Health Sector – UHC, National Health Policy, Family Planning, Health Insurance, etc.

Key Demographic Transitions captured by 5th round of NFHS

Note4Students

From UPSC perspective, the following things are important :

Prelims level: National Family Health Survey

Mains level: Read the attached story

The Union health ministry released the summary findings of the fifth round of the National Family and Health Survey (NFHS-5), conducted in two phases between 2019 and 2021.

About NFHS

  • The NFHS is a large-scale, multi-round survey conducted in a representative sample of households throughout India.
  • The previous four rounds of the NFHS were conducted in 1992-93, 1998-99, 2005-06 and 2015-16.
  • The survey provides state and national information for India on:

Fertility, infant and child mortality, the practice of family planning, maternal and child health, reproductive health, nutrition, anaemia, utilization and quality of health and family planning services etc.

Objectives of the survey

Each successive round of the NFHS has had two specific goals:

  • To provide essential data on health and family welfare needed by the Ministry of Health and Family Welfare and other agencies for policy and programme purposes
  • To provide information on important emerging health and family welfare issues.

Key highlights of the NFHS-5

[1] Women outnumbering men

  • NFHS-5 data shows that there were 1,020 women for 1000 men in the country in 2019-2021.
  • This is the highest sex ratio for any NFHS survey as well as since the first modern synchronous census conducted in 1881.
  • To be sure, in the 2005-06 NFHS, the sex ratio was 1,000 or women and men were equal in number.

[2] Fertility has decreased

  • The Total Fertility Rate (TFR) has also come down below the threshold at which the population is expected to replace itself from one generation to next.
  • TFR was 2 in 2019-2021, just below the replacement fertility rate of 2.1. To be sure, in rural areas, the TFR is still 2.1.
  • In urban areas, TFR had gone below the replacement fertility rate in the 2015-16 NFHS itself.

[3] Population is ageing

  • A decline in TFR, which implies that lower number of children are being born, also entails that India’s population would become older.
  • Sure enough, the survey shows that the share of under-15 population in the country has therefore further declined from 28.6% in 2015-16 to 26.5% in 2019-21.

[4] Children’s nutrition has improved

  • The share of stunted (low height for age), wasted (low weight for height), and underweight (low weight for age) children have all come down since the last NFHS conducted in 2015-16.
  • However, the share of severely wasted children has not, nor has the share of overweight (high weight for height) or anaemic children.
  • The share of overweight children has increased from 2.1% to 3.4%.

[5] Nutrition problem for adults

  • For children and their mothers, there are at least government schemes such as Integrated Child Development Services (ICDS) that seek to address the nutritional needs at the time of childbirth and infancy.
  • However, there is a need to address the nutritional needs of adults too.
  • The survey has shown that though India might have achieved food security, 60% of Indians cannot afford nutritious diets.
  • While the share of women and men with below-normal Body Mass Index (BMI) has decreased, the share of overweight and obese (those with above-normal BMI) and the share of anaemic has increased.

[6] Basic sanitation challenges

  • Availability of basic amenities such as improved sanitation facilities clean fuel for cooking, or menstrual hygiene products can improve health outcomes.
  • There has been an improvement on indicators for all three since the last NFHS. However, the degree of improvement might be less than claimed by the government.
  • For example, only 70% population had access to an improved sanitation facility.
  • While not exactly an indicator of open defecation, it means that the remaining 30% of the population has a flush or pour-flush toilet not connected to a sewer, septic tank or pit latrine.

[7] Use of clean fuel

  • The share of households that use clean cooking fuel is also just 59%.

[8] Financial inclusion

  • The share of women having a bank account that they themselves use has increased from 53% to 79%.
  • Households’ coverage by health insurance or financing scheme also has increased 1.4 times to 41%, a clear indication of the impact of the government’s health insurance scheme.

 

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Poverty Eradication – Definition, Debates, etc.

NITI Aayog’s Multidimensional Poverty Index (MPI)

Note4Students

From UPSC perspective, the following things are important :

Prelims level: NMPI

Mains level: Multidimensional Poverty in India

The Government think-tank NITI Aayog has released the National Multidimensional Poverty Index (MPI).

Multidimensional Poverty Index (MPI)

  • This baseline report of India’s first-ever national MPI measure is based on the reference period of 2015-16 of the National Family Health Survey (NFHS)- 4.
  • It uses the globally accepted and robust methodology developed by the Oxford Poverty and Human Development Initiative (OPHI) and the United Nations Development Programme (UNDP).
  • It captures multiple and simultaneous deprivations faced by households.

Parameters used

  • The NMPI is calculated using 12 indicators — nutrition, child and adolescent mortality, antenatal care, years of schooling, school attendance, cooking fuel, sanitation, drinking water, electricity, housing, assets and bank account,
  • They have been grouped under three dimensions namely, health, education and standard of living.

Why NFHS-4?

  • Data collected during the NFHS-4 (2015-2016) corresponds to the period before the full roll out of new governments’ flagship schemes.
  • Hence it serves as a useful source for measuring the situation at baseline i.e. before large-scale rollout of nationally important schemes.

How is the data used?

  • The national MPI 2021 is calculated using the household microdata collected at the unit-level for the NFHS-4 that is used to derive the baseline multidimensional poverty.
  • Further, the country’s progress would be measured using this baseline in the NFHS-5, for which the data was collected between 2019 and 2020.
  • The progress of the country with respect to this baseline will be measured using the NFHS-5 data collected in 2019-20.

Key highlights NMPI

  • As per the index, 51.91% of the population in Bihar is poor, followed by Jharkhand (42.16%), Uttar Pradesh (37.79%), Madhya Pradesh (36.65%) and Meghalaya (32.67%).
  • On the other hand, Kerala registered lowest population poverty levels (0.71%), followed by Puducherry (1.72%), Lakshadweep (1.82%), Goa (3.76%) and Sikkim (3.82%).
  • Other States and UTs where less than 10% of the population are poor include Tamil Nadu (4.89%), Andaman & Nicobar Islands (4.30%), Delhi (4.79%), Punjab (5.59%), Himachal Pradesh (7.62%) and Mizoram (9.8%).

 

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Labour, Jobs and Employment – Harmonization of labour laws, gender gap, unemployment, etc.

First ever All India Survey on Domestic Workers

Note4Students

From UPSC perspective, the following things are important :

Prelims level: All India Survey on Domestic Workers

Mains level: Not Much

Union Minister for Labour and Employment  has flagged off the first ever All All India Survey on Domestic workers being conducted by Labour Bureau.

All India Survey on Domestic Workers

  • The Survey  is aimed to estimate the number and proportion of domestic workers at National and State level.
  • It would help find percentage distribution of domestic workers with respect to Live-in/Live-out, formal/ Informal Employment, Migrant/Non-Migrant, their wages and other socio-economic characteristics.
  • The survey will also provide the Household Estimates of Live-in/Live-out domestic workers and average number of domestic workers engaged by different types of households.

