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Subject: Health

  • [24th March 2026] The Hindu OpED: A decade of building India’s TB Championship movement

    PYQ Relevance[UPSC 2020] COVID-19 pandemic has caused unprecedented devastation worldwide. However, technological advancements are being availed readily to win over the crisis. Give an account of how technology was sought to aid management to the pandemic.Linkage: This PYQ tests application of technology in public health crises, focusing on diagnostics, digital tools, and governance outcomes in disease management. The same COVID-driven technological shift (AI, rapid diagnostics, decentralisation) is now being institutionalised in TB control to address early detection gaps and improve accessibility.

    Mentor’s Comment

    India’s fight against tuberculosis (TB) is entering a decisive phase. On the occasion of World TB Day (March 24), the focus has shifted from treatment expansion to a more critical bottleneck, early and accurate diagnosis.

    What is TB Diagnosis?

    Tuberculosis (TB) diagnosis involves identifying TB bacteria through sputum tests (smear microscopy, culture, or rapid molecular tests like GeneXpert), chest X-rays, and TB infection tests (skin test or IGRA blood test). Active TB, which causes symptoms like cough and fever, requires sputum analysis, while latent TB is detected by immune response tests

    Why is TB diagnosis emerging as the central challenge in India’s TB elimination strategy?

    1. High Burden Reality: India contributes the largest share of global TB cases, making early detection a critical bottleneck.
    2. Diagnostic Delay: Delays in diagnosis increase transmission, worsen outcomes, and raise mortality.
    3. Asymptomatic Prevalence: National TB Survey shows ~50% of TB cases are asymptomatic, making symptom-based screening insufficient.
    4. Low Sensitivity Tools: Traditional sputum smear microscopy fails to detect drug resistance and has low sensitivity.

    How has the TB diagnostic landscape evolved in the last decade?

    1. Technological Transition: Shift from sputum smear microscopy,  molecular diagnostics (CBNAAT, TrueNat).
    2. Indigenous Innovation: TrueNat (2020) enabled decentralized molecular testing at primary care level.
    3. AI Integration: AI-enabled portable chest X-rays allow rapid screening and interpretation.
    4. Programmatic Expansion: NTEP deployed hundreds of portable X-ray machines under community screening drives.
    5. Non-Sputum Methods: Use of tongue swabs and alternative samples improves accessibility for vulnerable populations.

    What structural gaps continue to limit the effectiveness of TB diagnostics?

    1. Access Inequality: Limited availability of molecular testing in rural and hard-to-reach areas.
    2. Human Resource Constraints: Dependence on trained radiologists and technicians restricts scaling.
    3. Turnaround Delays: Delayed reporting reduces treatment initiation efficiency.
    4. Pediatric TB Challenge: Children often lack sputum; diagnosis remains difficult due to low bacillary load.
    5. Extra-Pulmonary TB (EPTB): Accounts for ~25% of TB burden; diagnosis remains complex and expensive.

    Why is a comprehensive diagnostic toolbox necessary for TB elimination?

    1. Diverse Disease Manifestation: TB presents in multiple forms (pulmonary, extra-pulmonary, asymptomatic).
    2. Population Diversity: Requires tools adaptable for children, elderly, and immunocompromised individuals.
    3. Drug Resistance Detection: Molecular tools enable early identification of resistant strains.
    4. Precision Targeting: AI and biomarkers help identify high-risk individuals for preventive therapy (TPT).

    What role do innovation and research play in strengthening TB diagnostics?

    1. Evidence-Based Procurement: Technologies evaluated by ICMR before scale-up.
    2. Cost-Effectiveness Focus: Need for affordable and scalable diagnostic tools.
    3. Biomarker Development: Enables prediction of disease progression and targeted interventions.
    4. AI-Based Solutions: Portable ultrasound and AI-driven screening tools under development.
    5. Real-World Validation: Need for field-based studies to assess performance in low-resource settings.

    How do community-led initiatives like TB Champions strengthen the TB response?

    1. Peer Advocacy: TB survivors act as communicators, reducing stigma and improving awareness.
    2. Behavioural Change: Community engagement improves treatment adherence and early reporting.
    3. The National Tuberculosis Elimination Programme (NTEP) Integration: Survivor-led model formally adopted under National TB Elimination Programme.
    4. Social Inclusion: Targets vulnerable groups, urban poor, tribal populations, socially marginalized.
    5. Anti-Stigma Impact: Increased confidence among patients; improved care-seeking behaviour. 

