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Subject: Indian Society

  • Bhopal’s new order criminalising begging

    Why in the News?

    Recently, the Bhopal district collector banned begging in the district and imposed strict rules, including filing police cases against both those who beg and those who give alms.

    What legal basis is Bhopal using to criminalize begging?

    • Section 163 of the Bharatiya Nagarik Suraksha Sanhita (BNSS), 2023: The orders by the collectors of Indore and Bhopal are under this section, which empowers officials like the District Magistrate or any Executive Magistrate to issue orders in urgent cases of nuisance or apprehended danger. This order can direct any person to abstain from a certain act and may apply to residents or the public frequenting a particular area.
    • Section 223 of the Bharatiya Nyaya Sanhita (BNS): Action will be taken under this section, which punishes those disobeying an order announced by a public servant lawfully empowered to do so.

    What are the penalties for violating the order?

    • Disobedience of the order can result in simple imprisonment for up to six months, a fine of up to Rs 2500, or both.
    • If the disobedience causes or tends to cause danger to human life, health, or safety, imprisonment can extend to one year, and the fine to Rs 5000.

    How have different regions in India approached the issue?

    • Bombay Prevention of Beggary Act, 1959:  The first law against begging, with colonial roots, aimed to clear streets of destitute persons, leprosy patients, or those with mental illnesses by sending them to institutions. Mumbai still has detention centres under this Act, allowing police to detain those without visible means of subsistence, with punishment extending to detention for 10 years.
    • Delhi High Court (2018) Struck down some sections of the Bombay Prevention of Beggary Act as unconstitutional, decriminalizing begging in Delhi. The court stated that people beg out of need, as a last resort for survival, and the government has a mandate to provide social security3.
    • Other States Many states, including Maharashtra, continue to criminalise begging under the Bombay Prevention of Beggary Act. There is no central act on begging, but many states have enacted their own laws based on the 1959 Act.
    • Rehabilitation Efforts In 2020: the Union Ministry of Social Justice and Empowerment proposed focusing on rehabilitation rather than criminalising begging in ten cities, including Mumbai

    How have different regions in India approached the issue?

    • State-Level Criminalization: Around 22 states and union territories have anti-begging laws, many modeled after the Bombay Prevention of Begging Act, 1959, which criminalizes begging, vagrancy, and soliciting alms, allowing arrest without a warrant.
      • States like Haryana, Punjab, Uttar Pradesh, and others have enacted similar laws.
    • Decriminalization Efforts & Judicial Interventions: The Delhi High Court (2018) struck down parts of the Bombay Prevention of Begging Act as unconstitutional, decriminalizing begging in Delhi. The Supreme Court (2021) also refused to ban begging nationwide, recognizing that criminalizing it unfairly targets the poor. Rajasthan has taken a more rehabilitative approach.

    What are the arguments for and against criminalizing begging?

    Arguments in favour: 

    • Curbing Organized Begging Rackets – Criminalization helps tackle forced begging, where vulnerable individuals, including children and disabled people, are exploited by criminal networks.
    • Public Safety and Order – Authorities argue that begging creates nuisance, disrupts traffic, and can lead to petty crimes, making public spaces unsafe.
    • Encouraging Rehabilitation – Some laws claim to detain beggars for rehabilitation, ensuring they receive food, shelter, and vocational training instead of relying on alms.

    Argument against: 

    • Violation of Fundamental Rights – Criminalizing begging punishes poverty, not crime, violating the right to life (Article 21) by penalizing individuals who have no means of survival.
    • State’s Failure in Social Security – The presence of beggars reflects gaps in government welfare, and punishing them shifts the burden away from state accountability.
    • Arbitrary and Unjust Implementation – Many laws allow arrests without warrants, disproportionately targeting the homeless, disabled, and elderly, rather than addressing systemic issues.

    Way forward: 

    • Rehabilitation-Centered Approach – Shift focus from criminalization to social welfare programs, including skill development, housing, mental health support, and reintegration into society.
    • Legislative Reforms & Judicial Oversight – Enact a uniform national policy that prioritizes rehabilitation over punishment, while ensuring judicial oversight to prevent misuse of anti-begging laws.

    Mains question for practice:

    Q Critically examine the rationale behind criminalizing begging in India. Discuss the legal and constitutional challenges associated with such measures. (250 words) 15M

  • Rajasthan’s Bill against ‘unlawful’ religious conversions

    Why in the News?

    Recently, the bill was introduced in the Rajasthan Legislative Assembly to prevent “unlawful” religious conversions.

    What are the Draft Provisions under the Bill?

    • Prohibition of Unlawful Conversion – The Bill bans religious conversions through misrepresentation, force, coercion, allurement, fraud, or marriage.
    • Declaration & Inquiry for Voluntary Conversion – Individuals must submit a declaration to the District Magistrate (DM) 60 days in advance, with authorities conducting an inquiry to verify the intent.
    • Burden of Proof & FIR Filing – The person facilitating the conversion must prove it was voluntary, and an FIR can be filed by the affected individual or close relatives.
    • Punishments & Penalties – General unlawful conversion leads to 1-5 years of imprisonment, increasing to 2-10 years for minors, women, or SC/ST individuals; mass conversions attract 3-10 years in jail.
    • Legal Consequences & Compensation – Marriages done solely for unlawful conversion are invalid, the offense is non-bailable, and courts may award compensation up to ₹5 lakh to victims.

