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Tuberculosis Elimination Strategy

TB’s steep socio-economic cost to women

Note4Students

From UPSC perspective, the following things are important :

Prelims level: Nikshay Poshan Yojana

Mains level: Paper 2- TB's impact on women

Context

As India steadily steers its way through the pandemic to safer shores, we must foreground a disease which has been impacting our country for years, and disproportionately affecting women –  tuberculosis.

Toll of TB

  • In India, the TB case fatality ratio increased from 17 per cent in 2019 to 20 per cent in 2020.
  • According to a joint report (2010-13) of the Registrar General of India and the Centre for Global Health Research, TB was the fifth-leading cause of death among women in the country, accounting for nearly 5 per cent of fatalities in women aged 30–69.

How TB affects women more than men

  • Much steeper socio-economic price: While both men and women suffer the consequences of this debilitating disease, women patients pay a much steeper socio-economic price.
  • Beyond clinical metrics: From social ostracisation and lack of family support to the negative impact on marital prospects, women absorb the repercussions of TB beyond the clinical metrics.
  • Stigma also acts as a strong deterrent when it comes to health-seeking behaviour.
  • Fewer women, therefore, get included in the available cascade of care for TB.

Measures by government

  • In 2019, the Health Ministry-Central TB Division developed a national framework for a gender-responsive approach to TB in India.
  • The document takes cognisance of the challenges faced by women in accessing treatment and offers actionable solutions.
  • Gender-responsive policy interventions: In December 2021, a parliamentary conference on ‘Women Winning Against TB’ was organised by the Ministry of Women and Child Development where gender-responsive policy interventions were discussed.
  • The Vice-President of India urged states to take proactive steps such as ensuring nutritional support to women and children and the doorstep delivery of TB services, especially for women from socio-economically weaker backgrounds.

Suggestions

1] Highlight the issue at the relevant forum

  • One, as elected representatives, we need to come together more to highlight the issue at all relevant forums and spaces.
  • These meetings see increased participation of women leaders from all walks of life in the community going forward.

2] Strengthen counselling network

  • We need to strengthen counselling networks for women patients and their families.
  • Irrespective of where the patient seeks care – public or private sector – build the capacity of healthcare workers to educate the patient’s family about the importance of providing her a supportive environment during the course of her treatment.

3] Nutritional needs

  • We need to ensure that the nutritional needs of women are being met.
  • Undernutrition is a serious risk factor for TB and research indicates such risks are higher for women.
  • It is commendable that the government, through Nikshay Poshan Yojana, has effectively provided a monthly benefit of Rs 500 to enable a nutritious diet for TB patients in the last few years.
  • For the 2020 cohort, the total amount paid under NPY via DBT has been over  Rs 200 crore.
  • Additionally, we can look to further strengthen inter-departmental coordination, wherein the Public Distribution System can explore appropriate linkages with relevant departments of the MoHFW and even include a protein-rich diet for TB patients.

4] Amplify accurate TB messaging

  • At a community level, we must amplify accurate TB messaging and showcase how gender plays a role in determining the course of action on the ground.

Conclusion

These are universal problems that must transcend gender binaries. Only when equitable solutions are offered to vulnerable sections of society will we be able to realise the dream of TB-Mukt Bharat.

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Why ‘de-dollarisation’ is imminent

Note4Students

From UPSC perspective, the following things are important :

Prelims level: SDR

Mains level: Paper 3- Diversification away from dollar

Context

The war in Ukraine and the subsequent economic sanctions will trigger central banks to go back to their drawing boards to reassess their dependency on the greenback.

How sanctions on Russia could lead to de-dollarisation

  • The imposition of sanctions and the exclusion from SWIFT by the US could trigger a faster de-dollarisation. 
  • The “de-dollarisation” by several central banks is imminent, driven by the desire to insulate them from geopolitical risks, where the status of the US dollar as a reserve currency can be used as an offensive weapon.
  • This can also trigger a shift in the overall global forex market framework.
  • The US dollar, which is the world’s reserve currency, can see a steady fall in the current context as leading central banks may look to diversify their reserves away from it to other assets or currencies like the Euro, Renminbi or gold.

