Civilsdaily

Subject: Indian Society

  • No Counseling to LGBTQ+ Persons against their Own Identity: Supreme Court

    Why in the news-

    • The Supreme Court issued a cautionary directive to judges regarding court-ordered counselling for LGBTQ+ individuals, emphasizing the need to respect their identity and sexual orientation.

    Context

     

    • Petition: The verdict stemmed from a habeas corpus petition filed by a Kerala-based woman seeking the whereabouts of her same-sex partner, highlighting the challenges faced by LGBTQ+ individuals in asserting their rights.
    • Coercion Concerns: Concerns were raised about court-ordered counselling potentially being used to coerce individuals against their sexual orientation or chosen partners, prompting the Supreme Court to address these apprehensions.

     

    Counselling to LGBTQ+ Persons: 

    [A] Guidelines and Observations

    • Avoiding Identity Suppression: Judges were cautioned against using counselling as a tool to coerce individuals into rejecting their LGBTQ+ identity or relationships, particularly when they are in distress or facing familial separation.
    • Upholding Constitutional Values: CJI underscored the importance of upholding constitutional values, urging judges to refrain from imposing their personal biases or societal prejudices during legal proceedings.
    • Empathy and Compassion: The verdict emphasized that judges must demonstrate sincere empathy and compassion towards LGBTQ+ individuals, ensuring that the principles of justice and equality guide legal decisions.

    [B] Guidelines for Courts

    • Embracing Diversity: Courts were directed to eschew social morality influenced by homophobic or transphobic views, prioritizing the protection of individual rights and freedoms.
    • Respecting Chosen Families: Acknowledging the significance of chosen families for LGBTQ+ individuals, the court highlighted the need to recognize and respect these relationships, especially in cases involving familial rejection or violence.

    LGBTQ+ Persons (Sexual Minority) Rights in India: An Overview

    • Decriminalization of Homosexuality: A watershed moment occurred on September 6, 2018, when the Supreme Court of India partially struck down Section 377 of the Indian Penal Code, which criminalized consensual same-sex relationships. This historic decision marked a crucial step towards recognizing the dignity and autonomy of LGBTQ+ individuals.
    • Recognition of Transgender Rights: In 2014, the Supreme Court recognized transgender individuals as the third gender and affirmed their fundamental rights under the Constitution in the landmark case of National Legal Services Authority v. Union of India (2014). This judgment laid the foundation for legal recognition and protection of transgender rights in India.

    Several key legal cases and judgments have shaped the evolution of LGBTQ rights in India:

    1. Naz Foundation Govt. v. NCT of Delhi (2009): The Delhi High Court ruled that Section 377 of the IPC violated fundamental rights guaranteed under the Indian Constitution, including privacy and equality. This judgment was a crucial step forward in recognizing the rights of LGBTQ individuals.
    2. Suresh Kumar Koushal vs Naz Foundation (2013): The Supreme Court overturned the Delhi High Court’s judgment, recriminalizing homosexuality. This decision was met with widespread criticism and sparked renewed activism for LGBTQ rights in India.
    3. National Legal Services Authority v. Union of India (2014): This landmark judgment recognized transgender individuals as the third gender and affirmed their fundamental rights under the Constitution. It laid the groundwork for ensuring equality and non-discrimination for the transgender community.
    4. K.S. Puttaswamy v Union of India (2017): This case affirmed the right to privacy as a fundamental right under the Indian Constitution. The judgment recognized that discrimination based on sexual orientation is unconstitutional and emphasized the dignity and autonomy of individuals.
    5. Navtej Singh Johar v. Union of India (2018): The Supreme Court decriminalized homosexuality and struck down Section 377 of the IPC. The court recognized the rights of LGBTQ individuals to intimacy, autonomy, and identity, setting a precedent for equality and non-discrimination.

    Future Prospects 

    [A] Extension of ART (Assisted Reproductive Technology) Rights  

    • The Assisted Reproductive Technology (ART) Rights bill, as currently formulated, does not adequately extend to LGBTQ+ persons due to several factors:
    1. Definition of Commissioning Couple: It restricts access to ART services to “infertile married couples,” excluding same-sex couples and individuals in same-sex relationships.
    2. Requirement of Legal Marriage: Since same-sex marriage isn’t recognized in India, LGBTQ+ couples are automatically excluded from accessing ART services.
    3. Narrow Definition of Infertility: The bill’s definition overlooks the unique reproductive challenges faced by LGBTQ+ individuals and couples.
    4. Gender-Binary Language and Restrictions: Gender-binary language and restrictions exclude transgender and gender non-conforming individuals from accessing ART services.
    5. Lack of Recognition of Diverse Identities: The bill fails to accommodate the diverse identities within the LGBTQ+ community, neglecting their specific needs and concerns regarding assisted reproduction.

    [B] Child Adoption 

    • National Commission for Protection of Child Rights (NCPCR): It had opposed the adoption rights of same-sex couples.
    • Juvenile Justice (Care and Protection of Children) Act, 2015 (JJ Act): It allows heterosexual married couples, and single and divorced persons to adopt.
    • Hindu Adoption and Maintenance Act, 1956 (HAMA): It permits any male or female Hindu of sound mind to adopt, and for couples to adopt with the consent of their spouse.
    • Central Adoption Resource Authority (CARA): It permits applications from adoptive parents in live-in relationships, which it examines on a case-to-case basis.

    However, in October 2023 the Supreme Court ruled that Regulation 5(3) of the CARA Regulations, insofar as it prohibited unmarried and queer couples from adopting, violated Article 15 of the Constitution.

    While India’s Supreme Court declined to legalise same-sex marriage and did not explicitly grant gay couples adoption rights.

     

    PYQ:

    2020: Customs and traditions suppress reason leading to obscurantism. Do you agree?

     

    Practice MCQ:

    Section 377 of the Indian Penal Code which sought to decriminalize homosexuality was struck down in the landmark case of-

    1. Navtej Singh Johar v. Union of India
    2. Naz Foundation Govt. v. NCT of Delhi
    3. Suresh Kumar Koushal vs Naz Foundation
    4. None of these

  • [21 March 2024] The Hindu Op-ed: Eliminating diseases, one region at a time

    PYQ Relevance:

    Mains: 

    Q) The public health system has limitations in providing universal health coverage. Do you think that the private sector can help in bridging the gap? What other viable alternatives do you suggest? (2015)

    Q) The increase in life expectancy in the country has led to newer health challenges in the community. What are those challenges and what steps need to be taken to meet them? (2022)

    Prelims:

    Which of the following are the reasons for the occurrence of multi-drug resistance in microbial pathogens in India? (2019)
    1. Genetic predisposition of some people
    2. Taking incorrect doses of antibiotics to cure diseases
    3. Using antibiotics in livestock farming
    4. Multiple chronic diseases in some people

    Select the correct answer using the codes given below:
    a) 1 and 2 only
    b) 2 and 3 only
    c) 1, 3 and 4
    d) 2, 3 and 4

    Note4Students: 

    Mains: Health Care System in India and Major Challenges;

    Mentor comments: “United we stand divided we Fall”. Recently, there has a significant progress made in eradicating guinea worm disease, with a reduction from 3.5 million cases in 1986 to just 13 cases in five countries by 2023. This success underscores the importance of focusing on disease elimination as a crucial step towards eradication, aligning with the Sustainable Development Goals of ending epidemics like malaria, tuberculosis, and Neglected Tropical Diseases by 2030. There is a need for adopting effective solutions at the local level is more effective for disease elimination.

    Let’s learn. 

    —

    Why in the News?

    Multisectoral collaboration, encouraging innovation and adopting locally effective solutions that facilitate disease elimination, is more effective at the regional level.

    Context:

    • The Carter Center, a leader in the global elimination and eradication of diseases, recently reported that guinea worm disease was close to eradication.
    • From 3.5 million cases a year in 21 countries in 1986, the number had come down to 13 in five countries in 2023, a reduction of 99.99%. This would be the second disease after smallpox to be eradicated and the first one with no known medicines or vaccines.
    • This has created increased attention to disease elimination, the first step in eradication. Ending the epidemics of malaria, tuberculosis, and Neglected Tropical Diseases by 2030 is one of the Sustainable Development Goals set by the United Nations.

    What are the Current requirements for the Public Health System?

    1) Collaborative efforts:

    • Rigorous Certification Requirements: International agencies impose stringent criteria for certification, necessitating thorough preparation. Preparation for certification drives improvements in primary healthcare, diagnostics, and surveillance systems.
    • Increased Involvement of Field Staff and Community Health Workers: The pursuit of certification encourages greater engagement from field staff and community health workers, motivated by the clearly defined goal.
    • Attraction of International Support: Certification efforts attract international support, bolstering resources and expertise.
    • Political and Bureaucratic Commitment: The pursuit of certification fosters high levels of commitment from political and bureaucratic entities.

    2) Feasibility of Elimination in India:

    • Strategic Focus: Recommend focusing on pathogens with high population impact and low enough numbers to make elimination possible.
    • Gradual Approach: The initial aim should be to reduce disease numbers to a practical level through disease control before pursuing elimination.
    • Understanding Processes and Costs: Reduction in disease numbers enables understanding of elimination processes and associated costs.
    • Strengthening Health Systems: Provides an opportunity to strengthen existing health systems to effectively implement elimination strategies.

    3) Need for surveillance systems

    • Comprehensive Data Collection: Surveillance systems are crucial for capturing every instance of the disease within a population, providing accurate and real-time data for decision-making.
    • Monitoring Progress: Surveillance systems allow for monitoring the progress of disease elimination efforts, assessing the effectiveness of interventions, and identifying areas that require additional support or resources.
    • Confirmation and Diagnosis: Strengthening laboratories for screening and confirmation ensures accurate diagnosis of cases, facilitating appropriate treatment and management.
    • Ensuring Availability of Resources: Surveillance helps in identifying gaps in resources such as medicines and consumables, enabling authorities to ensure their availability to support elimination efforts.
    • Training and Capacity Building: Surveillance systems facilitate training of healthcare workers on the requirements of elimination strategies, ensuring a skilled workforce capable of implementing surveillance protocols effectively.

    What are the Challenges of the Healthcare System?

    • Resource Strain: Eliminating the transmission of diseases is difficult and requires significant resources. The process places a heavy burden on the healthcare system, potentially diverting attention from other essential health functions.
    • Potential Neglect of Health Functions: Focusing on disease elimination may divert attention and resources away from other critical health priorities, especially in weaker health systems.
    • High Prevalence of Diseases: Diseases with high prevalence and significant impact on populations pose greater challenges for elimination, requiring comprehensive strategies and interventions.
    • Cost-Benefit Analysis: Careful analysis of the costs and benefits is crucial to ensure that the resources invested in disease elimination yield optimal outcomes and minimize adverse impacts on healthcare systems and communities.

    Measures that need to be taken at Regional level (Way Forward)

    • Regional Effectiveness: Multisectoral collaboration and innovation are more effective at the regional level for disease elimination. Smaller units allow for better resource management without neglecting essential tasks.
    • Ownership by Governments: While elimination efforts can proceed regionally, both national and state governments must take ownership of the process.
    • Phased Approach: Regional elimination efforts should be phased to culminate at the national level. Planning from a national perspective is essential to ensure coordinated progress across the country.
    • Technical and Material Support: Regional implementation requires technical and material support. Progress in regional elimination efforts needs to be closely monitored.
    • National Control: The Union government plays a crucial role in dealing with diseases spreading across states and at ports of entry to prevent reintroduction.

    Conclusion: Enhancing surveillance systems, fostering multisectoral collaboration, and adopting a phased regional approach under government ownership is crucial for successful disease elimination. Scaling up efforts gradually across India is imperative for national elimination goals.

    https://www.thehindu.com/opinion/op-ed/eliminating-diseases-one-region-at-a-time/article67973191.ece

  • Top 1% Indians’ income share is higher now than under British-rule

    Why in the news? 

    • In 2022, 22.6% of the national income went to the top 1% of Indians. Cut to 1951, their share in the income was only 11.5% and even lower in the 1980s  just before India opened-up its economy at 6%.

    Context: India’s top 1% income and wealth shares (22.6% and 40.1%) are at their highest historical levels in 2022-’23 and the country’s top 1% income share is among the very highest in the world as per World Inequality Lab.

