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(The Gist of PIB) Jamini Roy  [MAY-2020]


(The Gist of PIB) Jamini Roy

 [MAY-2020]

Jamini Roy

  • National Gallery of Modern Art pays tribute to the pioneering artist, Jamini Roy, on his 133rd Birth Anniversary year through a virtual tour.
  • This virtual tour of the entire artworks of the pioneering artist would certainly enrich the art lovers, is happening for the first time in India.

About: 

  • Jamini Roy was one of the earliest and most significant modernists of twentieth-century Indian art.
  • From 1920 onwards his search for the essence of form led him to experiment with dramatically different visual styles.
  • His career spanning over nearly six decades had many significant turning points and his works collectively speak of the nature of his modernism and the prominent role he played in breaking away from the art practices of his time.
  • Trained in the British academic style of painting in the early decades of the twentieth century, Jamini Roy became well-known as a skillful portraitist.
  • He received regular commissions after he graduated from the Government Art School in what is now Kolkata, in 1916.
  • The first three decades of the twentieth century saw a sea-change in cultural expressions in Bengal.
  • The growing surge of the nationalist movement was prompting all kinds of experiments in literature and the visual arts.

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(The Gist of PIB) B. B. Lal  [MAY-2020]


(The Gist of PIB) B. B. Lal

 [MAY-2020]

B. B. Lal

  • On the occasion of the centenary year of great archaeologist Professor B. B. Lal, Union Culture Minister released an ebook “Prof. B. B. Lal -India Rediscovered” today in New Delhi.

About: 

  • Braj Basi Lal (born 1921), better known as B. B. Lal, is an Indian archaeologist.
  • He was the Director-General of the Archaeological Survey of India (ASI) from 1968 to 1972 and has served as Director of the Indian Institute of Advanced Studies, Shimla. Lal also served on various UNESCO committees.
  • He received the Padma Bhushan Award in 2000.

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(The Gist of PIB) NLC India Limited  [MAY-2020]


(The Gist of PIB) NLC India Limited

 [MAY-2020]

NLC India Limited

  • NLC India Limited has for the first time commenced production of Coal.
  • The coal produced from Talabira II and III Mines in the state of Odisha, which was allotted to NLCIL in 2016 with a capacity of 20 Million Tonne per annum will be used to meet the requirement of its existing and future coal-fired power plants.

About:

  • NLC India Limited (formerly Neyveli Lignite Corporation Limited) (NLC) is a ‘Navratna’ Public Enterprise under the Ministry of Coal.
  • It works in the fossil fuel mining sector in India and thermal power generation. It annually produces about 30 million tonne lignite from opencast mines at Neyveli in the state of Tamil Nadu in southern India and at Barsingsar in Bikaner district of Rajasthan state.
  • It was incorporated in 1956 and is headquartered in Neyveli, Tamil Nadu.

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(The Gist of Science Reporter) Artificial Intelligence (AI) and Machine Learning (ML) - Disease Identification and Diagnosis


(The Gist of Science Reporter) AI and ML — Disease Identification and Diagnosis

 [MAY-2020]


AI and ML — Disease Identification and Diagnosis

  • Artificial Intelligence (AI) and Machine Learning (ML) have become a part of the healthcare ecosystem with innovation in the medical world, helping medical professionals to focus more on patient care rather on administrative and paperwork. Taking it from disease identification and diagnosis to maintenance, AI is transforming the healthcare landscape with innovative approaches.
  • A subset of artificial intelligence and machine learning is mainly used to identify patterns by using algorithms and data which give an automated insight into many healthcare providers, for example, IBM Watson’s (Computing system) is useful to treat cancer patients and Google Cloud’s Healthcare app is found to be useful in collecting and storing data for many health organisations. Besides, robots and microbots also play a significant role in healthcare.

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(The Gist of PIB) 10 Saras Collection  [MAY-2020]


(The Gist of PIB) 10 Saras Collection

 [MAY-2020]

10 Saras Collection

  • Union Rural Development Minister launched the Saras collection on Government e-Marketplace (GeM) portal in New Delhi.

About:

  • It is a unique initiative of GeM and the Deen Dayal Antyodaya Yojana-National Rural Livelihoods Mission (DAY-NRLM), Ministry of Rural Development.
  • The Saras collection showcases daily utility products made by rural self-help groups. It aims to provide markets in rural areas with access to Central and State Government buyers.
  • Under the initiative, sellers from Self Help Group will be able to list their products in 5 product categories, namely 
    1. handicrafts, 
    2. handloom and textiles, 
    3. office accessories, 
    4. grocery and pantry, and 
    5. personal care and hygiene.

About DAY-NRLM: 

  • DAY-NLRM aims to reduce poverty through the promotion of diversified and gainful self-employment while creating skilled wage employment opportunities. The scheme supports building social capital and ensuring financial linkages to alleviate poverty and enhance the quality of the life of rural poor women.
  • It has ambitious plans on innovations for alternate channels of financial inclusion like digital finance, creating value chains around rural products and improving market access, rural enterprise, and strengthening community institutions.

About GeM: 

  • Government e-Marketplace (GeM) is a 100 percent Government owned Section 8 Company set up as the National Public Procurement Portal for procurement of goods and services required by Central and State Government organizations.
  • GeM provides an online, end to end solution for procurement of goods and services for all Central Government and State Government Ministries, Departments, Public Sector Enterprises (PSEs), local bodies and autonomous organizations.
  • The platform reduces human interventions in procurement and enables transparency, cost savings, inclusiveness, and efficiency of faceless standardized public procurement.

