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Subject: Indian Society

  • [pib] TALASH Initiative 

    Why in the News?

    The National Education Society for Tribal Students (NESTS) and UNICEF India launched TALASH (Tribal Aptitude, Life Skills and Self-Esteem Hub), a first-of-its-kind national initiative for holistic development of tribal students in Eklavya Model Residential Schools (EMRSs).

    About the TALASH Initiative:

    • Overview: TALASH (Tribal Aptitude, Life Skills and Self-Esteem Hub) is a national programme launched by the National Education Society for Tribal Students (NESTS) in partnership with UNICEF India.
    • Target Group: It is aimed at the holistic development of tribal students studying in Eklavya Model Residential Schools (EMRSs) across the country.
    • Objectives: The initiative fosters self-awareness, emotional resilience, life skills, and career clarity among tribal youth.
    • Focus: It is the first national initiative in India designed specifically for tribal students.
    • Broader Policy: TALASH aligns with the National Education Policy 2020, promoting inclusive, equitable, and competency-based education.
    • Coverage Goal: Over 1,38,336 students across 28 States and 8 Union Territories are expected to benefit.
    • Implementation: By the end of 2025, TALASH aims to be implemented in all EMRSs nationwide.

    Key Features of TALASH:

    • Psychometric Assessments:
      • Inspired by NCERT’s ‘Tamanna’, TALASH offers aptitude tests to help students discover their interests, abilities, and potential.
      • Based on the results, students receive Career Cards suggesting suitable career options.
    • Career Counselling: The platform offers structured career guidance to help students make informed decisions aligned with their strengths and aspirations.
    • Life Skills & Self-Esteem Modules: TALASH teaches communication, problem-solving, emotional regulation, and self-confidence through interactive modules.
    • E-Learning for Teachers:
      • A dedicated online portal provides training and resources to teachers to help them mentor students effectively.
      • So far, 189 teachers from 75 EMRSs have been trained to lead school-level sessions.
    [UPSC 2017]  With reference to ‘National Skills Qualification Framework (NSQF)’, which of the statements given below is/are correct?

    1. Under NSQF, a learner can acquire the certification for competency only through formal learning.

    2. An outcome expected from the implementation of NSQF is the mobility between vocational and general education.

    Select the correct answer using the code given below:

    Options: (a) 1 only (b) 2 only* (c) Both 1 and 2 (d) Neither 1 nor 2

     

  • PARAKH Survey reveals deficits in Student Learning

    Why in the News?

    The Ministry of Education recently released the PARAKH Rashtriya Sarvekshan (RS) Report, an extensive nationwide student performance assessment for Grades 3, 6, and 9.

    About PARAKH:

    • Full Form: PARAKH stands for Performance Assessment, Review, and Analysis of Knowledge for Holistic Development.
    • Establishment: It was established in 2023 as an autonomous institution under the National Council of Educational Research and Training (NCERT).
    • Vision and Role: PARAKH functions as India’s national assessment regulator, aiming to standardize school-level assessments across states and boards.
    • Policy Alignment: The initiative is aligned with the National Education Policy (NEP) 2020, which promotes competency-based, equitable, and inclusive learning.
    • Core Objective: Its main objective is to develop norms, standards, and guidelines for assessing learning outcomes at the national level.
    • Key Functions:
      • Standardization of Boards: PARAKH seeks to ensure equivalence in academic standards across various state and central school boards.
      • Assessment Focus: It designs and implements competency-based assessments, moving away from rote learning.
      • Progress Tracking: The unit is responsible for developing Holistic Progress Cards across the Foundational, Preparatory, Middle, and Secondary stages.
      • Survey Execution: It conducts Large-Scale Achievement Surveys, such as the PARAKH Rashtriya Sarvekshan (RS) (formerly known as the National Achievement Survey (NAS) launched in 2021) to track student learning outcomes at scale.