Objectives of the Survey

  • Estimate the number/proportion of DWs at National and State level.
  • Household Estimates of Live-in/ Live-out DWs.
  • Average number of DWs engaged by different types of households.

Why need such Survey?

  • Domestic workers (DWs) constitute a significant portion of total employment in the informal sector.
  • However, there is a dearth of data on the magnitude and prevailing employment conditions of DW.
  • Hence with the view to have time series data on domestic workers, GoI has entrusted Labour Bureau to conduct an all-India survey on DWs.

Parameters of the Survey

The Domestic Worker Survey collects information on the following broad   parameters:

  • Household Characteristics such as HH size, Religion, Social Group, Usual Monthly Consumption Expenditure, Nature of Dwelling unit.
  • Demographic Characteristics such as Name, Age, Relation to Head, Marital Status, General Education Level, Usual Principal Activity Status, Subsidiary Activity Status and Status of DWs.
  • Information on Employer is also collected such as their preferences of DW regarding Gender and marital status, mode of payment of wages, number of days worked, mode of engagement, whether DW services were availed during ii COVID-19 pandemic, medical support given to DWs.

Scope of the Survey

  • All India States/UTs of India covered are 37 and Districts covered are742
  • Unit of Enumeration is Villages as per Census 2011 and Urban Blocks as per latest phase of UFS.
  • At the all-India level, a total number of 12766 First Stage Units (FSUs) i.e., 6190 villages and 6576 UFS blocks will be covered in the survey.
  • 1,50,000 Households i.e., the Ultimate Stage Units (USU) will be covered.

 

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Health Sector – UHC, National Health Policy, Family Planning, Health Insurance, etc.

Health Care Equity in Urban India

Note4Students

From UPSC perspective, the following things are important :

Prelims level: Not much

Mains level: Healthcare scenario in urban areas

The report on ‘Health Care Equity in Urban India’ exploring health vulnerabilities and inequalities in cities in India was recently released.

About the report

  • The report is released recently by Azim Premji University in collaboration with 17 regional NGOs across India.
  • It notes that a third of India’s people now live in urban areas, with this segment seeing rapid growth from about 18% (1960) to 28.53% (2001) to 34% (in 2019).
  • The study draws insights from data collected through detailed interactions with civil society organizations in major cities and towns.
  • This also included an analysis of the National Family and Health Surveys (NHFS), the Census of India, and inputs from State-level health officials on the provision of health care.
  • It also looks at the availability, accessibility, and cost of healthcare facilities, and possibilities in future-proofing services in the next decade.

Key highlights of the report

  • Urban poverty on rise: Close to 30% of people living in urban areas are poor.
  • Declining life expectancy: Life expectancy among the poorest is lower by 9.1 years and 6.2 years among men and women, respectively, compared to the richest in urban areas.
  • Chaotic health governance: The report, besides finding disproportionate disease burden on the poor, also pointed to a chaotic urban health governance.
  • Multiplicity and non-coordination: The multiplicity of healthcare providers both within and outside the government without coordination challenges to urban health governance.
  • Lack of political attention: Urban healthcare has received relatively less research and policy attention.

Major recommendations

The report calls for:

  • Strengthening community participation and governance
  • Building a comprehensive and dynamic database on the health and nutrition status, including co-morbidities of the diverse, vulnerable populations
  • Strengthening healthcare provisioning through the National Urban Health Mission, especially for primary healthcare services
  • Putting in place policy measures to reduce the financial burden of the poor
  • A better mechanism for coordinated public healthcare services and better governed private healthcare institutions

Conclusion

  • As urbanization is happening rapidly, the number of the urban poor is only expected to increase.
  • A well-functioning, better coordinated, and governed health care system is crucial at this point.
  • The pandemic has brought to attention the need for a robust and resourced healthcare system.
  • Addressing this will benefit the most vulnerable and offer critical services to city dwellers across income groups.

 

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Digital India Initiatives

Assessing the digital gap and learning losses

Note4Students

From UPSC perspective, the following things are important :

Prelims level: Not much

Mains level: Digital connectivity and social sector of India

A recent survey released seeks to analyze the COVID-impact on digital connectivity in the context of healthcare, education, and work.

About the Survey

  • LIRNEasia, an Asia Pacific think tank focussed on digital policy, tied up with the Indian Council for Research on International Economic Relations (ICRIER).
  • They took part in a global study funded by the Canada’s International Development Centre to assess the socio-economic impacts of COVID-19 .
  • They sought to analyse access to services, with a focus on digital technologies in healthcare, education and work.

Highlights of the Survey:

[A] Internet Access and Use

(1) Internet users

  • The survey found that 47% of the population are Internet users, a significant jump from the 19% who were identified as Internet users in late 2017.
  • At least 5 crores have already become new Internet users in 2021.

(2) Gender and internet

  • Men still use the Internet more than women.
  • There is a 37% gender gap among users, although this is half of the 57% gap present four years ago.

(3) Rural-urban Gap

  • The rural-urban gap has dropped from 48% in 2017 to just 20% now as more rural residents come online.

(4) Education

  • Among those with college education, 89% are Internet users, compared to 60% of those who completed secondary school.
  • Only 23% of those who dropped out of school after Class 8, and 9% of those without any education, are able to use the Internet.

Major inferences drawn

  • Among non-users, lack of awareness is still the biggest hurdle.
  • The percentage of non-users who said they do not know what the Internet is dropped from 82% to 49% over the last four years.
  • Increasingly, lack of access to devices and lack of skills are the reason why people do not go online.

Loopholes in Remote Education

  • 80% of school-age children in the country had no access to remote education at all during the 18 months of lockdown.
  • This happened even though 64% of households actually had Internet
  • Situation was worse for those homes without Internet connections, where only 8% of children received any sort of remote education.

[B] Internet connectivity

  • Apart from not having any devices, poor 3G/4G signal and high data cost were listed as the biggest hurdles.
  • Even among the 20% who received education, only half had access to live online classes which required a good Internet connection and exclusive use of a device.
  • Most depended on recorded lessons and WhatsApp messages which could be sent to a parent’s phone and downloaded at leisure.
  • Others were able to have more direct contact with teachers via phone calls or physical visits.

Worst consequences: Dropouts

  • Nationwide, 38% of households said at least one child had dropped out of school completely due to COVID-19.
  • The situation was significantly worse among those from lower socio-economic classes, or where the head of the household had lower education levels.

[C] Internet access and healthcare

  • About 15% required healthcare access for non-COVID related purposes during the most severe national and State lockdown.
  • Of the 14% who required ongoing treatment for chronic conditions, over a third missed at least one appointment due to the lockdown.
  • Telemedicine and online doctor consultations surged during these times, but only 38% said they were able to access such services.
  • With regard to COVID-19, about 40% of respondents depended on television channels for advice as their most trusted source.

 

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Primary and Secondary Education – RTE, Education Policy, SEQI, RMSA, Committee Reports, etc.

First National Achievement Survey (NAS) held

Note4Students

From UPSC perspective, the following things are important :

Prelims level: National Achievement Survey (NAS)

Mains level: Not Much

The first National Achievement Survey (NAS) in four years was conducted, in a bid to assess the competencies of children in Class 3, 5 and 8.