    Key findings from the ‘Income and Wealth Inequality in India’ report by the World Inequality Lab

    • Increase in Share of Top 10%: The share of the top 10% of Indians in national income rose from 36.7% in 1951 to 57.7% in 2022.
    • Decline in Share of Bottom 50%: The bottom 50% of Indians earned only 15% of the national income in 2022, compared to 20.6% in 1951, indicating a decrease in their share.
    • Decrease in Share of Middle 40%: The middle 40% of Indians experienced a significant decline in their share of income from 42.8% to 27.3% over the period.
    • Rapid Widening of Income Gap: The gap between the rich and the poor has widened rapidly in the last two decades.
    • Historic Peak for Wealthiest 1%: In 2022, the share of national income that went to the wealthiest 1% of Indians reached a historic peak, surpassing levels observed in developed countries such as the United States and the United Kingdom.

    Income group-wise share in national income, and the adult population in each bracket as of 2022-23

    • Distribution Across Income Percentiles: Approximately one crore adults were in the top 1%, ten crore in the top 10%, 36 crore in the middle 40%, and 46 crore were in the bottom 50% of the income pyramid.
    • Concentration of Wealth at the Top: The top 0.001% of the income pyramid, comprising about 10,000 richest Indians, earned 2.1% of the national income, highlighting extreme wealth concentration.
    • High Shares of National Income: The top 0.01% and top 0.1% of income earners earned disproportionately high shares of the national income, accounting for 4.3% and 9.6%, respectively. This reflects significant income inequality, with a small segment capturing a large portion of the country’s wealth.
    The year wise share of national income for the top 10%, bottom 50% and that middle 40% of the population:

    • 1950s-60s: Negligible income gap between the top 10% and the middle 40% of earners.
    • 1980s: Bottom 50% saw a slight increase in their share of national income, contributing to narrowing the gap.
    • 1990s Onwards (Post-liberalization): The income share of the top 10% surged dramatically, while shares of the other two groups steadily declined. This trend persisted into the 2000s and early 2010s, stabilizing thereafter.
    •  In 2022:  the top 1% of earners had a higher share of national income than the richest 1% during colonial rule.
    • Income Disparities: The average annual income of the top 1% was ₹53 lakh, 23 times more than the average Indian’s income of ₹2.3 lakh in 2022-23. The average income of the bottom 50% and middle 40% stood at ₹71,000 and ₹1.65 lakh, respectively, during the same period.

    Richest 1% of Indians’ share in the national income

    • Pre-Independence (1930s): The top 1% of earners had a significant share of national income, surpassing the 20% mark.
    • Post-Independence: After independence and the merger of princely states with Independent India, the share of the top 1% steadily declined, reaching close to 6% in the 1980s.
    • Post-liberalization: Following liberalization reforms, the income share of the top 1% surged again, presently hovering around the 22.5% mark.
    • Comparison with British Rule: The current income share of the top 1% is much higher than their share under British rule, highlighting a return to historical levels of income concentration.

    The income share of India’s top 10% and top 1%, compared with select countries in 2022-23

    • India’s Income Growth: India’s income levels are not growing as rapidly as other comparable economies.
    • High Share of Top 1%: Despite slower overall income growth, the top 1% of earners in India have a disproportionately high share of national income.
    • Comparison with Advanced Countries: In 2022-23, the income shares of India’s top 1% were higher than those recorded in advanced countries like the United States, China, France, the United Kingdom, and Brazil.

    China and Vietnam’s average incomes grew at a much faster pace than India’s

    • Economic Policies: China and Vietnam implemented economic policies that focused on export-oriented growth, attracting foreign investment, and promoting industrialization. These policies contributed to rapid economic expansion and increased average incomes in both countries.
    • Liberalization and Reforms: Both China and Vietnam underwent significant economic liberalization and reforms, allowing for greater market integration, privatization of state-owned enterprises, and relaxation of trade barriers. These reforms stimulated economic growth and led to higher average incomes.
    • Investment in Infrastructure: China and Vietnam invested heavily in infrastructure development, including transportation networks, energy systems, and telecommunications. This infrastructure investment facilitated economic development and improved productivity, leading to higher average incomes

    Income inequality in India can be attributed to various factors:

    • Historical Factors: Historical disparities in wealth distribution, exacerbated by colonial rule and feudal systems, have contributed to persistent income inequality.
    • Economic Growth Patterns: India’s economic growth needs to be more inclusive, with benefits disproportionately accruing to certain segments of society, particularly urban and educated populations. This uneven growth exacerbates income inequality.
    • Structural Issues: Structural factors such as unequal access to education, healthcare, and employment opportunities perpetuate income disparities. Marginalized groups such as Dalits, Adivasis, and women often face barriers to accessing quality education and formal employment, limiting their income-earning potential.
    • Land Ownership and Agriculture: Unequal distribution of land ownership and disparities in agricultural productivity contribute to income inequality, particularly in rural areas where agriculture remains a primary source of livelihood.
    • Labor Market Dynamics: Informal employment, low wages, and lack of job security in the informal sector contribute to income inequality. Additionally, skill mismatches and technological advancements may widen the income gap by favoring skilled workers over unskilled laborers.
    • Lack of Financial Inclusion: Limited access to formal financial services and lack of asset ownership, such as land or property, among marginalized communities further perpetuate income inequality.
    • Corruption and Cronyism: Corruption, crony capitalism, and unequal access to resources and opportunities exacerbate income inequality by favoring vested interests and hindering equitable wealth distribution.

    Conclusion: India witnesses unprecedented income inequality with the top 1% accruing a higher share of national income than under British rule. Structural factors, uneven economic growth, and limited access to resources perpetuate income disparities, requiring comprehensive policy interventions for equitable growth.

    Mains PYQ

    Q. It is argued that the strategy of inclusive growth is intended to meet the objective of inclusiveness and sustainability together. Comment on this statement. ( UPSC IAS/2019)

  • [19 March 2024] The Hindu Op-ed: Violence, homelessness, and women’s mental health

    [19 March 2024] The Hindu Op-ed: Violence, homelessness, and women’s mental health

    Note4Students: 

    PYQ Relevance: Mains: 

    Women’s movement in India has not addressed the issues of women of lower social strata.’ Substantiate your view. [UPSC 2018]“

    Though women in post-Independent India have excelled in various fields, the social attitude towards women and the feminist movement has been patriarchal.” Apart from women’s education and women empowerment schemes, what interventions can help change this milieu?[UPSC 2021].

    Prelims: Constitutional Provisions for Women;

    Mains: Women Issues; Government Schemes and Initiatives for Minorities;

    Mentor comments: Recently, there were some observations by the 5th NFHS Survey for all of India highlighting the new trends and observations that encircle violence against women. Once upon a time, Robert Sapolsky contended that our inclinations, actions, and choices were not products of an autonomous, conscious process of free will but rather shaped by biological factors such as our genes, neural circuitry, and brain chemistry. Therefore, to develop comprehensive solutions based on violence against women, recognizing and compensating women for their unpaid labor and creating the space for women to find supportive networks can offer them security and refuge.  

    Let’s learn. 

    —

    Why in the News?

    The recent observations presented by the National Family Health Survey (NFHS-5) focus on a sobering picture of the pervasive violence against women in India.

    • Almost 30% of women between the ages of 18-49 years have experienced physical violence beginning at age 15; 6% reported sexual violence. 

    What are the recent findings that relate to Women’s Mental Health Issues in India?

    • On Relational Disruptions: According to the Survey, the disruptions are often linked to violence, predicted homelessness among women, and access to mental health care. Reports highlighted discrepancies between women’s experiences of trauma and standard diagnostic frameworks.
    • A feeling of homelessness: A woman living with mental health conditions (including child sexual abuse and intimate partner violence) showed how homelessness can be both an escape from violence and a result of repeated trauma.
    • Survival challenges: The major challenge was that handicapped women due to domestic violence faced issues in finding food and safe spaces even on the streets.
    • Child Sexual Abuse: A recurrent theme that emerged was the impact of child sexual abuse prevalent in minority and uneducated areas.
    • On Poverty: Structural barriers like poverty and caste contribute to the breakdown of traditional support systems, leading to homelessness as a means of seeking safety and agency.
      • Experience of alienation and shame were the major cause as compared to poverty which did not entirely match with the Diagnostic and Statistical Manual of Mental Disorders conceptualizations of trauma.

    What are the challenging factors that are held under an umbrella?

    • Age-old ‘labelled’ assumptions: The label of madness has been used to discredit, subjugate, and silence women who are seen as demonstrating undesirable traits — intellectual curiosity, assertiveness, and autonomy.
      • From the witch trials in the Middle Ages to the incarceration in asylums, resistance to oppression and refusal to comply with expected norms were labelled as missteps.
    • Patriarchal prevalence in society: The social construct of womanhood continues to be carefully curated and enforced, confining women and their value within reproductive roles and docile submission to various forms of violence, routinely normalized and justified.
    • Health-care Gaps: Many of the manifestations of mental ill-health are embedded in the reality of adverse life events. In this context, investments cannot be confined to increasing proximal access to mental health care without collective action that can substantively address deep-rooted violence.

    What are the Impacts on Women’s Health?

    • At the Individual level: Due to above mentioned two major reasons there has been a mainstream discourse on women’s mental health, which is dominated by a narrow focus on higher prevalence rates of depression, anxiety or eating disorders, or mental health needs.
    • At the Societal level: Women are often viewed through a reductionist biomedicine-dominated lens, neglecting the insidious impact of violence that women endure.
      • Navigating mental health and social care systems that mirror these biases, in the background of poverty and caste-based marginalization, takes a profound toll elevating the risks of homelessness.
    Government Measures for the Protection of Women in India:

    1) Constitutional Provisions:

    Articles 14, 15, 15(3), 16, 39(a), 39(b), 39(c), and Article 42 emphasize equality before the law, prohibition of discrimination based on gender, equal opportunity in employment, and measures to secure livelihood and maternity welfare.
    Through Article 243, the Constitution of India mandates reservations for women in local self-government bodies to enhance their representation and involvement in decision-making processes.

    2) Legislative measures Protection of Women from Domestic Violence Act, 2005:

    This act aims to counter crimes against women, including rape, dowry deaths, and domestic violence.

    Mission Shakti and Swadhar Greh Scheme: This initiative focuses on women’s empowerment, safety, and security through skill development, economic empowerment, and support services.

    One-Stop Centres and Legal Services: The Government Authorities offer integrated services, legal aid, and support to women affected by violence.

    The Bhartiya Nyaya Samvidhan, 2023: The government has implemented various measures like the Criminal Law (Amendment) Acts, Safe City Projects, and cyber-crime portals to enhance women’s safety and combat crimes against women.

    Way Forward: Adoption of a multifaceted approach

    • Building a two-way relationship: The intricate relationship between homelessness and mental illness requires a deeper examination, emphasizing nuances like violence against women.
    • Building Independence:
      • Education: Embedding in the education environment, a curriculum that helps growing adolescents interrogate and challenge harmful gendered norms may help foster them with egalitarian values that reject all forms of violence against women.
      • Finance: Ensuring access to basic income, housing, and land ownership may offer economic independence and reduce vulnerability to homelessness.
    • Need to Explore Mental Health Care: The number of adults with mental illness has risen, exacerbated by the COVID-19 pandemic; leading to a growing crisis in youth mental health hence a thorough exploration of the multifaceted aspects of mental health is crucial.
    • Need for a skilled Approach: Involving diverse professionals, innovative research, and meaningful engagement of individuals with lived experiences is essential.
    • Need for Robust Mechanism in Healthcare System: Prioritizing a variety of strong responses is key to addressing diverse needs, especially focusing on high-priority groups like homeless women.
      • A comprehensive response involves exploring phenomena, understanding their impact on mental health, considering intersectionality, and power dynamics, and utilizing feminist standpoint theory to advance knowledge.

    https://mospi.gov.in/sites/default/files/reports_and_publication/cso_social_statices_division/Constitutional%26Legal_Rights.pdf

    https://www.thehindu.com/opinion/lead/violence-homelessness-and-womens-mental-health/article67965726.ece

  • Understanding dialysis outcome patterns in India through a nationwide study 

    Why in the News? 

    Recently, there are some findings from a nationwide private haemodialysis network’, the Lancet Regional Health-Southeast Asia, on the survival of patients receiving haemodialysis in India

    Context:

    • India has amongst the highest number of patients receiving chronic dialysis, globally estimated at around 1,75,000 people in 2018. Daily, the number of patients on dialysis has been increasing.
    • The launch of the National Dialysis Service in 2016 to improve access, and ongoing efforts to develop affordable dialysis systems, are all underlined by the rising incidence of end-stage renal disease in the country.