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(The Gist of PIB) Impact of energy efficiency measures for the year 2018-19  [MAY-2020]


(The Gist of PIB) Impact of energy efficiency measures for the year 2018-19

 [MAY-2020]

Impact of energy efficiency measures for the year 2018-19

  • The Union Minister of Power released a report on “Impact of energy efficiency measures for the year 2018-19.”

About:

  • With energy efficiency initiatives, India has already reduced the energy intensity of the economy by 20% compared to 2005 levels. In COP-21, India pledged to bring down the energy intensity of the economy by 33 to 35% compared to 2005 levels by 2030.
  • Implementation of various energy efficiency schemes has led to total electricity savings to the tune of 113.16 Billion Units in 2018-19, which is 9.39% of the net electricity consumption.
  • The total energy savings achieved in 2018-19 is 23.73 Mtoe (million Tonne of Oil Equivalent), which is 2.69% of the total primary energy supply (estimated to be 879.23 Mtoe in India) during 2018-19. This includes both the Supply Side and Demand Side sectors of the economy.
  • These efforts have also contributed to reducing 151.74 Million Tonnes of CO2 emissions, whereas last year this number was 108 MTCO2

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(The Gist of PIB) COVID-19 Emergency Response and Health Systems Preparedness Project  [MAY-2020]


(The Gist of PIB) COVID-19 Emergency Response and Health Systems Preparedness Project

 [MAY-2020]

COVID-19 Emergency Response and Health Systems Preparedness Project

  • India and the Asian Infrastructure Investment Bank (AIIB) signed a 500 million dollar “COVID-19 Emergency Response and Health Systems Preparedness Project” in New Delhi to strengthen its public health preparedness.

About:

  • This will cover all States and Union Territories across the country and address the needs of infected people, at-risk populations, medical and emergency personnel and service providers, medical and testing facilities, and national and animal health agencies.
  • It will help strengthen the country’s Integrated Disease Surveillance Program, revamp infectious disease hospitals, and medical college hospitals.
  • The project will be implemented by the National Health Mission (NHM), the National Center for Disease Control (NCDC), and the Indian Council of Medical Research (ICMR) under the Ministry of Health and Family Welfare.
  • The project is being financed by the World Bank and AIIB in the amount of $1.5 billion, of which $1.0 billion will be provided by the World Bank and $500 million will be provided by AIIB.
  • This is the first-ever health sector support from the Asian Infrastructure Investment Bank (AIIB) to India.

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(The Gist of PIB) Human Monoclonal Antibodies (hmAbs)  [MAY-2020]


(The Gist of PIB) Human Monoclonal Antibodies(hmAbs)

 [MAY-2020]

Human Monoclonal Antibodies(hmAbs)

  • Council of Scientific and Industrial Research (CSIR) through its New Millennium Indian Technology Leadership Initiative (NMITLI) program has approved a project towards the development of human monoclonal antibodies (hmAbs) that can neutralize SARS-CoV-2 in patients.

About:

  • The project aims to generate hmAbs to SARS-CoV-2 from the convalescent phase of COVID-19 patients and select high affinity and neutralizing antibodies.
  • The project also aims to anticipate future adaptation of the virus and generate hmAbs clones that can neutralize the mutated virus so that it could be readily used for combating future SARS-CoV infections.
  • The project will be implemented by the National Centre for Cell Science (NCCS), IIT-Indore, and PredOmix Technologies Pvt. Ltd. with Bharat Biotech International Ltd. (BBIL) as the commercialization partner.

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(The Gist of PIB) World Red Cross Day• The World Red Cross Day was observed by IFRC on May 8, 2020


(The Gist of PIB) World Red Cross Day• The World Red Cross Day was observed by IFRC on May 8, 2020

 [MAY-2020]

World Red Cross Day• The World Red Cross Day was observed by IFRC on May 8, 2020.

  • The Indian Red Cross Society, which was founded in 1920, is celebrating its 100th anniversary this year.

About:

  • World Red Cross Day is also known as World Red Cross and Red Crescent Day.
  • To commemorate the principles of the International Red Cross and Red Crescent Movement.
  • It is observed every year on May 8.
  • The day is the birthday of Henry Dunant, who had generated the Red Cross Committee of the International (ICRI) in 1863 in Switzerland, Geneva.
  • He was born on May 8, 1828, and was also the recipient of the Nobel Peace Prize.

The International Federation of Red Cross and Red Crescent Societies (IFRC): 

  • It is a worldwide humanitarian aid organization that acts before, during, and after disasters and health emergencies to meet the needs and improve the lives of vulnerable people.
  • It is guided by seven Fundamental Principles: Humanity, impartiality, neutrality, independence, voluntary service, universality, and unity.

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(The Gist of PIB) Road construction target  [MAY-2020]


(The Gist of PIB) Road construction target

 [MAY-2020]

Road construction target

  • The Union Minister for Road Transport and Highways held a meeting on the impact of COVID-19 on the auto sector.

Key highlights of the meeting: 

  • Union Minister for Road Transport and Highways has set a target of constructing roads worth Rs 15 lakh crore in the next two years.
  • The Minister informed that he has directed the ministry officials to finalize the auto scrapping policy quickly which will go a long way in cost reduction.
  • He also suggested exploring cheaper credits including foreign capital for enhancing liquidity in the automobile manufacturing sector.

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(The Gist of PIB) Indian Railways Institute for Mechanical and Electrical Engineering  [MAY-2020]


(The Gist of PIB) Indian Railways Institute for Mechanical and Electrical Engineering

 [MAY-2020]

Indian Railways Institute for Mechanical and Electrical Engineering

  • The Ministry of Railways has clarified that it has no plans to shift Indian Railways Institute for Mechanical and Electrical Engineering (IRIMEE) from Jamalpur to Lucknow. Any Media reports to this effect are incorrect and misleading and do not have the approval of the Ministry of Railways.

