UPSC MainsGENERAL-STUDIES-PAPER-II201612 Marks200 Words
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Q9.

Professor Amartya Sen has advocated important reforms in the realms of primary education and primary health care. What are your suggestions to improve their status and performance?

How to Approach

This question requires a nuanced understanding of Amartya Sen’s work and its implications for primary education and healthcare. The answer should focus on practical, implementable suggestions, drawing upon Sen’s capabilities approach and emphasizing equity and access. Structure the answer by first outlining Sen’s core arguments, then detailing specific suggestions for education, followed by healthcare, and finally, linking these to broader governance reforms. Prioritize a holistic approach considering social determinants of health and education.

Model Answer

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Introduction

Amartya Sen’s work fundamentally shifts the focus of development from mere economic growth to expanding human capabilities – the freedom to achieve well-being. He argues that investments in primary education and healthcare are not merely social welfare measures but crucial for unlocking human potential and fostering economic progress. India, despite significant strides, continues to grapple with challenges in providing equitable access to quality primary education and healthcare, evidenced by persistent disparities in learning outcomes and health indicators. Addressing these requires a Sen-inspired approach prioritizing access, affordability, and quality, tailored to the specific needs of vulnerable populations.

Amartya Sen’s Core Arguments & Relevance

Sen’s ‘capabilities approach’ emphasizes that development should be assessed based on what people are actually able to *do* and *be*, rather than simply on economic indicators. This necessitates focusing on basic capabilities like literacy, numeracy, and health. He also highlights the importance of ‘social capabilities’ – the ability to participate in and influence society. For India, this means addressing systemic inequalities based on caste, gender, and region.

Improving Primary Education

Enhancing Access & Equity

  • Universalization of Quality Education: Beyond enrollment, focus on ensuring learning outcomes. Implement robust monitoring systems like the National Achievement Survey (NAS) to track progress.
  • Addressing Social Disparities: Targeted interventions for marginalized groups (Scheduled Castes, Scheduled Tribes, girls) through scholarships, residential schools, and culturally relevant pedagogy. The Beti Bachao, Beti Padhao scheme (2015) needs strengthened implementation.
  • Strengthening Anganwadis: Anganwadis are crucial for early childhood care and education (ECCE). Invest in training and infrastructure to improve the quality of ECCE provided.

Improving Quality & Relevance

  • Teacher Training & Professional Development: Continuous professional development for teachers, focusing on pedagogical skills and subject matter knowledge. The National Education Policy (NEP) 2020 emphasizes this.
  • Curriculum Reform: Move away from rote learning towards competency-based education. Integrate vocational skills and life skills into the curriculum.
  • Infrastructure Development: Ensure adequate infrastructure – classrooms, libraries, toilets, drinking water – in all schools, particularly in rural areas.

Improving Primary Healthcare

Strengthening Public Health Infrastructure

  • Investing in Primary Health Centres (PHCs): Upgrade PHCs with adequate staffing, equipment, and essential medicines. Ensure functional referral linkages to higher-level facilities.
  • Expanding Health Workforce: Address the shortage of doctors, nurses, and Accredited Social Health Activists (ASHAs), particularly in rural and underserved areas.
  • Improving Sanitation & Hygiene: Invest in water and sanitation infrastructure to prevent waterborne diseases. Promote hygiene education.

Enhancing Access & Affordability

  • Universal Health Coverage: Strengthen the Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana (PM-JAY) scheme (2018) to provide financial protection against catastrophic health expenditures.
  • Strengthening the National Rural Health Mission (NRHM): Continue to prioritize maternal and child health, immunization, and disease control programs under NRHM.
  • Community Participation: Empower communities to participate in planning and monitoring healthcare services.

Governance Reforms for Effective Implementation

Effective implementation requires strong governance mechanisms. This includes:

  • Decentralization: Empower local bodies (Panchayats and Municipalities) to manage primary education and healthcare services.
  • Transparency & Accountability: Ensure transparency in budgeting and expenditure. Establish mechanisms for accountability of service providers.
  • Inter-sectoral Coordination: Promote coordination between education, health, and other relevant departments (e.g., women and child development, social welfare).

Conclusion

Professor Sen’s insights provide a powerful framework for improving primary education and healthcare in India. Moving beyond a purely economic perspective and focusing on expanding human capabilities is crucial for achieving inclusive and sustainable development. This requires sustained investment, targeted interventions, and robust governance mechanisms, all underpinned by a commitment to equity and social justice. A holistic approach, addressing the social determinants of health and education, is essential for realizing the full potential of India’s human capital.

Answer Length

This is a comprehensive model answer for learning purposes and may exceed the word limit. In the exam, always adhere to the prescribed word count.

Additional Resources

Key Definitions

Capabilities Approach
A development approach that focuses on the real freedoms people have to achieve things they value. It emphasizes what people are able to *do* and *be*, rather than simply focusing on economic indicators like income.
Social Capabilities
The ability of individuals to participate effectively in social, political, and economic life. This includes access to information, freedom of expression, and the ability to hold authorities accountable.

Key Statistics

As of 2022-23, the Gross Enrolment Ratio (GER) at the primary level in India was 97.2% (Unified District Information System for Education + (UDISE+)). However, learning outcomes remain a significant concern.

Source: UDISE+ 2022-23

India’s public health expenditure is around 1.3% of GDP (2021-22), significantly lower than the global average of around 6%.

Source: National Health Profile 2021-22

Examples

Mid-Day Meal Scheme

The Mid-Day Meal Scheme (MDMS), launched in 1995, provides free lunch to children in primary and upper primary schools. It has improved enrollment rates and attendance, particularly among girls and children from disadvantaged backgrounds, demonstrating the link between nutrition and education.

Frequently Asked Questions

How can we address the issue of teacher absenteeism in rural schools?

Addressing teacher absenteeism requires a multi-pronged approach, including improved monitoring systems (using technology like biometric attendance), providing incentives for teachers to work in rural areas, and ensuring adequate support and resources for teachers.

Topics Covered

Social IssuesEconomyGovernanceEducationHealthcareHuman Development