National Achievement Survey (NAS)

  • NAS is a nationally representative large-scale survey of students’ learning undertaken by the Ministry of Education.
  • It is implemented on a sample size aiming to assess students of 3rd, 5th, 8th and 10th
  • It gives a system level reflection on effectiveness of school education.
  • The NCERT has developed the Assessment Framework for gauging the competencies attained by the student’s vis-a-vis learning outcomes.

Features of the Survey

  • The Survey goes beyond the scorecard and includes the background variables to correlate student’s performance in different learning outcomes vis-a-vis contextual variables.
  • The Survey was conducted in a monitored environment in the sampled schools.
  • Selection of sampled schools was based on UDISE+ (Unified District Information System for Education) 2019-20 data.

Significance of NAS

  • NAS findings would help diagnose learning gaps of students and determine interventions required in education policies, teaching practices and learning.
  • Through its diagnostic report cards, NAS findings help in capacity building for teachers, officials involved in the delivery of education.
  • This will help to assess the learning interruptions and new learnings during the COVID pandemic and help to take remedial measures.

 

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Roads, Highways, Cargo, Air-Cargo and Logistics infrastructure – Bharatmala, LEEP, SetuBharatam, etc.

Logistics Ease Across Different States (LEADS) Report, 2021

Note4Students

From UPSC perspective, the following things are important :

Prelims level: LEADS Index

Mains level: Not Much

The Logistics Ease Across Different States (LEADS) 2021 Index Rankings has been recently released.

About LEADS

  • The LEADS index was launched in 2018 by the Commerce and Industry Ministry and Deloitte.
  • It ranks states on the score of their logistics services and efficiency that are indicative of economic growth.
  • States are ranked based on quality and capacity of key infrastructure such as road, rail and warehousing as well as on operational ease of logistics.

Highlights of the 2021 report

  • India’s logistics costs account for 13-14 per cent of GDP, compared to 7-8 per cent in developed countries.
  • Gujarat, Haryana and Punjab have emerged as the top performers in the LEADS 2021 index respectively.
  • West Bengal, Rajasthan, Madhya Pradesh, Goa, Bihar, Himachal Pradesh and Assam were ranked 15th, 16th, 17th, 18th, 19th, 20th and 21st respectively.
  • North Eastern States, and J&K and Ladakh have been considered a separate group for LEADS rankings.

 

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Rural Distress, Farmer Suicides, Drought Measures

Farmer suicide

Note4Students

From UPSC perspective, the following things are important :

Prelims level: NCRB

Mains level: Farmers suicides in India

The number of agricultural labourers who died by suicide in 2020 was 18% higher than the previous year, according to the National Crime Records Bureau (NCRB) report.

Farmers suicide in 2020

  • In 2020, 5,098 of these agricultural labourers died by suicide, an 18% rise from the 4,324 who died last year.
  • Overall, 10,677 people engaged in the farm sector died by suicide in 2020, slightly higher than the 10,281 who died in 2019.
  • They made up 7% of all suicides in the country.
  • Most of these deaths were among those whose primary work and main source of income comes from labour activities in agriculture or horticulture.
  • However, among farmers who cultivate their own land, with or without the help of other workers, the number of suicides dropped 3.7% from 5,129 to 4,940.
  • Among tenant farmers who cultivate leased land, there was a 23% drop in suicides from 828 to 639.

State-wise data

  • The worst among States continues to be Maharashtra, with 4,006 suicides in the farm sector, including a 15% increase in farm worker suicides.
  • Other States with a poor record include Karnataka (2016), Andhra Pradesh (889) and Madhya Pradesh (735).
  • Tamil Nadu also bucked the national trend; although the total number of farm suicides in the State was slightly higher.

Why more suicides despite a boom?

  • The farm sector was one of the few bright spots in the Indian economy since a year.
  • It recorded growth on the back of a healthy monsoon and the continuation of agricultural activities during a lockdown that crippled other sectors.
  • Hence, suicides among landowning farmers dropped slightly during the pandemic year.
  • Landless agricultural labourers who did not benefit from income support schemes such as PM Kisan may have faced higher levels of distress during the pandemic.

General causes of farmers suicides in India

Suicide victims are motivated by more than one cause however the primer reason is the inability to repay loans.

  • Debt trap: Major causes reportedly are bankruptcy/indebtedness, problems in the families, crop failure, illness and alcohol/substance abuse.
  • Lack of credit: Low access to credit, irrigation and technology worsens their ability to make a comfortable living.
  • Responsibility burden: In other words, debt to stress and family responsibilities as reasons were significantly higher than fertilizers and crop failure.
  • Disguised unemployment: This remains high. Fragmentation of land holdings has left far too many farmers with farms that are too small to be remunerative.
  • Mental health: One of the major causes behind suicidal intent is depression. Farmers are often subjected to fear of boycott due to societal pressures.

 

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Back2Basics: National Crime Records Bureau (NCRB)

  • The NCRB is an Indian government agency responsible for collecting and analysing crime data as defined by the Indian Penal Code (IPC) and Special and Local Laws (SLL).
  • It is headquartered in New Delhi and is part of the Ministry of Home Affairs (MHA).
  • It was set-up in 1986 to function as a repository of information on crime and criminals so as to assist the investigators in linking crime to the perpetrators.
  • It was set up based on the recommendation of the Task force, 1985 and National Police Commission, 197.
  • It merged the Directorate of Coordination and Police Computer (DCPC), Inter State Criminals Data Branch of CBI and Central Finger Print Bureau of CBI.

Also read:

[Burning Issue] Farmers’ suicide in India

 

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Climate Change Impact on India and World – International Reports, Key Observations, etc.

What is Climate Vulnerability Index?

Note4Students

From UPSC perspective, the following things are important :

Prelims level: Climate Vulnerability Index

Mains level: Mapping India's climate change vulnerability

Environmental think tank Council on Energy, Environment and Water has carried a first-of-its-kind district-level climate vulnerability assessment, or Climate Vulnerability Index (CVI).

Climate Vulnerability Index

  • The Index takes into account certain indicators when assessing the preparedness of a state or district.
  • It considers:
  1. Exposure (that is whether the district is prone to extreme weather events)
  2. Sensitivity (the likelihood of an impact on the district by the weather event)
  3. Adaptive capacity (what the response or coping mechanism of the district is)

Significance of CVI

  • CVI helps map critical vulnerabilities and plan strategies to enhance resilience and adapt by climate-proofing communities, economies and infrastructure.
  • Instead of looking at climate extremes in isolation, the study looks at the combined risk of hydro-met disasters, which is floods, cyclones and droughts, and their impact.
  • The study does not take into consideration other natural disasters such as earthquakes.

Why does India need a climate vulnerability index?