    What is Hemodialysis?

    A machine filters wastes, salts and fluid from your blood when your kidneys are no longer healthy enough to do this work adequately.

     

    Key Highlights as per study:

    • Survival with Centre- and Patient-Level: The study found that both centre- and patient-level characteristics are associated with survival rates among patients undergoing haemodialysis.
    • Unexplained Variation Between Centres: Despite considering various centre-based characteristics, there remained unexplained variations in survival rates between dialysis centres across India. This suggests that factors beyond those accounted for in the study may influence patient outcomes.
    • Large Sample Size: The study included a substantial sample size of over 23,600 patients undergoing haemodialysis at any centre in the NephroPlus network between April 2014 and June 2019. This large sample size enhances the robustness of the study’s findings.
    • Primary Outcome: The primary outcome of the study was all-cause mortality, measured from 90 days after patients joined a center. This outcome measure provides valuable insights into patient survival rates over time following the initiation of haemodialysis treatment.
    • Consideration of Individual-Level Variables: The study accounted for various individual-level variables such as sex, smoking status, medical history (e.g., diabetes, heart disease, hypertension, hepatitis B, hepatitis C), education level, monthly household income, dialysis frequency, and vascular access. These variables offer comprehensive insights into patient characteristics and their impact on survival rates.
    • Evaluation of Centre-Level Variables: Centre-level variables, including the frequency of nephrologist visits, number of beds, number of staff, and number of patients, were also considered. These variables help assess the influence of center resources and practices on patient outcomes.

    What were the measuring differences?

    • Limited Data: The only significant study conducted previously in Andhra Pradesh used claims data from a publicly-funded insurance scheme between 2008 and 2012. It included 13,118 beneficiaries and reported a 10.2% mortality rate within six months of starting hemodialysis.
    • Absence of Centre-Level Effects: The previous study did not consider center-level effects on survival, limiting the understanding of differences in survival rates between dialysis centers, as observed in other countries.
    • Gaps in Understanding: Major gaps existed in understanding dialysis outcome patterns in India due to the absence of comprehensive studies, hindering efforts to improve patient care.
    • Lack of National Benchmark: There was no established national benchmark for survival rates among patients undergoing dialysis in India at the time of the study.
    • Need for Further Research: The study highlighted the importance of conducting more extensive research to fill the gaps in knowledge and establish benchmarks for dialysis outcomes in India.

    What is the recent issue related to the Mortality rate? 

      • Administrative challenges associated with Mortality:
        • Impact of Centre-Level Factors: Including center-level factors such as staffing, care processes, and patient volume in the analysis reduced the variability in survival rates across dialysis centers by 31%. This suggests that center-level characteristics play a significant role in influencing patient outcomes and survival rates.
        • Survival Range: After adjusting for multi-level factors, the estimated 180-day survival among patients undergoing hemodialysis ranged between 83% and 97%. This variability indicates differences in survival outcomes across dialysis centers in India.
      • Urban-Rural Divide: Patients attending rural dialysis centers experienced a 32% higher mortality rate compared to those at urban centers. This disparity underscores the unique challenges faced by rural healthcare facilities in providing hemodialysis services.
    • Patient Characteristics Associated with Mortality:
      • Catheter-Based Vascular Access: Patients using catheter-based vascular access had a higher mortality rate compared to those using arteriovenous fistula or graft access.
      • Financial Support: Patients receiving financial support for dialysis treatment through government panel schemes or private insurance had a lower mortality rate compared to those paying out-of-pocket.
      • Dialysis Vintage: There was an inverse relationship between mortality rate and dialysis vintage, with patients receiving dialysis for at least a year before joining a center experiencing a 17% lower mortality rate than those starting dialysis less than 30 days before joining.
      • Presence of Diabetes: The presence of diabetes was associated with a higher mortality rate among hemodialysis patients.

    Way Forward:

    • Establishment of National Benchmark: The study proposes the first national benchmark for survival among dialysis patients in India. This benchmark will serve as a reference point for evaluating the quality of care and outcomes across dialysis centres in the country.
    • Ongoing Quality Improvement Programs: As dialysis access continues to expand in India, ongoing quality improvement programs are crucial for ensuring that patients receive the best possible care and experience optimal outcomes at the point of care.
    • Collaborative Quality Improvement System: The authors emphasize the need for a collaborative quality improvement system across the country to address the increasing demand for dialysis services. This system should involve stakeholders at various levels of healthcare delivery to enhance standards of care and patient outcomes.
    • Understanding Multilevel Effects: It is essential to understand the multilevel effects of both centre- and patient-level characteristics on dialysis outcomes. Establishing national standards for dialysis outcomes in India requires comprehensive insights into these factors to drive improvements in care delivery.
    • Comparison and Monitoring: Establishing national benchmarks enables comparison and monitoring of dialysis centres’ performances over time. This approach facilitates the identification of variations in practice patterns and outcomes, paving the way for targeted interventions and improvements in healthcare delivery.

    Conclusion: The nationwide study on haemodialysis outcomes in India highlights disparities and the need for standardized care. Establishing national benchmarks, ongoing quality improvement, and collaborative efforts are essential for enhancing dialysis care and patient outcomes.

    Mains PYQ-

    Q- Public health system has limitations in providing universal health coverage. Do you think that private sector can help in bridging the gap? What other viable alternatives do you suggest? (UPSC IAS/2015)

  • No major change in employment status or wages in 10 years

    Why in the news? 

    Recently, a report by Bahutva Karnataka shows that the share of self-employed workers increased, while the share of those in formal employment remained low

    What does the Report say?

    • The stagnation in economic growth in India is evident in the share of households earning less than the proposed National Floor Level Minimum Wage (NFLMW) of ₹375 a day, with approximately 34% falling below this threshold.
      • Additionally, wage inequality has exacerbated the gap between the rich and the poor.
    • In 2022, the top 1% and 10% of the population held 22% and 57% of the national income, respectively, while the bottom 50% held a significantly lower share at 12.7%, as per data from the World Inequality Database.

    Key Highlights:

     

    The Report compares the share of Employment across various employment categories in 2011-12 and 2022-23 for men and women- 

    • Low Formal Employment: The share of formal sector employment remained below 25%. Majority of employment (above 50%) was in the self-employed category.
    • Increase in Self-Employment: Self-employment remained predominant, with over 50% of the workforce engaged in this sector. Self-employment saw a notable increase in the share of women, rising by 8% points from 56.5% in 2011-12 to 64.3% in 2022-23.
    • Rise in Women’s Self-Employment: Women constituted the highest share of self-employed individuals. The share of self-employed women saw significant growth, indicating a rising trend of women engaging in entrepreneurial activities.
    • Unpaid Labor: The report highlights an increase in the number of women engaged in unpaid labor within family businesses or farming. This rise reflects the lack of other remunerative employment opportunities and stagnant household earnings.
    • Gender Disparities Persist: Despite increased participation in self-employment, gender disparities persist, with women often engaging in unpaid labor or informal work due to limited opportunities in the formal sector.
    • Economic Stagnation Impact: economic stagnation has led to limited growth in formal sector employment, pushing more individuals, especially women, towards self-employment and unpaid labor as alternative sources of livelihood.

    The major observation in India: Many households still earn less than the NFLMW:

    • Stagnant Income Growth: There has been no significant growth in income over the past five years across different employment categories.
    • Low Earnings Below NFLMW: Many households still earn less than the proposed National Floor Level Minimum Wage (NFLMW). In 2019, an expert committee recommended the NFLMW to be at least ₹375 per day and ₹3,050 per week.
    • Regional Disparities: Analysis of 34 States and Union Territories (UTs) revealed that in about 19 of them, more than 20% of households earned less than ₹375 a day or ₹3,050 a week in 2022-23.
      • In states like Chhattisgarh and Uttar Pradesh, over 50% of households earned less than the recommended minimum wage.
    • Large Number of Low-Income Workers: The report highlights that nearly 30 crore workers earn less than the minimum wage, indicating a significant portion of the workforce struggling with low earnings.

    The year-wise wealth share of the top 10% and the bottom 50% of the population-

    • Stagnant Income Growth vs. GDP Per Capita: Despite an increase in GDP per capita over the last decade, income growth among the majority of the population has remained stagnant.
    • GDP Per Capita Increase: Over the past 10 years, GDP per capita in India has risen by 60%, indicating overall economic growth and prosperity.
    • Low Earnings Below NFLMW: Despite GDP growth, close to 35% of total households still earn less than the proposed National Floor Level Minimum Wage (NFLMW).
    • Increase in Wealth Disparity: The share of national wealth held by the wealthiest 10% of the population has increased from 63% in 2012 to 64.5% in 2022. Conversely, the share of wealth held by the poorest 50% of the population has decreased from 6.1% in 2012 to 5.6% in 2022.

    What are the measures to resolve these issues?

    • Promote Formal Employment: Encourage policies and initiatives to boost formal sector employment, providing stable income and social security benefits. Offer incentives to businesses to create more formal job opportunities.
      • Focus on promoting vocational training and entrepreneurship among women to enhance their participation in formal sectors.
    • Ensure Equal Pay and Opportunities: Enforce laws to ensure equal pay for equal work, regardless of gender. Implement policies to eliminate gender discrimination in hiring practices and promotion opportunities.
    • Improve Minimum Wage Standards: Review and revise minimum wage standards regularly to ensure they are in line with the cost of living and provide a decent standard of living.
    • Invest in Rural Development: Promote rural development initiatives to create alternative sources of livelihood and reduce dependency on agriculture, especially for women engaged in unpaid labor.
    • Address Regional Disparities: Implement targeted interventions to address rural-urban disparities in income and employment opportunities. Focus on infrastructure development, skill enhancement, and investment promotion in economically backward regions.
    • Enhance Social Safety Nets: Strengthen social safety net programs such as Universal Basic Income (UBI), healthcare, and education to provide a buffer against income volatility and support vulnerable households.

    Conclusion:

    Stagnant income growth and rising self-employment underscore economic challenges, with many households earning below the proposed minimum wage. Resolving issues requires promoting formal employment, equal pay, rural development, and progressive taxation.

    PYQ Mains-

    Q- Can the vicious cycle of gender inequality, poverty and malnutrition be broken through microfinancing of women SHGs? Explain with examples.

  • [13 March 2024] The Hindu Op-ed: Intra-group caste variances, equality and the Court’s gaze

    [13 March 2024] The Hindu Op-ed: Intra-group caste variances, equality and the Court’s gaze

    PYQ Relevance:

    Mains:
    1. Whether the National Commission for Scheduled Castes (NCSC) can enforce the implementation of constitutional reservation for the Scheduled Castes in the religious minority institutions? Examine (2018)

    2. What are the two major legal initiatives by state since Independence, addressing discrimination against Scheduled Tribes (ST)? (2017)

    3. Why are the tribals in India referred to as ‘the Scheduled Tribes’? Indicate the major provisions enshrined in the Constitution of India for their upliftment. (2016)

    Prelims:
    Under the Indian Constitution, the Concentration of Wealth violates​ (2021)
    a) the Right to Equality​
    b) the Directive Principles of State Policy​
    c) the Right to Freedom​
    d) the Concept of Welfare
    From The Hindu

    Note4Students: 

    Mains: Minority sections of the society and their Empowerment; Judiciary; State government;

    Prelims: Fundamental rights; Important judgements by SC; State government;

    Mentor comments: Recently, the case of ‘State of Punjab vs Davinder Singh’ revolves around the question of whether State governments can make sub-classifications within Scheduled Castes and Scheduled Tribes for public employment. The Supreme Court is set to deliver a judgment on this matter, addressing the issue of intra-group variances and the power of States to recognize them. We need to analyze this issue as it is sub-classified SC reservations which are leading to legal challenges and subsequent legislative actions.

    Let’s learn. 

    —

    Why in the News?

    The SC is set to deliver a judgment on whether State governments can make sub-classifications within SCs and STs, addressing the varying levels of development and discrimination within these groups. 

    Context:

    • The ongoing case of State of Punjab v Davinder Singh has brought to light the complexities surrounding sub-classification within reserved categories.
    • The central question revolves around whether a group within a reserved category can be further sub-classified and granted reservations.
    • Proponents argue that sub-classification is necessary to ensure adequate representation of the most disadvantaged groups, addressing the issue of backwardness within backwardness.
    • On the other hand, opponents contend that the existing reservation scheme already ensures adequate representation for historically disadvantaged groups, making sub-classification unnecessary.
    JUDICIARY ON SUB-CATEGORIZATION WITHIN RESERVED CATEGORIES:

    1) State of Punjab vs Davinder Singh case (1975):

    – In 1975, the Government of Punjab issued a circular that reserved 50% of SC seats for Balmikis and Mazhabi Sikhs, leading to legal challenges culminating in the Supreme Court’s involvement.