About:

  • IRIMEE is one of the six Centralized Training Institutes of Indian Railways functioning for the training of Railway Officers.
  • It is located at Jamalpur in Munger district of Bihar.
  • Its history dates back to the year 1888 when it was established as a Technical School. The training of Mechanical Engineers for Indian Railways commenced in the year 1927.
  • It presently conducts training courses for in-service Mechanical M&C Officers and supervisors and appreciation courses in Mechanical Engineering for officers of other disciplines in Indian Railways.

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(The Gist of PIB) DRDO lab develops automated UV systems  [MAY-2020]


(The Gist of PIB) DRDO lab develops automated UV systems

 [MAY-2020]

DRDO lab develops automated UV systems

  • Hyderabad based Defence Research and Development Organisation (DRDO) premier lab, Research Centre Imarat (RCI), has developed an automated contactless UVC sanitisation cabinet, called Defence Research Ultraviolet Sanitiser (DRUVS).
  • It has been designed to sanitise mobile phones, iPads, laptops, currency notes, cheque leaves, challans, passbooks, paper, envelopes, etc.

Key highlights: 

  • The DRUVS cabinet is having a contactless operation which is very important to contain the spread of the virus. The proximity sensor switches clubbed with the drawer opening and closing mechanism makes its operation automatic and contactless.
  • It provides 360-degree exposure of UVC to the objects placed inside the cabinet. Once the sanitisation is done, the system goes in sleep mode hence the operator need not wait or stand near the device.
  • The RCI has also developed an automated UVC currency sanitising device, called NOTESCLEAN.
  • Bundles of currency notes can be sanitised using DRUVS, however, disinfection of each currency notes using it will be a time-consuming process.

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(The Gist of Science Reporter) Wearable Health Technology — Smart Check on Health  [MAY-2020]


(The Gist of Science Reporter) Wearable Health Technology — Smart Check on Health

 [MAY-2020]


Wearable Health Technology — Smart Check on Health

  • Wearable smart devices for monitoring health are designed to analyze and collect data of personalised health and exercise.
    Because of advancement in wearable technology and demand various wearable devices have been developed like Fitness Trackers, Wearable ECG Monitors, Wearable Blood Pressure Monitors, Biosensors, Cloud DX’s Vitaliti, iTBra by Cyrcadia Health, Chrono therapeutics’s Smart Stop, etc.

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(The Gist of Kurukshetra) Nutrition and health related empowerment of women [MAY-2020]


(The Gist of Kurukshetra) Nutrition and health related empowerment of women

[MAY-2020]

Nutrition and health related empowerment of women

Introduction:

  • Over the past few decades, empowerment of the masses in general and that of the women in particular, has been gaining due attention globally.
  • Women empowerment is specifically important not only from the perspective of social justice and equality but also as a means for achieving the various Sustainable Development Goals (SDGs) including poverty reduction as well as improving nutrition, health and education of the people at large. 
  • Research indicates that women (as mothers/primary caretakers) are more likely to influence health and nutrition outcomes of their families, especially the children. Therefore, women empowerment is becoming a top priority in the formulation, implementation and evaluation of the policies/programs of every nation.
  • Some household-level indicators for measuring women empowerment viz. nutrition and health issues:

Women’s involvement in household decision making:

  • economic decisions (finance, expenditure, resource allocation);
  • social and domestic matters (e.g. marriage etc.);
  • children related decisions (like schooling, health & nutrition).
  • Women’s access/control over household resources (including cash, assets, income, freedom of mobility).
  • Power & money relationship (between the spouses); social hierarchy; appreciation and sense of self-worth (self-esteem).

Some important laws enacted prior to Independence for reducing social hostilities towards women:

  • Hindu Widow Remarriage Act, 1856
  • Female Infanticide Act, 1870
  • Married Women Property Act, 1874
  • The Child Marriage Restraint Act, 1929
  • The Hindu Women’s Right to Property Act, 1937

Various acts to ensure special provision/preserve the interest of women from immediate post-independence till date:

  • Special Marriage Act, 1954
  • The Hindu Marriage Act, 1955
  • Immoral Traffic (Prevention) Act, 1956
  • Dowry Prohibition Act, 1961
  • Maternity Benefit Act, 1961
  • Medical Termination of Pregnancy Act, 1971
  • Equal Remuneration Act, 1976
  • Indecent Representation of Women (Prevention) Act, 1986
  • The Commission of Sati (Prevention) Act, 1987
  • National Commission for Women Act, 1990
  • Prohibition of Child Marriage Act, 2006
  • Sexual Harassment of Women at Workplace (Prevention, Prohibition and Redressal) Act, 2013
  • Muslim Women (Protection of Rights on Marriage) Bill, 2019

Janani Suraksha Yojana (JSY): 

A safe motherhood intervention under the National Health Mission (NHM) for curbing maternal and neonatal mortality by promoting institutional deliveries especially among the pregnant women belonging to weaker socio-economic strata (SC, ST, BPL households).

National Health Mission (NHM): 

  • A flagship programme of the Ministry of Health and Family Welfare, it addresses malnutrition among women. Its components include: 
  • Anaemia Mukt Bharat; organization of Village Health and Nutrition Days as well as Sanitation and Nutrition days (for providing maternal & child health services along with awareness generation on maternal and child care);
  • Iron and Folic Acid (IFA) supplementation; calcium supplementation and promotion of iodized salt consumption.