    What about those wanting to convert voluntarily?

    • Those wanting to convert voluntarily would undergo a detailed process. A prescribed declaration form must be filled out and submitted to the District Magistrate (DM) or the relevant authority 60 days in advance and violations invite up to three years’ punishment and a minimum fine of Rs 10,000. 
    • The person performing the conversion ceremony would give a month’s advance notice to the DM via a prescribed form, and violating this would invite up to five years’ imprisonment and a minimum fine of Rs 25,000. An officer not below the rank of Additional DM will conduct a police inquiry regarding the real intention, purpose, and cause of the proposed religious conversion.
    • The converted person must send a declaration in a prescribed form within 60 days of conversion to the DM, including details such as date of birth, address, and religion before and after conversion. The convert has to appear before the DM within 21 days from the date of filing the declaration to establish their identity and confirm the contents of the declaration.

    Were attempts made to pass such a Bill earlier?

    • 2006: BJP-led government under Vasundhara Raje introduced the Rajasthan Freedom of Religion Bill, 2006, to curb “forced” conversions.
    • 2008: Amended version required prior approval from the District Collector but was stuck with the Centre.
    • 2013-2018: Raje’s second tenure saw efforts to revive the 2008 Bill, but the Centre rejected it in 2017, citing deviation from national policy.
    • 2017: Rajasthan High Court issued guidelines to prevent forced conversions in the absence of a law.
    • 2025: The current Bill is seen as a successor to these previous attempts and is expected to pass in the budget session.

    What would be the impact on Fundamental Rights?

    • Right to Freedom of Religion (Article 25) – Every individual has the right to freely profess, practice, and propagate religion. However, the Bill imposes state scrutiny on religious conversions, which may be seen as a restriction on this right.
    • Right to Privacy (Article 21) – The requirement of mandatory declaration to the District Magistrate and police inquiry into personal religious choices could infringe upon the right to privacy, recognized as a fundamental right in the Puttaswamy judgment (2017).
    • Burden of Proof Issue – Placing the burden of proof on the person facilitating the conversion contradicts the legal principle of “innocent until proven guilty”, potentially violating Article 14 (Right to Equality).
    • Criminalization and Fear – The stringent punishments and criminalization of conversion through marriage might discourage individuals from exercising their right to choose their faith or marry interfaith partners, potentially violating their personal liberty (Article 21).

    Way forward: 

    • Ensure Constitutional Safeguards – Amend the Bill to align with Article 25 by distinguishing forced conversions from voluntary ones, reducing state overreach in personal religious choices, and upholding the right to privacy (Article 21).
    • Fair Implementation & Oversight – Establish independent judicial review for conversion inquiries to prevent misuse, ensure burden of proof remains balanced, and introduce strict safeguards against harassment of individuals exercising their religious freedom.

    Mains PYQ:

    Q Examine the scope of Fundamental Rights in the light of the latest judgement of the Supreme Court on Right to Privacy.(UPSC IAS/2017)

  • A green signal for India to assert its health leadership

    Why in the News?

    Recently, the Budget has acknowledged health care as a cornerstone of national growth and development.

    What are India’s steps towards healthcare transformation in Budget 2025-26?

    • Increased Healthcare Spending: The budget includes a substantial allocation of ₹99,859 crore to the healthcare sector, marking a 9.8% increase from the previous fiscal year.
    • Expansion of Medical Education: The budget allocates resources to add 10,000 new seats in medical colleges across India in FY26, with plans to add 75,000 seats over the next five years. This expansion aims to address the rising demand for skilled healthcare professionals.
    • Strengthening Healthcare Infrastructure: There is an increase of ₹1,000 crore allocation under the PM Ayushman Bharat Health Infrastructure Mission (PM-ABHIM), which aims to strengthen health infrastructure at all levels.
    • Digital Health Focus: The budget emphasizes the expansion of digital health portfolios, including telemedicine and AI-driven diagnostic solutions, to bridge care gaps and offer efficient healthcare solutions to underserved regions.
    • Promoting Medical Tourism: With the launch of the ‘Heal in India’ initiative, the budget aims to position India as a top medical tourism destination by introducing on-arrival visas for international patients and streamlining visa norms.
    • Healthcare Coverage for Gig Workers: The budget extends Ayushman Bharat coverage to one crore gig workers, recognizing their contribution to the new-age services economy.
    • Support for AI in Healthcare: The budget announces the establishment of India’s Centre of Excellence for AI, and the expansion of the Atal Tinkering Labs (ATL) initiative, will further propel research within the Indian healthcare sector.

    What would be the implications of Customs duty exemptions?

    • Cost Reduction: The budget includes a full exemption of customs duty on 36 life-saving drugs used to treat cancer, rare diseases, and other severe chronic conditions. This measure will significantly reduce the cost of these essential medications, making them more accessible to patients, especially those from economically disadvantaged backgrounds.
    • Improved Access to Medications: The exemption extends to specific drugs under Patient Assistance Programs run by pharmaceutical companies, along with adding 37 new medicines and 13 new patient assistance programs by next year. This will improve access to critical medications for patients, particularly those with chronic conditions.

