UPSC Mains 2020 GS Paper 2 Q6: model answer
In order to enhance the prospects of social development, sound and adequate health care policies are needed, particularly in the fields of geriatric and maternal health care. Discuss.
What the question wants
Discuss why sound health policies for the elderly and for mothers are needed to advance social development.
How to structure it
Discuss: two groups, need, policies, gaps.
- Why these two
- Geriatric care
- Maternal care
- Way forward
How to think it through
India is ageing fast: about one in ten Indians is over 60, likely one in five by 2050. Maternal mortality has fallen sharply but anaemia persists. Two ends of life, both neglected by a hospital-centred system.
Model answer
Two groups reveal the health system's quality: the mother at childbirth and the elderly at the end of life. India has improved the first and barely begun on the second.
Geriatric care
- About 10% of Indians are over 60; the India Ageing Report 2023 projects about 20% by 2050.
- Chronic diseases, dementia, disability and loneliness; many elderly women are widowed and poor.
- Policies: the National Programme for Health Care of the Elderly (2010), the Maintenance and Welfare of Parents and Senior Citizens Act (2007), and PM-JAY for everyone over 70 (2024).
- Gaps: few geriatric specialists, little home care, weak pension coverage.
Maternal care
- MMR has fallen below 100 per lakh live births (SRS), from over 500 in 1990.
- Institutional deliveries reached about 89% (NFHS-5).
- Policies: Janani Suraksha Yojana, PMSMA, PM Matru Vandana Yojana, LaQshya.
- Gaps: anaemia, teenage pregnancy, regional gaps (Assam and UP).
Way forward
Geriatric wards and home care, ASHA training for the elderly, anaemia control and nutrition for mothers.
Healthy mothers and dignified ageing mark a society's social development.
Draw: A lifecycle line with two marked points: childbirth and old age.
Keywords, cases and data to drop in
India Ageing Report 2023, NPHCE 2010, MWPSC Act 2007, PM-JAY 70+, MMR (SRS), JSY, PMSMA, PMMVY, LaQshya, anaemia.
Where most answers lose marks
- Covering only one of the two groups.
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Question text as printed in the official UPSC Civil Services (Main) question paper. The model answer is original Battle IAS work; use it to learn structure, not to memorise.
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