Ayushman Bharat (AB-PMJAY) & ABDM
The "Twin Pillars" of India's health revolution, aiming for "Physical Access" and "Digital Integration."
| Explain the key constitutional principles and federal data landmarks for the functioning of public policies and health cover in India. | - Public Grievance Redressal (CPGRAMS): Resolves over 15 Lakh public complaints annually, targeting a resolution time of under 30 days. - Right to Information (RTI) Act, 2005: Promotes transparency, with over 10 Lakh RTI applications filed by citizens annually. - National Food Security Act (NFSA), 2013: Legal entitlement providing subsidized grains to 67% of India's population. - PM Jan Dhan Accounts (PMJDY): Mobilized savings across over 51 Crore bank accounts opened since the scheme's inception in 2014. - MGNREGA Rural Employment: Guaranteed 100 days of wage employment, backed by a budget allocation of ₹86,000 Crore. - Ayushman Bharat Health Cover: Provides health assurance of ₹5 Lakh per family per year to over 12 Crore poor households. - Poshan Abhiyaan target: National Nutrition Mission targeting a reduction in child stunting and under-nutrition by 2% per annum. - National Education Policy (NEP) 2020: Targets scaling public education expenditures to 6% of GDP to improve infrastructure. - Maternity Leave expansion: Maternity Benefit (Amendment) Act, 2017 increased paid leave from 12 weeks to 26 weeks. - Prevention of Sexual Harassment (POSH): Act of 2013 mandates Internal Complaints Committees (ICC) in offices with 10 or more employees. - Rights of Persons with Disabilities Act, 2016: Increased job reservation in government departments from 3% to 4%. - Prevention of Atrocities (SC/ST) Act, 1989: Formulates special courts for speedy trial of offenses against SC/ST communities. - DILRMP Land Records Digitization: Computerized land registers and digitized cadastral maps across 99% of Indian villages. - PM Awas Yojana (Housing for All): Deployed funding to construct over 4 Crore affordable houses for rural and urban poor. - Jal Jeevan Mission drinking water: Targets functional household tap connections (FHTC) to 19 Crore rural households. - PM Mudra Yojana Entrepreneurship: Disbursed over 40 Crore loans to micro-units, with women representing 70% of beneficiaries. - Transgender Protection Act, 2019: Establishes National Council for Transgender Persons to prevent employment discrimination. - Mental Healthcare Act, 2017: Decriminalized suicide attempts and legally guaranteed the right to access mental healthcare services. - Swachh Bharat Mission (SBM-G 2.0): Deploys solid and liquid waste management systems to transform villages into ODF Plus status. - Juvenile Justice Act, 2015: Allows trialing juveniles aged 16-18 years as adults for heinous crimes based on board assessments. |
| Analyze the benefits, coverage scale, and portability impact of the PM-JAY insurance arm. | - Benefit: ₹5 Lakh per family/year for secondary and tertiary care. - Breadth: Covers 55 Cr citizens (~12 Cr families); Recently expanded (2024) to All Seniors (70+). - Impact: Portability allows a migrant in Delhi to get surgery on their home-state card. |
| Explain the features and functions of the Ayushman Bharat Digital Mission (ABDM). | - ABHA ID: 14-digit unique health ID; stores digital health records. - Health Repository: Allowing doctors (with consent) to see a patient’s "Full medical history," eliminating redundant tests. - Scan & Share: QR-code based instant OP registration in hospitals to reduce queues. |
| Identify the primary challenges facing Ayushman Bharat and list key Mains keywords. | - Private Sector Friction: Low reimbursement rates ("Package rates") lead to many private hospitals avoiding high-end surgeries. - Digital Literacy: Millions still lack the smartphones/connectivity needed to manage the ABHA digital ecosystem. - Quality of HWCs: Health & Wellness Centers often lack regular "Essential Medicines" and "Internet connectivity" for tele-consultation. Key Phrases for Mains: Tertiary Care Safety Net; Data Sovereignty; Incentivized Prevention. |
| Summarize the way forward for Ayushman Bharat. | - AB-PMJAY is the "Moral Compass" of Indian healthcare. Success lies in moving from "Volume-based care" to "Outcome-based care" through digital monitoring. |