    Key Highlights of the PARAKH Rashtriya Sarvekshan (RS) Report – 2024:

    • Scale of the Survey: Assessed over 21.15 lakh students from Grades 3, 6, and 9, across 74,229 schools in 781 districts.
    • Top performers: Punjab, Kerala, Himachal Pradesh, Chandigarh, and Dadra & Nagar Haveli and Daman & Diu; low-performing districts were concentrated in Meghalaya, Jharkhand, and Arunachal Pradesh.
      • In Grade 3, around 60–70% of students demonstrated basic reading, vocabulary, and early math skills, though many struggled with geometry and spatial reasoning.
      • In Grade 6, fewer than 40% could solve real-life arithmetic problems or understand fractions, indicating gaps in conceptual understanding and application.
      • In Grade 9, only 28–31% applied percentages or understood number systems; less than half grasped core civic and scientific concepts such as the Constitution, biodiversity, or electricity.
    [UPSC 2017]  With reference to ‘National Skills Qualification Framework (NSQF)’, which of the statements given below is/are correct?

    1. Under NSQF, a learner can acquire the certification for competency only through formal learning. 2. An outcome expected from the implementation of NSQF is the mobility between vocational and general education.

    Select the correct answer using the code given below:

    Options: (a) 1 only (b) 2 only* (c) Both 1 and 2 (d) Neither 1 nor 2

     

  • India is 4th most Equal Society: World Bank

    Why in the News?

    As of 2025, India ranks as the world’s fourth most equal country in terms of income distribution, according to the World Bank’s Spring 2025 Poverty and Equity Brief.

    India is 4th most Equal Society: World Bank

    About the World Bank’s Spring 2025 Poverty and Equity Brief:

    • What It Is: The Poverty and Equity Brief is a biannual publication by the World Bank’s Poverty and Equity Global Practice Group.
    • Data Coverage: It includes country-level statistics on poverty, inequality, and shared prosperity using household surveys, national datasets, and income tracking.
    • Comparative Perspective: The brief allows comparison across income groups and regions, helping track Sustainable Development Goals (SDGs).
    • Spring 2025 Focus: This edition emphasizes post-pandemic recovery, distributional equity, and the effectiveness of welfare policies in developing nations.

    Key Parameters Involved:

    • Gini Index: It measures how equally income is distributed.
      • Score Range: 1 = complete equality; 100 = complete inequality.
      • India’s Score: 25.5 in 2022–23, showing strong income equality.
    • International Poverty Lines:
      • $2.15/day (2017 PPP): Global standard for extreme poverty.
      • $3.00/day: Threshold for lower-middle-income countries like India.
    • Poverty Headcount Ratio: Reflects how many people live below the poverty line.
      • India’s Status: 2.3% below $2.15/day and 5.3% below $3/day in 2022–23.
    • Shared Prosperity Premium:
      • Measures if the bottom 40% of the population are doing better or worse than average.
      • High premium means inclusive growth.

    Key Highlights from the Spring 2025 Report:

    • India’s Gini Score: Among Most Equal
      • With a score of 25.5, India is the 4th most equal country, after Slovak Republic (24.1), Slovenia (24.3), and Belarus (24.4).
      • India outperforms China (35.7) and all G7 and G20 nations.
      • Improved from 28.8 in 2011, showing a steady decline in inequality.
    • Major Poverty Reduction Milestone
      • Between 2011 and 2023, 171 million people moved out of extreme poverty.
      • Share of population under $2.15/day fell from 16.2% to 2.3%.
      • Share under $3/day fell to 5.3%, marking a significant decline.
    [UPSC 2007] Consider the following statements:

    1. The repo rate is the rate at which other banks borrow from the Reserve Bank of India. 2. A value of 1 for Gini Coefficient in a country implies that there is perfectly equal income for everyone in its population.

    Which of the statements given above is/are correct?

    Options: (a) 1 only (b) 2 only* (c) Both 1 and 2 (d) Neither 1 nor 2

     

  • National Sports Policy, 2025

    Why in the News?

    The Union Cabinet recently approved the National Sports Policy, 2025.

    About the National Sports Policy, 2025:

    • It is a comprehensive policy approved by the Union Cabinet to transform India into a leading sporting nation.
    • It replaces the earlier 2001 policy and aligns with the vision of Viksit Bharat @2047 and the National Education Policy (NEP) 2020.
    • The policy envisions India as a global sporting powerhouse and strengthens its bid to host international events, including the 2036 Olympic Games.
    • It was developed through extensive consultations involving central ministries, NITI Aayog, state governments, national sports federations, athletes, and experts.
    • The Khelo Bharat Niti 2025 serves as the operational framework for NSP 2025.

