Public Health System and Frontline Health Workers in India
India's public health system, driven by frontline workers (ASHA, AWW, ANM), has achieved significant success in institutional births and vaccination. However...
The NFHS-6 report indicates mixed progress in India's child nutrition, with a decline in stunting and significant improvements in institutional births and vaccination coverage, attributed to better healthcare access, maternal education, and sanitation. However, wasting levels remain largely unchanged, and poor feeding practices, maternal time poverty, and the shift towards processed foods continue to pose challenges. The article emphasizes the need to strengthen frontline workers, ensure multisectoral convergence, engage men in childcare, and promote crèche models for sustained progress in child nutrition.
Durable syllabus ideas for revision — not article memory.
India's public health system, driven by frontline workers (ASHA, AWW, ANM), has achieved significant success in institutional births and vaccination. However...
Child malnutrition in India, as per NFHS-6, shows progress in stunting reduction due to better health services and sanitation, but persistent challenges in w...
Previous year Prelims questions on overlapping themes and topics.
With reference to the 'Pradhan Mantri Surakshit Matritva Abhiyan', consider the following statements:
1. This scheme guarantees a minimum package of antenatal care services to women in their second and third trimesters of pregnancy and six months post-delivery health care service in any government health facility.
2. Under this scheme, private sector health care providers of certain specialities can volunteer to provide services at nearby government health facilities.
Which of the statements given above is/are correct?
* 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.
‘Mission Indradhanush’ launched by the Government of India pertains to -
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.
Consider the following statements in relation to Janani Suraksha Yojana:
1. It is safe motherhood intervention of the State Health Departments.
2. Its objective is to reduce maternal and neonatal mortality among poor pregnant women.
3. It aims to promote institutional delivery among poor pregnant women.
4. Its objective includes providing public health facilities to sick infants up to one year of age.
How many of the statements given above are correct?
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.
Which of the following statements with regard to the persons with disabilities in India is/are correct ?
1. The Rights of Persons with Disabilities Act, an Act passed by the Parliament of India in 2018, mandates reservation in education and employment, places a legal duty on Governments to ensure accessibility and non-discrimination.
2. The Sugamya Bharat Abhiyan focuses on achieving universal accessibility for Persons with Disabilities across three key domains — built infrastructure, transport systems and information and communication technology.
3. The National Divyangjan Finance and Development Corporation (NDFDC) is a public sector organisation set up by the Ministry of Corporate Affairs as a not-for-profit company to promote entrepreneurship among Persons with Disabilities (PwDs).
Select the answer using the code given below :
Statement 1 is Incorrect: The Rights of Persons with Disabilities (RPwD) Act was passed by the Parliament of India in 2016, not 2018. It aligns with the UN Convention on the Rights of Persons with Disabilities and places a legal obligation on governments to ensure non-discrimination and accessibility. It also mandates reservations for PwDs, such as increasing the quota to 4% in government employment and 5% in higher education. Statement 2 is Correct: The Sugamya Bharat Abhiyan (Accessible India Campaign) was launched in 2015 by the Department of Empowerment of Persons with Disabilities (DEPwD). It focuses on achieving universal accessibility for Persons with Disabilities across three key domains: built infrastructure (barrier-free public buildings), transport systems (accessible railways, airports, and roads), and information and communication technology (accessible government websites and digital ecosystems). Statement 3 is Incorrect: The National Divyangjan Finance and Development Corporation (NDFDC) is a Central Public Sector Undertaking registered as a not-for-profit company to provide concessional financial assistance to promote entrepreneurship, self-employment, and higher education among PwDs. However, it was set up under the aegis of the Ministry of Social Justice and Empowerment, not the Ministry of Corporate Affairs. Therefore, the correct option is B.
Which of the following are the objectives of ‘National Nutrition Mission’?
1. To create awareness relating to malnutrition among pregnant women and lactating mothers.
2. To reduce the incidence of anaemia among young children, adolescent girls and women.
3. To promote the consumption of millets, coarse cereals and unpolished rice.
4. To promote the consumption of poultry eggs.
Select the correct answer using the code given below:
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.
With reference to the Pradhan Mantri Shram Yogi Maan-dhan (PM-SYM) Yojana, consider the following statements:
1. The entry age group for enrolment in the scheme is 21 to 40 years.
2. Age specific contribution shall be made by the beneficiary.
3. Each subscriber under the scheme shall receive a minimum pension of ₹ 3,000 per month after attaining the age of 60 years.
4. Family pension is applicable to the spouse and unmarried daughters.
Which of the statements given above is/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.
Consider the following statements :
Statement-I :India's public sector health care system largely focuses on curative care with limited preventive, promotive and rehabilitative care.
Statement-II: Under India's decentralized approach to health care delivery, the States are primarily responsible for organizing health services.
Which one of the following is correct in respect of the above statements?
* 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.
Consider the following statements about Multidimensional Poverty Index (MPI) :
1. MPI is calculated using Alkire-Foster methodology.
2. MPI calculated by NITI Aayog has a total of twelve indicators.
3. Maternal Health and Bank Account are common indicators in the MPI of NITI Aayog and MPI of United Nations Development Programme (UNDP).
Which of the statements given above is/are correct ?
Statement 1 is Correct: Both the Global Multidimensional Poverty Index (MPI) and India's National MPI are calculated using the Alkire-Foster (AF) methodology. This method measures acute poverty by counting the overlapping deprivations that individuals experience simultaneously. Statement 2 is Correct: India's National MPI, calculated by NITI Aayog, consists of 12 indicators. It retains the 10 standard indicators from the Global MPI and adds two new ones to better reflect India's specific development priorities. Statement 3 is Incorrect: The two additional indicators in the National MPI are Maternal Health (added to the Health dimension) and Bank Account (added to the Standard of Living dimension). Therefore, these two are exclusive to NITI Aayog's National MPI and are not present in the UNDP's Global MPI, which only has 10 indicators. Therefore, option A is the correct answer.
