Burden of Non-Communicable Diseases (NCDs) and Health Financing Challenges in India

Statement 1 is correct: The MPLAD scheme lets MPs recommend works for local infrastructure and development needs in their constituency. The focus is on creating durable assets that benefit the community. Certain works are prohibited under MPLAD guidelines, which MPs must follow. Statement 2 is correct: The scheme requires MPs to allocate at least 15% of the MPLADS entitlement for the year to areas inhabited by the Scheduled Caste population and 7.5% for areas inhabited by the Scheduled Tribe population. If there are insufficient tribal populations in the MP's constituency, they can recommend this amount for the creation of community assets in tribal areas outside their constituency, but within their State of election. If a state does not have Scheduled Tribe inhabited areas, this amount can be utilized in Scheduled Caste areas. Statement 3 is incorrect: Funds released to the District Authority by the Government of India under the MPLAD scheme are non-lapsable, meaning that funds left in the district can be carried forward and utilized in subsequent years. Statement 4 is correct: The District Authority is responsible for coordinating and supervising the works under the scheme at the district level. They also inspect at least 10% of the works under implementation every year. Based on the above information, the correct answer is (d).

Ayushman Bharat Digital Mission aims to provide digital health IDs for all Indian citizens to help hospitals, insurance firms, and citizens access health records electronically when required. Statement 1 is incorrect. Ayushman Bharat Digital Mission (ABDM) has not made it mandatory for adoption by private and public hospitals. Its adoption so far would be voluntary. Participation in ABDM is voluntary including for citizens. Participation of a healthcare facility or an institution is also voluntary and shall be taken by the respective management (government or private management). Statement 2 is incorrect. The aim of the Ayushman Bharat Digital Mission is to facilitate the ease of access to medical records and it is not been mandated to have every citizen as its part though the facility is available to every citizen on a consent basis. Statement 3 is correct. ABDM will have a national footprint and will enable seamless portability across the country through a Health ID Personal Health Identifier.

Statement 1 is Incorrect: The Revamped Rashtriya Gram Swaraj Abhiyan (RGSA) was approved by the Cabinet Committee on Economic Affairs for implementation from 1st April 2022 to 31st March 2026 (co-terminus with the 15th Finance Commission period), not from 1st April 2021. Statement 2 is Correct: The primary objective of the revamped scheme is to develop and enhance the governance capabilities of Panchayati Raj Institutions (PRIs) so they can effectively deliver on the Sustainable Development Goals (SDGs). It focuses on the localization of SDGs at the grassroots level through inclusive local governance. Statement 3 is Incorrect: The Revamped RGSA is a Centrally Sponsored Scheme, meaning the funding is shared between the Centre and the States. It is not 100% centrally funded for all States and UTs. The sharing pattern is 60:40 (Centre:State) for general category States, and 90:10 for North-Eastern States, Hilly States, and the Union Territory of Jammu & Kashmir. 100% Central funding applies only to other Union Territories and specific Central components of the scheme. Therefore, option B is the correct answer.

Statement 1 is Correct: In standard mediation and conflict resolution practices, acknowledging the emotional, historical, and cultural grievances of marginalized groups is a necessary first step. Validating the tribal community's cultural concerns helps build trust and creates a conducive environment before negotiating technical solutions. Statement 2 is Incorrect: While addressing urban health concerns represents the utilitarian principle of the "greatest good for the greatest number," democratic governance and rights-based ethics dictate that this cannot come at the cost of steamrolling the fundamental rights and cultural dignity of a vulnerable minority. In India, tribal land and cultural identities are protected under the Constitution (Fifth and Sixth Schedules) and laws like the Forest Rights Act (FRA), 2006, and PESA, 1996, which mandate respecting tribal rights and often require community consent. Statement 3 is Correct: Resolving complex public disputes requires inclusive, participatory governance. Creating a multi-stakeholder dialogue platform that brings together opposing parties (tribal leaders, urban representatives) and neutral experts fosters consensus-building, builds mutual understanding, and effectively de-escalates tensions. Statement 4 is Correct: Conducting an independent Environmental and Social Impact Assessment (ESIA) is a standard governance tool used to objectively evaluate the ecological and human costs of a project. Transparently sharing these findings ensures evidence-based decision-making, counters misinformation, and helps all stakeholders understand the objective realities of the proposed site. Therefore, option A is the correct answer.

During the fourth Five-Year Plan, a sub-category was created within Scheduled Tribes, known as Particularly Vulnerable Tribal Groups, to identify groups that are considered to be at a lower level of development. Statement 1 is correct: PVTGs are spread over 18 states and one Union Territory (Andaman & Nicobar Islands) in India. Statement 2 is correct: The criteria for determining PVTG status include a pre-agricultural level of technology, a stagnant or declining population, extremely low literacy, and a subsistence-level of economy. Statement 3 is incorrect: As of now, there are 75 PVTGs officially notified in the country, not 95. Statement 4 is correct: Both Irular and Konda Reddi tribes are included in the list of PVTGs. So, the correct statements are 1, 2, and 4.