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IASbabas Daily Current Affairs 18th April,

2016
April 18, 2016
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IASbabas Daily Current Affairs 18th April, 2016

NATIONAL

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TOPIC: General studies 2

Government policies and interventions for development in various
sectors and issues arising out of their design and implementation.
Welfare schemes for vulnerable sections of the population by the
Centre and States and the performance of these schemes;
mechanisms, laws, institutions and Bodies constituted for the
protection and betterment of these vulnerable sections.
Issues relating to development and management of Social Sector or
Services relating to Health, Education, Human Resources.

A case of public health in India

Those at the helm of policymaking in the country have been, for some time,
strongly advocating austerity as the principle for public expenditure policies,
particularly for the social sectors.

The extent of austerity in health sector:

Arvind Panagariya, the vice-chairperson of the NITI Aayog, suggests that for just
three-quarters of a per cent of the GDP, 0.76 per cent to be precise, the
government can provide at least a modest healthcare cover for the bottom half of
the population after which there does not remain a case for additionally free
provision of the service by the government.

A keen look at the budget allocations for the health sector:

The projected 13 per cent increase of total allocation on health for 2016-17 over
previous years spending of 33,841 crore amounts to a nominal increase by
Rs.4,365 crore.
Using CPI-IW as deator and assuming that ination will stay at this years rate of
5.9 per cent, an estimate in real terms projects an erosion of 2,000 crore. So, in
real terms, the increase in 2016-17 amounts to a mere 6.6 per cent.
This is especially meagre if we consider the fact that last years health expenditure
(revised estimates) had declined in real terms from actual spending of 2014-15.
In proportion to GDP, this years total allocation on health has reduced to 0.254 per
cent compared to actual spending of 0.256 per cent in 2014-15.

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Gradual weakening of the National Health Mission (NHM):

One of the major concerns in the health sector of India is the gradual weakening of
the National Health Mission (NHM) whose main components are public health
care infrastructure other than tertiary care, programmes for prevention of
communicable diseases like TB, vector-borne diseases, etc.
The share of NHM in total health budget has been gradually reduced during the
last three years from 56.2 per cent in 2014-15 to 54.1 per cent in 2015-16 to this
years allocation of 49.8 per cent.
What does the budget focus on then?
Another signicant reduction is in Family Welfare Scheme whose allocation this
year is less than half of 2015-16 expenditures or less than one-third of
expenditures in 2014-15.
The budget is primarily for promoting, procuring and distributing contraceptives
and other materials and for information, education and communication (IEC).
A tilt towards tertiary health care:
It is evident from the tragic deaths of women in Bilaspur sterilisation camp in
November 2015 (in a private set-up), that the IEC without infrastructure and
welfare services means nothing.
The maternal health and welfare component of family has been given just a mere
representation. Thus, instead of welfare, the budget is tuned to population
control!
Medical care institutions, primarily in the tertiary care sector, see a boost of 18
per cent over 2015-16 at the cost of primary and secondary healthcare
institutions.
The majority of the population lags in access at that level.
What this policy programming indicates is that while the majority of the population
has been left to its own devices, the state has become a protector of the medicoindustrial complex catering only to the rich.

Neglect of allied sectors:

Peoples health is dependent upon allocation of allied sectors such as food
subsidy and ICDS, and these have declined in real terms.
Water and sanitation, which had faced signicant budget cuts in 2015-16, have
been allocated just the amount incurred as expenditure for 2014-15 in real terms.
Allocation in MGNREGS, an important scheme to boost rural employment and
wages, has also declined in real terms from the revised estimates of expenditure
for 2015-16, even without considering the Rs.6,000-crore pending payments.
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As a percentage of GDP, allocation in food subsidy, MGNREGS and ICDS have

declined compared to 2015-16 and 2014-15, while that of water and sanitation
have reduced vis--vis 2014-15.
Way ahead:
Mere reallocation of resources from the primary care sector to the tertiary with
paltry health coverage for a small section of the population through health
insurance is grossly inadequate.
The substance of the latest Budget for health is that it promotes not universal
health coverage but the medical care market.
Connecting the dots:
What do you understand by universal health coverage? Explain the measures
taken by the government to achieve universal health coverage in India.
To what extent National Health Mission can be used as a tool for promoting better
public health in India. Substantiate.

For Detailed Analysis Healthcare issues & challenges refer the below linkshttp://iasbaba.com/2015/08/iasbabas-daily-current-affairs-25th-august-2015/
(http://iasbaba.com/2015/08/iasbabas-daily-current-affairs-25th-august-2015/)
http://iasbaba.com/2015/10/iasbabas-daily-current-affairs-5th-6th-october-2015/
(http://iasbaba.com/2015/10/iasbabas-daily-current-affairs-5th-6th-october-2015/)
http://iasbaba.com/2015/10/iasbabas-daily-current-affairs-11th-12th-october-2015/
(http://iasbaba.com/2015/10/iasbabas-daily-current-affairs-11th-12th-october-2015/)
http://iasbaba.com/2015/10/iasbabas-daily-current-affairs-22nd-october-2015/
(http://iasbaba.com/2015/10/iasbabas-daily-current-affairs-22nd-october-2015/)

NATIONAL
TOPIC: General Studies 2
Governance Issues
Government policies and interventions for development in various
sectors and issues arising out oftheir design and implementation.