How China and Russia are responding?

  • Efforts are already underway for the possible introduction of a new Russia-China payment system, bypassing SWIFT and combining the Russian SPFS (System for Transfer of Financial Messages) with the Chinese CIPS (Cross-Border Interbank Payment System).
  • Russia had started its three-pronged efforts towards de-dollarisation in 2014 when sanctions were imposed on it for the annexation of Crimea.
  • However, these steps haven’t sufficed to effectively shield “fortress Russia”.
  • China, on the other hand, aims to use trading platforms and its digital currency to promote de-dollarisation.
  • China has established RMB trading centres in Hong Kong, Singapore and Europe.
  • In 2021, the People’s Bank of China submitted a “Global Sovereign Digital Currency Governance” proposal at the Bank for International Settlements to influence global financial rules via its digital currency, the e-Yuan.
  • The IMF has already added Yuan to its SDR (Special Drawing Rights) basket in 2016.
  • In 2017, the European Central Bank exchanged EUR 500 million worth of its forex reserves into Yuan-denominated securities.
  • However, the lack of full RMB convertibility will hinder China’s de-dollarisation ambition.

Why the dominance of the dollar continues and how the US benefits from its dominance

  • Currently, about 60 per cent of foreign exchange reserves of central banks and about 70 per cent of global trade is conducted using USD.
  • The status of the dollar was enhanced by the collapse of the Bretton Woods system, which essentially eliminated other developed market currencies from competing with the USD.
  • The association of the USD as a “safe-haven” asset also has a psychological angle to it and like old habits, people continue to view the currency as a relatively risk-free asset.
  • This status of the reserve currency allows the US government to refinance its debt at low costs in addition to providing foreign policy leverage.
  •  Additionally, sudden dumping of dollar assets by adversarial central banks will also pose balance sheet risks to them as it will erode the value of their overall dollar-denominated holdings.

Consider the question “Examine the factors that explain the dominance of the dollar in the global economy? How such dominance benefits the US?”

Conclusion

While the frequent use of the US dollar as a potential weapon for achieving foreign policy objectives will no doubt accelerate the process of de-dollarisation, there is still a long road ahead.

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Back2Basics: What is Special Drawing Rights?

  • The SDR is an international reserve asset created by the IMF to supplement the official reserves of its member countries.
  • The SDR is not a currency.
  • It is a potential claim on the freely usable currencies of IMF members.
  • As such, SDRs can provide a country with liquidity.
  • A basket of currencies defines the SDR: the US dollar, Euro, Chinese Yuan, Japanese Yen, and the British Pound.

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NGOs vs. GoI: The Conflicts and Scrutinies

Back in news: Foreign Contribution Regulation Act (FCRA)

Note4Students

From UPSC perspective, the following things are important :

Prelims level: FCRA

Mains level: Amendment to the FCRA

The Union Home Ministry has placed a US based NGO on its watchlist following an investigation that foreign contributions it sent were being used for climate awareness campaigns, an activity not permissible under the FCRA [Foreign Contribution (Regulation) Act].

About Foreign Contribution Regulation Act (FCRA)

  • The FCRA regulates foreign donations and ensures that such contributions do not adversely affect internal security.
  • First enacted in 1976, it was amended in 2010 when a slew of new measures was adopted to regulate foreign donations.
  • The FCRA is applicable to all associations, groups and NGOs which intend to receive foreign donations.
  • It is mandatory for all such NGOs to register themselves under the FCRA.
  • The registration is initially valid for five years and it can be renewed subsequently if they comply with all norms.

Why was FCRA enacted?