With reference to the provisions made under the National Food Security Act, 2013 consider the following statements:
1. The families coming under the category of 'below poverty line (BPL)' only are eligible to receive subsidised grains.
2. The eldest woman in a household, of age 18 years or above, shall be the head of the household for the purpose of issuance of a ration card.
3. Pregnant women and lactating mothers are entitled to a take-home ration' of 1600 calories per day during pregnancy and for six months thereafter.
Which of the statements given above is/are correct?
Statement 1 is incorrect: In 2013, NFSA was enacted to provide food security to 67% of the population in the form of highly subsidized food grains at Rs. 2 and 3 per Kg for wheat and rice respectively. Beneficiaries are identified using Socio-economic Caste Census (SECC) methodology so even non-BPL will also benefit. Statement 2 is correct: Under the NFSA, to issue ration cards the eldest woman of a household aged 18 years or above would be considered as head. Hence, this statement is correct. Statement 3 is incorrect: Pregnant women and lactating mothers are entitled to a nutritious take home ration of 600 Calories and a maternity benefit of at least Rs 6,000 for six months, says the official act.
Consider the following in respect of ‘National Career Service’:
1. National Career Service is an initiative of the Department of Personnel and Training, Government of India.
2. National Career Service has been launched in a Mission Mode to improve the employment opportunities to uneducated youth of the country.
Which of the above statements is/are correct?
Statement 1 is incorrect. The National Career Service is not an initiative of the Department of Personnel and Training, Government of India. It is actually implemented by the Directorate General of Employment, Ministry of Labour & Employment. Statement 2 is incorrect. The National Career Service has indeed been launched in a Mission Mode, but it is not specifically targeted at improving the employment opportunities for uneducated youth of the country. It is a comprehensive platform providing a wide array of employment and career related services to all citizens of India, aiming to bridge the gap between jobseekers and employers, candidates seeking training and career guidance, and agencies providing training and career counselling.
Previous year Mains questions mapped to overlapping GS syllabus topics.
Does tribal development in India centre around two axes, those of displacement and of rehabilitation? Give your opinion.
Achieving sustainable growth with emphasis on environmental protection could come into conflict with poor people’s needs in a country like India – Comment.
How do you account for the growing fast food industries given that there are increased health concerns in modern society? Illustrate your answer with the Indian experience.
The National Commission for Protection of Child Rights has to address the challenges faced by children in the digital era. Examine the existing policies and suggest measures the Commission can initiate to tackle the issue.
Discuss the distribution and density of population in the Ganga River Basin with special reference to land, soil and water resources.
Discuss the evolution of collegium system in India. Critically examine the advantages and disadvantages of the system of appointment of the Judges of the Supreme Court of India and that of the USA.
Statement 1 is correct: The article states, 'stunting levels (for children under five)... have declined from 35.5% to 29.3%.' Statement 2 is incorrect: The article mentions, 'Wasting levels... show no change, except for severe forms of wasting.' Statement 3 is correct: The article states, 'Institutional births have reached 90%, with public health facilities accounting for 58% of births.' Statement 4 is correct: The article notes, 'vaccination coverage for children — 87% of children between 12 and 23 months of age are now fully vaccinated.' Therefore, statements 1, 3, and 4 are correct.
1. Poor feeding practices: The article explicitly states, 'feeding practices and access to quality diets remain weak and continue to limit progress.' It also mentions 'only 15% between six to 23 months receive an adequate diet.' So, this is a limiting factor. 2. Maternal time poverty: The article highlights, 'A growing and under-explored determinant of child nutrition in India is maternal time poverty.' So, this is a limiting factor. 3. Shift towards processed foods: The article notes, 'households are spending less on cereals and more on dairy, processed foods and beverages... Processed foods, in contrast, are easily available, ready to eat and packaged in affordable packs,' implying this is a challenge to nutritional adequacy. So, this is a limiting factor. 4. Lack of frontline health workers: The article praises 'the strong outreach efforts of frontline workers — Accredited Social Health Activists (ASHA), Anganwadi workers (AWW), and Auxiliary Nurse Midwives (ANM),' indicating their presence and effectiveness, not a lack. The suggestion is to strengthen their skills, not to address a shortage. So, this is not identified as a limiting factor in terms of their presence. Thus, 1, 2, and 3 are the correct factors.
A. The article states, 'Strengthening their skills in data collection would improve data quality' (referring to AWWs). This is mentioned. B. The article emphasizes the need to 'promote crèche models for sustained progress in child nutrition.' This is mentioned. C. The article suggests, 'Prevention of growth faltering must receive greater priority' in the context of POSHAN Abhiyaan. This is mentioned. D. While increased budget allocation might be an underlying need, the article does not explicitly mention 'increasing the budget allocation' for POSHAN Abhiyaan. It focuses on reorienting its strategy and strengthening frontline workers. Therefore, this is the measure NOT explicitly mentioned.
Introduce with the NFHS-6 context. Detail achievements (e.g., stunting, institutional births, vaccination). Outline challenges (e.g., wasting, feeding practices, maternal time poverty, processed foods). Conclude with multi-sectoral strategies (e.g., frontline workers, crèches, convergence, BCC).
Begin by acknowledging the NFHS-6 findings. Discuss the positive role of frontline workers and the negative impact of maternal time poverty on child nutrition. Propose specific policy interventions for both areas, drawing from the article and broader knowledge.