Current Affairs 24th September 2018
Ayushman BharatPrime Minister Narendra Modi recently rolled out the Centre’s flagship scheme — Pradhan Mantri Jan Arogya Abhiyaan, also known as Ayushman Bharat or the National Health Protection Mission (AB-NHPM).
Significance of the project:
This is the world’s largest health scheme which will serve a population that equals 27-28 European countries. The beneficiaries are almost equal to the population of Canada, Mexico and US put together.
Meant to help the poor and the economically deprived, the scheme will be available for 10.74 crore beneficiary families and about 50 crore Indian citizens.
Ayushman Bharat is the National Health Protection Scheme, which will cover over 10 crore poor vulnerable families (around 50 crore beneficiaries) providing coverage of up to ₹5 lakh (per family per year) for secondary and tertiary care hospitalisation.
It will subsume the on-going centrally sponsored schemes –Rashtriya Swasthya Bima Yojana (RSBY) and the Senior Citizen Health Insurance Scheme (SCHIS).
Highlights of the scheme:
Coverage: The scheme has the benefit cover of Rs. 5 lakh per family per year. To ensure that nobody is left out (especially women, children and elderly) there will be no cap on family size and age in the scheme. The benefit cover will also include pre and post-hospitalisation expenses.
Target: The target beneficiaries of the proposed scheme will be more than 10 crore families belonging to poor and vulnerable population based on SECC database. Benefits of the scheme are portable across the country and a beneficiary covered under the scheme will be allowed to take cashless benefits from any public/private empanelled hospitals across the country.
Role of state governments: State Governments will be allowed to expand AB-NHPM both horizontally and vertically. States will be free to choose the modalities for implementation. They can implement through insurance company or directly through Trust/ Society or a mixed model.
Council: For giving policy directions and fostering coordination between Centre and States, it is proposed to set up Ayushman Bharat National Health Protection Mission Council (AB-NHPMC) at apex level Chaired by Union Health and Family Welfare Minister.
Who is eligible?
It will be an entitlement based scheme with entitlement decided on the basis of deprivation criteria in the SECC database.
The different categories in rural area include families having only one room with kucha walls and kucharoof; families having no adult member between age 16 to 59; female headed households with no adult male member between age 16 to 59; disabled member and no able bodied adult member in the family; SC/ST households; and landless households deriving major part of their income from manual casual labour.
Also, automatically included families in rural areas having any one of the following: households without shelter, destitute, living on alms, manual scavenger families, primitive tribal groups, legally released bonded labour. For urban areas, 11 defined occupational categories are entitled under the scheme.
Why Ayushman Bharat?
According to health ministry officials, the 71st round of National Sample Survey Organization (NSSO) revealed that 85.9% of rural households and 82% of urban households have no access to healthcare insurance/assurance.
More than 24% households in rural India and 18 per cent population in the urban area have met their healthcare expenses through some sort of borrowing. The Ayushman Bharat intends to change this status quo.
What to study?
For Prelims and Mains: Ayushman Bharat- features, objectives and significance.
Country Partnership FrameworkThe World Bank Group (WBG) Board of Executive Directors has endorsed a new Country Partnership Framework (CPF) for India.
The CPF aims to support India’s transition to a higher middle-income country by addressing some of its key development priorities — resource efficient and inclusive growth, job creation and building its human capital.
The India CPF represents the largest country programme of the WBG, reflecting the strong collaboration between India and the Group’s institutions — The International Bank for Reconstruction and Development (IBRD), International Finance Corporation (IFC) and Multilateral Investment Guarantee Agency (MIGA). The WBG expects to deliver $25-30 billion during this CPF period, ending in FY22.
With a fast growing economy, global stature, and its unique experience of lifting the highest number of poor out of poverty in the past decades, India is well-positioned to become a high middle-income country by 2030.
