CAO Daily Editorial analysis for UPSC IAS 22nd-January, 2018

Current Affairs Only Daily Editorial Analysis for Competitive Exams


22nd Jan, 2018

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Capacity building for primary health care {Health policy}

(The Hindu)


Context

This article talks about revamping the medical education system in India to ensure an adequate supply of quality medical professionals.

Issue

A primary health system that is struggling with a below-par national physician-patient ratio (0.76 per 1,000 population, amongst the lowest in the world) due to a paucity of MBBS-trained primary-care physicians and the unwillingness of existing MBBS-trained physicians to serve remote/rural populations.

Urban-rural disparities in physician availability in the face of an increasing burden of chronic diseases make health care in India both inequitable and expensive.

Requirement

There is an urgent need for a trained cadre to provide accessible primary-care services that cover minor ailments, health promotion services, risk screening for early disease detection and appropriate referral linkages, and ensure that people receive care at a community level when they need it.

Issue of cross-prescription

The issue of AYUSH cross-prescription has been a part of public health and policy discourse for over a decade, with the National Health Policy (NHP) 2017 calling for multi-dimensional mainstreaming of AYUSH physicians.

Current academic training includes a conventional biomedical syllabus covering anatomy, physiology, pathology and biochemistry.

The 4th Common Review Mission Report 2010 of the National Health Mission reports the utilisation of AYUSH physicians as medical officers in primary health centres (PHCs) in Assam, Chhattisgarh, Maharashtra, Madhya Pradesh and Uttarakhand as a human resource rationalisation strategy.

Capacity Building

Capacity-building of licensed AYUSH practitioners through bridge training to meet India’s primary care needs is only one of the multi-pronged efforts required to meet the objective of achieving universal health coverage set out in NHP 2017.

Current status

Include other non-MBBS personnel such as nurses, auxiliary nurse midwives and rural medical assistants, thereby creating a cadre of mid-level service providers as anchors for the provision of comprehensive primary-care services at the proposed health and wellness centres.

National Medical Commission (NMC) Bill 2017

The Bill allows practitioners of Ayurveda and other traditional Indian systems of medicine the licence to prescribe allopathic drugs after they have passed a ‘bridge course.

A National Medical Commission (NMC) is to be set up within three years of the passage of the Bill. State governments will establish State Medical Councils at the state level. The NMC will consist of 25 members, appointed by the central government.

Some of the functions of the NMC include –

(i) Framing policies for regulating medical institutions and medical professionals.
(ii) Assessing the requirements of healthcare-related human resources and infrastructure.
(iii) Framing guidelines for the determination of fees for up to 40% of the seats in private medical institutions and deemed universities, which are regulated as per the Bill.

The central government will constitute the Medical Advisory Council, which will be the primary platform through which the states/union territories can put forth their views and concerns before the NMC.

There will be a uniform National Eligibility-cum-Entrance Test for admission to undergraduate medical education in all-medical institutions regulated by the Bill.

The NMC will specify the manner of conducting common counselling for admission in all such medical institutions.

According to the Bill, the Ethics and Medical Registration (EMR) Board shall maintain a separate National Register –
Including the names of licensed AYUSH practitioners.

The names of BAMS (Bachelor of Ayurveda Medicine and Surgery) and BHMS (Bachelor of Homeopathic Medicine and Surgery) graduates are already registered with their respective councils

One of the clauses of the Bill calls for a joint sitting of the National Medical Commission, the Central Council of Homoeopathy, and the Central Council of Indian Medicine at least once a year “to enhance the interface between homoeopathy, Indian Systems of Medicine and modern systems of medicine”


A misleading story of job creation {Unemployment}

(The Hindu)


 A recent research report titled “Towards a Payroll Reporting in India” authored by the Group Chief Economic Adviser of the State Bank of India and a professor from the Indian Institute of Management, Bangalore has caught the media’s and the Prime Minister’s fancy.

Objective

To make a case for a better payroll reporting system in India, which is perfectly justified and needed. But, along the way, it also made an extravagant claim that 55 lakh new jobs are created every year in India.

How did the report arrive at the 55 lakh new jobs number?

It used data from the Employees’ Provident Fund Organisation (EPFO) which registers employees from the formal sector for provident fund benefits.

It found that as of November 2017, there were 36.8 lakh new members in the age group of 18-25 years who registered with the EPFO vis-à-vis the previous year. It assumed that any 18- to 25-year-old registering with the EPFO implies that he or she found a new job in the organised sector.

It then extrapolated this November 2017 data to the full year of FY-2018 and boldly claimed that 55.2 lakh new jobs were created in FY-2018.

Accumulated deposits in banks

It is generally agreed that growth in total accumulated deposits in banks is an indicator of the robustness of the economy.

The total number of deposits in all banks in India was Rs. 6.22 lakh crore at the end of FY-2016. By the end of FY-2017, bank deposits had grown to nearly Rs. 11 lakh crore, a 76% increase of Rs. 4.8 lakh crore.

This shows Indians grew substantially richer in FY-2017 and the overall economy is very robust

Is it true?

Obviously not because demonetisation forced people to deposit their currency into banks which is why bank deposits grew in FY-2017. Instead, if we combine the value of currency and bank deposits and compare, we find that there is actually a 5% decline in FY-2017, not a 76% increase.


 

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