Umbrella scheme of ICDS:

  • Under the Umbrella scheme of ICDS, a number of programs/schemes address nutrition and health related issues of the women which include:
  • Anganwadi Services Scheme which aims to improve the nutrition/health status of pregnant women and nursing mothers, thereby, lowering the incidence of mortality, morbidity and malnutrition among them. The beneficiaries are provided supplementary nutrition, nutrition and health education, immunisation, health check-up and referral services—all of which collectively help in uplifting their nutrition and health status.
  • Pradhan Mantri Matru Vandana Yojana (PMKVY)/Maternity Benefit Programme (launched in January, 2017) under which pregnant women and nursing mothers receive a cash benefit of Rs. 5,000/- in three instalments, on fulfilling the respective conditionalities: early registration of pregnancy, ante-natal check-up, child-birth registration and completion of first cycle of vaccination (applicable only for the 1st living child). The eligible beneficiaries also receive cash incentive under the Janani Suraksha Yojana (JSY). Hence, on an average, a woman gets Rs. 6,000/- for her first living child-birth.
  • Scheme for Adolescent Girls (SAG) provides services to out-of-school adolescent girls (11–14 years) for their self-development and empowerment; improving nutritional & health status; promoting awareness regarding health, hygiene and nutrition; giving support to out-of-school adolescent girls for successfully transitioning back to formal schooling or bridge learning/skill training and upgrading their home-based life skills.
  • POSHAN Abhiyaan was launched in December, 2017 to improve nutritional status of adolescent girls, pregnant women and nursing mothers in a time bound manner.
  • Educated, well-nourished and healthy girl children in the times to come will grow into well nourished adolescent girls and later they will become healthy women and mothers who in turn are expected to bear well-nourished and healthy children. This can help in perpetuating an inter-generational cycle of healthy progeny.

Ways of empowering women in nutrition and health related aspects:

  • Dietary diversification or bringing variety in the household diets;
  • Adopting nutrient enhancing techniques like mutual supplementation, germination, fermentation, etc. in their day-to-day cooking/food preparation for the household;
  • Promoting the use of nutrient rich local/seasonal/under-utilized foods or the so called commonly-discarded foods (e.g. radish leaves, pea-peels, cauliflower stalks etc);
  • Homestead-gardening to maximise sustainable gain at the household/community level (increasing availability, access and consumption of wide variety of nutritious foods);
  • In rural settings, promoting mixed cropping and integrated farming systems;
  • Using fortified/bio-fortified foods, esp. micronutrient-enriched foods;
  • Inculcating the habit of food and water conservation among family members with due emphasis on avoiding wastage at all levels;
  • Nutrition education to encourage the consumption of nutritious, safe and healthy diets.

Way forward:

  • It is imperative to suitably modify the policies/programs for addressing nutrition and health related empowerment of women, attending to the women’s issues in all the facets, capturing emerging challenges, providing access to optimum healthcare services, ensuring nutritionally well-balanced meals and ultimately positioning women as equal partners in development and progress of the household, community and the nation. 
  • Only unrelenting nutrition, health and socio-economic empowerment of women can help them to claim their own and the family’s rights/entitlements and they can play an important role in improving their family’s as well as their own nutrition and health status.

Conclusion:

  • It is important to reiterate that women empowerment is rather crucial for improving nutrition and health related outcomes of the family. Government has accorded top-most priority to tackle malnutrition among women and is making conscientious efforts to address the issue. 
  • The broad vision and mission of the Ministry of Women and Child Development is to empower women so that they can live with dignity as well as contribute as equal partners in national development in a non-violent and discrimination-free environment.
  • A well-nourished, healthy and empowered woman is not only an asset to the family but to the society and the nation as a whole.

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(GIST OF YOJANA) Artificial Intelligence in Healthcare  [May-2020]

(GIST OF YOJANA) Artificial Intelligence in Healthcare

 [May-2020]

Artificial Intelligence in Healthcare

  • As the Artificial Intelligence revolution permeates through societies at a global level, its role in shaping India with its sixth of the world’s population, could be substantial. India’s ratio 0.8 doctors per one thousand head of population (UK: 2.8, Australia: 5, China: ~ 4), the inability to meet World Health Organisation (WHO) guidelines for ratio of skilled healthcare workers (Weber, 2019), and resulting average patient-to-doctor face-to-face contact of just two minutes; illustrates the challenges of extremely heavy workloads on Indian doctors and opportunities for AIbased solutions to make a difference.
  • Healthcare systems in many developing countries are bursting at the seams with as much as 77% of a doctor’s time spent on preventive services that could be safely delegated to non-clinicians. With the ubiquitous reach of mobile technology within rural areas, opportunities exist for AI to help in the achievement of good health and well-being within remote communities where access to healthcare and skilled medical professionals are in short supply.

Opportunities and Applications:
The modern era of global connectivity and high levels of mobile usage in India presents significant opportunities for access to AI technology focused healthcare within the following areas:

AI in Assistance to Physicians:

  • One of the ways in which AI can enhance healthcare delivery in India is to relieve highly-skilled medical professionals from routine activities, freeing up doctors to concentrate on the higher-value cognitive application of medical practice, truly connect with patients and positively impact cases of medical errors and misdiagnosis.
  • Given the resource constraints and stress on the healthcare system, a significant part of a doctor’s workload could be safely offloaded to carefully-designed AI systems, reserving the serious cases for more detailed physician’s attention.
  • AI-based technologies can offer improvements with speedy diagnosis and therapy selection, reducing medical errors, improving productivity, assessing and modeling risk and stratifying disease. 
  • Researchers have highlighted the success for AI in healthcare using Machine Learning (ML) image-interpretation methods within radiology, pathology, dermatology, using AI in ophthalmology, diagnosis of atrial fibrillation in cardiology, identifying the best available treatment in oncology and interpreting subtle cues from online communications within mental health with greater efficiency over human medical practitioners.