    – The case questions whether sub-classifications are constitutionally permissible within SCs and STs, challenging the notion that these groups are homogenous.

    – The debate involves revisiting past judgments like E.V. Chinnaiah vs State of Andhra Pradesh, which prohibited sub-classifications within SCs but recognized such distinctions within Other Backward Classes (OBCs).

    2) Indra Sawhney vs Union of India Case (1992):

    – The SC cited its judgment which arose out of the Mandal Commission’s report. There, a nine-judge Bench had held that sub-classifications within socially and educationally backward classes (OBCs) for services under the government was permissible.

    – The case introduced the concept of the “creamy layer,” excluding affluent sections within backward classes (limited it to not exceed 50%) from reservation benefits.

    – The genesis of this debate dates back to 1980 when the Second Backward Classes Committee, chaired by BP Mandal, recommended 27% reservation for OBCs and 22.5% for Scheduled Castes.

    3) About E.V. Chinnaiah vs State of Andhra Pradesh Case (2004):

    – A five-judge Bench quashed the Andhra Pradesh Scheduled Castes (Rationalization of Reservations) Act, 2000. The Act was challenged before the High Court and later the Supreme Court, which declared it ‘ultra vires the Constitution’ as it offended Article 341 of the Constitution.

    – This provision allows the President of India to notify a list of SCs for each State, and stipulates that the list can only be modified by Parliament.

    – The case prohibited sub-classifications within SCs as it was found to violate constitutional provisions but recognized such distinctions within Other Backward Classes (OBCs). It emphasized that SCs and STs are homogeneous groups incapable of further regrouping or classification.

    – The Court found that the State government had no power to tinker with the list because it was clear on a bare reading of Article 341 that such authority vested only with Parliament.

    What is the difference between a homogenous class and a sub-classification within reserved categories?

    • A homogenous class refers to a group that is considered uniform or undifferentiated, where all individuals within the group are treated equally.
    • The Sub-classification within reserved categories involves categorizing a larger group into smaller sub-groups based on specific criteria, allowing for differential treatment or preferences within the overall category.
    • The distinction lies in how individuals within a larger reserved category are treated – either uniformly as a single homogenous group or with differentiated preferences based on sub-classifications.

    What are the arguments for and against sub-classification within reserved categories?

    Arguments for Sub-classification:

    • Ensuring Adequate Representation: Proponents argue that sub-classification is necessary to ensure adequate representation of the most disadvantaged groups within reserved categories.
    • Tailoring Criteria for Sub-classification: The court needs to tailor criteria for sub-classification to prevent leaving out certain groups while granting benefits to the most backward.
    • State’s Ability to Identify Backwardness: The states needs to be best positioned to judge the backwardness of communities and should have the authority to create sub-classifications within reserved categories without violating constitutional provisions.

    Arguments against Sub-classification:

    • Presumption of Backwardness: Opponents argue that while there is a presumption of backwardness with Scheduled Castes (SCs), individual castes within SCs cannot be considered separate classes under Article 16(4), suggesting that making laws for specific castes within SC lists could violate Article 16(2).
    • Violation of Equality Principle: Critics assert that sub-classification would violate the right to equality by treating communities within the category differently, potentially leading to discrimination based on caste, which is prohibited under Article 16(2).
    • Stigma and Exclusion: Those against sub-classification argue that if certain Scheduled Castes do not receive reservation benefits, they may be left with the stigma of being a Scheduled Caste without access to affirmative action measures, highlighting concerns about exclusion and inequality.

    What are the challenges faced by Sub-Classifications within Reserved Categories in India?

    • Lack of Equal Opportunities: Articles 14 to 16 of the Constitution promises of substantive equality. The absence of sub-classification perpetuates inequality within reserved categories, hinders the framing of appropriate government policies.
    • Legal and Constitutional Complexities: The states face challenges as they lack legislative competence to create sub-classifications within reserved categories, raising questions about the constitutionality of such measures.
    • Addressing Backwardness: The issue of “backwardness within backwardness” has been acknowledged, emphasizing the need to address the most disadvantaged communities effectively.

    Way Forward

    Considering the above challenges, they highlight the complexities and nuances involved in addressing sub-classifications within reserved categories in India. Hence it is necessary to emphasize on careful consideration and legal clarity in policy-making and implementation. The SC’s decision in cases like ‘State of Punjab vs Davinder Singh’ will play a crucial role in shaping affirmative action discourse and addressing issues of social justice within reserved categories

  • [11 March 2024] The Hindu Op-ed: France’s exceptional women, their imprint on diplomacy

    [11 March 2024] The Hindu Op-ed: France’s exceptional women, their imprint on diplomacy

    PYQ Relevance:
    Mains:
    1. Analyze the distinguishing features of the notion of Right to Equality in the Constitutions of the USA and India. (UPSC CSE 2021)

    2. ‘Women’s movement in India has not addressed the issues of women of lower social strata.’ Substantiate your view. (UPSC CSE 2018)nt in the formal sector of the Indian economy? Is increased informalization detrimental to the development of the country? [UPSC CSE 2016]
    From The Hindu

    Note4Students: 

    Mains: Social Issues and Justice; Women Issues;

    Prelims: Women’s rights in the Indian Constitution;

    Mentor comments: France became the first country to enshrine the freedom of women to voluntarily terminate a pregnancy in its Constitution. This decision is rooted in the groundbreaking work of French feminist icon Simone de Beauvoir, who in 1949 published “The Second Sex,” a philosophical work advocating for women’s right to choose and challenging societal norms around motherhood and abortion. Secondly, France’s commitment to women’s rights is reflected in its feminist foreign policy, advocating for gender equality globally. Through this Article, we need to study the collaboration between France and India that holds great potential to further advance women’s rights on a global scale, building on their shared commitments to gender equality and empowerment.

    Let’s learn. 

    —

    Why in the News?

    On March 4, 2024, France became the first country to enshrine the “freedom of women to voluntarily terminate a pregnancy” in its Constitution, marking a historic moment that sends a universal message of solidarity to women worldwide.

    What is the recent groundbreaking Work on Women’s Rights in France?

    Legalization of Abortion in France: The constitutional amendment aims to safeguard abortion access amidst global threats and challenges to reproductive health rights. This step is crucial for ensuring autonomy and informed decision-making regarding sexual and reproductive health care, including abortion.

    • Women’s right to choose: Simone de Beauvoir (1949), in her “The Second Sex,”(seminal work in feminist philosophy) challenged traditional views of women as solely mothers and caregivers, advocating for women’s right to choose.
    • Right to abortion: Simone de Beauvoir highlighted the need for free, safe, and legal abortion services to empower women in controlling their destinies. On this background, France recently enshrined the right to abortion in its constitution, a historic move to protect reproductive rights.

    What are the major two criticisms and challenges ahead?

    • Prevalent inequalities: Despite progress, France still faces barriers to abortion care and other women’s rights issues like violence and discrimination.
    • On setting priorities: The move has sparked debates about the government’s priorities and the actual accessibility of abortion services for all French women.
    What other rights are protected by the French constitution?
    The French Constitution protects a range of rights beyond the recent inclusion of the right to abortion.

    1. Safeguarding individual liberties: The Declaration of the Rights of Man and the Citizen, a foundational document in French constitutional history, outlines key rights and principles.
    – These include the recognition that all men are born free and equal in rights, with social distinctions based only on public utility.
    – The aim of political associations is to preserve the natural and inalienable rights of man, which encompass liberty, property, security, and resistance to oppression

    2. Promoting equality: The French Constitution emphasizes equality before the law for all citizens without distinction and guarantees fundamental freedoms such as freedom of speech, religion, and opinion.

    3. Ensuring accountability: It establishes the right to property as inviolable unless public necessity requires its deprivation with just compensation.

    Additionally, the Constitution ensures that public taxes are equally apportioned among citizens according to their means and that society has the right to hold public agents accountable for their actions.

    What is France’s Commitment on feminist foreign policy?

    • France champions a feminist foreign policy, prioritizing gender equality and women’s rights in its diplomatic efforts.
    • The country integrates gender perspectives into bilateral relations, development aid, and advocacy at international forums.
    • France’s co-chairing of the Generation Equality Forum in 2021 underscores its dedication to advancing women’s rights globally.

    Impacts of such decisions:

    • Global Impact and Scenario:
      • France’s decision sets a precedent globally, emphasizing the importance of securing reproductive rights as fundamental freedoms.
      • The amendment reflects a broader international focus on advancing women’s rights and addressing gender disparities worldwide.
    • Indian Scenario:
      • India has a history of supporting women’s rights internationally, aligning with Sustainable Development Goal 5 and participating in initiatives for Gender Equality.
      • India’s recent membership in the United Nations Commission on the Status of Women highlights its commitment to promoting gender equality on a global scale.

    Conclusion

    At a moment when women’s rights are under threat in many regions of the world, this decision also sends out a universal message of solidarity to women across the globe.

    • Learnings and Collaborative Potential:
      • There is significant potential for France and India to collaborate on advancing women’s rights worldwide through joint initiatives and partnerships.
      • By leveraging their shared values and commitments to gender equality, France and India can amplify their impact on promoting women’s empowerment and rights internationally.

    References

    https://www.thehindu.com/opinion/op-ed/frances-exceptional-women-their-imprint-on-diplomacy/article67936231.ece

    https://www.hrw.org/news/2024/03/05/france-protects-abortion-guaranteed-freedom-constitution

    https://www.nbcnews.com/news/world/france-abortion-right-constitution-international-womens-day-rcna142406

    https://www.thecollector.com/simone-de-beauvoir-and-feminism-contributions-and-controversies/

  • [9 March 2024] The Hindu Op-ed: India’s suboptimal use of its labor power

    [9 March 2024] The Hindu Op-ed: India’s suboptimal use of its labor power

    PYQ Relevance:

    Prelims:
    Disguised unemployment generally means (UPSC CSE 2013)
    a) A large number of people remain unemployed
    b) Alternative employment is not available
    c) Marginal productivity of labor is zero
    d) Productivity of workers is low

    Mains:
    1. Account for the failure of the manufacturing sector in achieving the goal of labor-intensive exports. Suggest measures for more labor-intensive rather than capital-intensive exports. [UPSC CSE 2017]

    2. How globalization has led to the reduction of employment in the formal sector of the Indian economy? Is increased informalization detrimental to the development of the country? [UPSC CSE 2016]

    3. The nature of economic growth in India in recent times is often described as jobless growth. Do you agree with this view? Give arguments in favor of your answer. [UPSC CSE 2015]

    Note4Students: 

    Mains: Sectors of Indian Economy; Employment;

    Prelims: Types of Employment;

    Mentor comments: India’s labor market is grappling with issues such as underemployment, low-quality jobs, and high unemployment rates. In such a scenario, we need to focus on creating high-wage jobs and improving the quality of employment opportunities to tackle rising unemployment rates and disparities across regions, gender, and generations. Addressing these challenges requires a comprehensive approach that focuses on creating better job opportunities across various sectors while preparing the workforce for the future.

    Let’s learn. 

    —

    Why in the News?

    According to the recent Labour Force Participation Rate, India’s labor market faces challenges with a vast majority of the population earning income through informal employment, lacking job security and benefits. 

    What is the current state of the Indian Labor market?

    • According to the Periodic Labour Force Survey (PLFS), the labor force participation rate is 50%, with a lower female participation rate of 23% compared to 67% for males.
    • In 2017–18, 90.7% of employment was in the informal sector, marked by low productivity and underemployment. Self-employment accounts for 52% of workers, while only 23% are regular salaried workers.

    Context:

    • Although the recent data shows an increase in labor force participation and a decrease in unemployment rates in the Indian Market, the growth is primarily driven by self-employment and unpaid family workers.
    • There has been stagnation in real earnings for wage/salaried workers and the self-employed. The dominance of low-quality work in India’s labor market poses macroeconomic growth concerns and highlights the need for creating better job opportunities.

    What are the current major shifts in the Indian Labor Market?