    Key Features of the National Sports Policy, 2025:

    1. Excellence on the Global Stage
      • Talent identification and athlete development from grassroots to elite level.
      • Expansion of leagues, rural-urban infrastructure, and high-performance training.
      • Adoption of sports science, medicine, and technology.
      • Reforms in governance and functioning of National Sports Federations.
    1. Sports for Economic Development
      • Promotion of sports tourism and hosting of global events.
      • Support for indigenous manufacturing, startups, and PPP investments.
      • Encouragement of CSR in sports development.
    1. Sports for Social Development
      • Inclusive participation of women, tribals, PwDs, and marginalised groups.
      • Revitalisation of traditional and indigenous games.
      • Dual-career pathways and diaspora engagement.
    1. Sports as a People’s Movement
      • Nationwide campaigns for fitness and community participation.
      • Launch of fitness indices and public access to sports infrastructure.
    1. Integration with Education (NEP 2020)
      • Sports embedded in school curricula.
      • Training for educators and promotion of sports education.

  • Biomarkers of Healthy Aging, Resilience, Adversity, and Transitions (BHARAT)

    Why in the News?

    IISc Bengaluru has launched BHARAT (Biomarkers of Healthy Aging, Resilience, Adversity, and Transitions), a pioneering study exploring the biology, lifestyle, and environment behind Aging.

    About the BHARAT Project:

    • Scientific Launch: It is a nationwide research initiative by the Indian Institute of Science (IISc), Bengaluru.
    • Primary Goal: It aims to build India’s first scientific baseline on how Indians age—biologically, environmentally, and socially.
    • Project Leadership: The project is led by Professor DK Saini from IISc’s Department of Development Biology and Genetics.
    • Addressing Global Gaps: It fills a major research void by offering Indian-specific data, unlike most global ageing studies based on Western populations.
    • Redefining Normal: It will challenge international health standards (e.g., for cholesterol, vitamin D) that may misclassify Indian health parameters.
    • Biological Age Focus: Instead of using chronological age, the project will study biomarkers of biological ageing for early disease risk detection.

    Key Features of the Project:

    • India-Centric Baseline: The database will offer reference biomarker cut-offs tailored to Indian genetics, diet, and lifestyle.
    • Wide Biomarker Range: It will include genomic, metabolic, and environmental indicators to detect organ ageing and resilience early.
    • AI-Driven Analysis: Machine learning tools will be used to find ageing patterns, simulate health interventions, and forecast risks.
    • Holistic Ageing Model: The study will include nutrition, pollution, infections, and social factors that influence how Indians age.
    • Equity for Global South: It corrects global biases that misdiagnose Indians as deficient by using locally validated health data.
    • Healthspan Focus: The emphasis is on quality of life—living healthier for longer—rather than just extending life years.
    [UPSC 2024] Consider the following countries: 1. Italy 2. Japan 3. Nigeria 4. South Korea 5. South Africa

    Which of the above countries are frequently mentioned in the media for their low birth rates, or ageing population or declining population?

    Options: (a) 1,2 and 4 * (b) 1,3 and 5 (c) 2 and 4 only (d) 3 and 5 only

     

  • Employment Linked Incentive (ELI) Scheme 

    Why in the News?

    The Union Cabinet has approved the Employment Linked Incentive (ELI) Scheme to promote job creation, enhance employability, and expand social security—especially in the manufacturing sector.

    About Employment Linked Incentive (ELI) Scheme:

    • Objective: It aims to promote employment generation, enhance employability, and expand social security across all sectors, with a special focus on the manufacturing sector.
    • Inception: The scheme was first announced in the Union Budget 2024–25 as part of the Prime Minister’s ₹2 lakh crore Employment and Skilling Package, which targets 4.1 crore youth.
    • Goal: It seeks to create more than 3.5 crore jobs between 1st August 2025 and 31st July 2027.

