How ICMR is rewiring the health ecosystem

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 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.

Mission Indradhanush launched by the Government of India pertains to immunization. Specifically, it's a special immunization program that aims to - Increase full immunization coverage - Mission Indradhanush targets children under two years old and pregnant women to ensure they receive all the recommended vaccines for protection against vaccine-preventable diseases. - Focus on low-coverage areas - Improve routine immunization By focusing on these aspects, Mission Indradhanush aims to improve overall child health and reduce the burden of vaccine-preventable diseases in India. Hence, option A is the correct answer.

* 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.

With reference to the Pradhan Mantri Shram Yogi Maan-dhan (PM-SYM) Yojana, here's the breakdown of the statements: * Statement 1:  Incorrect. The eligible age group for enrolment in the scheme is 18 to 40 years, not 21 to 40 years. This allows younger workers to join early and contribute for a longer period. * Statement 2: Correct. Beneficiaries are required to make age-specific monthly contributions, which increase with age. For instance, contributions start at ₹55 for an 18-year-old and go up to ₹200 for a 40-year-old. * Statement 3: Correct. Subscribers will receive a minimum pension of ₹3,000 per month after attaining 60 years of age. This provides social security for workers in the unorganized sector. * Statement 4: Incorrect. Family pension is available only to the spouse, who will receive 50% of the pension amount after the subscriber's death. Unmarried daughters are not eligible for this benefit.

* Statement 1: Incorrect. The Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA) provides a minimum package of antenatal care (ANC) services only during the second and third trimesters of pregnancy. It does not cover post-delivery health care services for six months. The focus is on ensuring safe pregnancies through early detection and management of high-risk cases. * Statement 2:  Correct. Under PMSMA, private sector health care providers (such as gynecologists, radiologists, and physicians) can volunteer to provide free services at nearby government health facilities on the 9th of every month. This public-private partnership enhances access to specialized care for pregnant women.

* Statement 1 is incorrect: Prophylactic Iron Folic Acid supplementation (not Prophylactic calcium) given to children, adolescents, women of reproductive age and pregnant women, irrespective of anaemia is a key continued intervention. * Statement 2 is correct: Promotion and monitoring of delayed clamping of the umbilical cord for at least 3 minutes (or until cord pulsations cease) for newborns across all health facilities will be carried out for improving the infants iron reserves up to 6 months after birth. Simultaneously, all birth attendants should make an effort to ensure early initiation of breastfeeding within 1 hour of birth. * Statement 3 is correct: The Anaemia Mukt Bharat, also integrates deworming of women of reproductive age and for pregnant women as part of the NDD strategy. Bi-annual mass deworming for children in the age groups between 1-19 years is carried out on designated dates 10th February and 10th August every year under National Deworming Day (NDD) programme. * Statement 4 is correct: The Anaemia Mukt Bharat strategy attempts to intensify awareness and integrate screening and treatment for non-nutritional causes of anaemia with special focus on malaria, haemoglobinopathies and fluorosis.

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.

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 Correct. WaterCredit uses microfinance tools to help people access clean water and sanitation solutions. It provides small loans to individuals and households to invest in these facilities. Statement 2 is Incorrect. WaterCredit is not a global initiative under WHO and World Bank. It's an initiative of Water.org, an international non-profit organization focused on water and sanitation access. Statement 3 is Correct. WaterCredit aims to empower people by enabling them to pay for their own water and sanitation needs, reducing reliance on potentially unreliable subsidies. Therefore, the correct answer is 1 and 3 only.