Subject: Indian Society

  • Iron Fortification: Health Risks of Excessive Iron Intake

    iron

    Central Idea

    • Iron is an essential mineral for bodily functions, but excessive intake can be harmful.
    • Fortification of food with iron is a suggested method for treating iron deficiency anemia.
    • Excess consumption of fortified foods or simultaneous consumption of multiple fortified foods can lead to excessive iron intake.

    What is Iron Fortification?

    • Iron fortification refers to the process of adding iron to food products to increase their iron content.
    • It is done using various forms of iron, such as iron salts or iron powders, which are added to the food during processing.
    • It is a public health strategy employed to address iron deficiency, particularly in populations where inadequate iron intake is prevalent.
    • The goal is to provide a significant portion of the recommended daily iron intake through fortified foods, contributing to the prevention and treatment of iron deficiency anaemia.

    Implications for Iron Overload

    • Comorbidities: Iron overload conditions, such as thalassemia, hemochromatosis, and chronic liver disease, have impaired iron excretion mechanisms.
    • Blooding events: Iron absorption is balanced by steady and minimal excretion, except during bleeding events.
    • Menstrual bleeding: Women can excrete iron through menstrual bleeding, while men are less capable of iron excretion.
    • Oxidative stress: Increased iron intake can lead to oxidative stress, cellular damage, and impaired mitochondrial function.
    • Heart ailments: High serum ferritin levels (a marker of iron storage) are associated with an increased risk of chronic diseases such as high fasting serum glucose, high total cholesterol, high triglycerides, and hypertension.
    • Liver damage: Very high amounts of iron can activate hepatic stellate cells and cause excessive deposition of extracellular matrix in the liver. Prolonged liver iron overload can lead to liver fibrosis and cirrhosis.

    Challenges and consequences

    • Minimal absorption: Only a small percentage of ingested iron from fortified foods is absorbed, with the rest passing through the intestine.
    • Digestive issues: Unabsorbed iron can cause inflammation in the gastrointestinal lining and disrupt the colonic microbiota, leading to abdominal discomfort and gastrointestinal issues.
    • Issues with nutrition absorption: Excessive iron in the gastrointestinal tract can impair the absorption of other essential minerals like zinc and copper and potentially result in other deficiencies.

    Way Forward

    • Implement individualized strategies for iron intake rather than mandatory fortification programs to avoid unsupervised high iron intake across diverse populations.
    • Ensure thorough monitoring and detection of adverse events related to iron intake.
    • Precision in public health approaches is necessary to prevent the risk of iron overload and potential long-term chronic illnesses associated with excess iron.
    • Evaluate the specific dietary iron needs of different population segments to avoid unnecessary excess iron consumption.

     

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  • Highlights of the Joint Malnutrition Estimates (JME)

    Central Idea

    • According to the Joint Malnutrition Estimates (JME) by UNICEF, WHO, and the World Bank, India has shown a reduction in stunting among children under five.

    Such reports (including NFHS) are credible sources of information to substantiate your answers in Mains answer writing ….

    What is Stunting and Wasting?

      Stunting Wasting
    Definition Impaired growth and development due to chronic malnutrition. Rapid weight loss and muscle wasting in a short period.
    Measurement Height-for-age comparison against standardized growth reference. Weight-for-height comparison against standardized growth reference.
    Causes Insufficient intake of essential nutrients, frequent infections, poor maternal health. Inadequate caloric intake, poor feeding practices, infectious diseases.
    Effects Irreversible consequences, reduced cognitive development, increased disease vulnerability. Increased morbidity and mortality, severe malnutrition.
    Time Frame Long-term condition Short-term condition
    Overall Nutritional Status Reflects chronic malnutrition Represents acute malnutrition
    Focus Impacts growth and development Impacts weight and muscle mass

     

    Decline in Child Stunting in India

    • The prevalence of stunting in India dropped from 41.6% in 2012 to 31.7% in 2022, with 1.6 crore fewer stunted children recorded.
    • India’s share of the global burden of stunting declined from 30% to 25% in the past decade.

    Concerns over Wasting

    • Wasting remains a concern in India, with an overall prevalence of 18.7% in 2022.
    • India contributes 49% to the global burden of wasting, reflecting the severity of this malnutrition indicator.
    • Two-thirds of wasting cases in India may be attributed to maternal malnutrition, leading to low birth weight for height.

    Rise in Obesity

    • The prevalence of obesity in India increased marginally from 2.2% in 2012 to 2.8% in 2022.
    • India’s obesity classification remains low compared to the global prevalence of 5.6%.
    • Obesity contributes to 8.8% of the global burden, with 31.8 lakh obese children in India.

    Way Forward

    • The JME report highlights the need for accelerated efforts to achieve global nutrition targets.
    • India’s progress aligns with the National Family Health Survey (NFHS) data, indicating a reduction in stunting.
    • More research is needed to understand the complexities of wasting, particularly its links to maternal malnutrition.
    • Continued focus on addressing malnutrition, access to health services, and maternal nutrition is crucial for further improvement.
    • Learning more about wasting and its determinants will be essential for tailored interventions in India and Asia.

     

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  • Debate over Fortified Rice

    fortified rice

    Central Idea

    • The Union Food Ministry refuted the allegations made by the Opposition regarding the distribution of Fortified Rice through fair price shops.

    What is Fortified Rice?

    • Fortified rice refers to the process of enhancing regular rice with essential nutrients to address nutritional deficiencies in populations that heavily rely on rice as a staple food.
    • These added nutrients aim to improve the nutritional value of rice and combat specific deficiencies prevalent in certain regions or population groups.
    • The fortification process involves coating the rice grains with a nutrient-rich powder or premix.
    • The specific nutrients added to fortified rice can vary, but commonly include:
    1. Iron: Iron is often added to fortified rice to address iron deficiency anaemia, a widespread nutritional problem globally.
    2. Vitamins: Essential vitamins such as vitamin A, vitamin B-complex (including thiamine, riboflavin, niacin, and folic acid), and vitamin D may be included in fortified rice to address specific vitamin deficiencies prevalent in target populations.
    3. Minerals: Other minerals like zinc, calcium, and iodine may be incorporated into fortified rice, depending on the specific nutritional needs and deficiencies of the target population.

    Need for fortification

    • Data from the National Family Health Survey 2019-21 shows that 57 per cent of women in the reproductive age group (15-49) are deficient in iron.
    • Moreover, studies have shown that about a fifth of the children (0-5 years) who do not have access to a nutritious and diversified diet suffer from vitamin-A deficiency.
    • Vitamin D deficiency has been termed a silent epidemic.

    Advantages offered

    • Health: Fortified staple foods will contain natural or near-natural levels of micro-nutrients, which may not necessarily be the case with supplements.
    • Taste: It provides nutrition without any change in the characteristics of food or the course of our meals.
    • Nutrition: If consumed on a regular and frequent basis, fortified foods will maintain body stores of nutrients more efficiently and more effectively than will intermittently supplement.
    • Economy: The overall costs of fortification are extremely low; the price increase is approximately 1 to 2 percent of the total food value.
    • Society: It upholds everyone’s right to have access to safe and nutritious food, consistent with the right to adequate food and the fundamental right of everyone to be free from hunger.

    Issues with fortified food

    • Against nature: Fortification and enrichment upset nature’s packaging. Our body does not absorb individual nutrients added to processed foods as efficiently compared to nutrients naturally occurring.
    • Bioavailability: Supplements added to foods are less bioavailable. Bioavailability refers to the proportion of a nutrient your body is able to absorb and use.
    • Immunity issues: They lack immune-boosting substances.
    • Over-nutrition: Fortified foods and supplements can pose specific risks for people who are taking prescription medications, including decreased absorption of other micro-nutrients, treatment failure, and increased mortality risk.

    Possible health hazard

    • Thalassemia, sickle cell anaemia and malaria are conditions where there is already excess iron in the body, whereas TB patients are unable to absorb iron.
    • Consumption of iron-fortified foods among patients of these diseases can reduce immunity and functionality of organs.

    Ministry’s justification of Fortified Rice

    • The Ministry cited various studies to support the assertion that consumption of fortified rice leads to a significant improvement in haemoglobin levels and a reduction in the prevalence of anaemia.
    • Rice fortification has been adopted by seven countries, including the U.S., since 1958, highlighting its effectiveness as a public health intervention.
    • Ongoing evaluation, conducted by NITI Aayog in collaboration with the Indian Council of Medical Research, is being carried out to assess the impact and effectiveness of fortified rice.
    • Evaluation studies focusing on pilot districts are currently underway to gather comprehensive data and insights.

    Way Forward

    • Collaborative efforts between the Ministry, NITI Aayog, and other relevant institutions should be prioritized to conduct a thorough and independent evaluation of the fortified rice program.
    • Transparent communication of evaluation results and findings is crucial to foster trust and address any potential shortcomings or areas of improvement.
    • Incorporating feedback and recommendations from stakeholders will be valuable in enhancing the implementation and impact of the fortified rice distribution program.
    • Continuous monitoring and assessment of the program’s effectiveness should be a priority, enabling necessary adjustments and improvements to be made in a timely manner.

     

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  • Unraveling Social Fabric: The Impact of Social Media on Public Discourse

    Central Idea

    • The recent wave of violence in Manipur serves as another grim reminder of the deterioration of our social fabric. The Finance Minister’s recent expression of sorrow over the lack of personal regard among politicians despite ideological differences resonates with many of us. We reminisce about a time when meaningful conversations and differing opinions could coexist without animosity. However, in today’s landscape, we find ourselves drifting apart from those with whom we disagree and nurturing a deep aversion towards them.

    The phenomenon of polarization

    • Ideological Divisions: Polarization refers to the growing ideological divisions within societies. It is characterized by an increasing separation of people into distinct ideological camps, often with extreme views and a lack of willingness to engage with opposing perspectives.
    • Us vs. Them Mentality: Polarization fosters an us vs. them mentality, where individuals identify strongly with their own group and view those outside their group as adversaries. This mentality fuels hostility, animosity, and a deep sense of distrust towards those who hold different beliefs or opinions.
    • Echo Chambers: Polarization is exacerbated by the prevalence of echo chambers, which are created by social media and other platforms. Echo chambers are virtual spaces where like-minded individuals reinforce each other’s beliefs and shield themselves from differing viewpoints. This reinforces preexisting biases and prevents exposure to alternative perspectives.
    • Confirmation Bias: Polarization is fueled by confirmation bias, whereby individuals seek out information that confirms their existing beliefs and dismiss or ignore contradictory evidence. This selective exposure to information further entrenches people in their ideological positions and prevents the formation of nuanced opinions.
    • Emotionalization of Issues: Polarization often leads to the emotionalization of issues, where discussions become heated and personal. Emotions such as anger, fear, and resentment drive the discourse, making it difficult to engage in rational and constructive conversations.
    • Loss of Civil Discourse: Polarization erodes civil discourse and respectful disagreement. Rather than engaging in meaningful dialogue, individuals tend to resort to personal attacks, demonization, and dehumanization of those with differing views. This breakdown of civility undermines the foundations of a healthy democratic society.
    • Political Gridlock: Polarization can result in political gridlock, where the inability to find common ground hinders policy-making and governance. As political parties become more polarized, finding compromises and reaching consensus becomes increasingly challenging, leading to a stalemate in decision-making processes.
    • Social Fragmentation: Polarization contributes to social fragmentation, dividing communities and societies along ideological lines. It undermines social cohesion, trust, and cooperation, making it harder to address common challenges and work towards collective goals.
    • Threat to Democracy: Polarization poses a significant threat to democratic processes. It undermines the principles of compromise, inclusivity, and consensus-building that are essential for a functioning democracy. When polarization intensifies, it can lead to social unrest, political instability, and a breakdown of democratic institutions.
    • Implications for Social Well-being: Polarization has negative consequences for societal well-being. It can contribute to heightened levels of stress, anxiety, and social isolation. It impedes constructive problem-solving, stifles innovation, and hampers social progress.