    What are the objectives of synergy – ‘Heal in India’?

    • Promote Medical Tourism: The ‘Heal in India’ initiative aims to promote medical tourism by simplifying visa procedures for international patients.
    • Establish India as a Global Healthcare Destination: By enhancing hospital infrastructure and streamlining visa processes, India is poised to become the preferred medical destination for international patients.

    What are the challenges in India? 

    • Inadequate Infrastructure: India faces a shortage of healthcare infrastructure, particularly in rural areas, leading to unequal access to services.
      • For example, India has only 0.9 beds per 1000 population, with only 30% of these beds located in rural areas. This is significantly lower than the WHO’s suggested norm of 3.5 beds per 1000 population.
      • The underdeveloped state of roads and railways, along with erratic power supply, further complicates the establishment of rural health facilities.
    • Financial Barriers: A significant portion of the population faces affordability issues, with many households bearing healthcare expenses out-of-pocket.
      • For instance, a large proportion of the Indian population lacks health insurance coverage, exacerbating the financial burden and limiting access to necessary healthcare services.
      • High costs of intensive care units (ICUs), averaging ₹60,000-90,000 per day, are beyond the reach of most Indians.
    • Shortage of Healthcare Professionals: There is a shortage of trained healthcare professionals, including doctors, nurses, and specialists.
      • For example, shortages of surgeons, obstetricians and gynaecologists, general physicians, and paediatricians range from 74.2% to 81.6% of the required strength in Community Health Centers (CHCs). The doctor-patient ratio is significantly low, especially in rural areas.

    Way forward: 

    • Strengthen Rural Healthcare Infrastructure – Increase investments in rural hospitals, improve transport and power infrastructure, and incentivize private sector participation to bridge accessibility gaps.
    • Expand Medical Workforce & Insurance Coverage – Enhance training programs for doctors and nurses, increase medical seats, and extend affordable health insurance schemes to reduce out-of-pocket expenses for low-income groups.

    Mains PYQ:

    Q Public health system has limitation in providing universal health coverage. Do you think that private sector can help in bridging the gap? What other viable alternatives do you suggest? (UPSC IAS/2015)

  • Eliminating elitism in mental health

    Why in the News?

    The Ministry of Labour and Employment’s 2024 report indicates that all States and Union Territories must complete harmonization and pre-publication of draft rules for new Labour Codes by March 31, 2025, allowing for mental health provisions.

    How does social inequality impact mental health access and outcomes?

    • Disparity in Access to Care: Social inequality leads to significant disparities in access to mental health care services. Individuals from lower socio-economic backgrounds, particularly blue-collar workers, often face barriers such as lack of awareness, stigma, and inadequate healthcare infrastructure, resulting in a treatment gap of 70% to 92% for mental disorders in India.
    • Workplace Conditions: Blue-collar workers frequently endure demanding jobs with poor working conditions, job insecurity, and inadequate pay, which can exacerbate mental health issues. These conditions contribute to higher rates of stress and mental disorders among this demographic compared to their white-collar counterparts.
    • Limited Legislative Protections: The existing labor laws primarily focus on physical safety and do not adequately address mental health concerns. This legislative gap perpetuates the marginalization of blue-collar workers in accessing mental health resources and support.

    What legislative and policy changes are necessary to promote inclusivity in mental health care?

    • Rights-Based Framework: Establishing a rights and duty-based legislative framework that mandates employers to ensure both physical and mental well-being is crucial. This framework should include clear definitions of occupational diseases that encompass mental health issues arising from work conditions.
    • Inclusion of Mental Health in Labor Codes: The upcoming labor codes should explicitly incorporate provisions for mental health, creating a liability-based framework for employers to prioritize the mental well-being of their employees. This includes recognizing stress-related conditions as occupational hazards eligible for compensation.
    • Awareness and Accessibility Initiatives: Legislative measures should mandate employers to promote awareness of available mental health resources, such as helplines and support programs like Tele Manas, ensuring that blue-collar workers are informed and encouraged to seek help without stigma.

    What are the steps taken by the government? 

    • Implementation of National Mental Health Policies: The Indian government has implemented policies such as the National Mental Health Policy (2014), which emphasizes the integration of mental health services into primary healthcare.
    • Launch of Mental Health Initiatives and Helplines: Initiatives like Tele Manas, a government-run mental health support service, have been introduced to provide confidential telephonic counselling for individuals.
    • Increased Mental Health Awareness through Education and Campaigns: Programs like the “Mental Health Awareness Campaign” and partnerships with organizations like WHO have aimed to educate the public about mental health.

    How can societal attitudes towards mental health be transformed to reduce stigma? (Way forward)

    • Education and Awareness Campaigns: Raising awareness through national and local campaigns can help normalize mental health discussions. For example, the “It’s Okay to Not Be Okay” campaign in India aimed at addressing mental health issues in the workplace.
    • Media Representation and Positive Portrayal: The media plays a significant role in shaping public attitudes. Portraying individuals with mental health issues as strong, resilient, and capable of leading successful lives can help shift negative perceptions. For instance, Bollywood movies like “Dear Zindagi”.
    • Involvement of Influential Figures: Public figures such as celebrities, politicians, and community leaders can be instrumental in reducing stigma by sharing their personal mental health stories. When Virat Kohli, an Indian cricketer, spoke openly about struggling with mental health issues, it made a powerful impact and encouraged others.