    • Dynamics of job creation and loss: India’s job market is characterized by a scarcity of good jobs, with a large portion of the workforce employed in informal, low-wage, and insecure sectors like agriculture.
      • Services sector: It contributes significantly to both job creation and loss, with wholesale and retail trade playing a substantial role.
      • Construction sector: It is known for insecure working conditions and low pay, generates a significant number of new jobs, raising concerns about job quality. Unemployment rates have been high even before the pandemic, with challenges exacerbated by the COVID-19 crisis.
    • Improvements in Labour Market:
      • Labour Force Participation and Unemployment Rates: LFPR increased steadily from 52.35% in 2017-18 to 58.35% in 2021-22, driven notably by rural women. Overall unemployment rate decreased from 6.2% in 2017-18 to 4.2% in 2021-22, with a similar downward trend for youth unemployment.
      • Self-Employment Dynamics: LFPR and unemployment rate improvements largely attributed to self-employment. Rise in unpaid family workers and own-account workers reflect a decline in job quality within the workforce.
    • Earnings:
      • Earning Trends:
        • Aggregate Earnings: All-India average real daily earnings increased by around ₹10 between 2017-18 and 2021-22, a 4% increase.
        • Rural and Urban Earnings: Both rural and urban daily earnings increased by an average of ₹10 to ₹14.
        • Earnings Disparities: Wage and salaried workers had the highest earnings, followed by self-employed and casual workers. Salaried and self-employed earnings stagnated, while casual workers saw a 20% increase.
      • Employment Trends:
        • Self-Employment Growth: Self-employed workers saw the highest growth in employment between 2017-18 and 2021-22. The subcategory of unpaid family workers experienced significant growth in numbers.
        • Earnings Disparities: Top 20% of salaried workers experienced a drop in real daily average earnings.
      • Structural Transformation:
        • Labour Force Participation Rate (LFPR) rose, but closer examination reveals disparities in employment types.
        • Notable rise Female Workforce Participation driven by self-employment in agriculture.
        • Sectoral Shifts: Movement from agriculture to construction observed among male workers

    How can the challenges faced by the Indian Labor Market can be addressed?

    • Building Quality over Quantity: Government needs to explore innovative solutions to generate demand and create employment opportunities. Secondly, it also needs to support skill development initiatives, by bridging the skill gap by enhancing the industry-academia linkages, fostering internships, and encouraging entrepreneurship for better absorption of skilled labor.
    • Need for Labor Reforms: Advocate for rational and progressive labor reforms that consider the interests of both workers and employers.
    • Building good Work Culture: Promoting transparency, responsible business practices, and fair labor market operations through effective leadership and employee engagement initiatives is the need of the hour.
    • Need for constructive work: Strive for constructive dialogue, collaborative decision-making, and a cooperative environment to address disguised unemployment, seasonal unemployment, and educated unemployment through policies promoting job creation.

    Conclusion: According to NITI Aayog, India has potential to grow at 8% as the country is labor-rich with enough institutional maturity of a functioning democracy. In simpler terms, the Investment to GDP ratio is the area where we need to focus as it plays a crucial role in the demand-side of the economy.

    References

    https://www.thehindu.com/opinion/lead/indias-suboptimal-use-of-its-labour-power/article67929725.ece

    https://www.economicsdiscussion.net/india/8-major-problems-faced-by-labour-market-in-india/19131

    https://papers.ssrn.com/sol3/papers.cfm?abstract_id=4609381

    https://www.adb.org/publications/demographic-dividends-india-evidence-and-implications-based-national-transfer-accounts

    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9848021/

    https://www.theindiaforum.in/economy/quantity-vs-quality-long-term-trends-job-creation-indian-labour-market

    https://www.thehindu.com/business/Economy/india-is-a-labour-rich-country-with-enough-institutional-maturity-can-get-to-8-growth-niti-aayog-vice-chairman/article67613743.ece

  • The Hindu Op-ed: A bold step towards a cervical cancer-free future

    The Hindu Op-ed: A bold step towards a cervical cancer-free future

    PYQ Relevance:

    Prelims:
    ‘Mission Indradhanush’ launched by the Government of India pertains to (UPSC CSE 2016)
    a)  Immunization of children and pregnant women
    b)  Construction of smart cities across the country
    c)   India’s own search for the Earth-like planets in outer space
    d)  New Educational Policy


    Mains:
    1. What are the research and developmental achievements in applied biotechnology? How will these achievements help to uplift the poorer sections of the society? (UPSC CSE 2021)

    2. Women empowerment in India needs gender budgeting. What are requirements and status of gender budgeting in the Indian context? (UPSC CSE 2016)

    3. In order to enhance the prospects of social development, sound and adequate health care policies are needed particularly in the fields of geriatric and maternal health care. Discuss. (UPSC CSE 2020)

    Note4Students: 

    Mains: Social Issues and Justice; Health issues; Women empowerment;

    Prelims: Interim Union Budget 2024-25;

    Mentor comments: Cervical cancer is a major cause of cancer mortality in women and more than a quarter of its global burden is contributed by developing countries. In India, in spite of alarmingly high figures, there is no nationwide government-sponsored screening program. Wide-scale implementation and awareness is necessary in India. Hence, on an account of International Women’s Day we need to rethink our Primary Health Policies at grass root levels.

    Let’s learn. 

    —

    Why in the News?

    On account of International Women’s Day (8th March), India’s interim Union Budget 2024-25 is reviewed as a beacon of hope, particularly in the realm of women’s health.

    • The encouragement and support for the vaccination of girls (from 9 to 14 years) against cervical cancer stands out as a pivotal move towards safeguarding women’s well-being.

    What does the Data say?

    According to the NCBI report, cervical cancer in India contributes to approximately 6–29% of all cancers in women. The age-adjusted incidence rate of cervical cancer varies widely among registries; highest is 23.07/100,000 in Mizoram state and the lowest is 4.91/100,000 in Dibrugarh district.

    Context:

    • Firstly, India’s Interim Union Budget 2024-25 has taken a significant step towards a cervical cancer-free future by prioritizing women’s health, particularly through the encouragement of HPV vaccination for girls aged 9 to 14 years.
    • Secondly, the World Health Organization is also aiming for high vaccination coverage, increased screening rates, and improved treatment for cervical cancer.

    What are major Challenges in India w.r.t Cervical Cancer?

    • High Mortality: Despite advances in health care, cervical cancer remains the second most common cancer among women in India, with 1.27 lakh cases and around 80,000 deaths being reported annually.
      • Human papillomavirus (HPV) is a primary reason in the development of cervical cancer. 
    • Supply Side Challenges: Access to vaccination services in underserved populations is imperative. Awareness campaigns are essential to improve demand.
    • Vaccine hesitancy and equitable access:  Addressing vaccine hesitancy remains a challenge. Ensuring equitable access to HPV vaccination is crucial. Efforts needed to engage communities and dispel misinformation.
      • Initiatives like U-WIN aim to enhance vaccination tracking and responsiveness nationwide.

    Initiatives taken for a comprehensive strategy of disease prevention and health promotion:

    • At Global level
      • World Health Organization: The WHO has outlined the ‘90-70-90’ targets by 2030 for 90% of girls to be fully vaccinated with the HPV vaccine by age 15, for 70% of women to undergo cervical cancer screening tests by the age of 35 and 45, and for 90% of women with cervical cancer to be treated.
        • These targets represent milestones in the global effort to eradicate cervical cancer and highlight the pivotal role of India’s call for HPV vaccination in achieving this goal.
      • Other countries: The success stories from countries like Scotland, Australia, and Rwanda highlight the effectiveness of HPV vaccination in reducing cervical cancer incidence. Bhutan is also one of the only low-middle income countries (LMIC) to have begun vaccinating boys as well (in 2021).
    • At National level:
      • Sikkim Model: Sikkim’s successful HPV vaccination campaign in 2018, with a 97% vaccination coverage, exemplifies an effective public health strategy. By educating teachers, parents, girls, healthcare workers, and the media about the benefits of the HPV vaccine, Sikkim demonstrated a targeted and impactful approach.
      • Indigenous vaccine: Developed by the Serum Institute of India – ‘Cervavac’, marks a significant stride towards ensuring accessibility and affordability. 
      • Interim Union Budget 2024-25: India’s inclusion of HPV vaccination in the interim Budget 2024-25 marks a significant step towards safeguarding women’s health against cervical cancer.

    Way Forward:

    • Enhancing Vaccine Acceptance: Improving awareness and tailoring messages to diverse communities are essential for successful HPV vaccination programs.
    • Networking on Vaccine Acceptance: Leveraging various communication channels and integrating HPV education in schools are key strategies. Collaborations between stakeholders are crucial for program success.
    • Promoting of Public-Private Partnerships: Public-private partnerships are vital for ensuring equitable access to vaccination services and safeguarding women’s health against cervical cancer.

    Conclusion

    Due to the lack of necessary infrastructure and quality control, high-quality cytology screening may not be feasible for wide-scale implementation. Hence, cervical cancer screening programs such as VIA/VILI should be adopted as an integral part of primary health-care.

    Practice Question:
    According to the recent survey, India contributes to a significant rate of cervical cancer in women. In this light, critically analyze the need for appropriate interventions in Primary Health Policies.

    Approach for the Answer:

    Introduction:
    Theme: Try to give some recent Reports/Statistics on Cervical Cancer.

    Body:
    Demand 1: Major Challenges;
    Demand 2: Initiatives taken by the Government;
    Demand 3: Suggest some Way Forward;

    Way Forward:
    Summarize along with value addition. Give overall summarization and provide some innovative solutions.

    References:

    https://www.thehindu.com/opinion/lead/a-bold-step-towards-a-cervical-cancer-free-future/article67925836.ece

    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5234166/

    https://www.who.int/news/item/05-03-2024-wave-of-new-commitments-marks-historic-step-towards-the-elimination-of-cervical-cancer

    https://www.cdc.gov/vaccines/vpd/hpv/public/index.html

  • Gendered Challenges in TB Care    

    In the news: Case Study

    • The intersection of gender norms, economic instability, and homelessness presents unique challenges in accessing tuberculosis (TB) care for women like Reshma.
    • Amidst systemic inequities and societal biases, their journey through diagnosis, treatment, and recovery is often fraught with obstacles.
    • A recent study sheds light on the nuanced experiences of homeless women grappling with TB, urging a reevaluation of existing healthcare frameworks.

    Gendered Lens on TB Care

    • Reshma’s Story: Reshma, a homeless woman from Jaipur, embodies the complex narratives surrounding TB care. Her journey, marked by societal abandonment and inadequate healthcare, epitomizes the challenges faced by homeless women battling TB.
    • Gender Norms and Diagnosis: Patriarchal norms influence the accuracy and timeliness of TB diagnosis for women, impacting their access to healthcare facilities and adherence to treatment regimens.
    • Impact of Economic Precarity: Economic instability exacerbates the vulnerability of homeless women, hindering their ability to navigate TB care pathways effectively.

    Data Insights and Inequities

    • Study Findings: A recent survey in Jaipur highlighted the prevalence of TB among the homeless population, underscoring the dire conditions that facilitate TB transmission.
    • Gender Disparities: Homeless women, like Reshma, bear a disproportionate burden of TB infections, revealing systemic gender inequities within TB care systems.

    Barriers to Access and Treatment

    • Documentation Challenges: Lack of identity proof and access to banking services impedes homeless women’s eligibility for government-sponsored TB care Initiatives, such as the Nikshay Poshan Yojana and Nikshay Mitra.
    • Stigma and Social Dynamics: Societal stigma surrounding TB, coupled with patriarchal control over finances, further marginalizes homeless women, hindering their access to nutritional support and treatment adherence.

    Navigating Diagnosis and Care

    • Diagnostic Delays: Vague symptoms and logistical barriers contribute to delayed TB diagnosis among homeless women, prolonging their suffering and increasing the risk of disease progression.
    • Treatment Adherence: Mobility constraints and medication shortages undermine treatment adherence among homeless women, necessitating tailored interventions to address their unique needs.

    Way Forward

    • Inclusive Healthcare Policies: Recognizing the intersectionality of homelessness and gender within TB care, policymakers must prioritize the rights and well-being of homeless women in national TB eradication initiatives.
    • Investment in Care Ecosystems: A comprehensive approach to TB care for homeless women requires increased investment in counselling, tracking, and support services, acknowledging the heightened challenges they face in accessing and adhering to treatment protocols.

    Conclusion

    • Addressing the multifaceted challenges faced by homeless women in accessing TB care demands a concerted effort to dismantle gender biases, mitigate economic disparities, and foster inclusive healthcare ecosystems.
    • By prioritizing equity and empowerment, policymakers can pave the way for a more just and effective TB care paradigm for all individuals, regardless of their socioeconomic status or gender identity.