    Impact of Social Media

    1. Positive Impact:
    • Connectivity and Communication: Social media platforms have revolutionized communication, allowing individuals to connect and stay in touch with friends, family, and communities across geographical boundaries.
    • Information Sharing: Social media provides a platform for the rapid dissemination of information, enabling users to access news, updates, and educational content from various sources.
    • Amplification of Voices: Social media empowers marginalized individuals and communities by providing them with a platform to share their stories, experiences, and perspectives, thereby amplifying their voices and fostering inclusivity.
    • Business and Entrepreneurship Opportunities: Social media platforms offer businesses and entrepreneurs the ability to reach a global audience, market their products or services, and build brand awareness at a relatively low cost.
    • Awareness and Activism: Social media plays a crucial role in raising awareness about social and environmental issues, mobilizing communities, and facilitating social and political activism.
    1. Negative Impact:
    • Spread of Misinformation: Social media platforms are susceptible to the rapid spread of misinformation, fake news, and rumors, which can lead to confusion, polarization, and manipulation of public opinion.
    • Cyberbullying and Online Harassment: Social media platforms have provided a platform for cyberbullying, hate speech, and online harassment, causing emotional distress and harm to individuals, especially young people.
    • Privacy and Data Security Concerns: Social media platforms collect and store vast amounts of user data, raising concerns about privacy breaches, data misuse, and unauthorized access to personal information.
    • Impact on Mental Health: Excessive use of social media has been linked to increased feelings of anxiety, depression, loneliness, and low self-esteem, as individuals compare themselves to others and seek validation through online interactions.
    • Erosion of Civil Discourse: The anonymity and distance provided by social media can lead to the erosion of civil discourse, with conversations turning hostile, polarized, and lacking empathy and respect for diverse opinions.
    • Addiction and Time Management Issues: Social media addiction can disrupt daily routines, affect productivity, and lead to an excessive focus on virtual interactions at the expense of real-life relationships and activities.

    How Social media amplifies narcissistic tendencies?

    • Social media has the potential to amplify narcissistic tendencies and prioritize personal opinions over the feelings of others in several ways:
    • Self-Centric Nature: Social media platforms often encourage users to present curated versions of their lives, focusing on self-presentation and self-promotion. This self-centric nature can fuel narcissistic tendencies, as individuals seek validation, attention, and admiration from their online peers.
    • Selective Self-Presentation: Social media allows individuals to carefully select and highlight aspects of their lives that project a positive image. This selective self-presentation can contribute to a self-centered mindset, where individuals prioritize their own opinions and perspectives without fully considering or empathizing with the feelings and experiences of others.
    • Validation through Likes and Followers: Social media platforms often employ metrics such as likes, followers, and shares as measures of popularity and social validation. This can incentivize users to prioritize personal opinions and content that garners attention and positive feedback, further reinforcing self-centered behavior and disregarding the impact on others.
    • Echo Chambers and Confirmation Bias: Social media algorithms create echo chambers, where individuals are exposed to content that aligns with their existing beliefs and perspectives. This reinforces confirmation bias, leading users to seek out and engage with content that supports their own opinions.
    • Disinhibition and Online Anonymity: Social media platforms often provide a sense of anonymity and detachment from real-life consequences. This can lead to disinhibition, where individuals feel freer to express their opinions without the social norms and inhibitions present in face-to-face interactions.
    • Limited Non-Verbal Cues: Social media communication lacks non-verbal cues, such as facial expressions and tone of voice, which are crucial for understanding others’ emotions and maintaining empathy. The absence of these cues can make it easier for individuals to prioritize their own opinions without fully recognizing or acknowledging the impact their words may have on others.

    Way forward: A Citizen-Led Solution

    • Critical Media Consumption: Develop critical media literacy skills to discern reliable information from misinformation or fake news. Be vigilant about verifying information before sharing it and actively seek out diverse perspectives to avoid falling into echo chambers.
    • Mindful Social Media Usage: Be mindful of your social media usage and the impact it has on your well-being. Set boundaries, allocate specific times for social media engagement, and prioritize real-life interactions and relationships over virtual ones.
    • Responsible Sharing: Before sharing content on social media, consider the accuracy, credibility, and potential impact of the information. Share content responsibly, ensuring that it contributes positively to public discourse and avoids the spread of misinformation or hate speech.
    • Promote Civil Discourse: Engage in respectful and constructive discussions online. Foster empathy and understanding, even when encountering differing opinions. Be open to listening and learning from others, while maintaining a respectful tone.
    • Support Digital Literacy Initiatives: Advocate for and support initiatives that promote digital literacy and critical thinking skills. Encourage educational institutions, policymakers, and community organizations to prioritize digital literacy programs that equip individuals with the skills needed to navigate the digital landscape responsibly.
    • Advocate for Responsible Platform Practices: Encourage social media platforms to prioritize responsible content moderation practices, transparency, and user privacy. Support efforts that combat hate speech, misinformation, and cyberbullying on these platforms.
    • Engage in Positive Online Activism: Use social media as a platform for positive activism and constructive dialogue. Support causes, campaigns, and initiatives that promote inclusivity, tolerance, and social justice. Share stories and content that uplift and inspire others.
    • Foster Digital Empathy: Cultivate empathy in online interactions by considering the perspectives and feelings of others. Treat online interactions as you would face-to-face conversations, with respect, kindness, and consideration for others’ emotions.
    • Promote Offline Connections: Encourage offline interactions and relationships. Invest time in meaningful face-to-face conversations, community engagement, and real-world connections. Strengthening offline relationships can help balance and reduce dependence on social media.
    • Advocate for Ethical Tech Practices: Support efforts to regulate and hold social media companies accountable for their practices. Advocate for ethical tech practices, user privacy protection, and responsible use of user data.

    Conclusion

    • The impact of social media on public discourse and the unraveling of our social fabric cannot be underestimated. It is imperative that individuals take responsibility and break free from the addictive allure of social media platforms. By prioritizing genuine human connections, engaging with diverse perspectives, and rebuilding our social bonds, we can mitigate the threats posed by social media and restore a healthier, more respectful public discourse.

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    Also read:

    Social Media: Prospect and Challenges

     

  • Diversifying Our Understanding of Religion and Caste in Contemporary India

    Religion

    Central Idea

    • The recent outcome of the Karnataka elections provides an opportunity to broaden our understanding of religion and caste as categories of identity and belief. It is essential to recognize that these identities go beyond mere labels and hold pan-India significance. Amidst the rapid urbanization of Gurugram, the interplay of technology, finance, infrastructure, and land markets has brought about intriguing effects on traditional aspects of life. Notably, the strengthening of caste and religious identities has occurred alongside the transformation of the local landscape

    Contemporary dynamics of the religion and caste in society

    • Social Media: The emergence and widespread use of social media platforms have significantly influenced the dissemination of information and the expression. Social media platforms have provided individuals with new avenues to express their beliefs, connect with like-minded individuals, and engage in discussions and debates related to religion and caste.
    • Leisure Cultures: Changing patterns of leisure activities and cultural practices have contributed to the reshaping of religious and caste identities. The ways in which people engage with leisure, entertainment, and cultural events often intersect with their religious and caste affiliations. These leisure cultures can reinforce existing identities, foster a sense of community, and contribute to the preservation and celebration of religious and caste traditions.
    • Globalization of Identities: The increased mobility, migration, and transnational interactions have allowed for the transmission and adoption of religious and caste practices, beliefs, and ideologies across different geographical locations. This globalization of identities has influenced how individuals perceive and express their religious and caste affiliations.
    • Emphasis on Heritage: The promotion and celebration of cultural heritage, rituals, and customs have become significant aspects of identity formation and community building. This focus on heritage can reinforce religious and caste affiliations and contribute to the preservation of traditional practices.

    Complexities of contemporary identities

    • Intersectionality: Contemporary identities are often multifaceted and intersectional, encompassing multiple dimensions such as gender, class, religion, caste, and regional affiliations. Individuals’ identities are shaped by the interaction of these diverse factors, leading to complex experiences and perspectives.
    • For example: In the context of Gurugram, caste identities intersect with the effects of urbanization, globalization, and economic transformations, creating intricate social dynamics.
    • Shifting Meanings: The meanings attached to religious and caste identities have evolved over time. Globalization, technology, and changing social norms have influenced the ways in which individuals understand and express their religious and caste affiliations. These shifting meanings challenge traditional understandings and necessitate a deeper exploration of the contemporary dynamics surrounding religion and caste.
    • Hybridity and Adaptation: As individuals navigate the complexities of a rapidly changing world, they might combine elements of their religious and caste backgrounds with new cultural practices, beliefs, and expressions. This hybridity reflects the fluid nature of contemporary identities and the ways in which individuals negotiate their sense of self within evolving social contexts.
    • Global Influences: Increased exposure to diverse cultural and religious influences from around the world can impact individuals’ beliefs, practices, and self-perception. This global exchange of ideas and cultural practices contributes to the complexities of contemporary identities, blurring traditional boundaries and fostering new forms of identity expression.
    • Individual Agency: Contemporary identities are influenced by individual agency, as individuals actively construct and negotiate their own sense of self and belonging. People have the autonomy to choose, reinterpret, or reject religious and caste identities based on their personal experiences, beliefs, and aspirations. This individual agency adds complexity to the understanding of contemporary identities and challenges rigid categorizations.

    Why religious and caste sentiments thrive despite the seemingly impersonal nature of modern relations?

    • Historical Significance: Religion and caste have deep historical roots in India, shaping the social, cultural, and political fabric of the country for centuries. These identities have been intricately woven into people’s lives and community structures, and their significance continues to endure even in the face of modernization. Historical legacies and the sense of identity associated with religion and caste contribute to the persistence of these sentiments.
    • Social Cohesion and Belonging: Religion and caste provide individuals with a sense of belonging and community. They offer a framework for social cohesion, providing a sense of identity, support, and solidarity. In an increasingly fragmented and individualistic society, religious and caste affiliations can offer a sense of belongingness and a support system that individuals seek for social integration and a sense of purpose.
    • Cultural Identity and Tradition: Religion and caste are deeply intertwined with cultural practices, rituals, and traditions which provide individuals with a connection to their cultural heritage and a sense of continuity with their ancestors.
    • Social Networks and Support: Religious and caste communities network foster a sense of mutual aid and communal bonds, creating a support system that individuals rely on in times of need. This social support and network-based assistance further reinforce the importance of religious and caste identities.
    • Political and Power Dynamics: Religion and caste continue to play a significant role in political mobilization, electoral strategies, and the distribution of resources and benefits. Political parties often exploit religious and caste identities for electoral gains, further reinforcing their salience and significance in public discourse.

    Why the newly emerging religious identities sometimes manifest as hostility towards those of different faiths?

