Public Health Challenges in India: Dual Burden of Disease

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.

The National Nutrition Mission, also known as Poshan Abhiyaan, has several objectives. - The first objective is to create awareness relating to malnutrition among pregnant women and lactating mothers. - The second objective is to reduce the incidence of anaemia among young children, adolescent girls and women. These two objectives are clearly stated in the mission's goals. Hence, statements 1 & 2 are correct. However, the promotion of the consumption of millets, coarse cereals and unpolished rice, and the promotion of the consumption of poultry eggs are not explicitly stated as objectives of the mission. Hence, statement 3 & 4 are incorrect.

Statement 1 is incorrect. The India Sanitation Coalition was launched on June 25, 2015, at FICCI, New Delhi. ISC is a multi-stakeholder platform that brings together the private sector, government, financial institutions, civil society groups, media, donors/bilateral/multilateral, experts, etc., to work in the sanitation space to drive sustainable sanitation through a partnership model. It is not funded by WHO. Statement 2 is incorrect. The National Institute of Urban Affairs (NIUA) is India’s premier urban think tank, shaping the urban narrative since its establishment in 1976, it not an apex body. It is an autonomous body under the Societies Registration Act.