  • According to Germanwatch’s 2020 findings, India is the seventh-most vulnerable country with respect to climate extremes.
  • Extreme weather events have been increasing in the country such as supercyclone Amphan in the Bay of Bengal, which is now the strongest cyclone to be recorded in the country.
  • Recent events such as the landslides and floods in Uttarakhand and Kerala, have also increased in the past decade.
  • Further, the IPCC states that every degree rise in temperature will lead to a three per cent increase in precipitation, causing increased intensification of cyclones and floods.

Key findings of the CVI

According to CVI, Assam, Andhra Pradesh, Maharashtra, Karnataka and Bihar are most vulnerable to extreme climate events such as floods, droughts and cyclones in India.

  • 183 hotspot districts are highly vulnerable to more than one extreme climate events
  • 60% of Indian districts have medium to low adaptive capacity in handing extreme weather events – these districts don’t have robust plans in place to mitigate impact
  • North-eastern states are more vulnerable to floods
  • South and central are most vulnerable to extreme droughts
  • 59 and 41 per cent of the total districts in the eastern and western states, respectively, are highly vulnerable to extreme cyclones.

Best performing states

  • Kerala and West Bengal have performed well comparatively, despite both being coastal states and dealing with the threat of cyclones and floods annually.
  • The reason why these states have performed better is that they have stepped up their climate action plans as well as preparedness to handle an extreme weather event.

Key recommendations

  • Develop a high-resolution Climate Risk Atlas (CRA) to map critical vulnerabilities
  • Establish a centralised climate-risk commission to coordinate the environmental de-risking mission.
  • Undertake climate-sensitivity-led landscape restoration focused on rehabilitating, restoring, and reintegrating natural ecosystems as part of the developmental process.
  • Integrate climate risk profiling with infrastructure planning to increase adaptive capacity.
  • Provide for climate risk-interlinked adaptation financing by creating innovative CVI-based financing instruments that integrate climate risks for an effective risk transfer mechanism.

 

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Minority Issues – SC, ST, Dalits, OBC, Reservations, etc.

Do we need to count caste in census?

Note4Students

From UPSC perspective, the following things are important :

Prelims level: Not much

Mains level: Need for and issues with Caste Census

  • A continuous and unabated push towards including caste in the forthcoming census enumeration has finally ended with the Union government position into the Supreme Court.
  • The Centre had decided as a matter of policy not to enumerate caste-wise population other than Scheduled Castes and Scheduled Tribes.

Must read:

Complex count: On caste census

Existing issue: Delay in the Census itself

  • That a decadal exercise has faced discontinuation with the pandemic is damaging enough, which will require reconstruction for the year 2021.
  • We are also not sure how the Registrar General and Census Commissioner, who could not conduct the census on time, will be able to add any other additional questions including enumeration of caste.
  • The Election Commission did its job in conducting elections during Covid-19 but not the Census Commissioner.

Why caste cannot be included at this hour?

  • In the midst of an uncertain environment, conducting a census is unavoidable since it is not an overnight exercise.
  • Imposing the collection of caste information may dilute the exercise at the very least and send wrong signals regarding its purpose.

Why we should let the Census go its way?

There need to be sincere efforts towards putting systems in place in context to the Census.

(a) Population Enumeration

  • There is a need conduct the population enumeration at the earliest and providing an update of India’s population dynamics in comparable terms to be read against the past.
  • The absence of population enumeration and its discontinuation can have implications for gauging the evolving changes as well as its prospects.

(b) Age-sex composition

  • Census offer some tentative clues towards the age-sex composition of the population under varying sets of assumptions.
  • Besides, it offers more detailed information — on households, assets, marital status, education, migration etc since the last census of 2011.
  • Moreover it would provide accurate data about India’s large chunk of population which is ageing.

(c) Impact of the Pandemic

  • A decade of rapid fertility declines and rising mobility needs serious assessment in terms of its impact on the population dynamics.
  • In the absence of any clue regarding population, together with a pandemic with its devastating course of fatalities, the need for a population enumeration is all the more urgent.
  • Estimated and projected numbers can serve as approximations to the extent of the assumptions being realistic and accurate.

(d) Planning for the next FYP

  • A 14th five-year plan being in the offing makes it a crucial year to have the real numbers towards making the planning exercise effective.
  • Preparing our human capital of quality and adaptability to the emerging labour market is the need of the hour, and at the same time.

Impediments created by including Caste

An attribute like caste being obtained in a census exercise makes matters complex on multiple grounds such as:

  • Caste within Caste: Given the differences in caste hierarchies across various regions of the country, a comparative reading along with generating a common hierarchy may be a challenge.
  • Caste over occupation linked predicaments: Further, caste linked deprivation or adversity may not be as common as occupation linked predicaments, which become easier to compare across states/regions.
  • Anonymity and bias: An intimate and personalised attribute like caste may have its differential exposition between urban and rural residents. Urban residents’ need for anonymity can always bias the reporting on caste.
  • Identity crisis: Above all, recognition and adherence to caste identity is to a large extent shaped by progressive ideals, cosmopolitanism and education, which has its own regional divide in the country between the north and the south.

Other concerns

  • Accuracy of reporting: With such complexities associated with divulging caste identity, one cannot be sure of its accuracy in reporting on the one hand and the possible bias linked to other attributes on the other.
  • Existing status-quo: The attributes obtained in the census like age, sex, residence, occupation and religion in themselves have not received adequate exploration to add to the understanding of differential population dynamics.
  • Non-intervention: Considering caste with its wide-ranging count as another fresh attribute may not be of worth as neither will it offer sensible outcome differences nor facilitate identification for intervention.

Way forward

  • The census enumeration should be a priority and the proposed digital enumeration should become more effective in generating required data of quality and accuracy.
  • The upcoming census is certain to reveal interesting realities of population dynamics that go beyond the narrow and regressive outlook of the caste count to help gauge the transformation in human capital.

Conclusion

  • In fact, attributes like caste and religion that are not modifiable should be less important compared to modifiable attributes like education, occupation and other endowment linked attributes.
  • Hence, the moral lies in rising above ascribed attributes in defining outcomes to that of achieved ones.
  • Such an approach has a dual advantage of gauging distribution across attributes as well as their response to outcomes.

 

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Water Management – Institutional Reforms, Conservation Efforts, etc.

Wastewater Treatment in India

Note4Students

From UPSC perspective, the following things are important :

Prelims level: Important facts mentioned

Mains level: Wastewater treatment in India

Sewage treatment plants (STPs) in India are able to treat a little more than a third of the sewage generated per day, according to the latest report of the Central Pollution Control Board (CPCB).

What is Wastewater?

Wastewater is used water from any combination of domestic, industrial, commercial or agricultural activities, surface runoff/ stormwater, and any sewer inflow or sewer infiltration.