  • The FCRA sought to consolidate the acceptance and utilisation of foreign contribution or foreign hospitality by individuals, associations or companies.
  • It sought to prohibit such contributions from being used for activities detrimental to national interest.

What was the recent Amendment?

  • The FCRA was amended in September 2020 to introduce some new restrictions.
  • The Government says it did so because it found that many recipients were wanting in compliance with provisions relating to filing of annual returns and maintenance of accounts.
  • Many did not utilise the funds received for the intended objectives.
  • It claimed that the annual inflow as foreign contributions almost doubled between 2010 and 2019.
  • The FCRA registration of 19,000 organisations was cancelled and, in some cases, prosecution was also initiated.

How has the law changed?

There are at least three major changes that NGOs find too restrictive.

  • Prohibition of fund transfer: An amendment to Section 7 of the Act completely prohibits the transfer of foreign funds received by an organisation to any other individual or association.
  • Directed and single bank account: Another amendment mandates that every person (or association) granted a certificate or prior permission to receive overseas funds must open an FCRA bank account in a designated branch of the SBI in New Delhi.
  • Utilization of funds: Fund All foreign funds should be received only in this account and none other. However, the recipients are allowed to open another FCRA bank account in any scheduled bank for utilisation.
  • Shared information: The designated bank will inform authorities about any foreign remittance with details about its source and the manner in which it was received.
  • Aadhaar mandate: In addition, the Government is also authorised to take the Aadhaar numbers of all the key functionaries of any organisation that applies for FCRA registration or for prior approval for receiving foreign funds.
  • Cap on administrative expenditure: Another change is that the portion of the receipts allowed as administrative expenditure has been reduced from 50% to 20%.

What is the criticism against these changes?

  • Arbitrary restrictions: NGOs questioning the law consider the prohibition on transfer arbitrary and too heavy a restriction.
  • Non-sharing of funds: One of its consequences is that recipients cannot fund other organisations. When foreign help is received as material, it becomes impossible to share the aid.
  • Irrationality of designated bank accounts: There is no rational link between designating a particular branch of a bank with the objective of preserving national interest.
  • Un-ease of operation: Due to Delhi based bank account, it is also inconvenient as the NGOS might be operating elsewhere.
  • Illogical narrative: ‘National security’ cannot be cited as a reason without adequate justification as observed by the Supreme Court in Pegasus Case.

What does the Government say?

  • Zero tolerance against intervention: The amendments were necessary to prevent foreign state and non-state actors from interfering with the country’s polity and internal matters.
  • Diversion of foreign funds: The changes are also needed to prevent malpractices by NGOs and diversion of foreign funds.
  • Fund flow monitoring: The provision of having one designated bank for receiving foreign funds is aimed at making it easier to monitor the flow of funds.
  • Ease of operation: The Government clarified that there was no need for anyone to come to Delhi to open the account as it can be done remotely.

 

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Intellectual Property Rights in India

Patent Rights on COVID-19 jabs may be waived

Note4Students

From UPSC perspective, the following things are important :

Prelims level: IPRs, Patents

Mains level: Not Much

The World Trade Organization chief has hailed a breakthrough between the EU, the United States, India and South Africa on waiving intellectual property rights on Covid-19 vaccines.

What is a Patent?

  • A patent is an exclusive right granted for an invention.
  • In other words, a patent is an exclusive right to a product or a process that generally provides a new way of doing something, or offers a new technical solution to a problem.
  • To get a patent, technical information about the invention must be disclosed to the public in a patent application.
  • The patent owner may give permission to, or license, other parties to use the invention on mutually agreed terms.
  • The owner may also sell the right to the invention to someone else, who will then become the new owner of the patent.
  • Once a patent expires, the protection ends, and an invention enters the public domain; that is, anyone can commercially exploit the invention without infringing the patent.