    Mains PYQ:

    Q  ”Economic growth in the recent past has been led by increase in labour productivity.” Explain this statement. Suggest the growth pattern that will lead to creation of more jobs without compromising labour productivity. (UPSC IAS/2022)

  • Supreme Court (SC) bans Manual Scavenging in 6 cities in a writ petition

    Why in the News?

    Recently, the Supreme Court ordered a complete ban on manual scavenging and unsafe cleaning of sewers and septic tanks in major cities across India.

    What measures will be implemented to ensure compliance with the ban?

    • Affidavit Submission: The court has directed the Chief Executive Officers (CEOs) of the six metropolitan cities—Delhi, Mumbai, Chennai, Kolkata, Bengaluru, and Hyderabad to file detailed affidavits by February 13, 2025. 
      • These affidavits must outline how and when manual scavenging and sewer cleaning will cease in their respective cities.
    • Monitoring Progress: The court is actively monitoring compliance with its previous judgments, particularly the one from October 2023, which mandated actions to eliminate manual scavenging practices.
    • Implementation of Technology: The court noted that modern machinery and technology are available for sewer cleaning, suggesting that human involvement should no longer be necessary.

    Why is Manual scavenging banned in India? 

    • Severe Health Risks: Manual scavengers are exposed to hazardous conditions that pose significant health risks, including exposure to harmful pathogens and toxic gases. This can lead to a range of serious health issues, such as respiratory problems, gastrointestinal diseases, and skin infections.  
    • Social Stigma and Discrimination: Individuals engaged in manual scavenging often face severe social stigma and discrimination due to the nature of their work, which is viewed as “unclean” and tied to lower castes in the Indian caste system. 
      • This stigma affects not only the workers but also their families, perpetuating cycles of poverty and limiting access to education and better employment opportunities for their children.

    What consequences will officials face for failing to comply with the court’s order?

    • Judicial Displeasure: The court expressed frustration over past non-compliance with its orders, indicating that failure to adhere to this latest directive could lead to serious repercussions. The justices stated, “Either do it or face consequences,” emphasizing their determination to enforce compliance.
    • Potential Legal Action: While specific penalties were not outlined in this order, the strong language used by the court suggests that further legal action could be pursued against officials who fail to comply with the ban on manual scavenging and sewer cleaning.

    What are the significance of this action?

    • Human Rights Protection: This ruling is a critical step towards protecting the rights and dignity of marginalized communities who have historically been forced into manual scavenging. The court’s actions highlight the ongoing struggle against inhumane labour practices that violate basic human rights.
    • Public Health Improvement: By banning hazardous practices such as manual sewer cleaning, the court aims to reduce health risks associated with exposure to toxic gases and pathogens that affect workers in this field.
    • Legal Enforcement of Existing Laws: This action reinforces existing legislation aimed at prohibiting manual scavenging, including the Prohibition of Employment as Manual Scavengers and the Rehabilitation Act of 2013. It underscores the need for effective implementation of laws designed to protect vulnerable populations.

    Way forward: 

    • Strict Law Enforcement & Accountability: The government must establish a robust monitoring mechanism with regular audits, strict penalties for violations, and legal action against officials failing to comply with the Supreme Court’s order.
    • Technological Adoption & Worker Rehabilitation: Municipal bodies should prioritize mechanized cleaning solutions while ensuring alternative employment, skill training, and financial support for former manual scavengers to facilitate their reintegration into society.

  • [30th January 2025] The Hindu Op-ed: Bridge the milk divide for a nutritionally secure India

    PYQ Relevance:

    Q.) How far do you agree with the view that the focus on the lack of availability of food as the main cause of hunger takes the attention away from ineffective human development policies in India? (CS Mains 2018)

     

    Mentor’s Comment: UPSC Mains has always focused on the main cause of hunger (2018) and poverty and hunger in India (2019).

    India’s White Revolution made it the world’s top milk producer, but now the focus should shift to ensuring milk reaches the most vulnerable. Milk is an important source of protein and calcium, especially for children. However, there are significant differences in milk consumption across income groups and regions. Addressing these gaps is crucial for better health outcomes.

    Today’s editorial discusses how milk should be accessible to everyone in India and highlights the differences in milk availability. It looks at how these issues are connected to topics in GS Paper 1, 2, and 3, such as social inequalities, health, and policy solutions. 

    _

    Let’s learn!

    Why in the News?

    The challenge is making sure that the most vulnerable people have fair access to milk, while also controlling how much milk is consumed by wealthier people.

    What is the disparity in milk consumption? 