  • Children’s Vulnerability to Skincare Products

    In the news

    • With the increasing trend of children’s interest in skincare products, concerns have been raised regarding their safety and long-term impact on children’s health.
    • Influenced by social media and marketing, parents are seeking skincare routines for their children, often overlooking potential risks.

    In this article, we explore the implications of early skincare practices on children and the necessity for regulatory measures to ensure their well-being.

    Risks Associated with Children’s Skincare Products

    • Vulnerability to Harm: Children’s skin is thinner, more delicate, and less developed than adults, making them more susceptible to adverse reactions from skincare products.
    • Exposure to Toxicants: Behavioral patterns like hand-to-mouth activity increase the risk of ingesting harmful chemicals present in skincare products, posing health hazards.
    • Biological Susceptibility: Rapid growth rate, developing tissues, and immature immune systems make children biologically more vulnerable to the toxicants present in skincare products.

    Insights from Research

    • Usage Patterns: Research indicates that up to 70% of children in the U.S. have used children’s makeup and body products, highlighting the widespread exposure to skincare products among children.
    • Health Risks: Studies suggest that children’s prolonged exposure to makeup and body products may lead to adverse health effects due to their developing physiology and behavioural tendencies.
    Toxins in skincare products can pose risks to health due to their potential adverse effects. Some common toxic ingredients found in cosmetics include:

    • Polyacrylamide: Possible acrylamide contamination.
    • PTFE: Possible PFOA contamination.
    • Petrolatum: Possible PAH contamination.
    • Formaldehyde: A known carcinogen.
    • Paraformaldehyde: A type of formaldehyde.
    • Methylene glycol: A form of formaldehyde

    Regulatory Imperatives

    • Medical Concerns: Dermatologists express concern over the unsupervised use of cosmeceuticals by children, emphasizing the potential harm caused by substances like steroids and hydroquinone present in skincare products.
    • Need for Regulation: Regulatory measures are deemed essential to restrict the sale of skincare products containing harmful ingredients and protect children from inappropriate products.

    Psychological Impact

    • Unrealistic Standards: The promotion of flawless complexion as an ideal standard perpetuates unrealistic beauty standards among children, impacting their self-esteem and body image.
    • Ethical Considerations: The ethical implications of targeting young consumers with skincare products, without adequate consideration of their long-term effects, warrant scrutiny and regulation.

    Way Forward

    • Prioritizing Safety: Parents are advised to prioritize safety, simplicity, and skin health when selecting skincare products for their children.
    • Return to Basics: Dermatologists advocate for a return to basic skincare practices, including a healthy diet, proper cleansing, and moisturizing, to maintain children’s skin health.
    • Functional Necessity: For child performers and those exposed to heavy makeup, gentle cleansing and hydration are recommended to counteract the effects of makeup and protect the skin’s integrity.

    Conclusion

    • As the children’s cosmetics market continues to grow, it is imperative to address the risks associated with early skincare practices and implement regulatory measures to safeguard children’s health and well-being.
    • By prioritizing safety, simplicity, and skin health, parents can navigate the skincare maze for their children and foster a healthy relationship with skincare that values function over appearance.

  • Remembering the Forgotten Women of Science in India

    women

    In the news

    • As Women’s Day (8th March) approaches, the spotlight turns to women scientists throughout history who shattered glass ceilings and left indelible marks on the scientific landscape.
    • Their stories advocate for inclusivity, diversity, and equality within the realm of science.
    • Celebrating Women Scientists: Initiatives like Vigyan Prasar’s resource book profiling Indian women scientists and anthologies like “Lilavati’s Daughters” and “Gutsy Girls of Science” highlight the achievements and struggles of women in science, providing inspiration for future generations.
    • Biographical Works: Books like “Janaki Ammal: Life and Scientific Contributions” and “Chromosome Woman, Nomad Scientist” delve into the extraordinary lives of pioneering women like E.K. Janaki Ammal, offering insights into their groundbreaking research and battles against sexism, casteism, and racism.

     Gender Disparity in Indian Science

    • Underrepresentation in Leadership: The Indian Academy of Sciences, founded by Nobel Laureate C.V. Raman in 1934, has never been led by a woman scientist. Statistics reveal that women comprise only 14% of India’s working scientists, with a meager 15% representation among faculty members in research institutes nationwide.
    • Shanti Swarup Bhatnagar Prize: Over 65 years, only 20 women scientists have been honoured with India’s prestigious SSB Prize for Science & Technology, despite 571 total recipients.

    Status of Women in STEM: A Global Perspective

    • Global Gender Gap: India’s STEM workforce comprises only 27% women, compared to 32% in non-STEM fields, highlighting disparities in gender representation.
    • Research Participation: Worldwide, women constitute only 33% of researchers, with even lower representation in engineering and technology sectors.
    • Educational Disparity: A gender gap persists in STEM education, with only 18% of girls pursuing higher-level STEM studies, compared to 35% of boys.

    List of Notable Women Scientists mentioned in the News Article

     

    1. Gagandeep Kang: Known for her work in the field of microbiology and vaccine development, particularly in studying the epidemiology of rotavirus and other infectious diseases prevalent in India.
    2. Kiran Mazumdar-Shaw: A prominent figure in the biotechnology industry, she founded Biocon, one of India’s leading biotechnology companies, and has contributed significantly to the development of affordable biopharmaceuticals and healthcare solutions.
    3. Rohini Godbole: Renowned theoretical physicist known for her research in high-energy physics, particularly in the field of particle phenomenology and collider physics. She has also been actively involved in promoting science education and gender equality in STEM fields.
    4. Prajval Shastri Majumdar: Notable astrophysicist known for her research on the formation and evolution of galaxies, active galactic nuclei, and black holes. She has made significant contributions to understanding the dynamics of the universe through her work in observational astronomy.
    5. Kamala Sohonie: A pioneering biochemist, she was the first Indian woman to receive a Ph.D. in the field of science. Her research focused on enzymology and biochemistry, particularly in understanding the metabolism of nitrogen-containing compounds in bacteria.
    6. Lilavati (referred to in “Lilavati’s Daughters: The Women Scientists of India” anthology): Lilavati is a legendary figure in Indian mathematics, known for her contributions to algebra and arithmetic. Her legacy has inspired generations of mathematicians and scientists.
    7. Archana Sharma: A renowned cytogeneticist known for her research in understanding chromosomal abnormalities and genetic disorders. She has contributed significantly to the field of genetics and genetic counseling.
    8. E.K. Janaki Ammal: An eminent botanist known for her research on plant breeding, genetics, and taxonomy. She made significant contributions to understanding the diversity of plant species in India and played a crucial role in the conservation of plant biodiversity.
    9. Bibha Chowdhuri: A pioneering physicist known for her research in cosmic ray physics and particle physics. She made significant contributions to understanding the properties of cosmic rays and their interactions with matter.

    Significance of Women’s Participation in STEM

    • Economic Growth: Women’s involvement in STEM fields can catalyze economic growth, with potential GDP gains of up to 10% reported in studies.
    • Gender Diversity: Enhancing female representation fosters diversity and inclusivity, enriching scientific discourse and innovation.
    • Targeted Interventions: Involving women in research ensures the relevance and applicability of scientific outcomes to diverse communities.
    • Inclusive Decision Making: Women’s perspectives contribute valuable insights to scientific research, leading to more informed decision-making processes.
    • Sustainable Development Goals (SDGs): STEM empowerment aligns with SDG 5, promoting gender equality and women’s access to transformative technologies.

    Challenges Faced by Women

    • Implicit and Explicit Biases: Women scientists encounter biases suggesting their unsuitability for scientific pursuits, perpetuating the Matilda Effect wherein their achievements are undervalued, leading to discrimination in perks, promotions, and opportunities.
    • Societal Stereotypes: Deep-rooted stereotypes perpetuate the notion that certain STEM fields are inherently male-dominated, discouraging women from pursuing these careers.
    • Lack of Role Models: Limited visibility of female role models hinders aspiring women scientists from envisioning themselves in STEM leadership roles.
    • Self-Efficacy Gap: Gender disparities in self-efficacy beliefs create barriers for women, affecting their confidence to pursue STEM disciplines.
    • Work-Life Balance: Dual responsibilities and societal expectations impede women’s career progression in STEM, necessitating flexible policies and support systems.
    • Systemic Discrimination: Bias and discrimination in educational institutions and workplaces perpetuate the underrepresentation of women in STEM.

    Government Initiatives for Women in STEM

    • STI Policy by DST: The Science, Technology, and Innovation (STI) policy aims to achieve 30% women’s participation in science and technology by 2030, with significant strides in women’s leadership roles.
    • Indo-US Fellowship: International collaborative research opportunities empower women scientists to expand their horizons and contribute to global scientific endeavors.
    • Vigyan Jyoti: Initiatives like Vigyan Jyoti encourage young girls to pursue STEM education, addressing gender disparities from an early age.
    • Gender Advancement Programs: GATI and KIRAN initiatives focus on creating gender-sensitive institutions and providing career opportunities for women in S&T.
    • CURIE Initiative: The CURIE program supports the development of research infrastructure in women’s universities, fostering a conducive environment for women’s participation in R&D.
    • SWATI Portal: It is aimed at creating a single online portal representing Indian Women and Girls in STEMM. It is a complete interactive database.

    Way Forward

    • Continued Advocacy: Initiatives and publications spotlighting women scientists serve as reminders of the ongoing need for advocacy and support to address gender inequality in the scientific community.
    • Redefining the Culture in STEM: Mandating women’s representation in boards, implementing women-centric mentoring programs, and providing flexible work setups and childcare support.
    • Investment in Women-Only Institutions: Establishing women’s technology parks and institutions to address specific challenges faced by women in STEM.
    • Paid Internships: Encouraging states to offer paid internships to girl science students, particularly in rural areas, to enhance their participation in STEM.
    • Positive Parenting: Fostering supportive environments at home to challenge stereotypical perceptions and inspire young girls to pursue careers in STEM.

    Conclusion

    • As Women’s Day approaches, reflections on the contributions and struggles of women scientists underscore the importance of fostering inclusivity, diversity, and equality within the scientific community.
    • By celebrating their achievements and advocating for systemic changes, we pave the way for a more equitable and empowering future for women in science.

     

  • The Hindu Op-ed: Green jobs and the problem of gender disparity

    The Hindu Op-ed: Green jobs and the problem of gender disparity

    PYQ Relevance:

    Prelims:
    Which of the following gives ‘Global Gender Gap Index’ ranking to the countries of the world? (UPSC CSE 2017)
    a) World Economic Forum
    b)  UN Human Rights Council
    c)   UN Women
    d)  World Health Organization only


    Mains:
    1. Women empowerment in India needs gender budgeting. What are requirements and status of gender budgeting in the Indian context? (UPSC CSE 2016)

    2. Explain intragenerational and intergenerational issues of equity from the perspective of inclusive growth and sustainable development. (UPSC CSE 2020)

    Note4Students:

    Mains: Social Justice; Women empowerment; Sustainable/Inclusive development

    Prelims: Global Gender Gap Index;

    Mentor comments: Increasing women’s representation in green jobs can lead to benefits such as boosting a low-carbon and environmentally sustainable economy. Only a third of leadership positions in climate-change negotiations are held by women, despite women being the most vulnerable to climate impacts. To overcome these challenges faced by women, several strategies can be studied and analyzed based on dimensions considering the Social Justice or Sustainable development aspect.

    Let’s learn.

    Why in the News?

    The transition to low-carbon development has the potential to add about 35 million green jobs in India by 2047.

    What is the Present Scenario of Indian women’s participation in Green jobs?

    • As India increased its renewable energy capacity by 250% (2015-21), women comprised merely 11% of workers in the solar rooftop sector. Women workers are mostly concentrated in industries such as apparel, textile, leather, food, and tobacco.
    • Confederation of Indian Industry (CII) 2019 report shows that men comprise 85% of the workforce in sectors such as infrastructure, transport, construction, and manufacturing.

    What are the challenges faced by Indian women?

    • Rigid Social Norms: According to the Skill Council (2023) for Green Jobs, 85% of the training for green skills was imparted to men while over 90% of women believed that social norms limited their participation in training for green jobs.
    • Underrepresentation: Women are often underrepresented in climate-related decision-making processes, leading to a lack of consideration for their specific needs and contributions.
    • Lack of Opportunities: Women are unsuitable for certain technical roles, safety concerns, lower representation in science, technology, engineering, and mathematics (STEM) subjects, and familial constraints.