    • Identity Assertion: The formation of new religious identities can be driven by a desire to assert and strengthen one’s own religious beliefs and practices. In some cases, this assertion may result in a sense of exclusivity and superiority, leading to hostility towards those who hold different beliefs. Individuals may perceive their newly emerging religious identity as being under threat from other faiths, and this defensive response can contribute to animosity and hostility.
    • Socialization and Group Dynamics: If individuals are surrounded by like-minded individuals who reinforce a particular narrative of their religious identity, it can lead to the development of a group mentality that views other faiths with suspicion or hostility. Group dynamics, such as peer pressure, conformity, and the need for social acceptance, can further amplify negative attitudes towards different faiths.
    • Perceived Threats and Insecurity: When new religious identities emerge, followers may perceive threats to their beliefs, traditions, or cultural practices from other faiths or societal changes. This perceived threat can evoke a defensive response, fueling hostility towards those seen as posing a challenge to their newly formed religious identity.
    • Political Instrumentalization: Political actors may exploit religious sentiments and manipulate the narrative to gain support or advance their agenda. This instrumentalization can create an us versus them mentality, deepening divisions and fostering animosity towards religious groups perceived as adversaries.
    • Economic Competition and Social Hierarchies: Economic disparities and perceived inequalities can fuel resentment towards religious groups seen as benefiting disproportionately or hindering one’s own economic advancement. This can result in the projection of animosity onto religious differences.
    • Lack of Interfaith Dialogue and Understanding: Insufficient opportunities for interfaith dialogue and understanding can contribute to the persistence of hostility between religious communities. Limited interactions and communication between followers of different faiths may perpetuate stereotypes, misunderstandings, and a lack of empathy. Without platforms for open dialogue and mutual respect, tensions can escalate, leading to hostility.

    Way forward: Adopting a forward-looking approach

    • Contextual Understanding: Instead of relying solely on historical perspectives, it is crucial to engage with the complexities of the present. This involves analyzing the influence of social media, new leisure cultures, globalization of caste and religious identities, the politics of heritage, and the rise of consumer culture.
    • Critical Questions: To address the contemporary manifestations of religious and caste identities, we need to ask fundamental questions. For instance, we must explore why religious and caste feelings gather strength despite the apparent prevalence of impersonal relations in a world organized through contracts and other similar mechanisms.
    • Contemporary Relevance: The explanations regarding religious identity and caste should be grounded in the present rather than relying solely on the perspectives of historical figures like Gandhi and Ambedkar. While acknowledging their important contributions, we need to apply their vantage points to analyze and understand the contemporary realities.
    • Interdisciplinary Approach: Addressing the complexities of caste and religious identities requires an interdisciplinary approach that combines insights from sociology, anthropology, history, political science, and cultural studies, among other disciplines. By bringing together diverse perspectives, we can gain a more comprehensive understanding of the multifaceted nature of these identities and their implications for contemporary society.
    • Dialogue and Empathy: Encouraging interfaith dialogue, promoting understanding, and fostering empathy are crucial steps towards mitigating hostility and building bridges between different religious communities. Creating platforms for open and respectful discussions can help dispel stereotypes, bridge gaps in understanding, and promote mutual respect.
    • Evolving Definitions: Given the altered meanings of caste and religion in a rapidly changing society, it is important to continuously reassess and redefine these concepts. By recognizing the shifting dynamics and meanings associated with caste and religion, we can develop more nuanced perspectives that align with the contemporary reality.

    Conclusion

    • As we witness the diversification of religion and caste in contemporary India, it is imperative to embrace a nuanced understanding that moves beyond historical interpretations. Recognizing the multifaceted factors influencing modern identities and the complexities of the present allows for a more comprehensive analysis. By exploring the contemporary dynamics and asking pertinent questions, we can better comprehend the changing meanings of religion and caste in today’s society and address the challenges and opportunities they present.

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    Also read:

    The Caste Census and Mandal Politics: Analysis
  • What is PARAKH Program?

    Central Idea

    • The Ministry of Education has organized a workshop in New Delhi to discuss the unification of 60 school examination boards operating across different states and union territories.
    • The key component of this plan is PARAKH, the National Assessment Centre established under the National Council of Educational Research and Training.

    What is PARAKH?

    • PARAKH stands for Performance Assessment, Review, and Analysis of Knowledge for Holistic Development.
    • It is an organization created to bring school boards from various states and union territories onto a unified platform.
    • It has been launched as part of the implementation of the National Education Policy (NEP)-2020.
    • It acts as a constituent unit of the NCERT.
    • It is tasked with holding periodic learning outcome tests like the National Achievement Survey (NAS) and State Achievement Surveys.
    • It will work on three major assessment areas: large-scale assessments, school-based assessment, and examination reforms.

    Key objectives of PARAKH

    • Uniform Norms & Guidelines: Setting comprehensive norms, standards, and guidelines for student assessment and evaluation in all recognized school boards.
    • Enhance Assessment Pattern: Encouraging school boards to adopt assessment patterns aligned with the skill requirements of the 21st century.
    • Reduce Disparity in Evaluation: Establishing uniformity across state and central boards, which currently employ different evaluation standards, resulting in significant score disparities.
    • Benchmark Assessment: Developing a benchmark assessment framework to move away from rote learning and align with the objectives of the NEP 2020.

    Outcomes of the recent workshop

    (1) Establishing Equivalence of Boards

    • The Centre is planning for the equivalence of boards to facilitate seamless transitions for students across different boards or regions.
    • The objective is to align curriculum standards, grading systems, and evaluation methodologies to enhance the credibility and recognition of certificates and grades obtained across boards.

    (2) Moving away from Rote Examination Culture

    • The workshop highlighted the need to reassess the prevailing rote examination culture in the education system.
    • There is a growing realization that holistic assessments, considering various dimensions of a student’s abilities and potential, are equally important.

    (3) Standardization and Fairness in Assessments

    • The discussion emphasized the importance of well-designed and standardized question papers to ensure fairness and consistency across schools and boards.
    • Striking a balance between formative and summative assessments was identified as a means to reduce the burden of high-stakes examinations while effectively measuring student progress.

    Conclusion

    • PARAKH’s significance lies in its potential to bring about transformative change, facilitating collaboration, and benchmarking assessments.
    • It is an important step towards creating a standardized and equitable assessment system, providing students with a fair platform to demonstrate their abilities and skills.

     

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  • Arsenic Contamination in India

    arsenic

    Central Idea: A recent peer-reviewed study suggests that even low levels of arsenic consumption can affect cognitive function in children, adolescents, and young adults.

    Arsenic Contamination

    • Arsenic is a highly toxic element naturally present in the environment.
    • Contaminated water, particularly groundwater, is a major source of arsenic exposure.
    • Long-term arsenic exposure can lead to various health issues, including cancer, skin lesions, cardiovascular disease, and negative impacts on cognitive development.

    Menace in India

    • Arsenic contamination in groundwater is one of the most crippling issues in the drinking water scenario of India.
    • According to the latest report of the Central Ground Water Board (CGWB), 21 states across the country have pockets with arsenic levels higher than the BIS stipulated permissible limit of 0.01 milligram per litre (mg/l).
    • The states along the Ganga-Brahmaputra-Meghna (GBM) river basin — Uttar Pradesh, Bihar, Jharkhand, West Bengal and Assam — are the worst affected by this human-amplified geogenic occurrence.
    • In India, arsenic contamination was first officially confirmed in West Bengal in 1983.
    • Close to four decades after its detection, the scenario has worsened.
    • About 9.6 million people in West Bengal, 1.6 million in Assam, 1.2 million in Bihar, 0.5 million in Uttar Pradesh and 0.013 million in Jharkhand are at immediate risk from arsenic contamination in groundwater.

    Key findings of the recent study

    (1) Arsenic impact on behaviour

    • The study found that individuals exposed to arsenic had reduced grey matter and weaker connections within key regions of the brain associated with cognitive functions.
    • Chronic exposure to arsenic could have significant consequences at a population level, leading to increased school failures, diminished economic productivity, and higher risks of criminal and antisocial behavior.

    (2) Arsenic Exposure and Socioeconomic Factors

    • As previous studies have shown, arsenic exposure is particularly harmful to the poor.
    • The recent study reaffirms that economically and nutritionally disadvantaged individuals experience greater cognitive impairment from arsenic exposure.
    • The impact of arsenic on impairing cognition is more pronounced at a collective level rather than at an individual level.

    Government Initiatives to address Arsenic Contamination

    • Governments in Bihar and West Bengal have taken steps to address arsenic contamination since the 1990s.
    • Strategies include promoting piped water access, installing arsenic removal plants, and encouraging groundwater extraction from deeper aquifers with lower arsenic levels.
    • The goal is to minimize arsenic exposure and mitigate its health impacts in affected regions.

    Possible solutions

    Some of the management options include

    • Uses of surface water sources
    • Exploring and harnessing alternate arsenic-free aquifer
    • Removal of arsenic from groundwater using arsenic treatment plants/filters
    • Adopting rainwater harvesting/ watershed management practices.

     

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  • Trend of unnecessary Hysterectomies

    hyster

    Central Idea: The Health Ministry in India is concerned about the high incidence of unnecessary hysterectomies, particularly among poor, less-educated women in rural areas.

    Why in news?

    • The Supreme Court has directed States and Union Territories to implement health guidelines formulated by the Centre to monitor and prevent unnecessary hysterectomies.

    What is Hysterectomy?

    • Hysterectomy is a surgical procedure to remove the uterus, and sometimes surrounding organs and tissues.
    • It can be classified as a partial hysterectomy (removal of the uterus), total hysterectomy (removal of the uterus and cervix), or radical hysterectomy (removal of the uterus, cervix, part of the vagina, and surrounding tissues).
    • The procedure can be performed through the vagina or through an incision in the abdomen.

    Issues with such surgery

    • Overuse and unnecessary procedures: Hysterectomy can be performed without exploring alternative treatments.
    • Psychological and emotional impact: The procedure may lead to feelings of loss and changes in body image.
    • Surgical risks and complications: Hysterectomy carries risks such as infection and damage to surrounding organs.
    • Long-term health effects: Removal of the uterus may have impacts on hormones and bone health.
    • Patient autonomy and informed consent: Patients should be fully informed about the procedure and involved in decision-making.
    • Access and equity: Disparities in access to healthcare may contribute to overuse, particularly among marginalized communities.

    Concerns and Petition

    A public interest litigation (PIL) highlighted the occurrence of unnecessary hysterectomies in the states of Bihar, Chhattisgarh, and Rajasthan under government healthcare schemes.

    • Marginalized women were targeted: Women from marginalized communities, such as Scheduled Castes, Scheduled Tribes, and Other Backward Communities, were disproportionately affected.
    • Misuse and Insurance Fraud: Healthcare institutions were found to be misusing hysterectomies to claim high insurance fees from the government under various health insurance schemes.

    Key issue: Violation of Fundamental Rights

    • The recent judgement acknowledges that rising hysterectomy rates among young women in India deviate from trends observed in developed countries.
    • It recognizes the violation of fundamental rights, stating that unnecessary hysterectomies infringe upon the right to health and the right to life under Article 21 of the Constitution.