    Key Features of the ELI Scheme:

    • It offers direct financial incentives to both first-time employees and employers to promote formalisation and sustained employment. It has 2 major components:
    • Part A – Incentives to First-Time Employees:
      • One-month EPF wage (up to ₹15,000) in two instalments.
      • First instalment after 6 months of continuous service.
      • Second instalment after 12 months and completion of a financial literacy programme.
      • Eligibility for employees earning up to ₹1 lakh/month.
      • Portion of incentive saved in a deposit instrument.
      • Benefits to approximately 1.92 crore new employees.
    • Part B – Support to Employers:
      • Incentives for employers hiring additional employees with salaries up to ₹1 lakh/month.
      • Amount ranges from ₹1,000 to ₹3,000 per employee per month, based on wage slabs.
      • Employment must be sustained for at least 6 months.
      • Manufacturing sector gets incentives for 4 years instead of 2.
      • Employers must hire:
        • At least 2 additional employees (if workforce < 50).
        • At least 5 additional employees (if workforce ≥ 50).
    • Payment Mechanism:
      • Employees: via Direct Benefit Transfer (DBT) through Aadhaar Bridge Payment System (ABPS).
      • Employers: via PAN-linked accounts.
    [UPSC 2024] With reference to the Pradhan Mantri Shram Yogi Maan-dhan (PM-SYM) Yojana, consider the following statements:

    1. The entry age group for enrolment in the scheme is 21 to 40 years

    2. Age specific contribution shall be made by the beneficiary

    3. Each subscriber under the scheme shall receive a minimum pension of ₹ 3,000 per month after attaining the age of 60 years

    4. Family pension is applicable to the spouse and unmarried daughters

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

     

  • Language of unity Uniformity should not be confused with national unity in language policy

    Why in the News?

    Recently, the three-language rule in the National Education Policy (NEP) 2020 has caused a new dispute in Maharashtra, showing people’s worries about language and political disagreements.

    What are the key features of the three-language policy under NEP 2020?

    • Mandatory Learning of Three Languages: All students must learn three languages during their school education.
    • Flexible Language Choice: States and schools have the autonomy to choose any two Indian languages and one foreign language, removing the compulsion of Hindi.
    • Promotion of Multilingualism: Emphasis on learning regional, national, and global languages, thereby fostering cultural and linguistic diversity.
    • Mother Tongue as Medium of Instruction: Preference is given to teaching in the mother tongue or regional language at least up to Grade 5, and preferably till Grade 8.
    • No Imposition of Any Language: The policy avoids mandatory imposition of Hindi or any other language across the country.
    • Implementation Based on Demand: A minimum of 20 students must demand a specific third language in a school for it to be introduced.

    Why has the implementation of the three-language policy sparked resistance in States like Maharashtra?

    • Fear of Hindi Imposition: Despite the NEP 2020’s flexibility, there is a strong perception that Hindi is being prioritised as the default second language, especially after Maharashtra’s decision to make Hindi mandatory till Class 5.
    • Threat to Regional Identity: The policy is seen as undermining Marathi linguistic and cultural identity, which has historically been a sensitive issue in the State.
    • Distrust in Government Intentions: The formation of a committee rather than outright scrapping of the decision raised suspicion about hidden agendas, including the promotion of the Right-wing ‘Hindi, Hindu, Hindustan’ ideology.

    How does the perceived imposition of Hindi affect regional linguistic identity and federal harmony?

    • Resentment in Non-Hindi Speaking States: Imposing Hindi is perceived as marginalising regional languages like Tamil, Telugu, Bengali, and Malayalam, causing strong backlash. Eg: Tamil Nadu has consistently opposed the three-language formula, invoking the “anti-Hindi imposition” movementdating back to the 1960s.
    • Weakening of Linguistic Pluralism and Diversity: Promoting one language risks diluting India’s multilingual fabric, which is essential for preserving cultural identity and inclusiveness. Eg: In North-East India, states like Manipur and Nagaland have expressed concerns over losing native tongues due to Hindi-centric policies.
    • Strain on Federal Relations: Perceived language imposition creates friction between the Centre and States, weakening cooperative federalism and leading to policy resistance. Eg: Several southern states have demanded greater autonomy in education policy, arguing that central language decisions ignore regional aspirations.