Need of the hour:
The future of India lies in the States of India. The country’s transition to high middle-income status will be determined in large part by the effectiveness of India’s federal compact. In this context, an important focus of the CPF will be to deepen engagement with India’s States and invest in the institutions and capabilities of the states and local governments to address their development priorities.
What is Country Partnership Framework (CPF)?
The World Bank Group’s Country Partnership Framework (CPF) aims to make our country-driven model more systematic, evidence-based, selective, and focused on the Bank’s twin goals of ending extreme poverty and increasing shared prosperity in a sustainable manner. The CPF replaces the Country Assistance Strategy (CAS). Used in conjunction with a Systematic Country Diagnostic (SCD), the CPF guides the World Bank Group’s (WBG) support to a member country.
A Systematic Country Diagnostic (SCD) informs each new CPF. The aim of the SCD is to identify the most important challenges and opportunities a country faces in advancing towards the twin goals. This is derived from a thorough analysis, and informed by consultations with a range of stakeholders.
The WBG will focus on three broad areas under the new CPF: promoting a resource efficient growth path, particularly in the use of land and water, to remain sustainable; enhancing competitiveness and enabling job creation; and investing in human capital — in health, education, skills — to improve quality and efficiency of service delivery.
Within these, some areas of deeper WBG’s engagement will include addressing the challenge of air pollution, facilitating jobs for women, increasing the resilience of the financial sector and investing in early years of children’s development. Across the sectors, the WBG will invest in harnessing the impact of new technology.
What to study?
For Prelims and Mains: CPA- meaning, objectives and significance for India.
Eco-sensitive area (ESA)The centre will soon issue a fresh draft notification declaring Western Ghats as an eco-sensitive area (ESA) with all but one of the six affected states on board.
Karnataka is set to reject the notification as “it will adversely affect the state’s economy.” Karnataka is not in favour of declaring the Western Ghats as an ESA.
What’s the issue?
A draft notification regarding ecologically sensitive areas, issued by the Ministry of Environment, Forest and Climate Change (MoEF), has been delayed for over a year due to on-going negotiations between the Centre and the states. The initial draft, in March 2014, which was to be finalised in 545 days or by September 2015, has been repeatedly pushed.
The notice earmarked 60,000 square kilometres, or 37 per cent of the Ghats, as ecologically sensitive. However, it was protested by the states, especially Kerala, as ESAs restrict developmental activity. The Centre has since decided to accept recommendations from each state government.
What are ESAs?
An ecologically sensitive area is one that is protected by the government given the sheer number of species, plants and animals endemic to the region. According to the Environment (Protection) Act, 1986, the government can prohibit industrial operations such as mining, sand quarrying and building thermal power plants in sensitive areas.
The definition offered by the MoEF: “An ecological sensitive area is a bio-climatic unit (as demarcated by entire landscapes) in the Western Ghats wherein human impacts have locally caused irreversible changes in the structure of biological communities (as evident in number/ composition of species and their relative abundances) and their natural habitats.”
To categorise an area as ecologically sensitive, the government looks at topography, climate and rainfall, land use and land cover, roads and settlements, human population, biodiversity corridors and data of plants a
nd animal species.
The Kasturirangan committee report:
The MoEF notification is based on findings of a High-Level Working Group, also known as the Kasturirangan committee. The government-appointed committee had said that the natural landscape of the Ghats constitutes only 41 per cent, or which 90 percent or 60,000 square kilometres were identified as ecologically sensitive.
The committee suggested phasing out current mining projects within five years, or when mining leases were about to expire. It recommended that infrastructure and development projects be subject to environmental clearance, and that villages in ESA be involved in decision making regarding future projects.
The notification was deemed too environmentally friendly by stakeholder states.
Significance of Western Ghats:
The Western Ghats was included as a ‘World Natural Heritage Site’ by UNESCO in 2012. According to the organisation, the Ghats, which are older than the Himalayas, are home to at least 325 globally threatened flora, fauna, bird, amphibian, reptile and fish species. It has been recognised as one of the world’s eight ‘hottest hotspots’ of biological diversity.