    Significance of Green Jobs for Indian Women:

    • As India transitions towards a low-carbon economy, increasing women’s representation in green jobs can lead to several benefits:
      • Addressing Gender Biases: Green jobs can help address gender biases in the Indian labor market and improve women’s labor force participation rates.
      • Long-term Empowerment: Over time, this can contribute to improving women’s agency and empowerment by creating economic, technical, and social opportunities

    What are some strategies to overcome the challenges faced by women? (Way Forward)

    • Addressing the gaps in data:
      • Create a Supportive Ecosystem: To address this disparity and empower women in green jobs, it is essential to challenge social norms that limit women’s participation in technical roles, and provide training opportunities tailored to women’s needs for their advancement.
      • Mapping Emerging Areas: Initiatives such as collecting sex-disaggregated data on green jobs, conducting gender analysis, and mobilizing resources to encourage women’s role in the green transition are crucial steps towards achieving gender equity in the workforce.
    • Supporting women entrepreneurs:
      • Incorporating Gender-focused Policies: Supporting women entrepreneurs through gender-focused financial policies, mentorship programs, financial literacy training, and access to credit can enhance their participation in the green economy.
      • Promoting women’s leadership: Encouraging women to take on leadership roles in decision-making processes concerning low-carbon development strategies is crucial for integrating gender-specific requirements and guaranteeing fair job opportunities.

    Conclusion

    An inclusive approach focusing on employment, social protection, skill development, and reducing care work burden is vital for a gender-equitable transition. Secondly, collaborating government, private sector, and stakeholders is crucial to utilize innovation, technology, and finance for the advancement of women entrepreneurs and workers.

    Practice Question:
    Green jobs can enhance women’s labor force prospects thereby reducing gender disparity. Identify the obstacles to their representation and the significance of green jobs for Indian women. Suggest measures to boost their presence in green jobs and support women entrepreneurs.

    Approach for the Answer:

    1. Introduction: 
    Theme: Define green jobs and provide data related to women’s participation in it.

    2. Body:
    Demand 1: Factors that form the obstacles to women’s representation in green jobs
    Demand 2: Significance of green jobs for Indian women
    Demand 3: Measures to support women in increasing their representation

    3. Conclusion:
    Summarize your answer along with highlighting the benefit of equitable job opportunities for everyone.

    References:

    https://www.thehindu.com/opinion/op-ed/green-jobs-and-the-problem-of-gender-disparity/article67917596.ece

    https://www.undp.org/india/publications/green-jobs-and-eco-entrepreneurship-opportunities-women-india

    https://unglobalcompact.org/academy/how-to-advance-womens-leadership-in-climate-action

    https://www.project-syndicate.org/commentary/more-women-needed-in-climate-policymaking-leadership-by-laura-chinchilla-and-maria-fernanda-espinosa-2022-03

    https://www.mdpi.com/2071-1050/15/11/8491

    https://www.ucdavis.edu/climate/blog/womens-leadership-can-help-drive-climate-solutions

  • Have India’s health centres really ‘collapsed’?

    health centres

    In the news

    • Public health centres in India have long been shrouded in infamy, perceived as symbols of systemic failure.
    • The effectiveness of primary healthcare in India has always been a topic of discussion, with calls for strengthening these services through government commitment to accessibility, affordability, and quality care.

    PYQ from CSE Mains 2021:

     

    Q. “Besides being a moral imperative of a Welfare State, primary health structure is a necessary precondition for sustainable development.” Analyse.

    Health Centres in India

    • Primary Health Centres (PHCs) also known as Public HCs play a crucial role in providing comprehensive healthcare services to the population.
    • The first PHC in India was established following the proposal of the PHC concept in a paper submitted to the Executive Board of the World Health Organization (WHO) in January 1975.
    • The establishment of PHCs gained further momentum with the International Conference on PHC held in Alma Ata, Kazakhstan in 1978.
    • They are a fundamental component of the healthcare system, with Medical Officers at these centers required to hold an MBBS degree.
    • India boasts a vast public health infrastructure with 23,391 PHCs and 145,894 sub-centers, serving a substantial percentage of the population.
    • PHCs cover a significant portion of outpatient care, including services for non-communicable diseases, maternal health, and child health.

    Importance of Health Centres

    • Foundational Role: Health centres form the backbone of India’s public health system, providing primary care to millions.
    • Access and Affordability: With nearly two lakh centres across the country, they aim to offer accessible and affordable healthcare, particularly in rural areas.
    • Impact on Equity: Effective health centres can mitigate social and health inequities, reducing reliance on costly private healthcare and preventing households from falling into poverty due to healthcare expenses.

    Unveiling the Reality

    • Evidence of Progress: Surveys conducted across five states reveal a pattern of improving quality and utilization of health services over time, albeit at a slow pace.
      1. In Himachal Pradesh, functional health centres serve 83% of the population.
      2. Chhattisgarh has shown a radical expansion in the public provision of healthcare, with increased facilities, medicines, and staff presence.
      3. Bihar lags behind, with dismal quality of health centres and some sub-centres being dormant or non-existent.
    • Policy Interventions: Increased health expenditure, initiatives like the National Rural Health Mission, and state-specific schemes have contributed to incremental improvements.
      1. The share of health expenditure in the Union Budget increased drastically.
      2. The National Health Mission’s share shrank from 69% to 44%, while allocations for the Ayushmann Bharat program and new AIIMS hospitals surged.
      3. COVID-19 led to a sustained increase in patient utilization of public health facilities, indicating growing trust in the system.

    Challenges and Gaps

    • Underutilization: Despite improvements, health centres still face challenges such as high staff absenteeism, limited services, and poor infrastructure.
    • Lacunas: Health workers report irregular flow of funds, lack of facilities like toilets and transport, and inadequate supply of drugs and testing equipment.
    • Social Discrimination: Caste and gender dynamics influence access to and quality of healthcare, perpetuating inequalities. Upper-caste doctors display disparaging attitudes towards marginalized communities, while upper-caste families disrespect Dalit ANMs.
    • Gender Disparities: Women, particularly frontline health workers, play a crucial role in rural health settings but often face neglect and discrimination.

    Way forward

    • Holistic Investment: While progress has been made, it remains patchy, with allocations often prioritizing tertiary healthcare over primary care.
    • Designated allocations: The composition of the healthcare budget has remained stagnant, with minimal increases in the share allocated to primary healthcare.
    • Policy Reform: The paper advocates for substantial support from the central government to enable poorer states to replicate successful initiatives and enhance the role of health centres in public healthcare delivery.

    Conclusion

    • India’s health centres, though fraught with challenges, embody resilience and potential.
    • By addressing systemic gaps and prioritizing primary healthcare, the nation can harness the transformative power of these centres to achieve equitable and accessible healthcare for all.

  • Holistic Progress Card (HPC): Revolutionizing Student Assessment

    Holistic Progress Card

    In the news

    • The traditional report cards of students are undergoing a transformation with the introduction of the Holistic Progress Card (HPC) by the National Council for Educational and Research Training (NCERT).
    • This innovative approach aims to evaluate not just academic performance but also various aspects of a child’s holistic development.

    What is the Holistic Progress Card (HPC)?

    • 360-Degree Evaluation: Departing from the conventional marks or grades-based assessment, the HPC adopts a comprehensive evaluation approach.
    • Student-Centric Assessment: Students are actively engaged in the assessment process through class activities, allowing them to demonstrate diverse skills and competencies.
    • Peer and Self-Assessment: Students participate in evaluating their own and their classmates’ performance, fostering self-awareness and peer collaboration.

    Key Features of the HPC

    • Classes Involved: The HPC was created for the foundational stage (Classes 1 and 2), preparatory stage (Classes 3 to 5), and middle stage (Classes 6 to 8). Efforts are currently underway to develop a similar framework for the secondary stage.
    • Parameters of Evaluation: Besides academics, students are evaluated on self-awareness, relationships, problem-solving, emotional intelligence, and creativity. Students reflect on their progress after each activity by circling statements like “I learned something new,” “I expressed creativity,” or “I helped others.”
    • Method of Evaluation:
      1. Self-Assessment: Included in the HPC for all students from Class 1 to Class 8. In middle school (Classes 6 to 8), students set academic and personal goals with specific timelines at the start of the year. The middle stage HPC also involves an “ambition card” where students list their goals for the year and areas for improvement, along with the skills and habits needed to achieve them.
      2. Parental Involvement: Parents provide feedback on homework completion, classroom engagement, and the child’s ability to balance screen time with extracurricular activities at home, thus connecting home and school.
      3. Peer Evaluation: Students evaluate their classmates’ participation in learning and engagement after each classroom activity.

    Implementation and Adoption

    • Rollout across States: The HPC has been sent to all states and Union Territories, with several already adopting it for Classes 1 to 8.
    • Regional Customization: States have the flexibility to modify the HPC to suit their regional requirements while adhering to the overarching principles.

    Rationale behind the Change

    • Focus on Higher-Order Skills: The shift from rote memorization to higher-order skills evaluation aligns with the objectives of NEP 2020 and NCF SE.
    • Promotion of Holistic Development: The HPC aims to communicate students’ strengths and areas of improvement, fostering self-esteem and self-awareness.

    Benefits and Implications

    • Comprehensive Evaluation: The HPC promotes a holistic assessment approach, encompassing academic achievements and critical skill development.
    • Shift to Formative Assessment: By emphasizing formative assessment, the HPC encourages competency-based evaluation and continuous improvement.
    • Insights for Teachers and Parents: Teachers and parents gain valuable insights into each student’s learning journey, enabling personalized support and guidance.

    Conclusion

    • The introduction of the Holistic Progress Card marks a significant step towards redefining student assessment in India.
    • By prioritizing holistic development and competency-based evaluation, the HPC aims to nurture well-rounded individuals capable of thriving in a rapidly evolving world.

  • India ranks 113 out of 190 countries in Women, Business and Law Index by World Bank

    In the news

    • India’s ranking in the World Bank’s Women, Business and Law index saw a significant improvement, climbing to 113 out of 190 countries in the latest edition of the report.
    • It is intriguing to know that none of the countries globally achieved a full score in the new index, indicating pervasive gender disparities in legal rights worldwide.

    About Women, Business and Law Index

    • The Women, Business and Law Index is a World Bank initiative aimed at measuring how laws and regulations impact women’s economic opportunity.
    •  The index provides objective and measurable benchmarks for evaluating global progress towards legal gender equality.
    •  Range from 0 to 100, where 100 denotes equal legal rights for men and women.
    •  The report assesses eight critical areas: mobility, workplace, pay, marriage, parenthood, entrepreneurship, assets, and pension.
    • The 2024 edition marks the 10th iteration of the report.

    India’s Performance

    • Legal Rights Gap: Indian women now enjoy 60% of the legal rights granted to men, slightly below the global average of 64.2%.
    • Regional Comparison: India outperformed its South Asian counterparts, where women typically have access to only 45.9% of the legal protections compared to men.
    • Supportive Frameworks: India’s performance in establishing supportive frameworks fell short, with only 54.2% of the necessary frameworks in place.
    • Policy Efforts: India aims to increase female labour force participation, which stood at 37% in 2022-23, significantly lower than many advanced economies.
    • OECD Comparison: The female labour force participation rate in OECD countries exceeded 50% in 2022, highlighting the gap India seeks to bridge.

    Try this PYQ from CSE Prelims 2015:

    ‘Global Financial Stability Report’ is released by which organisation?

    (a) Organization for Economic Cooperation and development (OECD)

    (b) World Economic Forum

    (c) World Bank

    (d) World trade Organization (WTO)

     

    Post your answers here.

  • A vaccine that prevents six cancers

    Pyq mains

    UPSC IAS/2017

    Stem cell therapy is gaining popularity in India to treat a wide variety of medical conditions including leukaemia, Thalassemia, damaged cornea and several burns. Describe briefly what stem cell therapy is and what advantages it has over other treatments? (10)
    Pyq pre 

     

    Cervical Cancer: Symptoms, Diagnosis & Treatment

    Why is it in the News?

    • Cervical cancer prevention, particularly through HPV vaccination, has gained attention recently due to several factors. January was observed as Cervical Cancer Awareness Month, drawing focus to the importance of combating this disease. Additionally, March 4 marked International HPV Awareness Day, further highlighting the significance of addressing HPV-related health issues.

    What is Cervical Cancer?