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Issues with Urban Governance

Outcomes of weak governance
Horric ooding in Chennai in 2015,
Delhis newly acquired status as the worlds most polluted city,
Mumbais forever-potted roads
The eye-popping rise in the number of rape cases from 165 to 643
Cases of molestation rose from 483 to 1,675 over the last four years
What constitutes weak urban governance?
Weak urban governance refers to institutional defragmentation, whereby multiple agencies
often have overlapping roles, are run by ofcials who are not accountable to citizens, and
the absence of a single individual accountable to the polity.

Whose city is it?

Mayors are deemed accountable for cities but in spirit it is the chief minister. Cities are
controlled by armies of bureaucrats and the chief minister, while the worlds major cities,
like London, New York, Paris, and Shanghai, are all run by powerful mayors
1. Urban areas are not large enough for them to determine the fate of a general
election which ultimately leads to lack of focus on urban governance reforms.
2. Urban dwellers are not sufciently represented in the sanctums of decisionmaking. Delimitation, that is, allotment of the number of seats in the House of the
People (Lok Sabha) to the states, and the total number of existing seats in the
Legislative Assemblies was last done on the basis of Census 1971. According to
the 84th and 87th Constitutional Amendments, this allocation will only be altered
based on the rst Census after 2026 (Blocks focus + funds)
3. The economic might of cities makes them appealing to the political classes
thereby increasing their tendency to continue enjoying the signicant leverage that
can be traded to raise funds which, in turn, are used to ght elections in rural India.
4. The lack of human resource capacity in the country spanning the political class,
the intelligentsia, the bureaucracy and the private sector proves to be the main
reason for the slow pace of reform
Eg: The ongoing debate on the Goods and Services Tax (GST) Bill designed to create a
harmonized tax structure by subsuming several local body taxes, like the entertainment tax,
advertisement tax, entry tax, and luxury tax. If passed, the urban local bodies (ULBs) will
lose their own source revenue streams without adequate legal provisions in place to
mandate steady compensation.
The 10 Point Urban Reform Programme
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1. Reform the 74th Constitutional Amendment to empower city governments, bolster

the metropolitan system of government, and move to a system of a directly
elected mayor.
2. Fix governance at the Centre and in the states to reduce fragmentation and
facilitate alignment of functions.
3. Make the ofce of the mayor politically relevant to create a culture of meritocracy
and performance.
4. Build world-class institutions to catalyse capacity at scale.
5. Establish a National Urban Finance Corporation of India to fund urban
infrastructure projects.
6. Set up the regulatory architecture required to facilitate efcient and effective
urban services delivery.
7. Reform the civil service, and establish executive agencies to hollow out
inefciencies.
8. Revitalize the role of the State Finance Commissions to bolster municipal
nances.
9. Introduce state-specic laws on land use and transport to override legislative
vacuum.
10. Deepen citizen engagement in cities to drive change across localities.
Connecting the Dots:
Is India following an incrementalist approach towards urban governance? Critically
examine.

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1.Urban Governance

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Think, Learn & Perform Mains-2016

SYNOPSIS: IASbabas TLP 2016 [10th Oct] UPSC Mains GS Questions [HOT]
(http://iasbaba.com/2016/10/synopsis-iasbabas-tlp-2016-10th-oct-upsc-mains-gs-questions-hot/)
TLP GS 2016 Mini Test 4 (http://iasbaba.com/2016/10/tlp-gs-2016-mini-test-4/)
SYNOPSIS: IASbabas TLP 2016 [7th Oct] UPSC Mains GS Questions [HOT]
(http://iasbaba.com/2016/10/synopsis-iasbabas-tlp-2016-7th-oct-upsc-mains-gs-questions-hot/)
IASbabas TLP 2016 [21st Oct]: UPSC Mains GS Questions [HOT] (http://iasbaba.com/2016/10/iasbabas-tlp2016-21st-oct-upsc-mains-gs-questions-hot/)
SYNOPSIS: IASbabas TLP 2016 [6th Oct] UPSC Mains GS Questions [HOT]
(http://iasbaba.com/2016/10/synopsis-iasbabas-tlp-2016-6th-oct-upsc-mains-gs-questions-hot/)
http://iasbaba.com/2016/04/iasbabasdailycurrentaffairs18thapril2016/

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IASbabasDailyCurrentAffairs18thApril,2016IASbaba

SYNOPSIS: IASbabas TLP 2016 [5th Oct] UPSC Mains GS Questions [HOT]
(http://iasbaba.com/2016/10/synopsis-iasbabas-tlp-2016-5th-oct-upsc-mains-gs-questions-hot/)
SYNOPSIS: IASbabas TLP 2016 [4th Oct] UPSC Mains GS Questions [HOT]
(http://iasbaba.com/2016/10/synopsis-iasbabas-tlp-2016-4th-oct-upsc-mains-gs-questions-hot/)
SYNOPSIS: IASbabas TLP 2016 [3rd Oct] UPSC Mains GS Questions [HOT]
(http://iasbaba.com/2016/10/synopsis-iasbabas-tlp-2016-3rd-oct-upsc-mains-gs-questions-hot/)
IASbabas TLP 2016 [20th Oct]: UPSC Mains GS Questions [HOT] (http://iasbaba.com/2016/10/iasbabas-tlp2016-20th-oct-upsc-mains-gs-questions-hot/)
IASbabas TLP 2016 [19th Oct]: UPSC Mains GS Questions [HOT] (http://iasbaba.com/2016/10/iasbabas-tlp2016-19th-oct-upsc-mains-gs-questions-hot/)

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