AI in Diagnostics:

  • One of the key healthcare challenges in India is acute shortage of radiologists. AI based diagnosis can be especially helpful for radiology, pathology, skin diseases, and ophthalmology. For example, Aravind Eye Care Systems and Sankara Nethralaya have developed and validated an AI-based algorithm for diabetic retinopathy, which assists the ophthalmologists in screening for diabetic retinopathy on the basis of images of retina set to the doctor from peripheral centres. While CT scan, MRI and X-ray facilities have proliferated in India, there are only about 10,000 radiologists available. This is where AI can be of great assistance. The Tamil Nadu e-Governance Agency is helping the health department with the shortage of radiologists by developing an AI based system to read CT brain scans and grade them for further interventions.

AI for Optimising Treatment Plans:

  • AI can also be used for assisting doctors and patients to choose an optimal treatment protocol. ML can be used to mine not only doctor’s notes and patient’s lab reports, but also link to the extant medical literature to provide optimal treatment options. (Wahl et al., 2018). Such technology is in use in India, China and Thailand to provide appropriate recommendation plans for cancer treatment using patient’s details linked to medical literature.

AI for Monitoring/Ensuring Compliance:

  • The potential for AI application in remote monitoring has enhanced manifolds via the use of wearables. These can be used for monitoring various aspects such as movements, physiological parameters, temperature and alerts that can be communicated to healthcare professionals. Devices can be used for helping people exercise and adopt healthy eating. While these aspects have largely been used for chronic disease management (diabetes, stroke, epilepsy) and for elderly people, specific aspects can also be designed for monitoring during epidemics.

AI in the COVID-19 Epidemic:

  • The COVID-19 epidemic highlights the need for an AI based epidemic monitoring system that can model and predict outbreaks and help optimise scarce resources. Researchers from Imperial College, London have identified scenarios of up to 40 million deaths in 2020 from COVID-19 if measures are not taken to address the pandemic but highlight that over 38 million lives could be saved if countries across the globe implement high levels of testing, enforced isolation and wider social distancing.
  • AI can help fight the virus via Machine Learning-based applications including population screening, notifications of when to seek medical help and tracking how infection spreads across swathes of the population. A Chinese tech firm uses AI systems to flag anyone who has a temperature above 37.3 degrees within Beijing’s Qinghe Railway Station using cameras equipped with computer vision and infrared sensors to predict people’s temperatures. The system can screen up to 200 people per minute and detect their temperature within a range of 0.5 degrees Celsius. AI was also used for tracking individuals in China and contacts2 by combining face recognition technology, GPS tracking and a network of cameras covering the public places.

Challenges and Controversies:

  • The major challenges for India to deliver the benefits to its citizens from the adoption of AI technology within healthcare are significant. Leveraging AI in a meaningful way to enhance healthcare in India; needs emphasis across the healthcare industry to address technological, socio cultural, regulatory, legal and ethical issues.

Healthcare Industry Issues:

  • Due to the nature of the industry as well as people dynamics, the healthcare industry has been slow to adopt technological innovations. The challenges of migrating to an AI-technology-based healthcare infrastructure are numerous as medical professionals attempt to transition to new ways of working and adopt new systems and processes. Traditional healthcare personnel may resist new innovations, doctors may not trust AI systems, patients may question AI-based decision-making and medical staff could view the changes as disenfranchising them from their key roles and decision-making powers.
  • The changes required to realise the benefits of AI systems must be centred around clinicians and the problems they face, to enhance, not replace the need for highly-skilled medical practitioners. The required transformation to an AI-centric healthcare system requires trust from medical professionals, but also from patients unaccustomed to new ways of diagnosis and decision-making. The key challenge for policy makers is the engendering of confidence in the outcomes and trust that a human medical practitioner has an active role within the AI system.
  • The future role of doctors and other medical professionals is likely to change within an era where AI is integrated within diagnosis and disease forecasting. The challenge for the training of doctors is to address the transformational nature of AI-based healthcare, whilst not elongating the period for learning and qualification to integrate these new systems alongside everyday working practices.

Technology-related Issues:

  • AI systems and the underlying algorithms are reliant on the quality of data to enable the ML elements to perform the necessary processing and decision-making. The challenge within India is the disparate nature of healthcare related data. Each state has its own system and working process. Initiatives are needed at state and national government levels to ensure shared data standards, data security and exchange processes are incorporated within healthcare systems. This is complicated by the massworker migration between states, but highlights the need for solutions at a national level.

Socio-cultural Issues in Technology Implementation:

  • Although India is seeing significant development and positive societal change over the last decade or so, the country has a long road ahead in the context of nationwide technological development and adoption.
  • Although policy makers have tended to view successful ideas from other countries and naturally assume these can be transplanted to India, researchers have warned of the inefficiency, even danger of such an approach. Studies have advocated that decisions are made to take account of cultural context and existing social conditions.
  • Within India, access to the internet is primarily undertaken via mobile phones. While the penetration of mobile phones would at face value seem to be a positive factor for the adoption of AI, it could inadvertently amplify the gender disadvantage.
  • Research highlights that women in South Asia are 38% less likely to own a mobile phone than men and when overlaid with patriarchal and misogynistic social factors, the real access figure could be less. Without positive action from policy makers the resulting outcomes for AI adoption are likely to become segmented along gender lines. 

Regulatory and Ethical issues:

  • There are several ethical and regulatory challenges in implementation of AI in healthcare in India. Data security and privacy is especially important with the increasing use of wearables which can potentially cause identity theft through hacking of devices and data. 
  • AI is set to alter the traditional relationship between the doctor and the patient as technology plays the role of a third substantial actor. Under these circumstances, the regulators need to provide clear and concise user agreement and privacy policies to enhance widespread and safe adoption of these devices.