    What is the relevance of the three-language policy for academic purposes?

    • Promotes Inclusivity and Communication in Diverse Settings: Multilingual proficiency helps students communicate across regions, fostering national integration and better participation in higher education and jobs. Eg: A student from Kerala who knows Hindi and English can study or work in northern India or abroad more comfortably.
    • Enhances Cognitive and Learning Abilities: Learning multiple languages improves memory, problem-solving, and critical thinking skills, aiding overall academic performance. Eg: Studies show that multilingual students often perform better in tasks requiring attention and multitasking.
    • Improves Access to Knowledge and Resources: Knowing more than one language enables students to access a broader range of textbooks, research, and cultural literature, enriching their academic experience. Eg: A student fluent in English and a regional language can read both international academic content and local history or literature.

    What are the challenges do schools face in offering diverse language options under the policy?

    • Limited Availability of Qualified Language Teachers: Most schools lack trained teachers for non-regional or less commonly spoken languages, making it hard to implement true linguistic diversity. Eg: A school in Bihar may struggle to find teachers for Tamil, Kannada, or Malayalam, even if students want to learn them.
    • Low Student Demand for Minority Languages: The policy requires a minimum of 20 students to demand a language for it to be introduced, which excludes smaller linguistic communities. Eg: In many Hindi-speaking regions, languages like Telugu or Bengali are not offered due to insufficient student numbers.

    Way forward: 

    • Strengthen Teacher Training and Language Infrastructure: Invest in recruiting and training teachers for a wider range of Indian languages, and develop teaching materials in collaboration with state language boards.
    • Ensure Flexibility and Regional Autonomy: Allow States and schools to adapt the three-language policy based on local linguistic demographics, ensuring inclusivity without enforcing a one-size-fits-all model.

    Mains PYQ:

    [UPSC 2015] Describe any four cultural elements of diversity in India and rate their relative significance in building a national identity.

    Linkage: This question is related to “Diversity and pluralism,” which directly talk about the language as a cultural element. The article highlights how language can become a point of contention, with some seeing a uniform language policy as essential for national identity, while others view it as an “imposition” that undermines the rich cultural and linguistic diversity of India.

  • Vaccinating India: On Zero-Dose Children

    Why in the News?

    India has made significant progress in expanding vaccine coverage, with a dramatic drop in the percentage of zero-dose children from 33.4% in 1992 to 6.2% in 2023. But even though India is not affected by war or extreme poverty like some other countries, it still has the second-highest number of children without any vaccination in the world.

    What is the trend in global and Indian vaccine coverage?

    • Global Progress: Since 1980, coverage for six major diseases—including measles, polio, and tuberculosis—has doubled worldwide, and the proportion of zero-dose children has fallen to around 75% fewer globally.
    • India’s Improvement with Persistent Gaps: India has dramatically reduced zero-dose children from 33.4% in 1992 to 6.2% in 2023, yet still ranks second globally in absolute numbers, indicating significant strides amid ongoing challenges.

    What are zero-dose children?

    • Zero-dose children are those who have not received the first dose of the diphtheria, tetanus, and pertussis (DTP) vaccine.
    • They are a crucial performance marker of a country’s immunisation system and indicate inequities in vaccine coverage.

    Why are they important for assessing vaccination?

    • Reflects health system coverage and equity: A high number of zero-dose children shows that vaccination programmes are not reaching all segments of the population. NFHS-5 (2019–21) Data also showed that full immunisation coverage among children aged 12–23 months was significantly lower in rural and tribal regions compared to urban areas (e.g., Nagaland: 57.8%, compared to Tamil Nadu: 89.8%).
    • Indicates social and economic exclusion: The presence of zero-dose children highlights barriers like poverty, low maternal education, and marginalisation. Eg: Urban slums with high migrant populations tend to have more zero-dose children due to lack of awareness and access.
    • Warns of vulnerability to disease outbreaks: Areas with many zero-dose children are more likely to face outbreaks of vaccine-preventable diseases. Eg: Measles outbreaks are more common in districts with poor immunisation coverage.