    • Cervical cancer is a type of cancer that affects the cervix, the lower part of the uterus. It is primarily caused by certain types of the Human Papillomavirus (HPV), which is transmitted through intimate contact.
    • If left untreated, cervical cancer can be life-threatening. It is a significant health concern worldwide, with a particularly high burden in lower- and middle-income countries. In India, cervical cancer is the second most common cancer among women, posing a substantial threat to public health.

    What is Human Papillomavirus (HPV)?

    • Human Papillomavirus (HPV) is a group of viruses that infect the skin and mucous membranes. It’s the most common sexually transmitted infection (STI) worldwide. HPV can cause various health issues, including genital warts and certain types of cancers.

    What Facts are explained in the article?

    • Prevalence and Impact: Cervical cancer claims the lives of over 300,000 women annually worldwide, with a disproportionate burden in lower-income countries.
    • Risk in India: With over 500 million women at risk, cervical cancer is a significant public health concern in India, second only to breast cancer.
    • Role of HPV Vaccination: HPV vaccination is identified as a crucial strategy for preventing cervical cancer. It targets the underlying cause of the disease by protecting against HPV infection.

    Strategies for Prevention of Cervical cancer

    • HPV Vaccination: Implementing widespread HPV vaccination programs, particularly targeting adolescent girls, can significantly reduce the incidence of cervical cancer. Vaccination should ideally occur before the onset of sexual activity to maximize effectiveness.
    • Screening for Precancerous Lesions: Regular screening for precancerous lesions, such as Pap smears or HPV DNA tests, can detect abnormalities early and allow for timely intervention. This is crucial for reducing the incidence of advanced-stage cervical cancer.
    • Education and Awareness: Increasing education and awareness about cervical cancer, HPV infection, and the importance of vaccination and screening are essential. This includes targeting healthcare professionals, policymakers, parents, and adolescents to dispel myths and misconceptions and encourage uptake of preventive measures.

    What are the Challenges?

    • Limited Access: HPV vaccination may not be widely accessible, particularly in lower-resourced communities, and is often available at a significant out-of-pocket cost.
    • Misconceptions Among Physicians: Some physicians underestimate the incidence and risk of cervical cancer, as well as the safety and effectiveness of HPV vaccines. This can lead to hesitancy in recommending vaccination to eligible individuals.
    • Parental Hesitancy: Misinformation and concerns about vaccine safety and efficacy among parents can contribute to hesitancy in vaccinating adolescents against HPV.
    Pap Smears
    Description: A screening procedure for cervical cancer involving collecting cells from the cervix to examine for abnormalities.
    Purpose: To detect precancerous or cancerous changes in cervical cells early for timely intervention and prevention.
    Procedure: Use of a speculum to visualize the cervix and collection of cells with a brush or spatula.
    Timing: Typically performed during routine gynecological exams, starting at age 21 or within 3 years of becoming sexually active.

    Facts about HPV Vaccination:

    • The HPV vaccine is safe and effective in preventing six HPV-related cancers, including cervical, vulvar, anal, vaginal, throat, and cervical cancers.
    • Vaccination is recommended for adolescents starting at age 9 years to maximize its effectiveness.
    • HPV vaccination is an essential component of the immunization schedule recommended by the Indian Academy of Pediatrics (IAP).

    Best Practices for HPV Vaccination and Cervical Cancer Prevention:

    • Effective Communication:
    • Provide clear and accurate information to parents about HPV vaccination.
    • Address concerns and misconceptions to ensure informed decision-making.
    • Timely Vaccination:
    • Recommend HPV vaccination for adolescents starting at age 9.
    • Encourage vaccination before sexual activity begins for maximum effectiveness.
    • Integration into Immunization Programs:
    • Advocate for inclusion in national immunization programs for widespread access.
    • Collaborate with policymakers to ensure equitable vaccine coverage.
    • Promotion of Regular Screening:
    • Emphasize the importance of cervical cancer screening for women over 30.
    • Encourage routine Pap smears or HPV DNA tests for early detection.
    • Physician Education:
    • Provide comprehensive training on HPV vaccination and cervical cancer prevention.
    • Equip healthcare professionals with updated guidelines and communication skills.

    In conclusion, the article emphasizes the importance of proactive measures to prevent cervical cancer, particularly through HPV vaccination and screening. It underscores the role of healthcare professionals, policymakers, and community stakeholders in addressing the challenges and ensuring equitable access to preventive interventions.

  • A women’s urban employment guarantee act

    An urban employment scheme that is responsive to women's needs - The Quantum Hub

    Why is it in news?

    • Reducing gender gaps and increasing women’s empowerment are part of the Sustainable Development Goals. Notwithstanding ethical and constitutional imperatives, there is also evidence suggesting that increasing women’s employment rates can be an engine for economic growth.

    What is the issue?

    • Despite functioning at a fraction of its intended capacity, the Mahatma Gandhi National Rural Employment Guarantee Act (MGNREGA) has been pivotal in providing financial autonomy to women in rural areas.
    • More than half the MGNREGA workforce are women. However, urban realities are different. Social norms, lack of safety, and hostile transportation options are some of the factors inhibiting urban women to enter the workforce.

    What data is explaining?

    • The Periodic Labour Force Survey (PLFS) pegs women’s employment rate in urban areas at 22.9% in the last quarter of 2023. There are clear signs of high unmet demand for employment among urban women.
    • First, the unemployment rate in urban areas, which is a measure of how many would like employment (irrespective of whether they are actively seeking it or not), is 9% compared to 4% in rural areas.
    • Second, there are two types of unemployment individuals who would like to work and are actively seeking a job versus those who would like to work but may not be actively seeking a job.
    • A much larger share of unemployed women in urban areas are seeking employment compared to rural areas. Further, nearly 25% of urban women have completed higher secondary education compared to 5% in rural areas. The low urban employment rates among women also points to wastage of much potential.
    • The article presents statistics from the Periodic Labour Force Survey (PLFS) indicating that approximately 10.18 crore women in urban areas aged 15-59 are out of the workforce. When including those who are self-employed or engaged in casual labor, this number rises to around 11.65 crore.

    Introducing the Women’s Urban Employment Guarantee Act (WUEGA)

    The proposal outlines a comprehensive plan to address urban unemployment through the implementation of a Women’s Urban Employment Guarantee Act (WUEGA). This act aims to provide employment opportunities specifically targeted towards women in urban areas.

    • Programme Management and Decentralization: The proposal suggests that women should form at least 50% (ideally 100%) of the programme management staff under WUEGA. This approach not only ensures women’s active participation but also strengthens the constitutional mandate of decentralization by involving local communities in decision-making processes.
    • Ensuring Accessibility and Supportive Infrastructure: The proposal emphasizes the importance of providing essential worksite facilities, including childcare facilities, to enable women’s participation in the program. It also advocates for the availability of work within a 5-km radius and proposes free public transportation for women to facilitate their commute to worksites.
    • Diversifying Employment Opportunities: The proposal highlights the need to diversify urban works to cater to local needs and wider consultation. It mentions existing examples such as plantation and harvesting reeds on floating wetlands and suggests supplementing the list based on local requirements.
    • Incentives and Welfare Measures: This section discusses the creation of incentives, such as automatic inclusion in welfare boards, to encourage women’s participation in the program. It proposes utilizing welfare boards to provide maternity entitlements, pensions, and emergency funds for program participants.
    • Skill Development and Apprenticeships: The proposal emphasizes the importance of addressing skill gaps among women to facilitate their transition from school to work. It suggests implementing apprenticeship programs for college students from various disciplines, providing them with opportunities to join as program functionaries and improve their job readiness.
    • Information Facilitation Centers and Capacity Building: Here, the proposal suggests establishing Information Facilitation Centers at each urban local body, run by women who have completed Class 10, to provide computer training facilities and bridge the gap in skills. It also advocates for regular capacity-building initiatives to empower these centers and enhance women’s job readiness.
    • Social Audit and Monitoring Mechanisms: The proposal recommends the establishment of a social audit unit within WUEGA, comprising at least 50% women staff, for independent monitoring of the program. It suggests that social audits could serve as opportunities for women who have completed Class 12 to join part-time or full-time roles and enhance their job readiness through acquiring various skill sets.

    Successful Women-Led Initiatives in Waste Management

    • The article highlights successful women-led initiatives, such as the end-to-end waste management program in Karnataka’s gram panchayats. It emphasizes that women not only manage waste collection but also drive ‘Swacch’ vehicles, leading to the acquisition of driving licenses and contributing to the success of the initiative.

    Wayforward

    • The article discusses the financial implications of the proposed program, estimating that the wage component funded by the Union government would cost around 1.5% of the GDP. When adding material and administrative costs, the total cost is expected to be around 2% of the GDP. It advocates for a phased rollout of the scheme with periodic assessments to smoothen costs.
    • Here, the article suggests that the proposed women’s employment program could serve as a foundation for a broader urban employment program encompassing both genders. It argues that the benefits of such a program outweigh fiscal concerns and calls for a shift towards ensuring income assurance, especially for women.

     

  • Rare Diseases Care in India: Progress, Challenges, and Opportunities

    In the news

    What are Rare Diseases?

    • Global Perspective: Rare diseases are defined by the World Health Organization (WHO) as often debilitating lifelong diseases or disorders with a prevalence of 1 or less, per 1,000 population.
    • National Context: While India lacks a standardized definition, the Organisation of Rare Diseases – India suggests defining a disease as rare if it affects 1 in 5,000 people or less.

    Rare Diseases: Key Facts and Figures

    • India issued its first National Policy on Rare Diseases in March 2021, offering comprehensive strategies for prevention and management.
    • Less than 5% of rare diseases have therapies available in India, yet they affect nearly 1/5th of the population.
    • The Union Government allocated ₹50 lakh per patient for rare diseases treatment, but only approximately 49% of the allocated funds have been utilized.
    • There are approximately 7,000-8,000 rare diseases in India, with new diseases continually being identified and reported.

     

    National Policy on Rare Diseases, 2021: Highlights

    • Comprehensive Approach: This Policy offers a holistic framework encompassing prevention, management, and treatment strategies tailored to the unique needs of patients.
    • Financial Support: Recognizing the financial burden on patients, the policy aims to lower the exorbitant costs of treatment through targeted interventions and support mechanisms.
    • Research Focus: Emphasizing indigenous research, the policy lays the foundation for bolstering research initiatives in the field of rare diseases, fostering innovation and discovery.

    Other Initiatives in India

    • National Hospital-Based Registry: A pivotal component of the policy, the establishment of a national registry of rare diseases promises to provide invaluable epidemiological data, informing targeted interventions and resource allocation.
    • Early Screening and Prevention: The creation of Nidan Kendras aims to enhance early detection and prevention efforts, crucial for improving patient outcomes and reducing disease burden.
    • Capacity Building: Strengthening secondary and tertiary health facilities at Centres of Excellence underscores the commitment to enhancing healthcare infrastructure and service delivery.

    Challenges and Imperatives

    • Defining Rare Diseases: Despite significant progress, India lacks a standardized definition of rare diseases, necessitating clarity to guide policy and resource allocation effectively.
    • Funding Utilization: Concerns arise over the underutilization of allocated funds, highlighting the urgency to streamline resource allocation and enhance accountability mechanisms.
    • Patient Advocacy: Rare diseases patient advocacy groups play a pivotal role in advocating for timely access to treatment and sustainable funding support, urging policymakers and healthcare providers to prioritize patient-centric initiatives.

    Way Forward

    • Sustainable Funding: Ensuring sustainable funding support for rare diseases treatment is paramount to safeguarding patient well-being and fostering equitable access to care.
    • National Registry Implementation: Accelerating the establishment of a hospital-based national registry is imperative to harness the power of data-driven decision-making and advance rare diseases research.
    • Multidisciplinary Care: The creation of comprehensive care centers, coupled with initiatives to support caregivers, represents a crucial step towards enhancing patient outcomes and fostering a supportive healthcare ecosystem.

    Conclusion

    • As India commemorates World Rare Diseases Day, it stands at a pivotal juncture in its journey towards rare diseases care and advocacy.
    • By embracing a collaborative and patient-centric approach, India can surmount existing challenges, paving the way for a future where every individual affected by a rare disease receives the care and support they deserve.

    Try this PYQ from CSP 2014:

    Consider the following diseases

    1. Diphtheria
    2. Chickenpox
    3. Smallpox

    Which of the above diseases has/have been eradicated in India?

    (a) 1 and 2 only

    (b) 3 only

    (c) 1, 2 and 3

    (d) None

     

    Post your responses here.