    Government action and guidelines

    • The Health Ministry has closely monitored the issue of hysterectomies and requested States to share data on hysterectomy cases before and after the implementation of guidelines.
    • Compulsory audits for all hysterectomies are advised, similar to those conducted for maternal mortality, in both public and private healthcare institutions.
    • In 2022, the Health Ministry issued guidelines to prevent unnecessary hysterectomies and urged States to comply with them.

     

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  • Family Institution: Revitalizing for a Stronger and Healthier Society

    Central Idea

    • The deteriorating state of families, marked by an increase in violence, suicides among youths, and a rise in children turning to crime, reflects the enfeeblement of the traditional family system. Studies worldwide emphasize the primacy of families in society. Addressing this crisis requires attitudinal and behavioral reforms, driven by society rather than the government.

    Definition of Family

    • Family is defined as a social unit consisting of individuals who are connected by blood relations, marriage, or adoption.
    • It is a fundamental institution in society where people share emotional bonds, live together, and collaborate in various aspects of life.
    • The composition and structure of families can vary across cultures and may include parents, children, siblings, grandparents, aunts, uncles, cousins, and other relatives who share mutual responsibilities and connections.

    Role of The Family as a Foundational Institution of the society

    • Consolidation of Interpersonal Relations: The family unit is where interpersonal relationships naturally evolve and thrive. Living under one roof allows family members to share thought processes, participate in collective actions, and develop emotional bonds. These interactions foster a sense of belonging, support, and connection among family members.
    • Socialization and Education: Families are responsible for the socialization and education of children. Through nurturing and guidance, families shape the character, behavior, and values of individuals, preparing them for their roles in society.
    • Emotional Support and Stability: Families offer emotional support and serve as a source of stability in individuals’ lives. They provide a nurturing environment where love, care, and emotional well-being are nurtured.
    • Transmission of Cultural and Traditional Values: Families play a vital role in preserving and transmitting cultural and traditional values from one generation to the next. Through storytelling, rituals, customs, and celebrations, families ensure the continuity of cultural heritage and identity.
    • Economic Cooperation and Division of Labor: Families often engage in economic cooperation and division of labor, with different members contributing to the family’s economic well-being.
    • Social Support Network: Families serve as a primary social support network for individuals. Family members provide emotional, financial, and practical support during times of need, illness, or crisis.
    • Intergenerational Relationships and Caregiving: Families facilitate intergenerational relationships, creating bonds between different age groups.  Families also provide care for aging or dependent family members, ensuring their well-being and dignity.

    Challenges faced by family system in the context of a globalized world

    • Changing Social Conditions: Globalization brings about significant changes in social conditions, including urbanization, mobility, and increased connectivity.  Nuclear families are becoming more common, leading to decreased intergenerational living arrangements and reduced support systems within extended families.
    • Individualism and Fragmentation:  As people pursue their own goals and aspirations, there may be a decline in collective decision-making, shared responsibilities, and mutual support. This can weaken the bond and cohesiveness within the family unit.
    • Communication and Dialogue: Globalization has introduced new modes of communication and technology that can both connect and isolate individuals. While technological advancements have made communication easier, it can also lead to superficial and transactional interactions within families. Meaningful dialogue and deep connections between family members may suffer as a result.
    • Cultural Influences: Exposure to different cultures and values through globalization can challenge traditional family norms and practices. Western influences, in particular, can impact the traditional roles and expectations within families, leading to conflicts and tensions between generations and genders.
    • Work-Life Balance: Globalization has led to changes in work patterns and increased demands in the professional sphere. Balancing work and family responsibilities becomes more challenging, affecting the overall well-being of family members.
    • Migration and Transnational Families: Globalization has facilitated increased migration and the formation of transnational families. While migration can provide economic opportunities, it can also create challenges related to separation, long-distance relationships, cultural adjustments.
    • Consumerism and Materialism: The consumerist culture promoted by globalization places a greater emphasis on material possessions and individual desires. This can lead to conflicts within families regarding priorities, values, and the definition of success. Materialistic pursuits may overshadow the importance of emotional connections and shared experiences within the family.

    Factors behind the rise of Individualism

    • Economic Prosperity: Economic growth and increased prosperity have provided individuals with greater opportunities for personal advancement and self-fulfillment. As people become more financially independent, they are able to focus on their individual goals, desires, and aspirations.
    • Urbanization and Mobility: The process of urbanization and increased mobility has led to a shift from close-knit rural communities to more diverse and fragmented urban settings. In urban areas, individuals have greater anonymity and independence, which can foster a sense of individualism.
    • Technological Advancements: The rapid advancement of technology, particularly in the areas of communication and information, has given individuals more autonomy and freedom to pursue their own interests. The internet and social media platforms, in particular, have provided platforms for self-expression and individual identity formation.
    • Emphasis on Personal Rights and Autonomy: There has been a growing emphasis on individual rights and personal autonomy in modern societies. Movements advocating for civil rights, gender equality, and personal freedoms have contributed to the promotion of individualism as a core value.
    • Cultural and Ideological Shifts: Changing cultural norms and values, influenced by globalization and exposure to diverse cultures, have contributed to the rise of individualism. The ideals of personal freedom, self-expression, and individual choice are often celebrated in media, popular culture, and social discourses.
    • Decline of Traditional Institutions: Traditional institutions, such as extended families, religious institutions, and community structures, have weakened in many societies. This decline has led to a greater focus on the individual as the primary unit of social organization, as opposed to collective identities and obligations.
    • Influence of Western Culture: The spread of Western values and ideologies, particularly through globalization and media influence, has played a significant role in promoting individualism. Western societies have historically placed a strong emphasis on individual rights, personal achievements, and self-reliance, influencing cultural attitudes towards individualism in other parts of the world.

    Way ahead: Reforms for Strengthening the Family Institution

    1. Promoting Dialogue and Communication:
    • Encourage open and candid conversations within families, fostering an environment of trust and understanding.
    • Promote regular family meetings to discuss important issues and strengthen interpersonal relationships.
    • Educate individuals on effective communication skills, including active listening and empathetic responses.
    1. Balancing Individualism and Collectivism:
    • Emphasize the value of shared experiences, mutual support, and cooperation within families.
    • Encourage the practice of sharing responsibilities, decision-making, and resources among family members.
    • Promote activities that foster a sense of collectivism, such as family outings, collaborative projects, and joint celebrations.
    1. Restoring Transparency and Trust:
    • Foster an atmosphere of honesty, transparency, and mutual respect within families.
    • Encourage family members to share their thoughts, feelings, and concerns openly.
    • Establish mechanisms for conflict resolution and mediation to address issues and rebuild trust when conflicts arise.
    1. Cultivating Togetherness and Mentorship:
    • Create opportunities for family members to spend quality time together, engaging in shared hobbies, interests, or recreational activities.
    • Encourage mentoring relationships within families, where older members guide and support younger ones in their personal and professional development.
    • Promote intergenerational learning and knowledge exchange, preserving family values and traditions.
    1. Recognizing and Empowering Mothers:
    • Acknowledge and appreciate the vital role of mothers in nurturing and building strong families.
    • Provide support systems and resources to empower women in their roles as mothers and family leaders.
    • Promote gender equality within families, ensuring equal opportunities, security, and respect for all members.
    1. Strengthening Support Systems:
    • Develop and strengthen support networks, such as family counseling services, helplines, and community programs, to address family-related issues and provide guidance.
    • Enhance public awareness campaigns on the importance of family well-being and the need for nurturing healthy family relationships.
    • Collaborate with educational institutions, religious organizations, and community groups to promote family-oriented initiatives and activities

    Conclusion

    • The International Day of Families serves as a reminder of the alarming state of families today, characterized by violence, suicides, and societal disruptions. Recognizing the primacy of families, it is imperative to address the enfeeblement of the traditional family system through attitudinal and behavioral reforms. The collective effort of individuals, communities, and policymakers is crucial in preserving the family institution as a fundamental unit of societal well-being.

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    Also read:

    Child Marriage And The Role of Education: Analysis

     

  • Matrilineality in Meghalaya

    meghalaya

    Central Idea: A tribal council’s order not to issue a Scheduled Tribe (ST) certificate to any Khasi person who adopts the surname of her or his father has triggered a war of words in matrilineal Meghalaya.

    Matrilineal Society of Meghalaya

    • Multiple tribes in Meghalaya, northeast India, practice matrilineal descent.
    • Khasi and Garo people are the primary tribes discussed in the article.
    • The term “Ki Hynniew Trep” (The Seven Huts) refers to the Khasi people, while the Garo people are also known as Achik people.
    • These tribes have a proud heritage of matrilineality, but there are concerns about the decline of matrilineal traits.

    Background

    • Khasi people are an ancient tribe and are considered the largest surviving matrilineal culture in the world.
    • Khasis, along with other subgroups like the Garo, reside in Meghalaya, as well as bordering areas of Assam and Bangladesh.
    • The matrilineal tradition practiced by the Khasi people is unique within India.
    • Matrilineal principles are emphasized in myths, legends, and origin narratives of the Khasi tribe.
    • Reference to “Nari Rajya” in the epic Mahabharata likely correlates with the matrilineal culture of the Khasi and Jaintia Hills in Meghalaya.

    Rights, Roles and Responsibilities

    • Women play a dominant role in the matrilineal society of Meghalaya.
    • The youngest daughter, known as Ka Khadduh, inherits ancestral property.
    • Husbands live with their mother-in-law after marriage.
    • Children take their mother’s surname.
    • In case a couple has no daughters, they can adopt a daughter and pass property rights to her.
    • The birth of a girl is celebrated, and there is no social stigma associated with women remarrying or giving birth out of wedlock.
    • Women have the freedom to intermarry outside their tribe.
    • Independent, well-dressed, unmarried women enjoy security and prefer not to get married.
    • Many small businesses are managed by women.

    Comparison between Garo and Khasi Practices

    Bina Agarwal compared the Garo and Khasi practices in 1994. (Aspirants with Sociology optional are bound to remember the sociologist’s name.)

    • Garo also practices matrilineal inheritance and matrilocal post-marital residence.
    • Both tribes accept pre-marital sex by women, but adultery by women is punished.
    • The Khasi practice duolocal post-marital residence, where the husband lives separately from the wife’s parents’ residence.
    • The Khasi have an aversion to cross-cousin marriage.

    Roles of Men and Political Representation

    • Mothers or mothers-in-law are responsible for the care of children.
    • Khasi men perceive themselves as having a secondary status and established societies to protect men’s rights.
    • Representation of women in politics, legislative assembly, village councils, and panchayats is minimal.
    • Women believe they handle money matters better and enjoy economic freedom.

    Matrilineal, not matriarchal

    • While society is matrilineal, it is not matriarchal. In past monarchies of the state, the son of the youngest sister of the king inherited the throne.
    • Even now in the Meghalaya Legislative Assembly or village councils or panchayats the representation of women in politics is minimal.

    Issues with the system

    • Some Khasi men perceive themselves to be accorded a secondary status.
    • They have established societies to protect equal rights for men.
    • They express that Khasi men don’t have any security, they don’t own land, they don’t run the family business and, at the same time, they are almost good for nothing.

     

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  • India nears milestone with first indigenous Dengue Vaccine

    dengue

    Central Idea: Serum Institute of India and Panacea Biotec have applied to the ICMR’s call for Expression of Interest for collaborative Phase-III clinical trials for an indigenous dengue vaccine.

    What is Dengue?