    • Income-Based Disparities: Households in the top-income decile consume 3-4 times more milk per capita compared to those in the lowest-income decile. Despite increases in milk consumption among lower-income groups, the poorest 30% account for just 18% of India’s milk.
    • Urban vs. Rural and Regional Disparities: Urban households consume ~30% more milk per capita than rural households, despite rural areas being the main milk producers.
      • Additionally, northern states like Rajasthan, Punjab, and Haryana have higher consumption (333g-421g), while eastern states like Chhattisgarh, Odisha, and West Bengal have much lower consumption (75g-171g).
    • Social Group Disparities: Scheduled Tribe households consume 4 litres less milk per capita annually compared to general category households, highlighting social and economic inequalities in milk access.

    What are the nutritional implications of milk consumption in India?

    • Protein Source: Milk is a rich source of high-quality protein. In India, it contributes significantly to daily protein intake, especially for children and adults in rural areas. According to the National Family Health Survey (NFHS), over 70% of children in India consume milk, making it a key protein source.
    • Calcium and Bone Health: Milk provides essential calcium, which is vital for bone health. Around 67% of Indian households consume milk, helping to prevent calcium deficiency, particularly in growing children and elderly populations, which can lead to conditions like osteoporosis.
    • Micronutrients and Vitamin D: Milk is also a good source of vitamins such as B12 and D, essential for immune function and energy production. The National Institute of Nutrition (NIN) states that milk helps in reducing vitamin D deficiency, which is prevalent in India due to limited sunlight exposure.

    How can policy interventions address disparities in milk production and access?

    • Enhancing Milk Provision: Increase milk availability for vulnerable populations through government schemes like the Pradhan Mantri Poshan Shakti Nirman (POSHAN) and Integrated Child Development Services. States can collaborate with nutrition institutes to align milk products with local dietary preferences.
    • Financial Support: Boost financial allocations for existing schemes to ensure adequate milk provision, especially in states where such programs have been discontinued due to budget constraints.
    • Nutritional Awareness Campaigns: Conduct awareness campaigns focusing on the benefits of milk consumption, targeting women through various community channels. This can help improve dietary diversity within households.

    What strategies can be implemented to promote sustainable dairy practices?

    • Healthy Consumption Awareness: Develop partnerships with healthcare professionals and media to promote balanced diets and moderation in dairy consumption among affluent groups.
      • For example, Campaigns similar to the UK’s Change4Life initiative could serve as effective models for India.
    • Investing in Dairy Infrastructure: The government should continue investing in dairy infrastructure, including animal health care and fodder availability, to ensure sustainable production practices while improving yields.
    • Community Engagement: Engage local communities in sustainable practices through education and training programs aimed at improving animal husbandry practices and enhancing productivity without compromising environmental sustainability.

    What are the steps taken by the government? 

    • Rashtriya Gokul Mission: This initiative focuses on enhancing the genetic quality of bovine animals through the identification and use of high-quality bulls for breeding, in-vitro fertilization (IVF) technology, and genomic selection. It aims to improve milk production by covering millions of livestock and providing better healthcare services for animals.
    • National Dairy Plan (NDP): The NDP supports the establishment of dairy cooperatives and processing facilities to enhance milk marketing and value addition. It includes financial assistance for creating dairy processing infrastructure, thereby improving the overall efficiency and competitiveness of the dairy sector.
    • Kisan Credit Card (KCC) Facility: This scheme offers credit support to farmers for various agricultural activities, including dairy farming. By providing financial assistance, the KCC aims to empower smallholder farmers to invest in their livestock and improve milk production capabilities.

    Way forward: 

    • Increase Access for Vulnerable Groups: Expand milk distribution through government schemes (e.g., POSHAN and ICDS) and ensure adequate funding to cover vulnerable populations.
    • Regional and Social Equity: Implement targeted interventions to reduce regional, income, and social disparities in milk access, such as milk coupons or subsidies for underserved areas.

  • Substantive equality in child marriage laws

    Why in the News?

    Men are given more time than women to leave a child marriage. This means the age for marriage should be the same for both, at 18, not 21.

    What is the situation of child marriage in India? 

    • National Data: The National Family Health Survey-5 (NFHS-5), conducted between 2019 and 2021, reveals that 23.3% of women aged 20-24 were married before the age of 18. This shows a decline from 26.8% in NFHS-4 (2015-16), but child marriage remains a widespread issue.
    • State-wise Variation: The prevalence of child marriage varies significantly across states. For example: in Bihar: 40.8% of women aged 20-24 were married before 18, West Bengal: 41.6%, Rajasthan: 25.4% and Kerala: 6.3% (one of the lowest rates in India).
    • Gender Disparity: Although girls are more affected, boys also face child marriage. NFHS-5 reports that 17.7% of men aged 25-29 were married before the age of 21.

    How can existing laws be strengthened to effectively combat child marriage?

    • Uniform Age of Marriage: The legal age for marriage should be standardized at 18 for all genders, eliminating the current disparity that allows men to marry at 21 and women at 18. This would ensure equal rights and protections for both parties under the law.
    • Enhanced Enforcement Mechanisms: Strengthening the enforcement of existing laws, such as the Prohibition of Child Marriage Act (PCMA), is crucial. This includes more rigorous monitoring of marriages, especially in rural areas, and imposing stricter penalties on those who facilitate child marriages.
    • Stricter Penalties for Facilitators: Increase legal penalties for those facilitating child marriages, such as parents, religious leaders, and community officials, to act as a deterrent. Example: Nepal’s law penalizing facilitators of child marriage has reduced its occurrence by holding all involved parties accountable.
    • Awareness Campaigns and Education: Launch nationwide awareness campaigns to educate communities about the legal age of marriage and its harmful effects, empowering families to protect children. Example: In India, campaigns by organizations like “Plan India” have raised awareness and led to a decline in child marriage rates in targeted regions.

