as per Stanford’s AI Index.
    • The EU’s AI Act, with its risk-based approach, may be oversimplified.

    The importance of global cooperation

    • Uniform Regulation: AI risks are not confined by borders, and inconsistent regulations across countries can lead to confusion and inefficiencies. Global cooperation allows for the development of uniform standards and regulations.
    • Mitigating Global Risks: Many AI-related risks, especially those with global implications such as AI’s convergence with biotechnology or the potential for superintelligent AI, demand a collaborative approach.
    • Ethical Frameworks: Collaborative efforts can lead to the establishment of universally accepted ethical frameworks for AI development and deployment. These frameworks can guide the responsible and ethical use of AI, regardless of where it is developed or employed.
    • Preventing a Race to the Bottom: In the absence of global cooperation, countries may prioritize rapid AI development over safety and ethics to gain a competitive edge. This race to the bottom can undermine global AI safety efforts, making coordination crucial.
    • Technological Divides: Global cooperation helps prevent technological divides where some nations advance rapidly in AI capabilities while others lag behind. Such divides can exacerbate global inequalities and have far-reaching geopolitical consequences.

    Conclusion

    • The evolving nature of AI risks necessitates a unified global approach to governance. Immediate action in creating comprehensive regulations and international norms is crucial. The choices we make today will determine the world we inhabit in the future.

  • India seeks inclusion of Traditional Medicine on WHO’s ICD List

    Central Idea

    • The Centre seeks to include traditional Indian medicines in the 11th revision of the World Health Organisation’s International Classification of Diseases (ICD).
    • The traditional Indian medicine system is categorized into Ayurveda, Siddha, Unani and Yoga, Naturopathy, and Homoeopathy

    About International Classification of Diseases (ICD)

    Purpose Standardized system for classifying and coding diseases, health conditions, and related information.
    Established 1893, by International Statistical Institute (WHO’s predecessor)
    Authority Developed and maintained by the World Health Organization (WHO).
    Scope Covers a wide range of diseases, health conditions, injuries, and health-related factors.
    Coding System Assigns unique alphanumeric codes to each health condition for consistent recording and reporting.
    Global Applicability Internationally recognized and used for health data collection, analysis, and reporting.
    Updates Periodically updated to reflect advances in medical knowledge and changing health trends.
    Latest Version ICD-11 became effective in January 2022.
    Uses Clinical diagnosis, health record documentation, research, health policy, and resource allocation.

    India’s quest to update ICD-11

    • Universal Language: The ICD provides a universal language that enables healthcare professionals worldwide to share standardized information.
    • Traditional Medicine Module: The 11th revision includes a module dedicated to traditional medicine conditions, offering a standardized way to collect and report data on these conditions internationally.
    • Formal Recognition: Ayurveda and related Indian traditional healthcare systems are formally recognized and widely practised in India, making a strong case for their inclusion.
    • Chinese Medicine Inclusion: After a decade of consultations, ICD-11 included Module-1, covering traditional medicine conditions originating in ancient China.

  • Shortage of Doctors in India

    What’s the news?

    • The demand for doctors exceeds the supply in large parts of India.

    Central idea

    • The demand for doctors in India consistently surpasses the available supply, while the pursuit of medical education often outstrips the number of seats available. Reducing this demand-supply gap in medical education has proven to be a challenging endeavor, with potential implications for the availability of healthcare professionals.

    Expanding Medical Education

    • Over the last decade, India has made significant strides in expanding medical colleges and seats at both undergraduate (UG) and postgraduate (PG) levels.
    • UG seats have nearly tripled, PG seats have almost quadrupled, and the number of medical colleges has doubled since 2010-11.
    • Despite this expansion, in 2021, India had only 4.1 medical graduates per lakh population, falling behind countries like China, Israel, the US, and the UK.

    Challenges in scaling

    • Regulatory and Financial Constraints: On average, Indian medical colleges offer 153 UG seats per college, significantly fewer than Eastern Europe (220) and China (930). This discrepancy is a result of regulatory and financial constraints.
    • Infrastructure Limitations: Expanding UG seats in a public medical college from 150 to 200 required additional resources, such as a larger library, increased daily outpatient department (OPD) footfalls, and more nursing staff, as per the draft guidelines for establishing new medical colleges in 2015.
    • Quality Maintenance: Concerns that disproportionate scaling can impact the quality of pedagogy and, subsequently, the quality of doctors produced
    • Faculty Shortages: Both public and private colleges face teaching faculty shortages, despite better remuneration structures in public colleges. Scaling up can further strain the already limited pool of qualified teaching staff.
    • Economic Viability for Private Colleges: Investing in scaling can be risky for private colleges if seats remain vacant and costs aren’t recovered. This can lead to high capitation fees and price distortions.
    • Curriculum Limitations: The nature of the competency-based curriculum dictates constraints on scalability. For example, there can’t be more than 15 students surrounding a bed or in any other practical class.
    • Equity Concerns: The goal of producing doctors evenly across regions might not result in efficient production. Migration of doctors from states with higher production can be an issue.

