Public Health Policy in India: Challenges and Critiques
India's public health policies are critiqued for shifting focus from population health to individual well-being, failing to strengthen grassroots institution...
The article critically analyzes recent Indian public health policies, specifically the Ayushman Bharat Health and Wellness Centres and the Ayushman Bharat Digital Health Mission. It argues that these initiatives fail to address fundamental issues of healthcare access, affordability, and quality, instead shifting focus from measurable population health outcomes to subjective individual well-being and data generation without strengthening the core public health infrastructure. The author contends that policies are not recognizing people's immediate needs for curative care and are undermining the ability to evaluate health systems effectively.
Durable syllabus ideas for revision — not article memory.
India's public health policies are critiqued for shifting focus from population health to individual well-being, failing to strengthen grassroots institution...
Previous year Prelims questions on overlapping themes and topics.
With reference to Ayushman Bharat Digital Mission, consider the following statements:
1. Private and public hospitals must adopt it.
2. As it aims to achieve universal health coverage, every citizen of India should be part of it ultimately.
3. It has seamless portability across the country.
Which of the statements given above is/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.
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.
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.
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.
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.
Which of the following is/are the aim/aims of "Digital India" Plan of the Government of India?
1. Formation of India's own Internet companies like China did.
2. Establish a policy framework to encourage overseas multinational corporations that collect Big Data to build their large data centres within our national geographical boundaries.
3. Connect many of our villages to the Internet and bring Wi-Fi to many of our school, public places and major tourist centres
Select the correct answer using the code given below
* Statement 1 is not correct: The formation of India’s own internet companies, similar to China’s approach, is not an aim of the Digital India programme. The initiative focuses on creating digital infrastructure, providing digital services, and promoting digital literacy — not establishing government-backed internet firms. * Statement 2 is not correct: The Digital India plan does not include any policy framework to attract foreign multinational corporations to build data centres in India. While data localisation and data centre policies have emerged later under different frameworks, they are not part of the original Digital India objectives. * Statement 3 is correct: One of the key aims of Digital India is to connect villages through broadband and to provide Wi-Fi access in schools, public places, and tourist centres. This is part of its core pillars like Broadband Highways, Public Internet Access Programme, and Early Harvest Programmes.
To obtain full benefits of demographic dividend, what should India do?
To rip the maximum demographic dividend, India has to promote skill development. This is what the Economic Survey and 12th FYP have been advocating.
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.
‘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.
Pradhan Mantri Jan Dhan Yojana has been launched for -
PMJDY is a National Mission on Financial Inclusion encompassing an integrated approach to bring about comprehensive financial inclusion of all households in the country. The plan envisages: - Universal access to banking facilities with at least one basic banking account for every household.
- Financial literacy.
- Access to credit.
- Insurance and pension facility.
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 French Revolution has enduring relevance to the contemporary world. Explain.
Trace India’s consolidation process during early phase of independence in terms of polity, economy, education and international relations.
Mahatma Jotirao Phule’s writings and efforts of social reforms touched issues of almost all subaltern classes. Discuss.
MCQs drawn from today's published current affairs.
The article explicitly states, 'There are no universally accepted measures of well-being at the population level, as the concept is inherently individualistic and deeply subjective.' It further notes that this undermines the ability to evaluate health systems effectively and address concrete deficiencies.
The article states that 'the names and identities of grassroots-level institutions — namely, the health sub-centres (SCs), primary health centres (PHCs), and community health centres (CHCs) — were altered by mandatorily adding “Health and Wellness Centre” as a prefix.'
The article states, 'In public health, however, the emphasis shifted towards health promotion — a population-based approach that recognises how social, economic and environmental conditions shape people’s ability to adopt healthy behaviours.' It then contrasts this with wellness: 'Unlike health promotion, the concept of wellness places the primary responsibility on individuals... In doing so, it often underestimates the structural and social determinants that shape health outcomes.'
Introduce the concept of UHC and the stated criticism of AB-HWCs. Elaborate on how the shift to 'individual well-being' impacts the measurability of health outcomes and diverts attention from core public health infrastructure, thereby hindering UHC goals of access, affordability, and quality. Conclude with recommendations for a more robust public health approach.
Define 'individualization of health' and its roots in the wellness narrative. Explain how this focus on individual responsibility and subjective well-being can lead to neglect of structural issues, underinvestment in public health infrastructure, and a failure to systematically capture and address population-level unmet health needs.