    Details
    Transmission Primarily transmitted through the bite of infected Aedes mosquitoes
    Virus and Serotypes Dengue virus belonging to the Flaviviridae family

    Four distinct serotypes: DENV-1, DENV-2, DENV-3, and DENV-4

    Symptoms High fever, severe headache, joint and muscle pain, rash, pain behind the eyes, mild bleeding
    Severe Dengue Progression to severe dengue can cause plasma leakage, bleeding, organ impairment
    Geographic Distribution Endemic in more than 100 countries, particularly in tropical and subtropical regions
    Incidence and Global Impact 100-400 million dengue infections occur annually globally, affecting healthcare systems and economies
    Vector and Breeding Sites Aedes aegypti mosquito breeds in stagnant water containers found near human dwellings
    Treatment No specific antiviral treatment available; supportive care, rest, fluid intake, symptom management
    Prevention and Control Reduce mosquito breeding sites, proper water storage, cleaning of water containers, use of insecticides

     

    Dengue Virus Disease and Global Impact

    • Dengue virus disease causes significant morbidity and mortality worldwide, with 2 to 2.5 lakh (200,000 to 250,000) cases reported annually in India.
    • The global incidence of dengue has increased dramatically, with over half of the world’s population at risk.
    • The World Health Organization (WHO) has identified dengue as one of the top ten global health threats in 2019.
    • Currently, there is no specific treatment for dengue, highlighting the urgent need for effective vaccines.

    Desirable Characteristics of a Dengue Vaccine

    The ICMR highlights the desirable characteristics of a dengue vaccine, including a-

    • Favorable safety profile
    • Protection against all four serotypes of dengue
    • Reduced risk of severe disease and death
    • Induction of a sustained immune response and
    • Effectiveness regardless of previous sero-status and age

     

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  • 10 Years of Sexual Harassment Law

    Central Idea

    • The Supreme Court of India has identified “serious lapses” and “uncertainty” in the implementation of the Sexual Harassment of Women at Workplace (Prevention, Prohibition and Redressal) Act, 2013 (PoSH Act).
    • It has directed the Union, States, and UTs to verify the formation of Internal Complaint Committees (ICCs) in government bodies and ensure strict adherence to the Act’s composition requirements.

    What is the POSH Act?

    • The Sexual Harassment of Women at Workplace (Prevention, Prohibition and Redressal) Act was passed in 2013.
    • It defined sexual harassment, lay down the procedures for a complaint and inquiry, and the action to be taken.
    • It broadened the Vishakha Guidelines, which were already in place.

    What are Vishakha Guidelines?

    • The Vishakha guidelines were laid down by the Supreme Court in a judgment in 1997. This was in a case filed by women’s rights groups, one of which was Vishakha.
    • In 1992, she had prevented the marriage of a one-year-old girl, leading to the alleged gangrape in an act of revenge.

    Guidelines and the law

    • The Vishakha guidelines, which were legally binding, defined sexual harassment and imposed three key obligations on institutions :
    1. Prohibition
    2. Prevention
    3. Redress
    • The Supreme Court directed that they should establish a Complaints Committee, which would look into matters of sexual harassment of women at the workplace.

    The POSH Act broadened these guidelines:

    • It mandated that every employer must constitute an Internal Complaints Committee (ICC) at each office or branch with 10 or more employees.
    • It lay down procedures and defined various aspects of sexual harassment, including the aggrieved victim, who could be a woman “of any age whether employed or not”, who “alleges to have been subjected to any act of sexual harassment”.
    • This meant that the rights of all women working or visiting any workplace, in any capacity, were protected under the Act.

    Definition of Sexual Harassment

    Under the 2013 law, sexual harassment includes “any one or more” of the following “unwelcome acts or behaviour” committed directly or by implication:

    • Physical contact and advances
    • A demand or request for sexual favours
    • Sexually coloured remarks
    • Showing pornography
    • Any other unwelcome physical, verbal or non-verbal conduct of sexual nature.

    The Ministry of Women & Child Development has published a Handbook on Sexual Harassment of Women at Workplace with more detailed instances of behaviour that constitutes sexual harassment at the workplace. These include, broadly:

    • Sexually suggestive remarks or innuendos; serious or repeated offensive remarks; inappropriate questions or remarks about a person’s sex life
    • Display of sexist or offensive pictures, posters, MMS, SMS, WhatsApp, or emails
    • Intimidation, threats, blackmail around sexual favours; also, threats, intimidation or retaliation against an employee who speaks up about these
    • Unwelcome social invitations with sexual overtones, commonly seen as flirting
    • Unwelcome sexual advances.

    Unwelcome behavior

    • The Handbook says “unwelcome behaviour” is experienced when the victim feels bad or powerless; it causes anger/sadness or negative self-esteem.
    • It adds unwelcome behaviour is one which is “illegal, demeaning, invading, one-sided and power based”.

    Circumstances amounting to SHW

    The Act mentions five circumstances that amount to sexual harassment implied or explicit:

    1. Promise of preferential treatment in her employment
    2. Threat of detrimental treatment
    3. Threat about her present or future employment status
    4. Interference with her work or creating an offensive or hostile work environment
    5. Humiliating treatment likely to affect her health or safety

    Procedure for complaint

    Description
    Filing a complaint Aggrieved victim has the option to file a complaint with the ICC, but it is not compulsory for the ICC to act.
    Assistance in filing a complaint Any member of the ICC must provide reasonable assistance to the victim in filing a written complaint.
    Filing a complaint on behalf of the victim If the victim is unable to file a complaint due to incapacity, death, or other reasons, her legal heir may file it on her behalf.
    Time limit for filing a complaint Complaint must be made within 3 months from the date of the incident
    Extension of time limit ICC has the authority
    Monetary settlement and conciliation Yes
    Forwarding complaint or initiating an inquiry Must be completed within 90 days.
    Confidentiality of information Act ensures the confidentiality of the woman’s identity, respondent’s identity, inquiry details, recommendations, and actions taken

    Requirements imposed on employers

    Description
    Internal Complaints Committee (ICC) Employers with more than 10 employees must establish an ICC to address sexual harassment complaints.
    Composition of ICC The ICC must include women employees, another employee, and a third-party member familiar with sexual harassment issues.
    Local Committee (LC) for smaller organizations Organizations with fewer than 10 employees must create an LC to receive complaints from the informal sector.
    Complaint filing process Women can file written complaints to either the ICC or LC within three to six months of the incident.
    Resolution methods The Act provides two resolution methods: conciliation between the parties involved or conducting an inquiry by the committee.
    Annual audit report Employers must file an annual audit report on sexual harassment complaints and take responsibility for conducting workshops, awareness programs, and orientation for ICC members.
    Non-compliance penalties Non-compliance with the Act can result in penalties, including fines.

    Hurdles to the Act’s Implementation

    Description
    Inadequate constitution of ICCs Improper constitution of Internal Complaint Committees (ICCs) with inadequate members or absence of mandatory external members.
    Lack of accountability Unclear specification of responsibilities for ensuring compliance with the Act, leading to ineffective enforcement.
    Inaccessibility for informal sector workers Limited accessibility of the law for women in the informal sector, comprising a significant portion of the female workforce.
    Underreporting of sexual harassment cases Significant underreporting of cases due to fear of repercussions, power dynamics, and lack of awareness about the process.
    Reliance on evidence and due process Excessive reliance on concrete evidence, discouraging victims from coming forward and potential penalties during inquiries.
    Lack of clarity in conducting inquiries Lack of clarity in inquiry procedures, resulting in confusion and inefficiency in addressing sexual harassment cases.

    Recent concerns and directions from the Supreme Court

    Description
    “Serious lapses” and “uncertainty” in implementation Supreme Court expressed concerns about the implementation of the PoSH Act, citing serious lapses and uncertainty in its enforcement.
    Verification of Internal Complaint Committees (ICCs) It directed to verify the formation of ICCs in government bodies.
    Strict adherence to composition requirements Emphasis was placed on ensuring strict adherence to the Act’s composition requirements for ICCs.
    Inadequate constitution of ICCs The Court highlighted the issue of improperly constituted ICCs, including the absence of mandatory external members.
    Proactive approach for enforcement A proactive approach from both State and non-State actors was called for in enforcing the Act.
    Publication of committee details Directions were given to publish committee details on websites within a specified timeframe.
    Ensuring a safe and respectful workplace The importance of providing a safe and secure workplace, ensuring the dignity and respect women deserve, was emphasized.
    Accountability and effective enforcement The Court’s directions aimed to ensure accountability and effective enforcement of the PoSH Act.

     

     

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  • Unpaid Care Work: Recognizing and Valuing Women’s Contributions

    Unpaid Care Work

    Central Idea

    • Unpaid care work, predominantly performed by women, plays a crucial role in the well-being of families and contributes significantly to a country’s economy. However, it often goes unrecognized and undervalued, leading to gender inequality and economic implications. On this Mother’s day and beyond it is necessary to introspect and change the attitudes towards the women’s role of essential well being.

    The Importance of Unpaid Care Work

    • Daily chores essential for their well-being: Unpaid care work encompasses daily chores, such as cleaning, cooking, and tending to the needs of family members, which are essential for their well-being.
    • Crucial contribution: It accounts for a substantial portion of a country’s GDP, ranging from 10 to 39 percent according to the International Labour Organisation (ILO) and 7.5 percent in India, as per the State Bank of India report.

    Implications of Unpaid Care Work

    • Gender Inequality: Unpaid care work reinforces traditional gender roles and perpetuates gender inequality. The unequal distribution of caregiving and domestic responsibilities limits women’s opportunities for education, employment, and advancement, creating a cycle of economic and social disadvantage.
    • Economic Invisibility: Unpaid care work is often invisible in economic systems and measurements, such as GDP calculations. This invisibility devalues the contributions of caregivers and neglects the economic significance of care work, leading to an underestimation of women’s economic contributions.
    • Economic Loss and Reduced Income: The time and energy spent on unpaid care work can limit women’s ability to engage in paid employment or pursue economic opportunities. This leads to reduced income potential and financial dependence, contributing to income inequality between men and women.
    • Limited Time for Personal Development: The significant time and effort devoted to unpaid care work leave women with limited time for personal development, education, skills training, and leisure activities. This constrains their ability to pursue individual goals and self-fulfillment.
    • Health and Well-being: The burden of unpaid care work can have adverse effects on women’s physical and mental health. The constant juggling of caregiving responsibilities, household chores, and other duties can lead to stress, fatigue, and burnout, negatively impacting well-being.
    • Education and Professional Advancement: The unequal distribution of care work can hinder women’s educational opportunities and limit their ability to pursue higher education or career advancement. This perpetuates a cycle of limited professional growth and fewer leadership roles for women.
    • Workforce Gender Gap: Unpaid care work affects women’s participation in the formal labor force. The time constraints and caregiving responsibilities make it challenging for women to engage in paid employment, contributing to the gender gap in workforce participation and representation.
    • Social and Intergenerational Impact: The gendered division of unpaid care work can reinforce traditional gender norms and perpetuate inequality across generations. Children growing up in households where women bear the majority of care work may internalize and replicate these gendered roles in their own lives.
    • Policy and Societal Implications: The undervaluation and invisibility of unpaid care work hinder the formulation of effective policies and social structures that support caregivers. Lack of recognition and support can perpetuate gender inequality and limit progress towards gender-responsive policies and systems.