    What are the key judgements? 

    • Independent Thought v. Union of India (2017): The Supreme Court ruled that the exception to the prosecution of marital rape for husbands of girls below 18 years of age was unconstitutional. This judgment focused on the rights of girls under 18 in marriages, emphasizing their protection from sexual exploitation.
    • Gender Disparity in Nullity Petition: The Allahabad High Court emphasized that the gender-based difference in the minimum age of marriage (18 years for women and 21 for men) creates an unfair advantage for men, allowing them to annul marriages at a later age (up to 23), while women are restricted to 20. This interpretation contradicts the principle of gender equality.

    What are the societal and cultural factors contributing to the persistence of child marriage despite legal prohibitions?

    • Traditional Practices: In many communities, child marriage is deeply embedded in cultural and religious norms. These cultural beliefs place pressure on families to marry off daughters at a young age.
    • Poverty and Economic Factors: In regions with high poverty rates, families may view child marriage as a way to reduce financial burdens, sometimes even receiving dowry or financial assistance in return for the marriage.
    • Gender Inequality: Patriarchal views often limit girls’ opportunities for education and economic empowerment, which makes them more vulnerable to early marriage. Women may be seen as property to be married off, reinforcing the practice.
    • Lack of Education and Awareness: A lack of awareness about the legal age for marriage and the harmful effects of child marriage perpetuates this practice. Some families may not be fully aware of the legal consequences or the negative impacts on the health and development of girls.

    What role do community-driven approaches play in preventing child marriage?

    • Community Education and Awareness Programs: Empower local communities with knowledge about the dangers of child marriage in terms of legal, health and social consequences which can gradually change attitudes and reduce the incidence of child marriage.
    • Involving Local Leaders: Traditional community leaders, such as religious leaders and village elders, play a significant role in shaping opinions. Engaging them in awareness campaigns and encouraging them to take a stand against child marriage can influence public opinion and reduce the practice.
    • Strengthening Social Networks and Support Systems: Encouraging peer groups, women’s organizations, and NGOs to support girls at risk of child marriage can create an environment where they are less likely to fall victim to early marriage.
    • Monitoring and Reporting Mechanisms: Creating anonymous and accessible reporting mechanisms for communities to report child marriages can ensure prompt intervention. Encouraging local participation in safeguarding the rights of children helps address the issue at the community level.

    Way forward: 

    • Strengthening Legal and Institutional Frameworks: Ensure uniformity in the legal age of marriage for all genders and improve enforcement by establishing dedicated child marriage prevention units at local levels.
    • Community Empowerment and Education: Expand community-driven programs focusing on education, raising awareness about the harmful effects of child marriage, and providing support systems for vulnerable girls.

    Mains PYQ:

    Q The women’s questions arose in modern India as the part of 19th-century social reform movement. What are the major issues and debates concerning women in that period? (UPSC IAS/2017)

  • Is poverty being underestimated in India?

    Why in the News?

    The government recently published a factsheet on the 2023-24 Household Consumption Expenditure Survey (HCES), highlighting a reduction in poverty levels across both urban and rural areas.

    What are the key findings of the report? 

    • Average MPCE and Imputed Values: In 2023-24, the average Monthly Per Capita Expenditure (MPCE) was Rs. 4,122 in rural areas and Rs. 6,996 in urban areas, excluding the value of free items provided through social welfare schemes.
    • Growth in MPCE and Urban-Rural Gap: Compared to 2022-23, the MPCE in nominal terms grew by approximately 9% in rural areas and 8% in urban areas. The urban-rural MPCE gap narrowed from 84% in 2011-12 to 71% in 2022-23, further declining to 70% in 2023-24, indicating robust consumption growth in rural areas.
    • Consumption Trends by Population Segments: The highest increase in MPCE in 2023-24, compared to 2022-23, was observed among the bottom 5-10% of India’s population, for both rural and urban households.
    • Composition of Expenditure: Non-food items accounted for 53% of rural MPCE and 60% of urban MPCE in 2023-24. Within the food basket, beverages, refreshments, and processed foods dominated expenditure, while in the non-food category, conveyance, clothing, entertainment, and durable goods were significant contributors. Urban households also allocated about 7% of non-food expenditure to rent.
    • Decline in Consumption Inequality: The rural Gini coefficient dropped from 0.266 in 2022-23 to 0.237 in 2023-24, and the urban coefficient fell from 0.314 to 0.284 during the same period.
    Note: The Gini coefficient is a statistical measure used to quantify income or consumption inequality within a population, ranging from 0 (perfect equality) to 1 (maximum inequality).

    What are the concerns related to the HCES data?