    Why does India still have a high number of zero-dose children despite adequate resources?

    • High birth rate increases absolute numbers: India has the highest number of annual births globally. In 2023, India had around 23 million births, making even a small percentage of zero-dose children translate into a large number.
    • Geographical and logistical challenges: Remote tribal areas, urban slums, and migrant populations are harder to reach due to terrain, mobility, and poor infrastructure. E.g., children in parts of Meghalaya or urban Delhi, slums often miss vaccinations due to lack of access and follow-up.
    • Socio-cultural barriers and vaccine hesitancy: Low maternal education, religious beliefs, and misinformation lead to vaccine hesitancy in certain communities. Eg: In some Muslim households or among Scheduled Tribes, distrust or misinformation about vaccines limits uptake.

    How has India’s zero-dose child rate changed over time, especially post-COVID?

    • Steady decline before the pandemic: Between 1992 and 2016, India reduced the percentage of zero-dose children from 33.4% to 10.1%, showing consistent improvement in immunisation outreach.
    • Sharp rise during the COVID-19 pandemic: Disruptions in health services led to a surge in zero-dose children, increasing from 1.4 million in 2019 to 2.7 million in 2021, reversing years of progress.
    • Partial recovery after the pandemic: The number dropped to 1.1 million in 2022 but rose again to 1.44 million in 2023, indicating ongoing challenges in sustaining immunisation coverage.

    Where are zero-dose children mainly located in India?

    • High-burden states in northern and central India: Large numbers of zero-dose children are concentrated in Uttar Pradesh, Bihar, Maharashtra, Rajasthan, Madhya Pradesh, and Gujarat, which have large populations and gaps in last-mile immunisation delivery.
    • Northeastern and underserved regions: A relatively high proportion is also found in Meghalaya, Nagaland, Mizoram, and Arunachal Pradesh, where geographic inaccessibility, scattered populations, and weaker health infrastructure pose challenges.

    What actions are needed for India to meet the WHO’s 2030 immunisation target?

    • Expand and intensify targeted immunisation drives: Strengthen last-mile delivery through regular and focused vaccination campaigns in underserved regions. Eg: Mission Indradhanush and its intensified versions could increase immunisation coverage in low-performing districts.
    • Strengthen community-level engagement and awareness: Promote behavioural change and reduce vaccine hesitancy through culturally tailored IEC (Information, Education, and Communication) activities. Eg: Janani Suraksha Yojana (JSY) encourages institutional deliveries and postnatal care, which can be used to ensure timely vaccination of newborns.
    • Integrate immunisation with digital health monitoring systems: Use technology for real-time tracking of vaccine coverage and follow-up in high-birth and high-risk areas. Eg: eVIN (Electronic Vaccine Intelligence Network) monitors vaccine stocks and cold chain availability, improving efficiency and reducing wastage.

    Conclusion: India’s immunisation journey shows a mixed reality, while the country is a global leader in vaccine development, it still struggles to ensure all its children receive basic immunisation. Closing this gap is important not just for public health but also for social fairness and overall development. The need is even more urgent because India has the highest number of newborns in the world. The Immunisation Agenda 2030 should be treated as a national priority.

    Mains PYQ:

    [UPSC 2022] How do vaccines work? What approaches were adopted by the Indian vaccine manufacturers to produce COVID-19 vaccines?

    Linkage: It explicitly deals with “vaccines” and “Indian vaccine manufacturers”. While it focuses on COVID-19 vaccines, the discussion around vaccine functionality and production capacity is fundamentally linked to the broader challenge of “Vaccinating India” and reaching “zero-dose children” for various preventable diseases.

  • State- and sex-wise liver disease data hint at underlying factors

    Why in the News?

    In 2022, liver disease rose to become the eighth leading cause of death in India, marking a serious public health issue that had not occurred in the previous five years.

    What do sex- and age-wise trends reveal about liver disease deaths in India?