    Conclusion

    India’s TB elimination strategy is increasingly dependent on diagnostic transformation rather than treatment expansion. While technological innovation and community participation have improved detection capacity, systemic gaps in accessibility, inclusivity, and real-world implementation persist. A comprehensive, evidence-based, and decentralized diagnostic ecosystem is essential to accelerate progress toward TB elimination.

  • SC Strikes Down 3-Month Cap on Maternity Leave for Adoptive Mothers

    Why in the News

    • The Supreme Court of India (March 2026) struck down the 3-month age cap for maternity leave for adoptive mothers under:
      • Maternity Benefit Act, 1961
      • Code of Social Security, 2020

    What the Law Earlier Said

    • 12 weeks maternity leave was allowed only if child < 3 months at adoption
    • Result: Most adoptive mothers could not qualify

    Supreme Court Ruling

    • Adoptive mothers: Entitled to 12 weeks maternity leave regardless of child’s age
    • Held: “Motherhood cannot depend on child’s age”

    Why SC Struck Down the Cap

    1. Violation of Equality (Article 14)

    • Article 14 of the Indian Constitution
    • Court said: Distinction between mothers based on child’s age is: Artificial and unreasonable
    • Same caregiving responsibilities: Infant (2 months) vs child (4 months)

    2. Violation of Right to Life & Dignity (Article 21)

    • Article 21 of the Indian Constitution
    • Includes:
      • Reproductive autonomy
      • Right to form a family (including adoption)

    3. Law was “Illusory” in Practice

    • Adoption process (under Juvenile Justice Act, 2015):
      • Mandatory waiting periods
      • Legal procedures
    • Result: Child rarely available below 3 months

    4. Importance of Child Bonding

    • Maternity leave ensures: Emotional bonding and Child’s adjustment in new family
    • Applies equally to: Adoptive mothers (even more critical)

    5. Rejection of Government Argument

    • Govt suggested: Use crèche facilities
    • Court response:
      • Not universal (only for ≥50 employees)
      • Cannot replace maternal care
    [2019] With reference to the Maternity Benefit Amendment Act, 2017, consider the following statements: Pregnant women are entitled for three months pre-delivery and three months post-delivery paid leave. This act applies to all organisations with 20 or more employees. It has made it mandatory for every organisation with 100 or more employees to have a crèche. Which of the statements given above is/are correct? (a) 1 and 2 only (b) 2 only (c) 3 only (d) 1, 2 and 3

  • India’s Progress in Reducing Child Mortality: UN Report (2025)

    Why in the News

    • The Levels and Trends in Child Mortality by the United Nations Inter-agency Group for Child Mortality Estimation highlights:
      • Global slowdown in reducing child deaths
      • India’s steady improvement in child and neonatal mortality

    Global Scenario

    • 4.9 million children died before age 5 (2024)
      • Includes 2.3 million newborns
    • Under-5 mortality:
      • ↓ More than 50% since 2000
      • BUT progress slowed by >60% since 2015
    • 2.1 million deaths (age 5–24 years)
    • Regional Distribution
    • Sub-Saharan Africa: Accounts for 58% of global under-5 deaths

    India’s Performance

    1. Neonatal Mortality Rate (NMR)

    • 1990: 57 per 1000 live births
    • 2024: 17 per 1000

    2. Under-5 Mortality Rate (U5MR)

    • 1990: 127 per 1000
    • 2024: 27 per 1000

    3. Key Drivers of Improvement

    • Expanded immunisation coverage
    • Increase in institutional deliveries
    • Strengthening of public health systems
    • Targeted interventions:
      • Maternal & child healthcare
      • Nutrition programs

    Key Observations

    • India is a major contributor to mortality reduction in South Asia
    • Demonstrates that: Low-cost interventions can significantly reduce deaths

