Heatwaves and Public Health Management

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.

Accountability is the obligation of public officials to take responsibility for their actions, ensure transparency, and answer to oversight bodies (such as vigilance authorities). It involves actively protecting the public interest, reporting misconduct, and ensuring that private contractors utilizing public funds adhere to strict quality and ethical standards. By reporting the compromised vaccine distribution to the vigilance authority and halting the contract despite immense pressure, Mr. X demonstrated a high degree of accountability towards citizen welfare. Esprit de corps is a classical management principle that emphasizes building team spirit, unity, harmony, and mutual trust among personnel within an organization. It is not the primary principle demonstrated in this scenario. Equity refers to the principle of fairness, justice, and impartiality in administration, ensuring that public services and resources are distributed without bias. While his actions were just, the specific act of reporting to vigilance and taking responsibility highlights accountability rather than equity. Delegation is the administrative process of transferring authority and responsibility for specific tasks from a superior to a subordinate or a third-party service provider. Mr. X's actions were about holding the delegated party accountable, not the act of delegation itself. Therefore, the correct option is C.

Statement 1 is incorrect: Janani Suraksha Yojana (JSY) is a 100% Centrally Sponsored Scheme under the National Health Mission (NHM). It is a central intervention implemented by states, not an intervention of the State Health Departments. Statement 2 is correct: The primary objective is to reduce maternal and neonatal mortality by encouraging safe, institutional births. Statement 3 is correct: The scheme provides a cash incentive to mothers to promote institutional delivery, particularly among those from BPL, SC, and ST households. Statement 4 is incorrect: While care for sick infants is a priority under the National Health Mission, the provision of free facilities for sick infants up to one year of age is specifically a feature of the Janani Shishu Suraksha Karyakram (JSSK) launched in 2011. JSY, launched in 2005, is primarily a conditional cash transfer scheme for delivery.

* Statement I is correct: India's public healthcare system prioritises curative care, which focuses on treating existing illnesses. Preventive, promotive, and rehabilitative care, which aims to prevent diseases, promote good health, and help people recover from illness, receive less emphasis. * Statement II is correct: India's healthcare system follows a decentralised approach. The central government sets policies and provides financial assistance, but individual states are responsible for organising and delivering health services to their populations. This allows for flexibility based on local needs and contexts.
Therefore, the answer is Both Statement I and Statement II are correct.

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.