    Gendered Division of Labor: Reasons and impact

    • Historical and Cultural Norms: Deeply ingrained historical and cultural norms shape societal expectations regarding gender roles. Traditional gender norms often dictate that women should be primarily responsible for caregiving and domestic chores, while men are expected to engage in paid work outside the home.
    • Gender Stereotypes and Expectations: Stereotypical beliefs about men’s and women’s inherent abilities and inclinations influence societal expectations regarding work and family responsibilities. Stereotypes portraying women as nurturing, emotional, and inclined towards caregiving, and men as strong, assertive, and suited for paid employment, contribute to the gendered division of labor.
    • Economic Factors and Structural Inequality: Structural inequalities in the labor market, such as gender wage gaps and limited opportunities for women’s advancement, create economic barriers for women. The undervaluation of traditionally female-dominated sectors contributes to the devaluation of women’s labor and reinforces the gendered division of labor.
    • Socialization and Education: Socialization processes from an early age play a crucial role in shaping gender roles and expectations. Children are often socialized into specific gender roles through various channels, including family, education, media, and peer influences.
    • Family Dynamics and Household Responsibilities: Within the family unit women are frequently assigned the bulk of caregiving and domestic tasks, regardless of their employment status. Unequal distribution of household chores and caregiving responsibilities creates a cycle where women’s time and energy are disproportionately dedicated to unpaid work, limiting their opportunities for paid employment and career advancement.
    • Power Dynamics and Patriarchy: Patriarchy grants men greater authority and control over resources, while women’s labor is often devalued and overlooked. These power dynamics reinforce traditional gender roles and limit women’s ability to challenge or negotiate their participation in different spheres of life, including work and family.

    Way ahead: Need for Redefining Societal Attitudes

    • Recognizing the Value of Care Work: Unpaid care work is essential for the well-being and functioning of families and societies. It is important to acknowledge and value the contributions of caregivers, particularly women, as their work has significant economic, social, and emotional implications.
    • Challenging Gender Stereotypes: Societal attitudes often reinforce traditional gender roles, where caregiving is seen as primarily women’s responsibility. Redefining attitudes involves challenging these stereotypes and promoting the idea that caregiving should be shared by all members of the family, regardless of their gender.
    • Promoting Gender Equality: Redefining societal attitudes towards care work is crucial for promoting gender equality. It involves recognizing that caregiving is not solely a woman’s duty but a shared responsibility between partners, families, and society as a whole.
    • Empowering Women: By redefining societal attitudes, women can be empowered to pursue their educational, professional, and personal aspirations. When the burden of unpaid care work is shared more equitably, women have the opportunity to participate fully in the workforce, contribute to economic growth, and exercise their rights and choices.
    • Breaking the Cycle of Gendered Division of Labor: Redefining societal attitudes helps break the cycle of gendered division of labor, where women are primarily responsible for unpaid care work. It encourages men to take an active role in caregiving, fostering a more balanced and equitable distribution of responsibilities within households.
    • Creating Supportive Environments: Redefining societal attitudes also involves creating supportive environments that facilitate and value caregiving responsibilities. This includes workplace policies that enable work-life balance, access to affordable and quality childcare facilities, and social systems that recognize and support caregivers.
    • Building Inclusive and Progressive Societies: Societal attitudes towards care work reflect broader social norms and values. By redefining these attitudes, societies can become more inclusive, progressive, and equitable, where the contributions of all individuals, irrespective of their gender or caregiving roles, are valued and respected.

    Unpaid Care Work

    Conclusion

    • On Mother’s Day and beyond, it is crucial to acknowledge and appreciate the work done by women, transcending the singular role of mothers or caregivers. Collective efforts are needed to challenge and change societal attitudes that neglect the rights of women and perpetuate gender inequality.

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  • The Need for Marriage Equality in India

    Central Idea

    • As the Supreme Court examines the case for expanding the definition of marriage, it becomes evident that legal rights do not automatically translate into social acceptance. The discussion revolves around whether laws should reflect existing societal morality or push the envelope by making unions possible despite lacking social approval.

    Historical Context and Parliamentary Debates

    • During the parliamentary debate on the Special Marriage Bill, former Member of Parliament Vijaya Lakshmi Pandit advocated for the right to choose one’s partner. She foresaw that while the law may not have immediate takers, an emancipated next generation would demand this right.
    • Many women representatives believed the proposed law would improve the lives of women. However, concerns were raised about potential societal collapse and the proliferation of sexual desires, with even brief references to queer unions accompanied by homophobic remarks

    Challenges to Marriage Reform

    • Societal Resistance: One of the primary challenges to marriage reform is societal resistance rooted in deeply ingrained cultural, religious, and traditional beliefs. Changes to the institution of marriage are often met with resistance from those who fear the erosion of traditional values or view such reforms as a threat to established social norms.
    • Conservative Opposition: Conservative groups and individuals, driven by their ideological and religious beliefs, often vehemently oppose any modifications to the existing definition of marriage. They argue that altering the definition undermines the sanctity of marriage and may have far-reaching consequences for societal stability.
    • Lack of Political Consensus: Achieving political consensus on marriage reform can be challenging due to divergent viewpoints among lawmakers. Political parties may have different ideological positions or may be wary of alienating their voter base, leading to a lack of consensus and delayed progress in enacting comprehensive reforms.
    • Legal Complexities: Marriage reform often involves complex legal considerations, such as redefining legal frameworks, rights, and obligations associated with marriage. These complexities can pose challenges in drafting legislation that adequately addresses the concerns and rights of all stakeholders involved.
    • Institutional Resistance: Institutional resistance, including within bureaucratic systems, can hinder marriage reform efforts. Bureaucratic processes and administrative hurdles may impede the smooth implementation of new laws or regulations related to marriage equality.
    • Cultural and Religious Diversity: India’s diverse cultural and religious landscape presents challenges in enacting uniform marriage reforms. Different religious communities may have their own distinct laws and customs governing marriage, making it difficult to achieve consensus and uniformity across the country.
    • Lack of Public Awareness and Education: Limited public awareness and understanding about the importance of marriage reform can impede progress. Education and awareness campaigns can help dispel misconceptions, challenge prejudices, and promote a more inclusive understanding of marriage.
    • Legal Precedents and Interpretations: Existing legal precedents and interpretations can influence the trajectory of marriage reform. Courts’ interpretations of constitutional provisions and previous judgments may shape the scope and direction of reforms, posing challenges for those advocating for comprehensive changes.

    Bureaucratic and vigilante challenges related to marriage reform

    • Bureaucratic Overreach: Bureaucratic challenges arise when officials, driven by personal biases or reflecting societal attitudes, go beyond their legal authority to obstruct or delay the implementation of marriage reform. This can include refusal to issue marriage licenses, unnecessary administrative hurdles, or arbitrary interpretations of existing laws that discriminate against certain individuals or couples.
    • Denial of Recognition: Bureaucratic systems may withhold recognition and legitimacy from marriages that fall outside traditional norms, such as inter-caste, interfaith, or same-sex marriages. This denial can perpetuate societal inequalities and limit access to legal rights and protections that married couples should enjoy.
    • Lack of Clarity in Legal Processes: The absence of clear guidelines or procedures for registering non-traditional marriages can create confusion and inconsistency in bureaucratic practices. This lack of clarity can lead to varying interpretations and implementation of the law, making it difficult for couples seeking marriage recognition.
    • Vigilante Groups and Social Stigma: Vigilante groups, driven by societal prejudices and intolerance, may take it upon themselves to enforce their own version of social morality by intimidating or threatening individuals involved in non-traditional marriages. Such groups can use extra-judicial methods to prevent unions and impose social sanctions on couples, creating an environment of fear and insecurity.
    • Exclusion and Discrimination: Bureaucratic and vigilante challenges can result in the exclusion and discrimination of individuals in non-traditional marriages. This can manifest in various forms, such as denial of legal rights, social ostracization, or lack of access to essential services and benefits that married couples typically enjoy.
    • Privacy Violations: Bureaucratic processes and vigilante actions can infringe upon the privacy of individuals seeking non-traditional marriages. Public notice requirements or invasive inquiries into personal details can violate citizens’ right to privacy and subject them to unwarranted scrutiny and judgment.

    What is the need of Reaffirming Rights and Transformations?

    • Upholding Equality: Reaffirming rights and promoting transformations in marriage laws is essential for upholding the principle of equality. It ensures that all individuals, regardless of their sexual orientation, gender identity, caste, or community, have equal access to the institution of marriage and the legal rights and protections associated with it.
    • Recognizing Individual Autonomy: Marriage reform recognizes and respects the autonomy of individuals to choose their life partners based on their own free will and preferences. It shifts the focus from societal expectations and norms to the fundamental principle of individual agency in making personal decisions related to marriage.
    • Overcoming Discrimination: Transforming marriage laws helps overcome discrimination and social biases that exist within the institution. It challenges societal prejudices based on gender, caste, and community, fostering a more inclusive and egalitarian society.
    • Empowering Marginalized Communities: Reaffirming rights through marriage reform empowers marginalized communities, including the LGBTQI+ community, by granting them legal recognition, rights, and protections. It provides an opportunity for historically marginalized groups to claim their rightful place in society and have their relationships acknowledged and respected.
    • Promoting Social Progress: Transformations in marriage laws contribute to broader social progress by challenging traditional norms and practices that perpetuate inequality and discrimination. It encourages a shift towards more inclusive and progressive attitudes, fostering a society that values diversity, individual choices, and human rights.
    • Strengthening Constitutional Principles: Reaffirming rights and transformations in marriage laws align with constitutional principles of equality, non-discrimination, and individual freedoms. It strengthens the foundation of a democratic society by ensuring that laws and policies reflect the core values enshrined in the constitution.
    • Encouraging Social Awareness and Acceptance: Marriage reform promotes social awareness and acceptance of diverse relationships and identities. It encourages dialogue, education, and engagement to challenge stereotypes and prejudices, fostering a more inclusive and tolerant society.
    • Building a Foundation for Future Generations: Reaffirming rights and transformations in marriage laws builds a solid foundation for future generations. It sets a precedent for a society that values equality, individual autonomy, and social progress, ensuring a more inclusive and just society for generations to come.

    Facts for prelims

    Special Marriage Act?

    • The Special Marriage Act is a law in India that allows individuals of different religions or nationalities to marry each other.
    • It was enacted in 1954 and came into effect from 1955.
    • The Special Marriage Act allows for inter-caste and inter-religious marriages, and couples who register under this act are not required to change their religion or follow any religious rites or rituals.
    • The act also provides for divorce on certain grounds and maintenance to the spouse and children.

    Conclusion

    • The debate on marriage equality in India necessitates a delicate balance between laws and societal morality. As the Supreme Court deliberates on expanding the definition of marriage, it is crucial to recognize that legal rights and social acceptance do not always align. While opposition and resistance persist, the law should strive to improve the lives of marginalized communities and reaffirm the rights of the citizenry as a whole. By moving towards marriage equality, India can create a more inclusive society that upholds individual choice and recognizes diverse identities.

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    Also Read:

    Perspective: Legalizing Same-Sex Marriage
  • Early Childhood Care and Education through Anganwadis

    Central Idea: The Centre is planning to promote ‘Early Childhood Care and Education’ through anganwadi centres as part of the ‘Poshan Bhi, Padhai Bhi’ slogan announced by the Women and Child Development Minister.

    What is Anganwadi scheme?