Recommendations:

  • To enhance the adoption of technology by healthcare providers, AI and its applications should be incorporated within the curriculum for medical and paramedical training.
  • Technology should be recognised as socio-culturally embedded; hence the technology design and implementation should take into account cultural practices and address the gender divide in India.
  • Ethical guidelines regarding security and privacy of data should be protected, especially as more and more the data is available through wearables and IOT. The data should be strictly used for clinical purposes only. AI systems when used for healthcare would have to be tested against all 7 DEEP-MAX parameters.
  • The AI system must be explainable and auditable. All decisions made in the context of diagnosis or recommendations can impact on human lives. As such the underlying algorithms must be transparent and explainable to ensure ease of audit rather than acting as a black-box based system.
  • AI systems should not exhibit bias. The algorithms developed for the AI system must not exhibit any racial, gender or Pincode-based decision-making that disenfranchise or favour any population groups.
  • AI healthcare systems must conform to human values and ethics. Regulatory bodies must ensure that human ethical values are an integral element of AI algorithms and resulting decision-making.
  • Adoption of AI based healthcare must be benefits-driven. The migration toward greater levels of technology use may not be universally accepted or trusted by the medical staff within healthcare institutions. The impact and change in working practices must not be underestimated by policy makers, who need to ensure that changes are geared to the benefits to patients and the overall healthcare of the Indian people.
  • Pilot initiatives should be developed within key states to trial the impact that AI systems could have on existing healthcare systems and infrastructure. Lessons should be learned from these initiatives before, wider rollout at a national level

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(The Gist of Kurukshetra) Gender Budgeting [MAY-2020]


(The Gist of Kurukshetra) Gender Budgeting

[MAY-2020]

Gender Budgeting 

Introduction:

  • Gender is an allocation primary budgeting goal of public re-orienting is a policy resource, with the advocating for an advanced decision making role for women in important issues, and securing equity in the distribution of resources between men and women. 
  • Gender budgeting allows the governments to promote equality through fiscal policies by taking analyses of a budget’s differing impacts on the sexes as well as setting goals or targets for equality and allocating funds to support those goals. 
  • Gender budgeting remedies the disadvantages and discrimination against women by incorporating them in the budgetary process and fighting marginalisation and exclusion from economic, political, and constitutional processes.

Establishing gender-specific impact:

  • It is not a separate budget for women; rather it is a dissection of the government budget to establish its gender-specific impact and to translate gender commitments into budgetary commitments. Given differences in needs, Gender Budgeting is not about simply dividing government money 50-50 between men and boys on the one hand, and women and girls on the other. 
  • A simple 50-50 division may look equal, but it is often not equitable, or fair, because the needs of women and men and girls and boys may be different. 
  • Instead, Gender Budgeting looks at every part of the government budget to assess how it will address the different needs of women and men, girls and boys, and different groups of women and men, girls and boys. For example, in the area of health, male and female people will have similar needs in respect to influenza and malaria. But women will have greater needs than men in terms of reproductive health.

Gender and Sex:

  • Before discussing Gender Budgeting, we need to understand what gender is, and the difference between gender and sex. Gender is the culturally and socially constructed roles, responsibilities, privileges, relations and expectations of women and men, boys and girls. 
  • Because these are socially constructed, they can change over time and differ from one place to another. Sex is the biological make-up of male and female people. It is what we are born with, and does not change over time, nor differs from place to place.
  • There is a need to think about both gender and sex when making policies and allocating budgets to implement the policies. In respect of sex, it should be ensured that policies and programs are available and adequately financed to address the different biological needs of women and men, including childbearing for women. 
  • In respect of gender, we need to have a vision of the type of roles, responsibilities, and relationship that we want to see in the country for women and men, girls and boys, and design, fund and implement policies and programs to move towards this goal.

Need for Gender Budgeting:

  • The Constitution of India has mandated equality for every citizen of the country as a fundamental right. Gender Budgeting serves varied purposes. These include, among others:
    • Identifying the needs of women and reprioritising expenditure to meet these needs;
    • To supporting gender mainstreaming in macroeconomics;
    • To strengthening civil society participation in economic policymaking;
    • To enhancing the linkages between economic and social policy outcomes;
    • To tracking public expenditure against gender and development policy commitments; and
    • To contribute to the attainment of the Sustainable Development Goals (SDGs).

Scope for Gender Budgeting: Generally, budgeting involves four components:

  • The budgetary allocation of resources to various heads, 
  • The actual Government outlays on various heads, 
  • An accounting of how resources are utilized for a particular purpose and 
  • An evaluation of the effectiveness of the resources utilised in delivering the intended results. 
  • Gender budgeting involves looking at all the four components from the point of view of women as beneficiaries.

Examples of possible activities for Gender Budgeting at the different stages of budgeting process are described below:

  • At the budget preparation stage:
  • Ensure financial appropriations made in budgets enable the implementation of programs, schemes and activities in a way that will match the needs;
  • Assess likely impact of new revenue-raising methods on different groups, compared with their ability to pay;
  • Compare Budget Estimates (BE) for the current year with Revised Estimates (RE) and Actual Expenditure (AE) of the previous year and ensure corrective steps are taken to ensure proper and full utilisation of the budgets of current year.

When the budget is tabled:

  • Analyse sector-wise or ministry/department wise trends and shares of allocations and expenditure as an indicator of government’s priorities;
  • Analyse the revenue side as in what are the sources of revenue, subsidies, etc., and how will they impact men and women.

