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SL. THE HINDU
TOPICS
NO. PAGE NO.
5 Impressed Tortoise 09
Dated: 26.June.2019 DNS Notes
Title 1. State of Health- Composite Health Index (The Hindu, Page – 01/09)
Syllabus Mains: GS Paper II : Issues related to Health
Theme Composite Health Index
Context:
The NITI Aayog has released the Second Edition of “Healthy States, Progressive India” . The report ranks
states and Union territories innovatively on their year-on-year incremental change in health outcomes, as well
as, their overall performance.
Important details
The Health Index is a weighted composite Index based on 23 indicators grouped into the domains of
Health Outcomes, Governance and Information, and Key Inputs/Processes. . Each domain has been
assigned weights based on its importance and has been equally distributed among indicators.
Among the Larger States, Kerala, Andhra Pradesh & Maharashtra ranked on top in terms of overall
performance, while Haryana, Rajasthan and Jharkhand are the top three ranking States in terms of
annual incremental performance.
Among Smaller States, Mizoram ranked first followed by Manipur on overall performance, while
Tripura followed by Manipur were the top ranked States in terms of annual incremental performance.
Among UTs, Chandigarh and Dadra and Nagar Haveli were ranked on top in terms of overall
performance (Chandigarh-1 and Dadra and Nagar Haveli-2) as well as annual incremental
performance (Dadra and Nagar Haveli-1 and Chandigarh-2).
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Dated: 26.June.2019 DNS Notes
Trends in Malnutrition
The prevalence of malnutrition in children 6-59 months in India has declined between 2005-06 to
2015-16 with chronic malnutrition, or stunting, decreasing from 48.0 percent in 2005-06 to 38.4
percent in 2015-16 and underweight decreasing from 42.5 percent in 2005-06 to 35.7 percent in 2015-
16.
The prevalence of acute malnutrition, or wasting, has marginally increased during the same period,
from 19.8 percent to 21.0 percent.
The prevalence of anaemia in young children has also decreased from 69.5 percent in 2005-06 to 58.5
percent in 2015-16.
The Government of India has envisaged a challenging target for itself through National Nutrition
Mission (NNM)with the target to reduce stunting by at least 2 percent per annum to reach 25 percent
by 2022.
Inter and Intra State Variations in Malnutrition: The prevalence of stunting in children under five is
the highest in Bihar, Uttar Pradesh, Jharkhand, and Meghalaya and lowest in Kerala and Goa.
Micronutrient Malnutrition: Vitamin A, iron and iodine deficiency disorders are the most common
forms of micronutrient malnutrition in the world.
Socio-Economic Determinants of Malnutrition among Children: Just over half the children born to
mothers with no schooling are stunted, compared with 24 percent of children born to mothers with 12
or more years of schooling. The prevalence of underweight in children with uneducated mothers is 47
percent compared to 22 percent for those whose mothers have some education
Recommendations
Agricultural Diversification: Farmers should be encouraged and incentivized to increase production of
micronutrient-rich grains such as millets, as well as other nutritious foods such as soyabeans, vegetables and
fruits.
Sustainability of Food Productivity: Additionally, use of innovative and low-cost farming technologies,
increase in the irrigation coverage and enhancing knowledge of farmers in areas such as appropriate use of land
and water have high potential to improve the sustainability of food productivity
Policy Support: There is a need for promotion of farming, marketing and demand generation of traditional
coarse cereals like maize, which are produced in abundance and are good source of energy.
Improvement in Water, Sanitation and Hygiene Practices: Achieving India SDG target (NITI Aayog, 2018)
for WASH by 2030 looks promising, with targeted efforts by the Government of India through various
programmes such as the Poshan Abhiyan and Swachh Bharat Mission.
Committee.
WFP pursues a vision of the world in which every man, woman and child has access at all times to the
food needed for an active and healthy life. The WFP is governed by an Executive Board which
consists of representatives from member states.
The WFP operations are funded by voluntary donations from world governments, corporations and
private donors. WFP food aid is also directed to fight micronutrient deficiencies, reduce child
mortality, improve maternal health, and combat disease, including HIV and AIDS.
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Definition of MSMEs: MSMEs are presently defined based on investment in plant and machinery / equipment.
To facilitate ease of doing business, the Government has proposed turnover based definition by replacing the
current investment-based definition of MSMEs.
Classification of the MSME New Classification (annual turnover) Previous classification – Ceiling on
Investment in Plant and Machinery (in
Rs)
The Committee found the revised definition of MSMEs rational, transparent, progressive and easier to
implement with the introduction of Goods and Services Tax (GST). Further, in order to have flexibility in the
definition of MSMEs, the committee has proposed that the Parliament may consider delegating the power of
classifying MSMEs to the Executive.
Addressing delays in Payments to MSMEs: The Committee has recommended amendment to the MSMED
Act requiring all MSMEs to mandatorily upload all their invoices above an amount to be specified by
Government to an Information Utility. Further, a monitoring authority should be set up under the office of
Development Commissioner MSME. While this mechanism will entail automatic display of the names of the
defaulting buyers, it will also act as a moral suasion on the buyers to release payment to MSE
suppliers. Further, majority of the States have only one MSE Facilitation Council (MSEFC) which is not
adequate to cater to delayed payment cases arising in the entire State. Hence, there is a need to increase the
number of Facilitation Councils particularly in larger States.