    • The scheme was started in 1975 and aims at the holistic development of children and empowerment of mother.
    • It is a Centrally-Sponsored scheme. The scheme primarily runs through the Anganwadi centre.
    • The scheme is under the Ministry of Women and Child Development.

    Moto: Poshan Bhi, Padhai Bhi

    • The focus will be on both nutrition and early learning for children under 6 years, with a particular emphasis on those under 3 years.
    • Early learning has been neglected in the Integrated Child Development Scheme (ICDS) and seen as secondary to nutrition.
    • Anganwadi centres will be repositioned as pre-schools to provide early learning access to socially and educationally backward communities.

    Why such move?

    • Two emerging trends are noted: young children shifting to private pre-schools and under-age children being admitted to Class 1 in some states.
    • The quality of services provided at Anganwadi centres is perceived as inferior, leading to the shift to private nursery schools.

    Task Force and Recommendations

    • Rebranding anganwadis: The task force recommends a “mission-mode approach” to rebranding anganwadis, including infrastructure upgrades, materials, play equipment, etc.
    • Focus on volunteer support: It suggests involving panchayat raj institutions, women’s self-help groups, local NGOs, and college volunteers to enhance the learning environment.
    • Boost to Anganwadi sisters: The task force proposes re-designating anganwadi workers as anganwadi teachers and helpers as childcare workers.
    • Nutrition boost: Infrastructure improvements, additional nutrition supplements (such as eggs and milk), extended timings, creches, and day care services are recommended.
    • MGNREGS liasion: The task force suggests leveraging funds from the Mahatma Gandhi National Rural Employment Guarantee Scheme (MGNREGS).

    Major target: Improve Child Nutrition

    • The task force highlights that over 35% of young children in India are stunted, according to the latest NFHS data.
    • Although there has been a reduction, India still has the largest population of stunted children globally.
    • Child stunting affects developmental outcomes and the ability to learn at school.
    • NFHS-5 reveals that only 11.3% of children below 2 years receive an adequate diet.
    • The task force recommends introducing eggs as an effective intervention for nutrition.

     

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  • Govt. program for Non-Communicable Diseases renamed

    disease

    Central Idea: The article discusses the decision by the Indian Ministry of Health and Family Welfare to rename and expand its program for the control and prevention of non-communicable diseases (NCDs).

    What are Non-Communicable Diseases (NCDs)?

    • NCDs are also known as chronic diseases, which are not caused by infectious agents and are not transmissible from person to person.
    • NCDs are long-lasting and progress slowly, typically taking years to manifest symptoms.
    • Examples of NCDs include cardiovascular diseases, cancers, chronic respiratory diseases, and diabetes.
    • These diseases are often caused by modifiable risk factors such as unhealthy diet, lack of physical activity, tobacco and alcohol use, and environmental factors.
    • NCDs are a major cause of morbidity and mortality worldwide, accounting for around 70% of all deaths globally.

    Why in news?

    • The addition of many new diseases and health initiatives have prompted the Indian government to expand and rename its NCD program.

    Renaming of the NCD Program and Portal

    • The Ministry has renamed the NPCDCS as the “National Programme for Prevention & Control of Non-Communicable Diseases [NP-NCD].”
    • The application or software named Comprehensive Primary Healthcare Non-Communicable Disease (CPHC NCD IT) will now be renamed “National NCD Portal.”
    • The Ministry communicated this decision to the States on May 3, 2023, through a one-page letter and asked them to adhere to the changes.

    Implementation and future action

    • The NPCDCS is implemented under the National Health Mission across India.
    • The letter addressed to Principal Secretaries and Health Secretaries of all States and Union Territories advised the government to use the new names for the scheme and portal in all their future references and correspondences with the Indian government.
    • Under NPCDCS, 677 NCD district-level clinics, 187 District Cardiac Care Units, 266 District Day Care Centres and 5,392 NCD Community Health Centre-level clinics have been set up.

    Burden of NCDs in India

    • The study ‘India: Health of the Nation’s States – The India State-Level Disease Burden Initiative in 2017’ by the ICMR estimated that the proportion of deaths due to NCDs in India has increased from 37.9% in 1990 to 61.8% in 2016.
    • The four major NCDs are:
    1. Cardiovascular diseases (CVDs)
    2. Cancers
    3. Chronic respiratory diseases (CRDs) and
    4. Diabetes
    • The study shared four behavioural risk factors – unhealthy diet, lack of physical activity, and the use of tobacco and alcohol.

    Solutions to mitigate NCD burden

    • Promote healthy lifestyle: Encourage people to adopt healthy lifestyle habits such as regular physical activity, balanced and nutritious diet, avoiding tobacco and alcohol, and getting enough sleep.
    • Increase awareness and education: Increase awareness among the public about the risk factors of NCDs and educate them about ways to prevent these diseases.
    • Improve healthcare infrastructure: Increase access to healthcare facilities, especially in rural and remote areas, to ensure early detection, treatment, and management of NCDs.
    • Implement policies and regulations: Implement policies and regulations that promote healthy living, such as increasing taxes on tobacco and alcohol products, and regulating the marketing of unhealthy food products.
    • Foster public-private partnerships: Foster partnerships between the government, private sector, and civil society organizations to work collaboratively towards preventing and managing NCDs.
    • Increase research and innovation: Increase research and innovation in the prevention, early detection, and treatment of NCDs to develop new and effective interventions.

     

     

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  • Govt. to release Manual for Organ Donation & Transplantation

    organ

    Central Idea: The National Organ and Tissue Transplant Organisation (NOTTO) is working on a transplant manual as a step-by-step guide for the implementation of organ donation and transplantation programmes in hospitals and a standard course for training transplant coordinators.

    Organ transplant in India: Key statistics

    • According to data accessed from the Health Ministry, the number of organ transplants has increased by over three times from 4,990 in 2013 to 15,561 in 2022.
    • Of the 15,561 transplants, a majority — 12,791 (82%) — are from live donors and 2,765 (18%) are from cadavers (the dead).
    • Up to 11,423 of the 15,561 organ transplants are for the kidney, followed by liver (766), heart (250), lung (138), pancreas (24) and small bowel transplants (3).
    • Most of these transplants occur in private hospitals, the numbers in government hospitals are relatively lower.

    About National Organ Transplant Programme (NOTP)

    • In 2019, the GoI implemented the NOTP for promoting deceased organ donation.
    • Organ donation in India is regulated by the Transplantation of Human Organs and Tissues Act, 1994.

    Types of Organ Donations

    • The law allows both deceased and living donors to donate their organs.
    • It also identifies brain death as a form of death.
    • Living donors must be over 18 years of age and are limited to donating only to their immediate blood relatives or, in some special cases, out of affection and attachment towards the recipient.

    (1) Deceased donors:

    • They may donate six life-saving organs: kidneys, liver, heart, lungs, pancreas, and intestine.
    • Uterus transplant is also performed, but it is not regarded as a life-saving organ.
    • Organs and tissues from a person declared legally dead can be donated after consent from the family has been obtained.
    • Brainstem death is also recognized as a form of death in India, as in many other countries.
    • After a natural cardiac death, organs that can be donated are cornea, bone, skin, and blood vessels, whereas after brainstem death about 37 different organs and tissues can be donated, including the above six life-saving organs

    (2) Living donors:

    They are permitted to donate the following:

    • one of their kidneys
    • portion of pancreas
    • part of the liver

    Features of the NOTP

    • Under the NOTP a National Level Tissue Bank (Biomaterial Centre) for storing tissues has been established at National Organ and Tissue Transplant Organization (NOTTO), New Delhi.
    • Further, under the NOTP, a provision has also been made for providing financial support to the States for setting up of Bio-material centre.
    • As of now a Regional Bio-material centre has been established at Regional Organ and Tissue Transplant Organization (ROTTO), Chennai, Tamil Nadu.

    More moves for facilitation:  Green Corridors

    • Studies have suggested that the chances of transplantation being successful are enhanced by reducing the time delay between harvest and transplant of the organ.
    • Therefore, the transportation of the organ is a critical factor. For this purpose, “green corridors” have been created in many parts of India.
    • A “green corridor” refers to a route that is cleared out for an ambulance carrying the harvested organs to ensure its delivery at the destination in the shortest time possible.

    Recent amendments

    (1) No Age Bar

    • Now an individual of any age can register for organ transplant.
    • People beyond 65 years in need of an organ donation will also be eligible to get one.
    • The government has decided to do away with a clause in the National Organ and Tissue Transplant Organisation (NOTTO) guidelines as the clause violates the Right to Life.

    (2) Doing away with domicile compulsion

    • Earlier an organ recipient could register for a prospective transplant in domicile State.
    • States like Gujarat had made it mandatory for registered patients to furnish a domicile certificate to be eligible for a transplant.
    • In November last year, the Gujarat High Court quashed the discriminatory policy of the State government.

    About NOTTO

    National Organ and Tissue Transplant Organization (NOTTO) is a national level organization set up under the Directorate General of Health Services, Ministry of Health and Family Welfare.

    1. National Human Organ and Tissue Removal and Storage Network
    2. National Biomaterial Centre (National Tissue Bank)

    [I] National Human Organ and Tissue Removal and Storage Network

    • This has been mandated as per the Transplantation of Human Organs (Amendment) Act 2011.
    • The network will be established initially for Delhi and gradually expanded to include other States and Regions of the country.
    • Thus, this division of the NOTTO is the nodal networking agency for Delhi and shall network for Procurement Allocation and Distribution of Organs and Tissues in Delhi.
    • It functions as apex centre for All India activities of coordination and networking for procurement and distribution of Organs and Tissues and registry of Organs and Tissues Donation and Transplantation in the country.

    [II] National Biomaterial Centre (National Tissue Bank)

    • The Transplantation of Human Organs (Amendment) Act 2011 has included the component of tissue donation and registration of tissue Banks.
    • It becomes imperative under the changed circumstances to establish National level Tissue Bank to fulfill the demands of tissue transplantation including activities for procurement, storage and fulfil distribution of biomaterials.
    • The main thrust & objective of establishing the centre is to fill up the gap between ‘Demand’ and ‘Supply’ as well as ‘Quality Assurance’ in the availability of various tissues.

    The centre will take care of the following Tissue allografts:

    1. Bone and bone products
    2. Skin graft
    3. Cornea
    4. Heart valves and vessels

    Various issues involved

    • Lack of awareness: Lack of awareness leads to myths and misconceptions about organ donation, which further discourages people from donating organs.
    • Religious and cultural beliefs: Some religious and cultural beliefs view organ donation as a desecration of the body, which hinders organ donation.
    • Lack of infrastructure: India faces a shortage of medical infrastructure and facilities for organ donation.
    • Legal and regulatory challenges: India’s organ donation system is heavily regulated by the Transplantation of Human Organs and Tissues Act, 1994.
    • Socioeconomic factors: Poverty and lack of education can lead to reduced access to information and medical services, making it difficult for people to donate organs.
    • Organized crime: Organized criminal networks involved in organ trafficking and commercialization also create challenges for organ donation in India.
    • Stigma and Discrimination: Stigma against organ recipients, particularly those who receive transplants from other communities or castes, is also a challenge in promoting organ donation in India.