    • Incomparability of Data Sets: The methodology used in the 2022-23 HCES differs significantly from previous surveys, making it difficult to compare results over time. The introduction of a “modified mixed reference period” complicates direct comparisons with earlier data collected under different methodologies.
    • Sampling Bias: There are concerns that the survey may not adequately represent extremely poor households, leading to an overestimation of average expenditures. This bias could arise from changes in sampling strategies that favor more affluent households.
    • Data Availability Issues: The absence of recent and reliable consumption data prior to the 2022-23 survey has led to a reliance on outdated estimates, which may not accurately reflect current poverty levels. The last comprehensive survey before this was conducted in 2011-12.

    What does the consumption pattern tell about poverty in rural and urban regions?

    • Divergent Poverty Levels: The average monthly per capita expenditure (MPCE) indicates significant disparities between rural and urban areas, with rural areas averaging Rs 4,122 and urban areas Rs 6,996 in 2023-24. This suggests that urban populations generally have higher consumption levels.
    • Survival on Minimal Incomes: Reports indicate that a substantial portion of India’s population survives on less than Rs 100 per day, highlighting persistent poverty despite claims of decline. This raises questions about the adequacy of the poverty line used for estimation.

    What are the criticisms faced by the Multidimensional Poverty Index?

    NITI Aayog, the policy think tank of the Government of India, adopted the Multidimensional Poverty Index (MPI) as a measure to evaluate poverty in India.

    • Methodological Concerns: Critics argue that the MPI’s reliance on equal weighting for health, education, and living standards may oversimplify the complexities of poverty. The selection of indicators can significantly influence outcomes, potentially leading to biased representations.
    • Dynamic Nature of Poverty: The MPI may not adequately capture the fluidity and changing nature of poverty over time, as it relies on static indicators that do not reflect immediate economic conditions or shocks such as those experienced during the COVID-19 pandemic.
    • Political Implications: Some economists suggest that using MPI as a primary measure for poverty could be politically motivated, aiming to present favourable statistics while ignoring deeper economic issues such as stagnant real wages and rising inequality.

    Way forward: 

    • Strengthen Data Collection: Conduct regular and comprehensive Household Consumption Expenditure Surveys (HCES) to ensure updated and accurate poverty assessments. This will bridge data gaps and provide a more reliable basis for policy decisions.
    • Refine Poverty Metrics: Combine the Multidimensional Poverty Index (MPI) with traditional consumption-based measures to capture a holistic and dynamic picture of poverty, accounting for region-specific and pandemic-induced challenges.

    Mains PYQ:

    Q “The incidence and intensity of poverty are more important in determining poverty based on income alone”. In this context analyse the latest United Nations Multidimensional Poverty Index Report. (UPSC IAS/2020)

  • Union cabinet extends National Health Mission for another 5 years

    Why in the News?

    The Union Cabinet has approved the extension of the National Health Mission (NHM) for an additional five years(2025 to 2030).

    What are the new Components of the NHM and initiatives launched?

    • Digital Health Initiatives: The U-WIN platform was launched in January 2023 to improve vaccination tracking for pregnant women, infants, and children, expanding to 65 districts across 36 states/UTs by the end of FY 2023-24.
    • Expanded Healthcare Programs: NHM has overseen the launch of initiatives such as the National Sickle Cell Anaemia Elimination Mission and the Measles-Rubella Elimination Campaign, enhancing disease control efforts.
    • Strengthening Human Resources: The NHM has focused on increasing healthcare personnel, engaging over 1.2 million additional healthcare workers across various roles since its last extension.

    What are the key achievements of the National Health Mission during its previous tenure?

    • Reduction in Maternal and Child Mortality:
      • Maternal Mortality Ratio (MMR): Declined from 130 per lakh live births in 2014-16 to 97 per lakh in 2018-20 (25% reduction).
      • Under-5 Mortality Rate: Decreased from 45 per 1,000 live births in 2014 to 32 in 2020 (75% decline).
      • Infant Mortality Rate (IMR): Reduced from 39 per 1,000 live births in 2014 to 28 in 2020. India is on track to achieve the SDG targets for maternal, child, and infant mortality before 2030.
    • Healthcare Workforce Expansion: The NHM facilitated the engagement of approximately 2.69 lakh additional healthcare workers in 2021-22 alone, contributing to improved healthcare delivery.
    • Disease Control Improvements: Enhanced surveillance and control measures for diseases like tuberculosis have led to a decrease in incidence rates, contributing to overall public health improvements.

    What are the financial implications and commitments associated with the NHM’s extension?

    • Budgetary Allocation and Funding Structure: The National Health Mission (NHM) continues based on recommendations from the Expenditure Finance Committee (EFC) and fixed spending limits. While the mission has been extended, its budget is reviewed regularly to ensure efficient use of resources.
      • For funding, most states share costs with the central government in a 60:40 ratio, while northeastern and hilly states follow a 90:10 pattern. This setup ensures states have enough funds to implement health programs effectively.
    • Performance-Based Funding: The NHM rewards states with additional funds for improving key health outcomes like maternal and child health. This encourages states to enhance their healthcare systems.
      • Local committees, such as Rogi Kalyan Samitis (RKS), also receive untied funds, giving them the flexibility to directly address patient needs and improve services.
    • Commitment to Health Targets: By 2025, the NHM aimed to achieve specific health goals, including reducing the Maternal Mortality Ratio (MMR) to 90, the Infant Mortality Rate (IMR) to 23, and the Under-5 Mortality Rate (U5MR) to 23. Achieving these targets will require consistent investment in health infrastructure, workforce training, and community programs.
      • The government is also focused on tackling broader factors affecting health, such as nutrition and disease prevention while improving access to healthcare for disadvantaged groups.