At the budget implementation stage:

  • Is the budget being spent in the way it was intended and to the full extent? What are the delivery costs? Who is receiving subsidies? Is the budget being spent for the purpose and the people for which/whom it was intended?
  • Gender Budgeting can also be done and used by people outside the government such as in women’s organisations, non-governmental organisations, academia, the donor community, the legislature, as well as by ordinary citizens. 
  • For those outside government, Gender Budgeting can encourage transparency, accountability and participation, and facilitate better advocacy. For those both inside and outside government, Gender Budgeting work provides information that allows for better decision making on how policies and priorities should be revised and the accompanying resources needed to achieve the goal of gender equality.

Gender Budgeting in India:

  • India’s gender budgeting efforts stand out globally because they have not only influenced expenditure but also revenue policies at national and state government levels. The goal of Gender Budgeting in India is to ensure greater efficiency and gender equity in fiscal policy. 
  • Gender budgeting has been integrated into many aspects of public finance, which includes informing tax reforms, revising budget classification procedures to integrate gender in shaping intergovernmental fiscal transfers, fiscal decentralisation efforts, and local budgeting, and assessing the effectiveness of public expenditure through the development of benefit incidence analysis.

Impact of Gender Budgeting:

  • There is a need to evaluate the impact of Gender Responsive Budgeting (GRB) that was adopted by India in 2005 following which at least 57 government ministries/departments set up Gender Budgeting Cells. 
  • An analysis conducted by the National Institute of Public Finance and Policy reveals that GRB has not translated effectively into policies that impact women despite being a promising fiscal innovation to begin with.
  • Though some studies have shown encouraging results. One study shows that states with Gender Budgeting showed significantly greater reduction in spousal violence between 2005–06 and 2015– 16 than those without it, using data from National Family Health Survey (NFHS) waves 3 (2005–06) and 4 (2015–16). Where Gender Budgeting states demonstrated a 7 percent decline in spousal violence from 2005–06 to 2015–16, non-gender budgeting states demonstrated only a one percent decline.

Whether Gender Budgeting has a positive impact on gender equality or not? 

  • As per latest research conducted on data available from the Asia Pacific region, the answer is in affirmative. The scores on GDI (Gender Development Index) and GII (Gender Inequality Index) for each country were used as measures of gender equality or inequality.
  • The results show that GII is significantly determined by gender budgeting initiatives, public spending on health and female labour force participation.
  • The estimates showed that a 1 per cent increase in public health spending in Asia Pacific can reduce GII by 0.0045 percentage points, while a similar rise in female labour force participation can reduce GII by 0.0041 percentage points.

Conclusion:

  • India has integrated gender budget within the Expenditure Budget and also given instructions to integrate it into the Outcome Budget. However, the capacity of sectoral gender budgeting cells to carry out specific analysis of gender-related needs and advocate for policies and programs remains a challenge. Way forward is to build capacity at centre and state level for better implementation of gender budget and improvement in fiscal marksmanship.
  • Quantum of budgetary allocation for women focused schemes vis-a-vis total budgetary allocation should be increased and at the same time implementation of the policies should be so monitored that the allocated budget is spent strictly under the head it was allocated for. The revenue side of the gender budget should also be strengthened to empower women through innovative taxation policies.
     

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(GIST OF YOJANA) Benchmarking Healthcare System  [MAY-2020]

(GIST OF YOJANA) Benchmarking Healthcare System

 [MAY-2020]

Benchmarking Healthcare System

  • The right to health has so far not been accorded the status of a Fundamental Right to the Indian citizens. It is not even a statutory right, unlike education.
  • Moreover, health is a subject which is assigned to State Governments as per our Constitution. This is reflected in the way we finance it, with about two-thirds of the total government expenditure on health coming from the State Governments and the balance one-third being provided by the Government of India. 
  • Despite this, it is also a reality that the Government of India has significant influence in the policy space with path breaking schemes such as the National Health Mission (NHM) and Ayushman Bharat, with its twin prongs of the Health and Wellness Centres to deliver comprehensive primary health care and Pradhan Mantri Jan Arogya Yojana (PMJAY). India is also a signatory to the 2030 Agenda for Sustainable Development, whereby it has committed as a nation to “ensure healthy lives and promote well-being for all”.

The key questions that motivated the team involved in the design of Health Index were as follows:

  • Can we develop a tool to bring health into greater political focus to ensure that what gets measured gets done?
  • Can we benchmark the performance of the health system of various States which can be put forth in the public domain in a timely manner? Is it possible to capture the diversity and yet ensure that high performing states do not get complacent and the low performing States are not discouraged?
  • Can appropriate instruments or incentives be put in place that can nudge the States to try and radically improve their health system performance? Can this be done in a manner that respects the federal compact and allows autonomy to individual State Governments to make policy choices to achieve the specified benchmarks?
  • What are the parameters that could credibly capture the complex story of health system performance? Can those parameters capture outcomes at the system level rather than merely tracking inputs such as budget, number of facilities or outputs such as number of OPDs/IPDs? Is data relating to those parameters available from a third party source? Is the data of reasonable quality and available at least annually?

What is the emphasis (weights) to be provided on each of the individual parameters?

  • It is the first-ever systematic exercise for tracking the progress on health outcomes and health systems’ performance across all the States and Union Territories (UTs) in India on an annual basis. The Health Index is a weighted-composite Index based on select indicators in three domains: 
  1. Health Outcomes;
  2. Governance and Information; and 
  3. Key Inputs and Processes, with the health outcomes carrying the most weight across the different category of States/UTs.