In everyday usage, wastewater is commonly a synonym for:

  • Sewage also called domestic wastewater or municipal wastewater which is wastewater that is produced by a community of people.
  • Industrial wastewater, water-borne waste generated from a variety of industrial processes, such as manufacturing operations, mineral extraction, power generation, or water and wastewater treatment.
  • Cooling water, released with potential thermal pollution after use to condense steam or reduce machinery temperatures by conduction or evaporation
  • Leachate, precipitation containing pollutants dissolved while percolating through ores, raw materials, products, or solid waste
  • Return flow, carrying suspended soil, pesticide residues, or dissolved minerals and nutrients from irrigated cropland
  • Surface runoff, the flow of water occurring on the ground surface when excess rainwater, stormwater, meltwater, or other sources, can no longer sufficiently rapidly infiltrate in the soil.
  • Urban runoff, including water used for outdoor cleaning activity and landscape irrigation in densely populated areas created by urbanization
  • Agricultural wastewater, generated from confined animal operations

Wastewater in India

  • India generated 72,368 MLD (million litres per day) whereas the installed capacity of STPs was 31,841 MLD (43.9 per cent), according to the report.

Treatment facilities available

  • Of this installed capacity, developed and operationalized capacity was 26,869 MLD (84 per cent).
  • Of the total operationalised capacity, 20,235 MLD (75 per cent) was the actual utilised capacity.
  • In other words, out of total 72,368 MLD sewage generated every day, only 20,235 MLD is treated.

Skewed distribution

  • Five states and Union Territories (UT) — Maharashtra, Gujarat, Uttar Pradesh, Delhi and Karnataka — account for 60 per cent of the total installed treatment capacity of the country.
  • These, along with five other states and UTs — Madhya Pradesh, Haryana, Punjab, Tamil Nadu and Rajasthan — alone constitute 86 per cent of the total installed capacity.
  • Arunachal Pradesh, Andaman & Nicobar Islands, Lakshadweep, Manipur, Meghalaya and Nagaland have not installed sewage treatment plants.
  • There are states like Bihar which do have a small installed capacity of STPs. But on the operational front, they score a zero.
  • Chandigarh ranks first in terms of total sewage generated to what is actually treated. It generates 188 MLD of sewage and has an operational capacity to treat 271 MLD.

Major issue: Reuse of sewage

  • The reuse of treated sewage is an issue which hasn’t assumed much importance in the policy planning of many state governments.
  • Treated sewage water can be reused for horticulture, irrigation, washing activities (road, vehicles and trains), fire-fighting, industrial cooling, toilet flushing and gardening.
  • The proportion of the reuse of treated sewage is maximum in Haryana (80 per cent) followed by Puducherry (55 per cent), Delhi (50 per cent), Chandigarh (35 per cent), Tamil Nadu (25 per cent), Madhya Pradesh (20 per cent) and Andhra Pradesh (5 per cent).

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NITI Aayog’s Assessment

[pib] Reforms in Urban Planning Capacity in India

Note4Students

From UPSC perspective, the following things are important :

Prelims level: NITI Aayog

Mains level: Evolving concept of urban development

NITI Aayog has launched a report titled ‘Reforms in Urban Planning Capacity in India’ on measures to ramp up urban planning capacity in India.

Reforms in Urban Planning

  • The report has been developed by NITI Aayog, in consultation with concerned ministries and eminent experts in the domain of urban and regional planning.
  • It underscores urban challenges, including town planning and emphasizes need greater policy attention in our country.

Why such report?

  • India is home to 11% of the total global urban population.
  • By 2027, India will surpass China as the most populous country in the world.
  • Unplanned urbanization, however, exerts great strain on our cities. In fact, the Covid-19 pandemic has revealed the dire need for the planning and management of our cities.
  • The existing urban planning and governance framework is complex, which often leads to ambiguity and lack of accountability.

Highlights of the report

The report makes several recommendations that can unblock bottlenecks in the value chain of urban planning capacity in India.  Some of them are:

Programmatic Intervention for Planning of Healthy Cities:

  • Every city must aspire to become a ‘Healthy City for All’ by 2030.
  • The report recommends a Central Sector Scheme ‘500 Healthy Cities Programme’, for a period of 5 years, wherein priority cities and towns would be selected jointly by the states and local bodies.

Programmatic Intervention for Optimum Utilization of Urban Land:

  • All the cities and towns under the proposed ‘Healthy Cities Programme’ should strengthen development control regulations based on scientific evidence to maximize the efficiency of urban land (or planning area).
  • The report recommends a sub-scheme ‘Preparation/Revision of Development Control Regulations’ for this purpose.

Ramping Up of Human Resources:

  • To combat the shortage of urban planners in the public sector, the report recommends that the states/UTs may need to a) expedite the filling up of vacant positions of town planners.
  • It asks to additionally sanction 8268 town planners’ posts as lateral entry positions.

Ensuring Qualified Professionals for Undertaking Urban Planning:

  • State town and country planning departments face an acute shortage of town planners.
  • This is compounded by the fact that in several states, ironically, a qualification in town planning is not even an essential criterion for such jobs.
  • States may need to undertake requisite amendments in their recruitment rules to ensure the entry of qualified candidates into town-planning positions.

Re-engineering of Urban Governance:

  • The report recommends the constitution of a high-powered committee to re-engineer the present urban-planning governance structure.
  • The key aspects that would need to be addressed in this effort are:
  1. clear division of the roles and responsibilities of various authorities, appropriate revision of rules and regulations, etc.,
  2. creation of a more dynamic organizational structure, standardisation of the job descriptions of town planners and other experts, and
  3. extensive adoption of technology for enabling public participation and inter-agency coordination.

Revision of Town and Country Planning Acts:

  • Most States have enacted the Town and Country Planning Acts, that enable them to prepare and notify master plans for implementation.
  • However, many need to be reviewed and upgraded.
  • Therefore, the formation of an apex committee at the state level is recommended to undertake a regular review of planning legislations (including town and country planning or urban and regional development acts or other relevant acts).

Demystifying Planning and Involving Citizens:

  • While it is important to maintain the master plans’ technical rigour, it is equally important to demystify them for enabling citizens’ participation at relevant stages.
  • Therefore, the committee strongly recommends a ‘Citizen Outreach Campaign’ for demystifying urban planning.

Steps for Enhancing the Role of Private Sector:

  • The report recommends that concerted measures must be taken at multiple levels to strengthen the role of the private sector to improve the overall planning capacity in the country.
  • These include the adoption of fair processes for procuring technical consultancy services, strengthening project structuring and management skills in the public sector, and empanelment of private sector consultancies.

Steps for Strengthening Urban Planning Education System:

  • The Central universities and technical institutions in all the other States/UTs are encouraged to offer PG degree programmes (MTech Planning) to cater to the requirement of planners in the country.
  • The committee also recommends that all such institutions may synergize with Ministry of Rural Development, Ministry of Panchayati Raj and respective state rural development departments.

Measures for Strengthening Human Resource and Match Demand–Supply:

  • The report recommends the constitution of a ‘National Council of Town and Country Planners’ as a statutory body.
  • Also, a ‘National Digital Platform of Town and Country Planners’ is suggested to be created within the National Urban Innovation Stack of MoHUA.
  • This portal will enable self-registration of all planners and evolve as a marketplace for potential employers and urban planners.