    • Sex-wise trend: Male deaths due to digestive diseases (especially liver-related) were 3.5 times higher than female deaths in 2022.
    • Liver diseases accounted for 70–75% of digestive disease deaths in men, while in women it ranged between 52–57%.
    • Age-wise trend:
      – For women, liver-related deaths increased with age, especially in the 65+ age group.
      – For men, the highest death rates occurred in the 35–54 age group, pointing to middle-age vulnerability.

    Why are liver disease deaths significantly higher among men than women?

    • Higher Alcohol Consumption: A major reason is the wide gender gap in alcohol use—around 19% of men consume alcohol compared to just 1% of women. This significantly increases the risk of liver disease among men. In 2022, 75% of male deaths due to digestive diseases were liver-related, compared to 57.5% in women.
    • Middle-Age Vulnerability: Most male deaths from liver disease occur in the 35–54 age group, indicating that lifestyle-related liver damage starts early. In contrast, among women, liver disease deaths are more common in the 65+ age group, often linked to age-related complications rather than lifestyle.
    • Biological and Behavioural Differences: Men may be more prone to risk-prone behaviours, including excessive alcohol and meat consumption, both of which are linked to liver damage. Data also shows men consistently have 3 to 3.5 times higher death rates from digestive diseases than women over the last decade.

    How do regional differences affect liver and digestive disease mortality?

    • Higher Burden in North-Eastern States: Five North-Eastern states recorded over 10% of certified deaths due to digestive diseases in 2022, with Sikkim leading at nearly 20%. This indicates a regional concentration of liver and digestive health issues.
    • Lifestyle Factors in the Region: The North-East has the highest combined prevalence of alcohol and meat consumption in India. This overlap may be a key factor contributing to the elevated liver disease burden in the region.
    • State-Wise Variation Highlights Public Health Gaps: No other state outside the North-East showed a double-digit share of digestive disease deaths, pointing to geographic health disparities.

    What are the steps taken by the Indian Government?

    • National Programme for Prevention and Control of NCDs (NP-NCD): The government launched NP-NCD to tackle non-communicable diseases, including liver disorders, by promoting early diagnosis, screening, and health awareness at the primary healthcare level.
    • National Action Plan and Monitoring Framework (NAP-NCD): Aims to reduce harmful alcohol use, improve dietary habits, and promote healthy lifestyles through public campaigns and community outreach, aligning with WHO targets.
    • Ayushman Bharat – Health and Wellness Centres (AB-HWCs): These centres provide comprehensive primary healthcare, including counselling on nutrition, lifestyle modification, and screening for liver and digestive diseases, especially in rural and underserved areas.

    What measures can strengthen research on lifestyle-related liver diseases? (Way forward)

    • Enhance Data Collection and Surveillance: Develop region-specific health databases that track alcohol and meat consumption, age, and liver disease trends. States like Sikkim and others in the North-East could benefit from focused public health monitoring to identify at-risk populations.
    • Promote Longitudinal and Causal Research: Support long-term studies that move beyond correlation to establish causal links between lifestyle choices and liver disease.
    • Encourage Community-Based Health Studies: Launch grassroots-level research programs involving local communities to understand dietary habits, alcohol use, and health-seeking behaviour.

    Mains PYQ:

    [UPSC 2024] In a crucial domain like the public healthcare system, the Indian State should play a vital role to contain the adverse impact of marketisation of the system. Suggest some measures through which the State can enhance the reach of public healthcare at the grassroots level.

    Linkage: The increasing deaths due to liver diseases in India, which accounted for a substantial share of digestive system diseases and became the eighth leading cause of death in 2022, highlight a significant public health challenge. This question directly addresses the role of the public healthcare system in containing adverse health impacts and enhancing its reach at the grassroots level.

  • The unregulated drink: rethinking alcohol control in India

    Why in the News?

    India’s rising alcohol use is not just a health issue — it is a major national problem affecting many areas. Even though experts say no amount of alcohol is safe, about one in four Indian men drink. Drinking heavily and often is now becoming more common across the country.

    What are the key risks of alcohol consumption in India?