Enabling Tool:

  • The vision behind establishing the annual systematic tool is to propel States towards undertaking multi-pronged interventions and drive efforts towards achievement of SDG Goal 3. It can be viewed as being akin to an annual health checkup diagnostic report; providing the State Governments to identify parameters in which States have improved, stagnated, or declined.
  • The Health Index report provides the direction and magnitude of change at a composite level as well as for each of the indicators of the Health Index. An analysis of this can help States in focusing attention on better targeting of interventions and improving the delivery of health services and also an opportunity of sharing best practices.

Room for Improvement:

  • The introspection is useful for all States and UTs, as both the first and second annual Health Index report indicates that even the States and UTs that are doing comparatively well have substantial scope for improvement. For example Health Index (June 2019) report on ranks of States and UTs indicates, even Kerala, Mizoram, and Chandigarh, the “healthiest” among large states, small states and UTs respectively, all have quite a distance from the frontier and have room for improving their performance.
  • The Index is an innovative tool as it not only fosters competition among states by comparing similar states to each other but also nudges them to better their own performance in the previous year. For example, though Kerala remained the “healthiest state” in 2014-15, 2015-16 as well as 2017-18, a slight decline in the composite Health Index score value was observed in each of the successive periods.

Large Gap Between the “Healthiest” and the “Ailing” States/UTs:

  • There are wide disparities in overall performance across States and UTs. The gap between the best performing states and the least performing states is very wide – Kerala and Uttar Pradesh are separated by 45 points, Mizoram and Nagaland by 36 points, and Chandigarh and Daman and Diu by 22 points as indicated by the Overall Performance Scores for 2017-18 (Health Index, June 2019).

Scope for Improvement:

  • Based on the composite Health Index scores range for the reference year (2017-18), the States are grouped into three categories: Aspirants, Achievers, and Front-runners.
  • Aspirants are the bottom one-third States and six of the eight Empowered Action Group States1 fall in this category. Given the substantial scope for improvement, these States require concerted efforts. Achievers represent the middle one-third States. Overall, these States have made good progress and can move to the next group with sustained efforts. Front-runners, the States falling in top one-third score range are the best performing States. Despite relatively good performance, however, even the front-runners could further benefit from improvements in certain indicators (Health Index, June 2019).

Different Levels of Momentum to Improve Performance:

  • Only around 58% of the States and UTs had an improvement in the overall score between 2015-16 and 2017-18 (Health Index June 2019). The degree of changes in incremental performance scores differed across the three categories of States. 
  • The magnitude of changes was bigger in UTs compared to Larger and Smaller States. Andhra Pradesh and Maharashtra were the only two states that were among the top one-third States on both overall performance and incremental performance. Andhra Pradesh had the highest proportion of indicators (63 percent) among the Larger States which fell in the category of most improved or improved.
  • Among the UTs and Smaller States, there was a divergence in Health Index Scores from base year to reference year across States (UTs), that is, better performing States (UTs) tended to get better whereas least performing States (UTs) tended to get worse. Among the Larger States, there was neither divergence or convergence in Health Index Scores over time.

Shake Complacency and Nurture Hope:

  • It is envisaged that tracking progress on incremental performance will also help shake complacency among “Healthiest Large States” such as Kerala, Punjab, and Tamil Nadu that have historically done well. At the same time, it is expected that it will nurture hope and optimism among large states such as Haryana, historically lagged in performance but are demonstrating greater improvements in health outcomes.

Variable Progress Across States Towards Achieving SDG Goals:

  • Several States have made good progress towards achieving SDG goals included in the Index. Kerala and Tamil Nadu have already reached the 2030 SDG goal for Nuclear Magnetic Resonance (NMR), which is 12 neonatal deaths per 1000 live births. Maharashtra and Punjab are also close to achieving the goal.
  • Kerala, Tamil Nadu, Maharashtra and Punjab have already achieved the SDG goal on Under-Five Mortality Rate (U5MR), which is 25 deaths per 1000 live births. Other States and UTs still need significant improvements to meet SDG targets.

Incentivising Incremental Performance:

  • The Health Index has the potential to be a game changer as it can shift the focus from budget spends, inputs and outputs to outcomes by shining the light on States that have shown most improvement. The MoHFW’s decision to link the Index to incentives under the National Health Mission sends a strong signal to States in the shift towards outcome based monitoring and performance linked incentives.
  • In 2019-20, 40% of the incentives or INR 3200 crore of the National Health Mission (NHM), MoHFW’s flagship federal initiative, was linked to the incremental performance of the states and UTs on the Health Index. In 2019-20, MoHFW has taken a decision to link 70% of the NHM incentives to the incremental performance of the states and UTs on the Health Index.

Need for Improving Data Quality:

  • The process of Index development and implementation highlighted the large gaps in data availability on health outcomes and health systems performance. 
  • The need of the hour is to make outcome data available for smaller states and union territories more frequent and updated outcomes for non-communicable diseases, financial protection, and other priority areas, and the robust programmatic data that can be used for continuous monitoring.

Conclusion:

  • The Health Index is a useful tool to measure and compare the overall performance and incremental performance across States and UTs over time. It is an important instrument in understanding the variations and complexity of the nation’s performance in health. The critical factors that contributed to the success of the Health Index include: a) Timelines of the report so that it stimulates action and not merely academic discussions; b) Provision of financial incentives based on the annual incremental performance of states under the National Health Mission; and; c) Verification of self reported data by states by a third party, independent verification agency to enhance credibility. However, there are limitations to the Index as no single index can purport to comprehensively capture the complex story of evolution of the health system.
  • Also, due to constraints of availability of quality data critical areas such as non-communicable diseases, mental health, and private sector service utilisation could not be captured. Thus, the Health Index is a work in progress and continuous refinements will be made as additional quality data becomes available and data systems improve

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