    What are the challenges? 

    • Infrastructure Deficiencies: Many Primary Health Centres (PHCs) lack essential diagnostic tools, medical equipment, and sanitation facilities. PHCs in remote areas of Bihar and Uttar Pradesh often face electricity and water supply shortages, limiting their ability to deliver quality care.
    • Shortage and Distribution of Healthcare Workforce: Despite adding 1.2 million healthcare workers, there remains a shortage of specialists such as gynaecologists, anaesthetists, and paediatricians in rural areas. Rajasthan and Madhya Pradesh struggle to staff CHCs with specialized doctors.
    • Financial Constraints and Inefficient Fund Utilization: Delays in fund disbursement and underutilization of allocated budgets hinder the implementation of key initiatives. Northeastern states like Nagaland and Manipur faced challenges in utilizing NHM funds due to inadequate financial planning and monitoring mechanisms.

    Way forward: 

    • Infrastructure and Workforce Enhancement: Strengthen PHC and CHC infrastructure with essential facilities and ensure equitable distribution of healthcare specialists through targeted incentives, training, and deployment programs in underserved areas.
    • Efficient Fund Utilization: Streamline fund disbursement processes, enhance financial planning, and implement robust monitoring mechanisms to ensure optimal use of allocated budgets, particularly in resource-constrained regions.

    Mains PYQ:

    Q “Besides being a moral imperative of a Welfare State, primary health structure is a necessary precondition for sustainable development.” Analyse. (UPSC IAS/2021)

  • Is the government encouraging ‘crosspathy’?

    Why in the News?

    Recently, Maharashtra Food and Drugs Administration has allowed homeopathic doctors, who completed a course in modern medicine to prescribe allopathic medicines.

    What is the difference between Homeopathy and Allopathy?

    • Homeopathy uses natural substances in tiny doses to help the body heal, while allopathy uses medicines or treatments to directly fight or treat diseases based on science and evidence.

    What is crosspathy?

    • Crosspathy refers to practitioners from one medical system (e.g., homoeopathy) treating patients with medicines from another system (e.g., allopathy).

    Why did the Maharashtra FDA issue a directive allowing homoeopathic practitioners to prescribe allopathic medicines?

    • Addressing Doctor Shortage: The directive aimed to tackle the severe shortage of doctors, particularly in rural areas, where there is a lack of healthcare professionals, especially specialists.
    • Expanding Healthcare Access: By allowing certified homoeopathic practitioners to prescribe allopathic medicines, the Maharashtra FDA sought to expand healthcare services and make treatment more accessible to patients in underserved regions.
    • Promoting Integrative Medicine: The directive is part of a broader initiative to promote integrative or integrated medicine, where different medical systems, such as homoeopathy and allopathy, are used to complement each other in patient care.

    What is the Supreme Court’s stance on ‘crosspathy’?

    • The Supreme Court (SC) has consistently held that cross-system practice (practicing medicine from a system one is not qualified for) is a form of medical negligence.
    • Poonam Verma vs Ashwin Patel (1996) – A homoeopath was held liable for prescribing allopathic medicines that resulted in a patient’s death.
    • Crosspathy is only allowed where state governments have specifically authorized it through special orders.

    What are the challenges faced by govt?

    • Doctor Shortage: India faces a significant shortage of doctors, especially in rural areas, where the Health Dynamics of India 2022-23 report highlights an 80% deficit of specialists in community health centres. As of June 2022, there were 13.08 lakh allopathic doctors and 5.65 lakh AYUSH practitioners, indicating an insufficient number of qualified professionals to meet healthcare demands.
    • Integration of AYUSH Practitioners: While AYUSH practitioners could potentially fill healthcare gaps, there is no systematic approach to integrating them effectively, which could lead to poor outcomes.
    • Risk to Patients: Allowing unqualified practitioners to prescribe allopathic medicines could result in medical errors and negligence, raising concerns about patient safety.
    • Opposition from Professional Bodies: Organizations like the Indian Medical Association (IMA) strongly oppose crosspathy, questioning its legality and the risks posed to patients.
    • Regulatory Uncertainty: Lack of clarity on who has the authority to issue such directives and manage cross-system practice leads to legal and administrative challenges.

    Way forward: 

    • Clear Regulatory Framework: Establish clear guidelines and regulations for integrating different medical systems to ensure patient safety and effective healthcare delivery, with proper qualifications for practitioners.
    • Address Doctor Shortage Strategically: Focus on training and deploying more allopathic doctors, especially in rural areas, while ensuring AYUSH practitioners are properly integrated into the healthcare system through structured programs.

    Mains PYQ:

    Q Public health system has limitation in providing universal health coverage. Do you think that private sector can help in bridging the gap? What other viable alternatives do you suggest? (UPSC IAS/2015)