Terms of Patent

  • Patents may be granted for inventions in any field of technology, from an everyday kitchen utensil to a nanotechnology chip.
  • An invention can be a product – such as a chemical compound, or a process, for example – or a process for producing a specific chemical compound.
  • Patent protection is granted for a limited period, generally 20 years from the filing date of the application.
  • Patents are territorial rights. In general, the exclusive rights are only applicable in the country or region in which a patent has been filed and granted, in accordance with the law of that country or region.

Back2Basics: Intellectual Properties

  • IP is protected in law by, for example, patents, copyright and trademarks, which enable people to earn recognition or financial benefit from what they invent or create.
  • By striking the right balance between the interests of innovators and the wider public interest, the IP system aims to foster an environment in which creativity and innovation can flourish.

Types of IP:

(1) Copyright

  • Copyright is a legal term used to describe the rights that creators have over their literary and artistic works.
  • Works covered by copyright range from books, music, paintings, sculpture and films, to computer programs, databases, advertisements, maps and technical drawings.

(2) Patents

Discussed above

(3) Trademarks

  • A trademark is a sign capable of distinguishing the goods or services of one enterprise from those of other enterprises.
  • Trademarks date back to ancient times when artisans used to put their signature or “mark” on their products.

(4) Geographical Indications

  • Geographical indications and appellations of origin are signs used on goods that have a specific geographical origin and possess qualities, a reputation or characteristics that are essentially attributable to that place of origin.
  • Most commonly, a geographical indication includes the name of the place of origin of the goods.

(5) Trade secrets

  • Trade secrets are IP rights on confidential information which may be sold or licensed.
  • The unauthorized acquisition, use or disclosure of such secret information in a manner contrary to honest commercial practices by others is regarded as an unfair practice and a violation of the trade secret protection.

 

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Global Geological And Climatic Events

What is Daylight Saving Time (DST)?

Note4Students

From UPSC perspective, the following things are important :

Prelims level: Daylight Saving Time (DST), Equinoxes

Mains level: Not Much

The United States Senate unanimously passed a law making daylight saving time (DST) permanent, scrapping the biannual practice of putting clocks forward and back coinciding with the arrival and departure of winter.

What does this imply?

  • With clocks in the US going back an hour, the time difference between New York and India will increase from the current nine and a half hours to ten and a half hours.
  • In the Southern Hemisphere, the opposite has happened, where countries have “sprung forward”, and time difference with India has reduced.

What is DST?

  • DST is the practise of resetting clocks ahead by an hour in spring, and behind by an hour in autumn (or fall).
  • During these months, countries that follow this system get an extra hour of daylight in the evening.
  • Because the spring to fall cycle is opposite in the Northern and Southern Hemispheres, DST lasts from March to October/November in Europe and the US, and from September/October to April in New Zealand and Australia.
  • Dates for this switch, which happens twice a year (in the spring and autumn) are decided beforehand.
  • By law, the 28 member states of the EU switch together — moving forward on the last Sunday of March and falling back on the last Sunday in October.
  • In the US, clocks go back on the first Sunday of November.

Now try this PYQ:

Q.On 21st June, the Sun

(a) Does not set below the horizon at the Arctic Circle

(b) Does not set below the horizon at Antarctic Circle

(c) Shines vertically overhead at noon on the Equator

(d) Shines vertically overhead at the Tropic of Capricorn

How many countries use DST?

  • DST is in practice in some 70 countries, including those in the European Union.
  • India does not follow DST; since countries near the Equator do not experience high variations in daytime hours between seasons.
  • There is, however, a separate debate around the logic of sticking with an only one-time zone in a country as large as India.

What does this system mean to achieve?

  • The key argument is that DST is meant to save energy.
  • The rationale behind setting clocks ahead of standard time, usually by 1 hour during springtime, is to ensure that the clocks show a later sunrise and later sunset — in effect a longer evening daytime.
  • Individuals will wake an hour earlier than usual, complete their daily work routines an hour earlier, and have an extra hour of daylight at the end.

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