    Challenges Ahead

    • Slowing global progress
    • Persistent: Malnutrition and Infectious diseases
    • High neonatal share: Nearly half of under-5 deaths
    [2023] Consider the following statements in relation to Janani Suraksha Yojna: 
    1. It is a safe motherhood intervention of the State Health Departments. 
    2. Its objective is to reduce maternal and neonatal mortality among poor pregnant women.
    3. It aims to promote institutional delivery among poor pregnant women. 
    4. Its objective includes providing public health facilities to sick infants up to one year of age. 
    How many of the statements given above are correct? 
    (a) Only one (b) Only two (c) Only three (d) All four

  • Growing Concern Over Nicotine Pouches in India

    Why in the News

    Health experts and anti-tobacco activists are demanding stricter regulation or a ban on nicotine pouches, which are increasingly being sold online in India. Tamil Nadu’s Directorate of Drugs Control has issued alerts and notices against their illegal sale.

    What are Nicotine Pouches?

    • Small microfiber pouches containing nicotine powder, flavourings and additives.
    • Placed between the gum and lip, where nicotine is absorbed through the mouth lining.
    • Do not contain tobacco, but still deliver nicotine directly to the bloodstream.

    According to the Centers for Disease Control and Prevention, nicotine pouches dissolve in the mouth and do not require spitting.

    Why Experts Are Concerned

    • Highly Addictive: Nicotine is a highly addictive chemical, especially harmful for youth and pregnant women.
    • Not Approved for Smoking Cessation: Neither the U.S. Food and Drug Administration nor Indian authorities approve nicotine pouches as a quitting aid.
    • Health Risks: Possible effects include:
      • Cardiovascular problems
      • Gum disease and oral health issues
      • Increased overall nicotine intake
    • Some pouches reportedly contain up to 50 mg nicotine, far higher than standard nicotine replacement products.
    [2020] Which of the following are the reasons/factors for exposure to benzene pollution? Automobile exhaust Tobacco smoke Wood burning Using varnished wooden furniture Using products made of polyurethane Select the correct answer using the code given below: (a) 1, 2 and 3 only (b) 2 and 4 only (c) 1, 3 and 4 only (d) 1, 2, 3, 4 and 5

  • HPV Vaccine Policy: India-made Cervavac Yet to Enter National Programme

    Why in the News

    India has launched a large-scale HPV vaccination campaign for adolescent girls using Gardasil, while the India-made vaccine Cervavac has not yet been included in the national immunisation programme due to ongoing research on its single-dose effectiveness.

    HPV Vaccine Campaign in India

    • India plans to vaccinate 1.15 crore girls aged 14 years.
    • The campaign currently uses Gardasil-4, developed by Merck.
    • Vaccination is supported by funding from Gavi.

    About the Indigenous Vaccine: Cervavac

    • Developed through collaboration between:
      • Department of Biotechnology
      • BIRAC
      • Bill and Melinda Gates Foundation
      • Serum Institute of India
    • Officially launched in 2022.
    • Estimated price if procured by government: ₹200–400 per dose (much cheaper than global vaccines).

    Why Cervavac is Not Yet in the Programme

    • Ongoing ICMR Study: The Indian Council of Medical Research is studying whether one dose of Cervavac produces enough long-lasting antibodies. Results expected by 2027.
    • WHO Recommendation Change: The World Health Organization now allows single-dose HPV vaccination in national programmes. Gardasil already has WHO prequalification for single-dose use, while Cervavac does not yet.
    • Free Vaccine Supply: India received GAVI support providing limited “free” HPV vaccine doses, encouraging the use of Gardasil initially.

    Two-Dose vs Single-Dose Debate

    • Earlier recommendation: 2 doses for girls aged 9–15 (6 months apart).
    • New WHO guidance (2022): Countries may use single-dose schedules to improve coverage and reduce costs.
    • Single-dose programmes are easier to implement because adolescent girls may not return for the second dose.

    Burden of Cervical Cancer in India

    • Second most common cancer among Indian women.
    • About 80,000 new cases annually.
    • Around 42,000 deaths each year.
    • India accounts for about 20% of global cervical cancer cases.