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Financial Inclusion in India and Its Challenges

RBI unveils Financial Inclusion Index

Note4Students

From UPSC perspective, the following things are important :

Prelims level: Financial Inclusion Index

Mains level: Financial inclusion of masses

The Reserve Bank of India (RBI) has announced the formation of a composite Financial Inclusion Index (FI-Index) to capture the extent of financial inclusion across the country.

Financial Inclusion Index

  • The FI-Index will be published in July every year.
  • The index captures information on various aspects of financial inclusion in a single value ranging between 0 and 100, where 0 represents complete financial exclusion and 100 indicates full financial inclusion.
  • It has been conceptualized as a comprehensive index incorporating details of banking, investments, insurance, postal as well as the pension sector in consultation with the government and respective sectoral regulators.
  • It has been constructed without any ‘base year’ and as such it reflects cumulative efforts of all stakeholders over the years towards financial inclusion.

Parameters of the index

  • The FI-Index comprises three broad parameters viz.,
  1. Access (35%),
  2. Usage (45%), and
  3. Quality (20%)
  • These parameters are the identification of the customer, reaching the last mile, and providing relevant, affordable and safe products.
  • The index is responsive to ease of access, availability and usage of services, and quality of services for all 97 indicators.

This year’s highlight

  • The annual FI-Index for the period ended March 2021 stood at 53.9 compared with 43.4 for the period ended March 2017.

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Prime Minister’s Office : Important Updates

Quality of Life for Elderly Index

Note4Students

From UPSC perspective, the following things are important :

Prelims level: Quality of Life for Elderly Index

Mains level: Old age security

Quality of Life for Elderly Index was released by the Economic Advisory Council to the Prime Minister (EAC-PM).

Quality of Life for Elderly Index

The Index has been created by the Institute for Competitiveness at the request of EAC-PM and it sheds light on an issue often not mentioned- problems faced by the elderly.

  • The report identifies the regional patterns of ageing across the Indian States and assesses the overall ageing situation in India.
  • The report presents a deeper insight into how well India is doing to support the well-being of its ageing population.
  • The Index framework includes four pillars:
  1. Financial Well-being
  2. Social Well-being
  3. Health System and
  4. Income Security
  • It has eight sub-pillars: Economic Empowerment, Educational Attainment & Employment, Social Status, Physical Security, Basic Health, Psychological Wellbeing, Social Security and Enabling Environment.

Features of the index

  • This index broadens the way we understand the needs and opportunities of the elderly population in India.
  • It goes far beyond the adequacy of pensions and other forms of income support, which, though critical, often narrows policy thinking and debate about the needs of this age group.
  • The index highlights that the best way to improve the lives of the current and future generations of older people is by investing in health, education and employment for young people today.

Why need such an index?

  • India is often portrayed as a young society, with a consequent demographic dividend.
  • But, as with every country that goes through a fast process of demographic transition, India also has greying cum aging problem.
  • Without a proper diagnostic tool to understand the implications of its ageing population, planning for the elderly can become a challenge for policymakers.

Key Highlights from the Report:

  • The Health System pillar observes the highest national average, 66.97 at an all-India level, followed by 62.34 in Social Well-being.
  • Financial Well-being observes a score of 44.7, which is lowered by the low performance of 21 States across the Education Attainment & Employment pillar, which showcases scope for improvement
  • States have performed particularly worse in the Income Security pillar because over half of the States have a score below the national average, i.e., 33.03 in Income Security, which is the lowest across all pillars.

Performance of the states

  • Among all the states, Rajasthan and Himachal Pradesh are top-scoring regions in the aged states and relatively aged states categories.
  • Rajasthan has a score of 54.61 in the aged states category while Himachal Pradesh has a score of 61.04 in relatively aged states.
  • Mizoram has a score of 59.79 among northeastern states while Chandigarh scored 63.78 among the Union Territories.
  • Jammu and Kashmir scored the lowest 46.16 among Union Territories.
  • Arunachal Pradesh, among the northeastern states, scored the lowest score with 46.16.
  • In the aged states and relatively aged states categories, Telangana and Gujarat scored the lowest with 38.19 and 49.00, respectively.

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Economic Indicators and Various Reports On It- GDP, FD, EODB, WIR etc

Poverty in India is on rise again

Note4Students

From UPSC perspective, the following things are important :

Prelims level: Poverty estimates

Mains level: Pauperization in India

In the absence of Consumption Expenditure Survey (CES) data, the Periodic Labour Force Survey shows a rise in the absolute number of the poor in India.

About Consumption Expenditure Survey (CES)

  • A CES is conducted by the National Sample Survey Office (NSO) every five years.
  • But the CES of 2017-18 (already conducted a year late) was not made public by the Government of India.
  • Now, we hear that a new CES is likely to be conducted in 2021-22, the data from which will probably not be available before end-2022.
  • India has not released its CES data since 2011-12.

Key highlights

  • Unemployment had reached a 45-year high in 2017-18, as revealed by NSO’s Periodic Labour Force Survey (PLFS).
  • While the PLFS’s questions on consumption expenditure are not as detailed as those of the CES, they are sufficient for us to estimate changes in consumption on a consistent basis across time.
  • It enables any careful researcher to estimate the incidence of poverty (i.e. the share in the total population of those below the poverty line), as well as the total number of persons below poverty.

There is unemployment induced poverty

  • There is a clear trajectory of the incidence of poverty falling from 1973 to 2012.
  • In fact, since India began collecting data on poverty, the incidence of poverty has always fallen, consistently.
  • It was 54.9% in 1973-4; 44.5% in 1983-84; 36% in 1993-94 and 27.5% in 2004-05.
  • This was in accordance with the Lakdawala poverty line (which was lower than the Tendulkar poverty line), named after a distinguished economist, then a member of the Planning Commission.

Methodology of Poverty Line

  • In 2011, it was decided in the Planning Commission, that the national poverty line will be raised in accordance with the recommendations of an expert group chaired by the late Suresh Tendulkar.
  • That is the poverty line we use in estimating poverty in the table.
  • As it happens, this poverty line was comparable at the time to the international poverty line (estimated by the World Bank), of $1.09 (now raised to $1.90 to account for inflation) person per day.
  • The PLFS also estimates the incidence of poverty. It also collects the household monthly per capita consumption expenditure data based on the Mixed Recall Period methodology.

Stunning rise in Poverty

  • It is stunning fact that for the first time in India’s history of estimating poverty, there is a rise in the incidence of poverty since 2011-12.
  • The important point is that this is consistent with the NSO’s CES data for 2017-18 that was leaked data.
  • The leaked data showed that rural consumption between 2012 and 2018 had fallen by 8%, while urban consumption had risen by barely 2%.
  • Since the majority of India’s population (certainly over 65%) is rural, poverty in India is also predominantly rural.
  • Remarkably, by 2019-20, poverty had increased significantly in both the rural and urban areas, but much more so in rural areas (from 25% to 30%).

Why is it intriguing?