    Way forward

    • Developing a National Organ and Tissue Donation Registry: The registry could maintain a database of donors and recipients, along with their medical history and compatibility information.
    • Setting up Mobile Organ Donation Units: These units could be equipped with medical personnel and equipment to conduct donation procedures in remote areas.
    • Crowdfunding for Organ Transplant Surgeries: This could be used as a means to raise funds for organ transplant surgeries, especially for underprivileged individuals who cannot afford the cost of treatment.
    • Promoting Living Donor Transplants: Living donor transplants can help increase the number of organs available for transplantation.
    • Incentivizing for Organ Donation: Incentives could be introduced to encourage more people to donate organs. This could include tax breaks, priority access to medical treatment, and other benefits.
    • Leveraging Technology: Technology could be used to develop better donor and recipient matching algorithms, create virtual waiting lists, and streamline the donation and transplantation process.
    • International Collaboration: India could collaborate with other countries to share best practices, leverage technology, and develop new approaches to organ donation and transplantation.

     

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  • US seeks sanctions on Indian agencies over Religious Freedom Violations

    religious india

    The Commission for International Religious Freedom (USCIRF) has urged to impose targeted sanctions on Indian government agencies and officials responsible for “severe violations” of religious freedom by freezing their assets.

    What is USCIRF Report?

    • The USCIRF report assesses the status of religious freedom around the world.
    • It provides a comprehensive analysis of the state of religious freedom in countries across the globe, highlighting issues of concern and making recommendations for action by the US government.
    • The report is an important tool for raising awareness of violations of religious freedom and advocating for greater protection of this fundamental human right.

    Allegations against India

    (1) Policies

    • It is alleged that the Indian government at the national, state, and local levels promoted and enforced religiously discriminatory policies, including:
    1. Laws targeting religious conversion
    2. Interfaith relationships
    3. Ban over wearing of hijabs and cow slaughter
    • This has negatively impact Muslims, Christians, Sikhs, Dalits, and Adivasis.

    (2) Laws of Suppression

    • The report also alleges that the national government continued to suppress critical voices, particularly of religious minorities and those advocating on their behalf through-
    1. Surveillance / Harassment / Cow Vigilantism
    2. Accusation of Sedition
    3. Demolition of Property
    4. Detention under the Unlawful Activities Prevention Act (UAPA)
    5. Targeted banning of NGOs ex. Missionaries of Charity under the Foreign Contribution Regulation Act (FCRA)
    6. Constitution

    India’s response

    • India has slammed USCIRF for “misrepresenting” facts and described it as an “organisation of particular concern”.
    • The Indian government rejected the biased and inaccurate comments.
    • Foundation of Indian and Indian Diaspora Studies (FIIDS) slammed USCIRF for its biased report and failure to acknowledge the cultural and economic significance of cows to Indians.

    Why such reports often falsely target India?

    • Lack of objectivity: There have been instances in the past where these reports have been criticized for being one-sided and lacking objectivity.
    • US lobby against everyone: It is important to note that reports like USCIRF’s are based on the organization’s own assessments.
    • Inherent bias against India: Such allegations are prevalent ever since India attained its Freedom.
    • Self-proclaimed father of democracy: US has infamous for selectively promoting democracy and human rights, and for supporting authoritarian regimes that align with its strategic interests.
    • Anti-regime: Such reports often overlook the efforts made by the present regime in India towards promoting religious tolerance and communal harmony.

    Way forward

    • Urgent action: India needs to take prompt and necessary steps to address religious freedom issues and take everyone’s faith in the government and democratic process.
    • Nuanced understanding: International organizations and foreign governments must make a conscious effort to understand the complexities of India’s social, political, and economic landscape before making any recommendations or issuing reports.
    • Avoid sweeping generalizations: It is important to avoid sweeping generalizations and presenting a one-sided view of the situation, which can be detrimental to India’s reputation and lead to misunderstandings.
    • Self-reflection by the US: The US must address its own issues related to religious freedom and human rights violations, and not just sermon other countries.

    Conclusion

    • India’s historical diversity and pluralism: India has a long history of diversity, pluralism, and peaceful coexistence among different communities.
    • Constitutional guarantees: The Constitution guarantees fundamental rights to all citizens, regardless of their religion, caste, or creed.
    • Media as a strong pillar: The country has a vibrant democracy and a free and independent media that regularly scrutinizes the government and its policies. This eliminates the scope for anyone’s oppression.
    • Nation-building: All communities have contributed significantly to the country’s cultural and social fabric. Success of India is often unwelcomed by the US. People should not fall prey to foreign propaganda.

     

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  • Psychedelics and its uses to treat Depression

    Central idea: The context of the article is about the use of psychedelic drugs for both recreational and medicinal purposes.

    What are Psychedelics?

    • Psychedelics are a class of drugs that alter an individual’s perception, mood, and thought processing while still allowing the individual to remain conscious and with unimpaired insight.
    • They are non-addictive and non-toxic, and cause less harm to the end user compared to illicit drugs.
    • The two most commonly used psychedelics are LSD (Lysergic acid diethylamide) and psilocybin. Researchers have also developed synthetic psychedelics.
    • In India, the Narcotic Drugs and Psychotropic Substances Act 1985 prohibits the use of psychedelic substances, except for ketamine which is used under strict medical supervision.

    History of psychedelics

    • Humans have used psilocybin and mescaline for ceremonial, healing, and spiritual rituals for millennia.
    • The modern-day use of psychedelics is commonly associated with the German chemist Arthur Heffter isolating mescaline from the peyote cactus in 1897.
    • In 1938, Swiss chemist Albert Hofmann first synthesized LSD while investigating compounds related to ergotamine.
    • LSD was widely used as a therapeutic catalyst in psychotherapy between 1947 and 1967, until it was criminalized in the US due to medical concerns and the Vietnam War.

    Experience of using psychedelic substances

    • Users of psychedelic substances report changes in perception, somatic experience, mood, thought-processing, and entheogenic experiences.
    • Perceptual distortions most commonly include the visual domain.
    • Somatic experiences may include the visceral, tactile, and interoceptive domains.
    • Mood changes may include elation, euphoria, anxiety, and paranoia.
    • Entheogenic experiences include transcendental and ineffable spiritual experiences.

    How do they work inside the body?

    • Classical psychedelics boost brain serotonin levels.
    • Psilocybin’s therapeutic effects require a ‘trip’ that is mediated by the activation of serotonin receptors.
    • Modern neuroimaging suggests that psychedelics increase the cross-talk between different brain networks, and this correlates with the subjective effects of psychedelics.

    Can psychedelic substances cause any harm?

    • Death due to direct toxicity of LSD, psilocybin, or mescaline has not been reported in the literature despite 50-plus years of recreational use.
    • Synthetic psychedelics have been associated with acute cardiac, central nervous system, and limb ischemia, as well as serotonin syndrome.

    What is Psychedelic-Assisted Psychotherapy?

    • Psychedelic-assisted psychotherapy has three types of sessions: preparatory, medication, and integration.
    • In the medication session, the patient is accompanied by a male-female co-therapist dyad and a psychedelic drug is administered in a comfortable and well-appointed room.
    • Over the next 6-8 hours, the therapists listen to the patient while maintaining a neutral therapeutic stance.
    • In the integration session, the therapists work with the patient to interpret the contents of their psychedelic experience into meaningful long-term change, based on their thoughts and ideas.

    Uses to treat Neuropsychiatric Disorders

    • Research has shown that psychedelic substances have potential therapeutic benefits in treating neuropsychiatric disorders such as treatment-resistant depression and post-traumatic stress disorder (PTSD).
    • In recent trials, a single dose of psilocybin or MDMA-assisted therapy has been shown to reduce depression scores and improve symptoms of PTSD in participants.

    Back2Basics: Narcotic Drugs and Psychotropic Substances Act, 1985

    Details
    Purpose Combat drug abuse and trafficking in India
    Scope Consolidates and amends the existing legal framework related to narcotics and psychotropic substances
    Regulations Strictly regulates and controls the production, manufacture, sale, transport, possession, and consumption of narcotic drugs and psychotropic substances
    Special Courts Establishment of special courts and appointment of special public prosecutors to handle cases related to drug trafficking and abuse
    Covered Substances Opium, heroin, cannabis, cocaine, synthetic drugs such as LSD and ecstasy
    Classification Substances classified into different schedules based on their potential for abuse and medical use
    Punishment Imposes different levels of punishment for offenses related to each schedule
    Enforcement Narcotics Control Bureau (NCB), Central Bureau of Narcotics (CBN), and state-level drug enforcement agencies
    Functions Prevention of drug abuse and trafficking, investigation and prosecution of drug offenses, rehabilitation and treatment of drug addicts

     

     

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  • Latest National Health Account figures on India’s Healthcare Sector

    national health

    Central idea: The National Health Account Estimates 2019-20 report shows an increase in government spending and a decline in out-of-pocket expenditure on healthcare.

    About National Health Account (NHA) estimates

    • The NHA estimates for India 2019-20 is the seventh consecutive report prepared by the National Health Systems Resource Centre (NHSRC).
    • NHSRC was designated as National Health Accounts Technical Secretariat (NHATS) in 2014 by the Union Health Ministry.
    • The NHA estimates use an accounting framework based on the internationally accepted standard of System of Health Accounts, 2011 developed by the WHO.
    • India now has a continuous series of NHA estimates from 2013-14 to 2019-20, making the estimates comparable internationally.
    • The estimates enable policymakers to monitor progress in different health financing indicators of the country.

    health

    Key highlights

    Description

    Government spending as % of GDP
    • Increased from 1.13% (FY 2015) to 1.35% (FY 2020)
    • Per capita health spending of the government has also increased from Rs 1,108 in FY 2015 to Rs 2,014 in FY 2020.
    • Govt share in total healthcare spending has increased from 29% in 2015 to 41.4% in 2020
    Declining out-of-pocket expenditure
    • Proportion of total healthcare spending that comes from people’s pockets has decreased from 62.6% in 2015 to 47.1% in 2020
    • Govt aims to further reduce out-of-pocket expenditure by investing in public health and insurance
    • To reduce the financial burden of healthcare on individuals and increase the utilization of healthcare services
    Government spending on primary healthcare
    • Increased from 51.3% in 2015 to 55.9% in 2020.
    • Govt. invested in creating 1.5 lakh health and wellness centres that can screen people for cancers, diabetes, and eye disease.
    Increase in social security expenditure
    • Increased from 5.7% of total healthcare spending in 2015 to 9.3% in 2020.
    • Suggests that the government is investing more in social welfare programs.
    Increase in spending on insurance
    • Privately purchased health insurance increased from 3.9% of total health expenditure in 2015 to 7.72% in 2020
    • Govt. financed health insurance spending also went up from 3.8% in 2015 to 6.37% in 2020
    Health spending by states
    • Only two big states and three smaller ones have crossed the target of 8% of their budget going towards healthcare as set by the National Health Policy 2017.

     

    Key issues

    • Marginal increase: Activists are concerned about the marginal increase in government spending.
    • Global laggard: This increase in government health expenditure as a percentage of GDP also takes into account capital spending, which puts India in 164th place out of 184 countries in terms of government health spending.
    • No proportional increase: Total spending on health as a proportion of GDP has been going down, from 3.9% in 2015 to 3.3% in 2020, indicating a decline in consumption of healthcare services.

    Conclusion

    • Overall, the report shows that government spending on healthcare has been increasing, while out-of-pocket expenditure has been declining.
    • There is a need to invest in public health and insurance and increase the contribution of states towards healthcare.

     

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