    • Health Risks and Non-Communicable Diseases (NCDs): Alcohol significantly increases the risk of cancer, liver disease, cardiovascular issues, and mental illnesses. Eg: Chronic alcohol use is a leading cause of liver cirrhosis and is linked to mouth and throat cancers in India.
    • Injuries and Accidents: Alcohol impairs judgement and coordination, leading to road accidents, falls, and workplace injuries. Eg: A large number of road traffic fatalities in India are associated with drunk driving, particularly among youth.
    • Mental Health and Suicide: Alcohol contributes to depression, anxiety, and is a major risk factor for suicide. Eg: The National Suicide Prevention Strategy (2022) identified alcohol use as a key driver of suicides in India.
    • Violence and Crime: Alcohol consumption is linked with domestic violence, sexual assault, and violent crimes. Eg: NFHS-5 data shows higher incidence of domestic violence in households where alcohol is consumed regularly.
    • Economic and Social Burden: Alcohol use contributes to ₹6.24 trillion in societal costs (2021), including healthcare, lost productivity, and law enforcement. Eg: The burden of alcohol-related diseases adds pressure to India’s public health system, particularly in rural areas.

    Why is a national alcohol policy necessary?

    • Fragmented and Inconsistent State Regulations: Alcohol laws, legal drinking age, pricing, and prohibition vary widely across States, causing regulatory confusion and uneven implementation. Eg: Bihar enforces prohibition, while States like Kerala promote toddy as a “natural beverage” under its Akbari Policy.
    • Public Health Emergency: Rising alcohol consumption is linked to cancer, mental illness, suicides, and injuries, posing a major national health burden. Eg: In 2021, alcohol-related harm caused 2.6 million DALYs and cost India ₹6.24 trillion in societal losses.
    • Lack of Centralised Coordination and Accountability: Regulatory responsibility is scattered across multiple ministries with no unified approach, weakening policy impact. Eg: Demand reduction is handled by the Ministry of Social Justice, while supply and harm reduction are spread across Health, Finance, and Home Affairs ministries.

    Who regulates alcohol demand and supply in India?

    • State governments: Regulate production, distribution, pricing, sale, and consumption.
    • Ministry of Social Justice: Leads demand reduction (e.g., Nasha Mukta Bharat Abhiyan).
    • Ministries of Home Affairs, Finance, and Health: Handle supply and harm reduction.
    • No single authority: Regulatory efforts are scattered and lack coordination.

    How do marketing and digital platforms influence alcohol use?

    • Surrogate Advertising and Brand Promotion: Despite legal restrictions, alcohol brands use surrogate advertising, brand sponsorships, and strategic product placements to maintain visibility. Eg: Alcohol brands often sponsor music festivals and sports events, indirectly promoting their products to younger audiences.
    • Social Media and Algorithmic Amplification: Social media algorithms boost alcohol-related content (ARC), while “alcohol influencers” glamorize drinking and normalize it among youth. Eg: Platforms like Instagram and YouTube promote posts showing alcohol as part of a luxury lifestyle, increasing its social appeal.
    • Attractive Packaging and Retail Tactics: Use of sleek bottles, premium branding, and Happy Hour deals enhance the aspirational value of alcohol and make it more appealing. Eg: Pre-mixed cocktails and flavoured spirits are marketed to attract young and first-time users.

    Way forward: 

    • Formulate a Unified National Alcohol Control Policy: Develop a comprehensive, evidence-based policy that aligns efforts across States and Central ministries, focusing on public health, harm reduction, and regulation of digital content.
    • Invest in Public Awareness and Education: Launch large-scale awareness campaigns highlighting the health risks of alcohol, similar to tobacco control programs, to shift social norms and perceptions. Eg: Educating youth on links between alcohol and mental illness, cancer, and poverty can reduce its aspirational appeal.

    Mains PYQ:

    [UPSC 2024] In a crucial domain like the public healthcare system, the Indian State should play a vital role to contain the adverse impact of marketisation of the system. Suggest some measures through which the State can enhance the reach of public health care at the grassroots level.

    Linkage: This article explicitly highlights alcohol consumption as a significant public health issue in India, leading to injuries, mental illness, non-communicable diseases like cancer, and contributing to approximately 2.6 million Disability-Adjusted Life Years (DALYs) in 2021.