    About HPV (Human Papillomavirus)

    • A group of viruses spread mainly through sexual contact.
    • Certain strains such as HPV-16 and HPV-18 cause most cervical cancers.
    • Vaccination significantly reduces risk.
    [2022] In the context of vaccines manufactured to prevent COVID-19 pandemic, consider the following statements: The Serum Institute of India produced COVID-19 vaccine named Covishield using mRNA platform. Sputnik V vaccine is manufactured using vector-based platform. COVAXIN is an inactivated pathogen-based vaccine. Which of the statements given above are correct? (a) 1 and 2 only (b) 2 and 3 only (c) 1 and 3 only (d) 1, 2 and 3

  • India Ranks Second Globally in Childhood Obesity

    Why in the News

    The World Obesity Atlas 2026, released by the World Obesity Federation on World Obesity Day (March 4), reported that India ranks second globally in childhood obesity, after China.

    Key Findings

    Scale of Childhood Obesity in India (2025)

    • Children aged 5–9: ~15 million overweight or obese
    • Children aged 10–19: ~26 million overweight or obese

    High BMI figures among children:

    • China: 62 million
    • India: 41 million
    • United States: 27 million
    • India therefore ranks second globally in number of children with high BMI.

    Global Trend

    • 20.7% of children worldwide (ages 5–19) are overweight or obese.
    • This increased from 14.6% in 2010.
    • By 2040, about 507 million children globally may be overweight or obese.

    Major Risk Factors Identified in India

    • Low Physical Activity: 74% of adolescents (11–17 years) do not meet recommended physical activity levels.
    • Poor Nutrition: Increased consumption of sugary beverages among children.
    • Inadequate School Nutrition: Only 35.5% of school-age children receive school meals.
    • Sub-optimal Breastfeeding: 32.6% of infants (1–5 months) do not receive optimal breastfeeding.

    Health Risks Linked to High BMI

    By 2040, India may see rising cases of:

    • Hypertension
    • Hyperglycaemia
    • High triglycerides
    • Metabolic dysfunction-associated steatotic liver disease (MASLD)
      • These conditions increase the risk of diabetes and cardiovascular diseases later in life.

    Recommended Policy Actions

    • Introduce taxes on sugar-sweetened beverages.
    • Restrict junk food marketing targeting children.
    • Promote healthy school meals and physical activity.
    • Strengthen nutrition and breastfeeding programmes.

    Prelims Pointers

    • BMI (Body Mass Index) = weight (kg) ÷ height² (m²).
    • World Obesity Day is observed on March 4.
    • Childhood obesity increases risk of Type 2 diabetes and cardiovascular diseases.
    • MASLD refers to Metabolic Dysfunction-Associated Steatotic Liver Disease.
    [2016] Which of the following is/are the indicator/ indicators used by IFPRI to compute the Global Hunger Index Report? Undernourishment Child stunting Child mortality Select the correct answer using the code given below. (a) 1 only (b) 2 and 3 only (c) 1, 2 and 3 (d) 1 and 3 only

  • India to Launch Free HPV Vaccination for Adolescent Girls

    Why in the News

    India will roll out a nationwide free Human Papillomavirus vaccination programme for adolescent girls in 2026 to prevent cervical cancer, according to Health Ministry sources.

    Key Features of the Programme

    • Target group: 14 year old girls
    • Voluntary and free of cost
    • Administered at:
      • Ayushman Arogya Mandirs
      • Community Health Centres
      • District hospitals
      • Government medical colleges
    • Supervised by trained medical officers
    • Post vaccination observation systems in place
    • India joins over 160 countries that have introduced HPV vaccination.

    Disease Burden in India

    • Cervical cancer is the second most common cancer among women in India.
    • Around 80,000 new cases annually.
    • Over 42,000 deaths each year.
    • Persistent HPV infection, especially types 16 and 18, causes over 80 percent of cases.

    About HPV

    • Human Papillomavirus is a group of viruses transmitted through close contact.
    • Most infections resolve naturally.
    • Persistent high risk infection can cause cervical cancer over time.

    Why Target Age 14?

    • Vaccine is most effective before exposure to the virus.
    • Provides long lasting immunity.
    • Prevents infection before onset of sexual activity.
    • The World Health Organization and its Strategic Advisory Group of Experts on Immunization have recognised that a single dose schedule can provide comparable protection to two dose regimens in many cases.
    • Immunocompromised individuals may require two or three doses.
    [2022] In the context of vaccines manufactured to prevent COVID-19 pandemic, consider the following statements: The Serum Institute of India produced COVID-19 vaccine named Covishield using mRNA platform. Sputnik V vaccine is manufactured using vector based platform. COVAXIN is an inactivated pathogen based vaccine. Which of the statements given above are correct? 

