UPSC MainsGENERAL-STUDIES-PAPER-II202010 Marks150 Words
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Q6.

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.

How to Approach

This question requires a discussion on the link between healthcare policies and social development, specifically focusing on geriatric and maternal health. The answer should begin by establishing the importance of healthcare as a cornerstone of social development. Then, it should delve into the specific challenges and policy needs within geriatric and maternal health, highlighting their impact on broader societal progress. A structure focusing on defining the link, challenges in each area, existing policies, and required improvements would be ideal. Include relevant data and schemes to strengthen the answer.

Model Answer

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Introduction

Social development, encompassing improvements in quality of life, well-being, and opportunities for all, is intrinsically linked to the health of a nation’s population. Healthcare is not merely a sector but a fundamental right enshrined in Article 21 of the Indian Constitution, guaranteeing the right to life with dignity. Recent demographic shifts, including an aging population and declining fertility rates, necessitate focused healthcare policies, particularly in geriatric and maternal health. Addressing the unique needs of these vulnerable groups is crucial for achieving inclusive and sustainable social development, as their health directly impacts economic productivity, social cohesion, and overall human capital.

The Interlinkage: Healthcare and Social Development

Sound healthcare policies act as catalysts for social development in several ways. A healthy population is a productive population, contributing to economic growth. Reduced morbidity and mortality rates improve human capital, leading to higher educational attainment and increased workforce participation. Furthermore, accessible and affordable healthcare reduces health-related inequalities, promoting social justice and equity. Investing in preventative healthcare reduces the burden on the healthcare system, freeing up resources for other social programs.

Geriatric Healthcare: Challenges and Policy Needs

India is witnessing a rapid increase in its elderly population. According to the Census 2011, the proportion of the population aged 60 years and above was 8.6%, and is projected to reach 20% by 2050. This demographic transition presents unique challenges:

  • Increased prevalence of chronic diseases: Conditions like diabetes, cardiovascular diseases, and dementia are more common in older adults, requiring specialized care.
  • Limited access to healthcare: Geographical barriers, financial constraints, and lack of geriatric-specific infrastructure hinder access to quality care.
  • Social isolation and mental health issues: Elderly individuals often face loneliness, depression, and cognitive decline, requiring psychosocial support.

Policy Needs:

  • Strengthening the National Programme for the Health Care of the Elderly (NPHCE): Expanding its reach and improving the quality of geriatric care services.
  • Promoting age-friendly infrastructure: Making public spaces and transportation systems accessible to older adults.
  • Developing a robust geriatric workforce: Training healthcare professionals in geriatric medicine and care.
  • Enhancing social security and pension schemes: Providing financial security to the elderly.

Maternal Healthcare: Challenges and Policy Needs

Maternal health remains a critical concern in India, despite significant progress in recent decades. According to the Sample Registration System (SRS) 2020, the Maternal Mortality Ratio (MMR) in India is 113 per 100,000 live births. Key challenges include:

  • Inadequate access to antenatal care: Many women, particularly in rural areas, do not receive timely and comprehensive antenatal care.
  • High rates of institutional deliveries: While institutional deliveries have increased, the quality of care in many facilities remains suboptimal.
  • Postpartum complications: Hemorrhage, infection, and pre-eclampsia are major causes of maternal mortality.
  • Nutritional deficiencies: Anemia and malnutrition among pregnant women contribute to adverse pregnancy outcomes.

Policy Needs:

  • Strengthening the Pradhan Mantri Matru Vandana Yojana (PMMVY): Ensuring adequate financial assistance to pregnant women.
  • Improving the quality of maternal healthcare services: Investing in infrastructure, equipment, and training of healthcare personnel.
  • Promoting skilled birth attendance: Ensuring that all deliveries are attended by trained healthcare professionals.
  • Addressing nutritional deficiencies: Providing iron and folic acid supplementation to pregnant women.
  • Enhancing access to emergency obstetric care: Establishing well-equipped emergency obstetric care facilities in all districts.

Convergence and Integrated Approach

Effective social development requires a convergence of policies addressing both geriatric and maternal health. For example, strengthening primary healthcare centers can benefit both groups. Promoting health awareness campaigns can educate communities about the importance of preventative care for all ages. Investing in digital health technologies can improve access to healthcare services for both elderly individuals and pregnant women in remote areas.

Conclusion

In conclusion, sound and adequate healthcare policies, particularly in geriatric and maternal health, are indispensable for enhancing the prospects of social development. Addressing the unique challenges faced by these vulnerable groups requires a multi-pronged approach encompassing improved access, quality of care, financial security, and social support. A proactive and integrated approach, coupled with sustained investment and effective implementation, is essential for realizing the full potential of India’s demographic dividend and achieving inclusive and sustainable social progress.

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

Social Development
The process of improving the well-being of individuals and communities, encompassing economic, social, cultural, and political dimensions.
Maternal Mortality Ratio (MMR)
The number of maternal deaths during a given period per 100,000 live births.

Key Statistics

India's elderly population (60+ years) is projected to reach 20% by 2050.

Source: United Nations Population Fund (UNFPA), 2023 (based on knowledge cutoff)

The Maternal Mortality Ratio (MMR) in India was 113 per 100,000 live births in 2020.

Source: Sample Registration System (SRS), 2020

Examples

Kerala’s Geriatric Healthcare Model

Kerala has implemented several initiatives to improve geriatric care, including community-based palliative care programs and specialized geriatric clinics, resulting in better health outcomes for the elderly.

Frequently Asked Questions

What is the role of ASHA workers in improving maternal health?

ASHA (Accredited Social Health Activist) workers play a crucial role in providing antenatal care, promoting institutional deliveries, and ensuring postnatal care, particularly in rural areas.

Topics Covered

Social IssuesGovernanceHealthcareSocial WelfarePublic Policy