Expanding the Scope of GeM Portal: As per the MSMED Act, Government has notified procurement policy
wherein PSUs/ Government Departments have to make 25% of their procurement from MSEs. To further
strengthen the procurement mechanism, the Government has also launched the GeM portal. The Committee
recommends that Government should make it mandatory for PSUs/ Government Department to procure from
MSEs up to the mandated target of 25% through the GeM portal only. Further, the portal can be developed as a
full-fledged market place enabling MSE sellers to procure raw-material as well.
Enterprise Identifier (UEI) and the same should be used for various purposes like procurement, availing
government sponsored benefits, etc.
Further, enabling environment, tax concessions, well developed infrastructure, ease of doing business, exit
policy, etc. available in other countries is incentivising the Indian startups to migrate. It is recommended that
suitable financial and non-financial incentives must be deployed to retain successful Indian startups entities in
India.
Capacity Building: The Government's proposal to establish Enterprise Development Centres (EDCs) within
District Industries Centres (DICs) has to be expedited. The setting up of EDCs would provide necessary
handholding support to the entrepreneurs in various aspects such as technical know-how, managerial skill,
filling up of the knowledge gap, etc. leading to a multiplier effect.
Focussing on MSME Clusters: The MSME clusters should collaborate with companies having innovation
infrastructure, R&D institutions and universities that specialize in a specific industry or knowledge area. Most
cluster development initiatives are funded to a large extent by the public agencies and private sector
contribution for such common initiatives is miniscule. It is recommended that ways and means to enhance
private sector contribution must be found.
Institutional Framework: In order to have convergence of various MSME related policies, a National
Council for MSMEs should be set up at the apex level under the Chairmanship of the Prime Minister . The
States should have a similar State Council for MSMEs, for better co-ordination of developmental initiatives.
Further, Ministry of MSME may consider setting up of a Non-Profit Special Purpose Vehicle (SPV) to support
crowd sourcing of investments by various agencies particularly to pave the way for conducive business
ecosystem for MSMEs.
Distressed Asset Fund: The Committee recommends for the creation of a Distressed Asset Fund, with a
corpus of ₹ 5000 crore, structured to assist units in clusters where a change in the external environment, e.g. a
ban on plastics or ‘dumping’ has led to a large number of MSMEs becoming NPA. This would be of significant
size in order to make equity investments that help unlock debt or help revive sick units.
Access to Finance:
The PSBLoansIn59Minutes portal as of now caters only to existing entrepreneurs having information required
for in-principle approval such as GSTIN, Income Tax returns, bank statement, etc. The Committee
recommends that the portal should also cater to new entrepreneurs, who may not necessarily have such
information, including those applying under PMMY loan and Standup India.
The Priority sector lending guidelines apply uniformly to all the lenders and mandates specific targets to banks
to lend to priority sectors, i.e. agriculture, small and marginal farmers, micro enterprises, weaker sections, etc.
At present, the overall target for the universal bank is 40% and target for small finance bank is 75%.
The committee has recommended that for banks that wish to specialize in MSME lending, the requirements to
do agricultural lending under PSL can be waived provided they achieve 50% SME-PSL lending target in the
case of Universal Banks and 80% in the case of Small Finance Banks.
The RBI should increase the limit for non-collateralised loans to Rs 20 Lakh from the present limit of Rs 10
Lakh. This limit of Rs 20 lakh should also be applicable to the loans provided under the MUDRA scheme.
Loan Service Providers: The committee has suggested that the RBI should create a new category of Loan
Service Providers (LSPs). The LSPs would act as agents of the borrowers (MSMEs) and offer individualised
advice to them catering to all the aspects of finance. The RBI should facilitate the creation of a Self-Regulatory
Organization to organize and provide light touch regulation for Loan Service Providers.
Dated: 26.June.2019 DNS Notes
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Lack of legal aid: In India, legal aid to those who cannot afford to retain the counsel which is only available at
the time of trial and not when the detainee is brought to the remand court. Since the majority of prisoners, those
are in lock up as well as those in prisons have not been tried, the absence of legal aid until the point of trial
reduces greatly the value of the country’s system of legal representation to the poor. The lawyers are not
available at the point when many of them need such assistance.
Dated: 26.June.2019 DNS Notes
Abuse of prisoners : Physical abuse of prisoners by the guards is another chronic problem in the prison of
India. Some countries allowed continuationof corporal punishments and the routine uses of leg irons, fetters,
shackles, and chains. In many prison systems in India, the unwarranted beatings are an integral part of the
prison life. Women prisoners in Indian Prison are particularly vulnerable for the custodial sexual abuse.
Guidelines include:
Under Trial Review Committee to be set up in each district;
Earliest release of under trials as per the provision of law;
Empaneling competent lawyers for the under trials;
Improvement in the living conditions of jails specially for women;
Management Information System to be in place in all jails; and
Annual review of the implementation of the Model Prison Manual 2016.
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Dated: 26.June.2019 DNS Notes
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