  • It is important here to recall two facts: between 1973 and 1993, the absolute number of poor had remained constant (at about 320 million poor), despite a significant increase in India’s total population.
  • Between 1993 and 2004, the absolute number of poor fell by a marginal number (18 million) from 320 million to 302 million, during a period when the GDP growth rate had picked up after the economic reforms.
  • It is for the first time in India’s history since the CES began that we have seen an increase in the absolute numbers of the poor, between 2012-13 and 2019-20.
  • The second fact is that for the first time ever, between 2004-05 and 2011-12, the number of the poor fell, and that too by a staggering 133 million, or by over 19 million per year.

Fuss over GDP growth

  • This was accounted for by what has come to be called India’s ‘dream run’ of growth: over 2004 and 2014, the GDP growth rate had averaged 8% per annum — a 10-year run that was not sustained thereafter.
  • By contrast, not only has the incidence of poverty increased since then, but the absolute increase in poverty is totally unprecedented.

Reasons behind this Pauperization

The reasons for increased poverty since 2013 are not far to seek:

  • GST: While the economy maintained some growth momentum till 2015, the monumental blunder of demonetization was followed by a poorly planned and hurriedly introduced GST.
  • Fall in investments: None of the engines of growth was firing after that. Private investment fell from 31% inherited by the new government, to 28% of GDP by 2019-20.
  • Fall in exports: Exports, which had never fallen in absolute dollar terms for a quarter-century since 1991, actually fell below the 2013-14 level ($315 billion) for five years.
  • Unemployment: Joblessness increased to a 45-year high by 2017-18 (by the usual status), and youth (15-29 years of age) saw unemployment triple from 6% to 18% between 2012 and 2018.
  • Fall in wages: Real wages did not increase for casual or regular workers over the same period, hardly surprising when job seekers were increasing but jobs were not at anywhere close to that rate.
  • Pandemic: Poverty is expected to rise further during the COVID-19 pandemic after the economy has contracted.

Hence, consumer expenditure fell, and poverty increased.


Back2Basics:

Poverty Lines in India: Estimations and Committees

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Defence Sector – DPP, Missions, Schemes, Security Forces, etc.

What is National Security Council (NSC)?

Note4Students

From UPSC perspective, the following things are important :

Prelims level: National Security Council (NSC)

Mains level: Not Much

The budgetary allocation for the National Security Council Secretariat (NSCS) increased 10 times from ₹33.17 crores in 2016-17 to ₹333.58 crores in 2017-18.

National Security Council (NSC)

  • The NSC is an executive government agency tasked with advising the Prime Minister’s Office on matters of national security and strategic interest.
  • It was established by the former PM of India Atal Bihari Vajpayee on 19 November 1998, with Brajesh Mishra as the first National Security Advisor.
  • Prior to the formation of the NSC, these activities were overseen by the Principal Secretary to the preceding Prime Minister.

Members

  • Besides the NSA the Deputy National Security Advisors, the Ministers of Defence, External Affairs, Home, Finance of the Government of India, and the Vice Chairman of the NITI Aayog are members of the National Security Council.
  • PM can chair the meeting of NSC (for eg – PM chaired the meeting of NSC Post Pulwama to discuss heightened tension with Pakistan).
  • Other members may be invited to attend its monthly meetings, as and when is required.

Organizational structure

  • The NSC is the apex body of the three-tiered structure of the national security management system in India.
  • The three tiers are the Strategic Policy Group, the National Security Advisory Board, and a secretariat from the Joint Intelligence Committee.

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Labour, Jobs and Employment – Harmonization of labour laws, gender gap, unemployment, etc.

[pib] Periodic Labour Force Survey (2019 –2020)

Note4Students

From UPSC perspective, the following things are important :

Prelims level: PLFS

Mains level: Unemployment in India

The Periodic Labour Force Survey (PLFS) Annual Report for July, 2019 to June 2020 was recently released by the National Statistical Office (NSO).

Periodic Labour Force Survey

  • Considering the importance of the availability of labor force data at more frequent time intervals, National Statistical Office (NSO) launched PLFS in April 2017.
  • The objective of PLFS is primarily twofold:
  1. to estimate the key employment and unemployment indicators (viz. Worker Population Ratio, Labour Force Participation Rate, Unemployment Rate) in the short time interval of three months for the urban areas only in the Current Weekly Status (CWS).
  2. to estimate employment and unemployment indicators in both ‘Usual Status’ and CWS in both rural and urban areas annually.

Various dimensions of the survey

The PLFS gives estimates of Key employment and unemployment Indicators:

  • Labour Force Participation Rate (LFPR): LFPR is defined as the percentage of persons in the labor force (i.e. working or seeking or available for work) in the population.
  • Worker Population Ratio (WPR): WPR is defined as the percentage of employed persons in the population.
  • Unemployment Rate (UR): UR is defined as the percentage of persons unemployed among the persons in the labor force.
  • Activity Status- Usual Status: When the activity status is determined on the basis of the reference period of the last 365 days preceding the date of the survey, it is known as the usual activity status of the person.
  • Activity Status- Current Weekly Status (CWS): The activity status determined on the basis of a reference period of the last 7 days preceding the date of the survey is known as the CWS of the person.

Highlights of the third report

  • The Labour force participation ratio has increased to 40.1% in 2019-20 from 37.5% and 36.9%, respectively, in the last two years.
  • Worker population rate improved to 38.2% in 2019-20 compared with 35.3% in 2018-19 and 34.7% in 2017-18.
  • The unemployment rate fell to 4.8% in 2019-20. In 2018-19, it stood at 5.8% and 6.1% in 2017-18.

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Higher Education – RUSA, NIRF, HEFA, etc.

[pib] United District Information System for Education Plus (UDISE+) 2019-20

Note4Students

From UPSC perspective, the following things are important :

Prelims level: UDISE+

Mains level: State of higher education in India

The Union Education Minister has released the Report on United Information System for Education Plus (UDISE+) 2019-20 for School Education in India.

What is UDISE+?

  • UDISE+ is one of the largest Management Information Systems on school education.
  • It covers more than 1.5 million schools, 8.5 million teachers and 250 million children.
  • Launched in 2018-2019, UDISE+ was introduced to speed up data entry, reduce errors, improve data quality and ease its verification.
  • It is an updated and improved version of UDISE, which was initiated in 2012-13 by the Ministry of Education under the UPA govt by integrating DISE for elementary education and SEMIS for secondary education.

Why is it important?

  • As per the UDISE+ website, “Timely and accurate data is the basis of sound and effective planning and decision-making.
  • Towards this end, the establishment of a well-functioning and Sustainable Educational Management Information System is of utmost importance today.”
  • In short, the UDISE+ helps measure the education parameters from classes 1 to 12 in government and private schools across India.

What does the 2019-20 report say?

  • The total enrolment in 2019-20 from primary to higher secondary levels of school education was a little over 25.09 crore.
  • Enrolment for boys was 13.01 crore and that of the girls was 12.08 crore.
  • This was an increase by more than 26 lakh over the previous year 2018-19.

(1) Pupil-teacher ratio improves

  • The Pupil-Teacher Ratio — the average number of pupils (at a specific level of education) per teacher (teaching at that level of education) in a given school year — showed an improvement all levels of school education in 2019-2020 over 2012-2013.