    (a) 1 and 2 only 

    (b) 2 and 3 only 

    (c) 1 and 3 only 

    (d) 1, 2 and 3

  • How is India tackling mental health crisis?

    Why in the News?

    The Economic Survey flagged rising digital addiction and screen-related mental health disorders, particularly among children and adolescents. The Union Budget announced strengthening of mental health infrastructure, including establishment of a second campus of NIMHANS in North India and upgradation of premier institutions in Ranchi and Tezpur. Despite increased allocation from ₹683 crore (2020-21) to ₹1,898 crore (2024-25), mental health spending remains about 2% of total health outlay.

    What is the Scale of India’s Mental Health Burden?

    1. Suicide Burden: Accounts for nearly one-third of global suicides; depression and addiction contribute significantly to disease burden.
    2. Economic Impact: Mental health conditions impose an estimated economic loss of $1.03 trillion between 2012 and 2030.
    3. Treatment Gap: 70-92% of individuals with mental disorders lack proper treatment due to low awareness, stigma, and workforce shortages.
    4. Human Resource Deficit: 0.75 psychiatrists per 1,00,000 population against the recommended 3 per 1,00,000.
    5. Adolescent Vulnerability: Rising digital addiction and screen-related disorders flagged in the Economic Survey.

    What Institutional Measures Have Been Announced?

    1. National institute of mental health and Neuro Sciences (NIMHANS) Expansion: Establishes second campus of National Institute of Mental Health and Neurosciences in North India.
    2. Institutional Upgradation: Upgrades premier institutions in Ranchi and Tezpur to improve regional access.
    3. Centre of Excellence Expansion: Sanctions over 20 Centres of Excellence to train postgraduate students in mental health.
    4. Advanced Treatment Infrastructure: Establishes 47 PG departments in mental health.
    5. Primary Healthcare Integration: Integrates mental health services under Ayushman Arogya Mandirs and Health and Wellness Centres.
    6. Tele-MANAS Helpline: Provides 24×7 free mental health support via toll-free number 14416 and 1-800-891-4416; operational across 36 States/UTs and supported by 23 specialised mentoring institutes.

    How Has Budgetary Allocation Evolved?

    1. Allocation Increase: Raises allocation from ₹683 crore (2020-21) to ₹1,898 crore (2024-25).
    2. Relative Share: Maintains mental health share at approximately 1% of total health budget and about 2% of national health outlay.
    3. Historical Underfunding: Reflects long-standing low fiscal prioritisation despite rising burden.

    Where Do Structural Gaps Persist?

    1. Low Budgetary Share: Limits impact due to marginal share within overall health expenditure.
    2. Underutilisation of Funds: Prevents full utilisation of allocated funds at national level.
    3. Institution-Centric Focus: Directs significant funds towards tertiary institutions such as NIMHANS and Centres of Excellence.
    4. Limited Community-Based Models: Weakens early intervention and preventive mental health services.
    5. Capacity Constraints: Maintains shortage of trained professionals, with only 9% gap reduction in access to mental healthcare.

    What Approach is Required Going Forward?

    1. Affordable Access: Ensures continuity of care and long-term treatment.
    2. Preventive Focus: Reduces years lived with disability through early detection.
    3. Human Resource Strengthening: Expands trained workforce capacity.
    4. Community Integration: Integrates mental well-being into school curricula and workplace policies.
    5. Whole-of-Community Model: Mainstreams mental health beyond hospital-centric systems.

    Conclusion

    India’s mental health crisis reflects a structural mismatch between the scale of the burden and the scale of response. Rising suicides, a 70-92% treatment gap, severe psychiatrist shortages, and mental health spending hovering around 1-2% of the health budget indicate systemic under-prioritisation despite recent institutional expansion.

    Strengthening tertiary institutions alone cannot address a crisis rooted in access, stigma, affordability, and preventive failure. A shift towards community-based care, workforce expansion, full utilisation of allocated funds, and integration of mental well-being into schools and workplaces is essential to convert policy intent into measurable public health outcomes.