    Value addition box

    Innovations from the US

    • India’s competency-based curriculum is akin to that of the US, which has successfully scaled up the production of doctors by optimizing resource utilization.
    • Innovations, such as involving practicing MD doctors as mentors for medical students and integrating interprofessional education (IPE) into the curriculum, have enhanced the quality of education and reduced the faculty requirements.

    Quality vs. Scale vs. Equity: A triad of challenges

    • Quality:
    • Ensuring the highest standards of medical education, which translates into competent, skilled, and ethical practitioners.
    • The competency-based curriculum in India requires small-group teaching to ensure a thorough understanding and hands-on experience for students.
    • There’s a concern that rapid scaling could lead to a decline in the quality of education and subsequently the quality of doctors produced.
    • Quality assurance becomes even more critical given the life-and-death implications of medical practice.
    • Scale:
    • Increasing the number of medical graduates to meet the country’s healthcare needs.
    • Despite the expansion of UG and PG seats in medical colleges, the demand-supply gap persists.
    • Regulatory, infrastructural, and financial constraints pose significant challenges in scaling up.
    • Equity:
    • The National Medical Commission prioritizes an even distribution of medical colleges and seats. They aim for localized doctor production to ensure different regions have adequate healthcare.
    • Policies such as the cap on UG seats and the location restrictions of new colleges highlight this focus.
    • However, this might not lead to efficient doctor production due to phenomena like interstate migration of doctors.

    Way forward

    • Regulatory Reforms: Streamline regulations to facilitate the establishment and expansion of medical colleges while ensuring quality standards.
    • Faculty Development: Prioritize investment in faculty development programs to address shortages and retain experienced educators.
    • Technology Integration: Embrace technology to enhance scalability and access to medical education, including e-learning and telemedicine tools.
    • Competency-Based Curriculum: Continue to implement competency-based curricula to produce doctors with practical skills and real-world readiness.
    • Incentives for Rural Service: Develop and implement policies that incentivize medical graduates to serve in underserved rural areas, addressing healthcare disparities.
    • Public-Private Collaboration: Foster collaboration between public and private sectors to expand the availability of medical education seats and improve educational infrastructure.

    Conclusion

    • Bridging the gap between the demand for doctors and the supply of medical education is a multifaceted challenge in India. To meet the growing healthcare needs of the population, policymakers must carefully consider the trade-offs between quality, scale, and equity in medical education.

  • Abortion Rights in India: Legal Complexities and Ethical Dilemmas

    abortion

    Central Idea

    • CJI DY Chandrachud said that India’s abortion law was liberal, pro-choice and far ahead of other countries.
    • SC is hearing the case of a married woman who wants to medically terminate her 26-week pregnancy.
    • This raises critical questions about a woman’s autonomy in deciding to abort and the existing legislative framework.

    Woman’s Perspective

    • Unplanned Pregnancy: A 27-year-old married woman, already a mother of two, contends that her pregnancy was unplanned.
    • Financial Strain: She argues that her family’s income is inadequate to support another child, and she is undergoing treatment for postpartum depression after her second child’s birth.

    Court Decisions and AIIMS Report

    • Initial Approval: A two-judge Bench initially allowed the termination, reasoning that an unplanned pregnancy due to contraceptive failure is akin to a forced pregnancy, permitting abortion up to 24 weeks.
    • AIIMS Concern: AIIMS, Delhi, raised questions about whether foeticide (stopping the foetal heart) could be performed before termination since the foetus is currently viable.
    • Three-Judge Bench: The case was transferred to a three-judge Bench, led by Chief Justice of India (CJI) D Y Chandrachud, which called for a fresh medical report to assess the foetus’s health and the woman’s medical condition.

    Understanding the Abortion Law

    • Medical Termination of Pregnancy Act (MTP Act): The MTP Act allows termination of pregnancy in three stages.
      1. Termination up to 20 weeks with the advice of one doctor.
      2. Pregnancy at 20-24 weeks requires the opinion of two registered medical practitioners, under specific conditions.
      3. After 24 weeks, a medical board in approved facilities assesses the termination based on substantial foetal abnormalities.

    Court’s History of Allowing Late-Term Abortion

    • Several Precedents: The court has previously permitted terminations beyond 26 weeks in various cases, often in cases of rape or consensual relationships.
    • Marital Status Factor: The current case distinguishes itself by the woman’s marital status, implying that the conception is consensual and not a forced pregnancy.