(2) GER improves

  • The gross enrolment ratio (GER), which compares the enrolment in a specific level of education to the population of the age group which is age-appropriate for that level of education has improved at all levels in 2019-2020 compared to 2018-2019.
  • The GER increased to 89.7 percent (from 87.7 percent) at Upper Primary level, 97.8 percent (from 96.1 percent) at Elementary Level, 77.9 percent (from 76.9 percent) at Secondary Level and 51.4 percent (from 50.1 percent) at Higher Secondary Level in 2019-20 compared to 2018-19.
  • GER for girls at secondary level has gone up by 9.6 percent to reach 77.8 percent in 2019-20 compared to 68.2 percent in 2012-13.

(3) Phyical infrastructure improves, but computers and internet access remain lacking

  • The report stated that just 38.5 percent of schools across the country had computers, while only 22.3 percent had an internet connection in 2019-20.
  • This is an improvement over 2018-2019 when 34.5 percent of schools had computers and a mere 18.7 percent of schools had internet access.

Key takeaways

  • While physical infrastructure is steadily improving, the digital infrastructure for schools has a long way to go.
  • With the overwhelming majority of schools have neither computers (61 percent) nor internet access (78 percent), achieving the Centre’s ‘Digital India’ vision when it comes to online education is still some ways off.
  • The vast increase in hand wash facilities is a big step towards the fulfilment of the Modi government’s ‘Swachh Bharat’ push.
  • The Gross Enrolment Ratio improving at all levels of school education in 2019-20 compared to 2018-19 is a plus.
  • While 93 lakh more boys enrolled in education than girls, when it comes to GER, the girls pulled ahead.

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Health Sector – UHC, National Health Policy, Family Planning, Health Insurance, etc.

NITI Aayog releases study on ‘Not-for-Profit’ hospital model

Note4Students

From UPSC perspective, the following things are important :

Prelims level: Not much

Mains level: India's healthcare system and its limitations

NITI Aayog has released a comprehensive study on the not-for-profit hospital model in the country, in a step towards closing the information gap on such institutions and facilitating robust policymaking in this area.

‘Not-for-Profit’ hospitals

  • The “Not-for-Profit” Hospital Sector has the reputation of providing affordable and accessible healthcare for many years.
  • This sector provides not only curative healthcare, but also preventive healthcare, and links healthcare with social reform, community engagement, and education.
  • They utilize the resources and grants provided to them by the Government to provide cost-effective healthcare to the population without being overly concerned about profits.
  • However, this sector remains largely understudied, with a lack of awareness about its services in the public domain.

Significance for India

  • As per the NITI Aayog’s report, the not-for-profit hospitals account for only 1.1% of treated ailments as of June 2018.
  • The report further revealed that for-profit hospitals account for 55.3% of in-patients, while not-for-profit hospitals account for only 2.7% of in-patients in the country.
  • The cumulative cost of care at not-for-profit hospitals is lesser than for-profit hospitals by about one-fourth in the in-patient department.
  • This is reckoned by the package component of cost, which is approximately 20% lower, the doctor’s or surgeon’s charges, which are approximately 36% lower and the major aspect being the bed charges, which are approximately 44% lower than the for-profit hospitals.

NITI Aayog’s approach

  • Categorization of the prominent not-for-profit hospitals based on the premise of services and their ownership
  • Understanding the business model of the hospitals i.e. the financial viability, and their dependence on donations and grants
  • Understanding the challenges faced by these hospitals
  • Formulation of recommendations for policy interventions to promote the sector

Categories of such hospitals

Using the above-mentioned approach and secondary research, the following four categories were defined for the not-for-profit hospitals:

  1. Faith-based Hospitals
  2. Community-based Hospitals
  3. Cooperative Hospitals
  4. Private Trust Hospitals

Why need such hospitals?

  • There has been relatively low investment in the expansion of the health sector in the private domain.
  • The not-for-profit hospital sector provides not only curative but also preventive healthcare.
  • It links healthcare with social reform, community engagement, and education.
  • It uses government resources and grants to provide cost-effective healthcare to people without being concerned about profits.

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Goods and Services Tax (GST)

National Anti-Profiteering Authority (NAA)

Note4Students

From UPSC perspective, the following things are important :

Prelims level: National Anti-Profiteering Authority (NAA)

Mains level: Not Much

The National Anti-Profiteering Authority (NAA) has directed GST officials across the country to ensure that the tax rate cuts notified on some COVID-19-related essentials are passed on to consumers.

What is National Anti-Profiteering Authority (NAA)?

  • The NAA has been constituted under Section 171 of the Central GST Act, 2017 to ensure that the reduction in the rate of tax or the benefit of the input tax credit is passed on to the recipient by way of commensurate reduction in prices.
  • The decision about the formation of the NAA came in the background of a rate reduction of a large number of items by the GST Council in its 22ndmeeting at Guwahati.
  • At the meeting, the Council reduced rates of more than 200 items including goods and services.
  • This has made a tremendous price reduction effect and the consumers will be benefited only if the traders are making the quick reduction of the prices of respective items.
  • There was a concern that traders are reluctant to make price cuts so that they can make a profit.

Answer this PYQ in the comment box:

Q. Consider the following items:

  1. Cereal grains hulled
  2. Chicken eggs cooked
  3. Fish processed and canned
  4. Newspapers containing advertising material

Which of the above items is/are exempt under GST (Goods and Services Tax)?

(a) 1 only

(b) 2 and 3 only

(c) 1, 2 and 4 only

(d) 1, 2, 3 and 4

What is profiteering?

  • Profiteering means unfair profit realized by traders by manipulating prices, tax rate adjustment etc.
  • In the context of the newly launched GST, profiteering means that traders are not reducing the prices of the commodities when the GST Council reduces the tax rates of commodities and services.
  • Conventionally, several traders will have a strong tendency to quickly increase the price of a commodity whose tax rate has been increased.
  • But on the opposite side, they may delay the price reduction of a commodity whose tax rate has been cut by the government.
  • A delayed or postponed price reduction helps business firms to make a higher profits. The losers here are the consumers.

Functioning of NAA

  • The Authority’s main function is to ensure that traders are not realizing unfair profit by charging high prices from the consumers in the name of GST.
  • Traders may charge high prices from the consumers by naming the GST factor.
  • Similarly, they may not make quick and corresponding price reductions when the GST Council makes a tax cut. All these constitute profiteering.
  • The responsibility of the NAA is to examine and check such profiteering activities and recommend punitive actions including the cancellation of licenses.

Steps were taken by the NAA to ensure that customers get the full benefit of tax cuts:

  • Holding regular meetings with the Zonal Screening Committees and the Chief Commissioners of Central Tax to stress upon consumer awareness programs;
  • Launching a helpline to resolve the queries of citizens regarding registration of complaints against profiteering.
  • Receiving complaints through email and the NAA portal.
  • Working with consumer welfare organizations in order to facilitate outreach activities.

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