    PYQ Relevance

    [UPSC 2023] Explain why suicide among young women is increasing in Indian Society. 

    Linkage: UPSC frequently frames GS-I Society questions around emerging social vulnerabilities reflected in current data trends. The article highlights India accounting for nearly one-third of global suicides and flags rising mental health distress, making youth and gender-specific suicide patterns directly relevant to contemporary exam themes.

  • Obesity in India and Budget 2026 Expectations  

    Why in the News?

    India has emerged as the third most obese country in the world after the US and China, according to the World Obesity Federation. The Economic Survey 2026 flagged obesity as a rising public health challenge across age groups, raising expectations from Union Budget 2026 to make healthy living affordable.

    Key Findings on Obesity in India

    • Global ranking: India is the third most obese country globally
    • Social spread:
      • 76 percent Indians report at least one obese person in their close social circle
      • 42 percent report four or more obese individuals around them
    • Associated diseases:
      • 56 percent obese individuals also suffer from lifestyle diseases like diabetes, hypertension, high cholesterol, fatty liver

    Causes of Rising Obesity

    • Sedentary lifestyle and lack of physical activity
    • High consumption of fatty and ultra processed foods
    • Urbanisation and screen based work culture
    • Poor dietary diversity and nutrition awareness

    Official Data  

    • National Family Health Survey 5:Overweight or obese adults:
      • Women: 24 percent
      • Men: 23 percent
      • Children under 5 with excess weight: Increased from 2.1 percent (2015–16) to 3.4 percent (2019–21)

    Health Implications

    • Higher risk of non communicable diseases like: Diabetes, Heart disease and Hypertension
    • Increased long term healthcare burden
    • Reduced productivity and quality of life

    Budget 2026 Expectations

    Citizens expect Budget 2026 to:

    • Reduce taxes on healthy food options
    • Improve affordability of fitness and preventive healthcare services
    • Discourage consumption of ultra processed foods through fiscal measures
    • Promote lifestyle based prevention over drug dependent solutions
    [2017] Which of the following are the objectives of ‘National Nutrition Mission’? 1. To create awareness relating to malnutrition among pregnant women and lactating mothers

    2. To reduce the incidence of anaemia among young children, adolescent girls and women

    3. To promote the consumption of millets, coarse cereals and unpolished rice

    4. To promote the consumption of poultry eggs

    Select the correct answer using the code given below: 

    (a) 1 and 2 only (b) 1, 2 and 3 only (c) 1, 2 and 4 only (d) 3 and 4 only

  • Menstrual Health and MHM

    Why in the News?

    The Supreme Court of India ruled on January 30, 2026 that menstrual health and access to menstrual hygiene management (MHM) in schools are integral to the Right to Life and Dignity under Article 21 of the Constitution.

    What the Court Held

    • Right to menstrual health is part of Article 21, covering dignity, privacy, and bodily autonomy.
    • Lack of MHM facilities exposes girls to stigma, humiliation, and exclusion.
    • Menstrual poverty violates right to education by causing absenteeism and dropouts.

    Key Constitutional Dimensions

    • Dignity: Girls must manage menstruation without humiliation.
    • Privacy and Bodily Autonomy: Choice cannot be dictated by lack of facilities.
    • Equality in Education: Gender-specific barriers defeat free and compulsory education.

    Important Observations

    • MHM goes beyond sanitation to include decisional freedom.
    • Unsafe practices or forced absenteeism undermine a dignified existence.
    • Impairment of education has long-term social and economic consequences.

    Directions Issued by the Court

    • Functional gender-segregated toilets in all schools, government and private.
    • Free-of-cost oxo-biodegradable sanitary napkins, preferably via vending machines in toilets.
    • Creation of MHM corners with spare innerwear, uniforms, disposable bags, and essentials.
    • Sensitisation of male teachers and students to prevent harassment and invasive questioning.

    Accountability Mechanism

    • Government schools held accountable for non-compliance with Section 19 of the RTE Act.
    • Private schools face de-recognition and penalties for violating prescribed norms.
    [2024] Under which of the following Articles of the Constitution of India, has the Supreme Court of India placed the Right to Privacy? (a) Article 15 

    (b) Article 16 

    (c) Article 19 

    (d) Article 21