    Balancing Rights: Woman vs. Unborn Child

    • Ongoing Debate: The CJI-led Bench oscillates between prioritizing a woman’s rights over abortion and the need to balance the rights of the unborn child.
    • Liberal Approach: India’s law on abortion is considered liberal and pro-choice, with courts often favouring the woman’s autonomy.

    Comparisons with International Standards

    • Foetal Viability: The concept of “foetal viability” as a benchmark for abortion approval is relatively new in India. It aligns with international standards.
    • US Roe v Wade: The landmark 1973 US Supreme Court case, Roe v Wade, allowed abortion until foetal viability. In 1973, viability was at 28 weeks, now lower due to scientific advancements.
    • Criticism of Indian Law: Some critics argue that India’s law lacks clarity as the decision to terminate after 20 weeks falls on doctors rather than the women, leading to frequent court interventions.

    Autonomy vs. Unborn Child’s Rights

    • Legislative Gap: While the Indian legal framework supports a woman’s autonomy in reproductive decisions, gaps persist, especially concerning last-minute interventions.
    • Ethical Debate: The Indian law leans toward women’s autonomy, but ethical dilemmas arise regarding the rights of the unborn child.
    • Legal Precedents: Cases like Nand Kishore Sharma versus Union of India have debated the constitutionality of the MTP Act concerning the right to life of an unborn child.

    Conclusion

    • The ongoing Supreme Court case highlights the intricate legal and ethical considerations surrounding abortion in India.
    • While the law supports a woman’s right to choose, the challenge lies in finding a delicate balance between individual autonomy and the rights of the unborn child.
    • As the court grapples with this complex case, it underscores the need for continued legal discourse and potential legislative amendments to address evolving reproductive rights issues.

  • India ranks 111/125 in Global Hunger Index, 2023

    Central Idea

    • India has been ranked 111th out of 125 countries in the Global Hunger Index-2023, a stark decline from its 107th position in 2022.
    • The index highlights a concerning statistic – India reports the world’s highest child wasting rate at a staggering 18.7 percent.
    • Interestingly, India’s neighboring countries, including Pakistan (102nd), Bangladesh (81st), Nepal (69th), and Sri Lanka (60th), have performed comparatively better in the index.

    Global Hunger Index (GHI)
    Publication Jointly published annually by Concern Worldwide and Welthungerhilfe.
    Scale Measures hunger on a 100-point scale, with 0 as the best (no hunger) and 100 as the worst score.
    Purpose Comprehensively measures and tracks hunger globally, regionally, and at the country level. Aims to trigger action to reduce hunger worldwide.
    Indicators 4 key indicators for each country:

    1. Undernourishment (reflects inadequate food availability): Share of the population that is undernourished.

    2. Child Wasting (reflects acute undernutrition): Share of children under five with low weight for their height.

    3. Child Stunting (reflects chronic undernutrition): Share of children under five with low height for their age.

    4. Child Mortality (reflects inadequate nutrition and unhealthy environment): Mortality rate of children under five.

     

    Hunger in India: Fact Check

    • Serious Hunger Levels: India’s score of 28.7 in the Global Hunger Index-2023 places it in the “serious” category, according to the report.
    • Child Wasting: India’s child wasting rate, the proportion of undernourished children measured by weight relative to their height, stands at an alarming 18.7 percent, signaling acute undernutrition.
    • Undernourishment Rate: The rate of undernourishment in India is reported at 16.6 percent, further highlighting the gravity of the issue.
    • Child Mortality: Under-five mortality in India is recorded at 3.1 percent.
    • Anemia Among Women: The report underscores a significant concern, with 58.1 percent of women aged 15 to 24 in India being affected by anemia.

    A report to bully India

    • Disputed Ranking: The Indian government has rejected the GHI 2023 ranking, citing serious methodological concerns and suggesting a malicious intent behind the report (considering elections).
    • Methodological Issues: The WCD Ministry asserts that the GHI 2023 report suffers from significant methodological issues. It contends that 3 out of 4 indicators used for calculation pertain to child health, which does not represent the entire population.
    • Sample size issue: It is questionable that only small sample size of 3,000 is used for the “Proportion of Undernourished Population” indicator for crores population in India.
    • Child Wasting Discrepancy: The ministry highlights a significant disparity between the child wasting rate as per the Poshan Tracker (consistently below 7.2 percent) and the 18.7 percent reported in GHI 2023.
    • Undue link with Child mortality: It also challenges the notion that child mortality is solely an outcome of hunger.

    Conclusion

    • India’s ranking underscores the persistent challenges in addressing hunger and undernutrition.
    • The report serves as a stark reminder of the critical need to comprehensively tackle these issues, especially child wasting and undernourishment, to ensure the well-being of the nation’s population.