GS2 · 15 marks · 250 words

Besides legislation, the full realisation of the 'right to health for all' in India demands plugging of social, financial, and infrastructural gaps. Examine.

Answered by 3 toppers · CSE 2023–2025

Syllabus: Issues relating to development and management of Social Sector/Services relating to Health, Education, Human Resources.

How toppers approached it

From all 3 answers · about 250 words · 33% drew a diagram.

Opening

  • A definition2 of 3
  • A constitutional or legal provision1 of 3

Body

  • Points2 of 3
  • Points and prose1 of 3

Close

  • A way forward3 of 3

The toppers’ answers

Aditya SrivastavaAIR 1 · CSE 2023 · 297 wordsTheir whole copy

Opening · a constitutional or legal provision

The Bandhua Mukti Morcha Case called for health as a right to all and brought the legislative domain of healthcare to fore. However, just legislation isnt enough due to various shortfalls.

Body · points

  1. Inadequate personnel/beds- | Personnel | 1 doctor per 1445 people | 1/1000 (WHO) | | Beds | 0.7 beds per 1000 people | 3.4/1000 (WHO) | | | Actual | Recommended |

  2. Lack of enough capacity of generic medicine → only 47% demand met.

  3. Overburdened primary worker - works 15km radius against 5km by Bajaj Committee

  4. Lack of adequate funding - only 2% in Budget 2023 of GDP

  5. High out of pocket expenditure → 1/6th of poverty due to this (WHO)

All this calls for plugging the -

→ Social gaps

  1. Reduce stigma in healthcare especially mental healthcare. → Live Love Laugh campaign.
  2. Reduce social discriminations to healthcare access → build social infrastructure
  3. Provide for [mobile vans] as by SCARF initiative for accessible & affordable health.

→ Financial gaps

  1. Channelize CSR funds for PPP based healthcare.
  2. Adopt Best practice :- ⊙ Mohalla clinics of Delhi ⊙ Barefoot doctor of China → for cheap healthcare at primary level.
  3. Insurance coverage to "missing middle" - by [NITI Aayog]

→ Infrastructure gaps

  1. separate budget for social capital expenditure at least 10% of total
  2. Use of [Telemedicine] for mobile clinics - use [echo clinic] concept.
  3. Increase number of beds by leasing private beds by tax incentives.

This would help to uphold the [SDG-3] of health for all & additionally need -

  1. [Legislation] → to create bounded accountability of government → bring in necessary systemic overhaul → uphold health as a right (Article 21)

Close · a framework

This would uphold healthy India becomes the demographic dividend for our [Panch-prann]

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