Public Health Infrastructure and Healthcare Access
Social Justice & Development
- PYQs8
- Articles1
Background
Healthcare access is a fundamental aspect of social justice and human development. UPSC examines government efforts to strengthen public health infrastructure, address disparities in healthcare delivery, and achieve health-related Sustainable Development Goals.
Public health infrastructure refers to the facilities, resources, and systems necessary for delivering healthcare services to the population. Ensuring equitable healthcare access, especially in rural and underserved areas, is a critical goal for achieving universal health coverage and improving national health outcomes.
Facts & tables
- Healthcare System Structure
- India's healthcare system is a mix of public and private providers, with a tiered structure from primary health centres to tertiary care hospitals.
- Challenges
- Key challenges include uneven distribution of facilities, shortage of skilled medical personnel, and financial barriers to accessing quality care.
- Flagship Schemes
- Ayushman Bharat is a flagship government scheme aimed at achieving universal health coverage through health and wellness centres and a national health protection scheme.
- Role of District Hospitals
- District hospitals serve as crucial secondary care providers, offering specialized services and acting as referral centres for primary healthcare facilities.
| Type | Reference |
|---|---|
| Conceptual area | Social Justice & Development |
| Body | Role |
|---|---|
| Ministry of Health and Family Welfare | Formulates national health policies and programs, provides financial and technical support to states |
| State Health Departments | Implement health policies, manage public health infrastructure, and deliver healthcare services at the state level |
Prelims angle
Prelims angle: Multi-statement analysis
Prelims angle: Factual recall
- Public health infrastructure: facilities, resources, systems for healthcare delivery.
- Goal: equitable access, universal health coverage (SDG 3).
- Challenges: uneven distribution, personnel shortage, financial barriers.
- Key scheme: Ayushman Bharat, focusing on health and wellness centres.
- District hospitals: crucial for secondary care and specialized services.
| Year | Framing tags |
|---|---|
| 2026 | Multi-statement analysis, Factual recall |
| 2026 | Multi-statement analysis, Factual recall |
| 2024 | Factual recall, Conceptual understanding |
| 2023 | Statement-based questions, Multi-statement analysis |
| 2023 | Multi-statement analysis, Policy measures |
| 2022 | Multi-statement analysis, Factual recall |
| 2020 | Multi-statement analysis, Factual recall |
| 2018 | Multi-statement analysis, Policy measures |
Timeline
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Social Justice & Development
Conceptual area
-
Prelims 2018
Multi-statement analysis, Policy measures
-
Prelims 2020
Multi-statement analysis, Factual recall
-
Prelims 2022
Multi-statement analysis, Factual recall
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Prelims 2023
Statement-based questions, Multi-statement analysis
-
Prelims 2023
Multi-statement analysis, Policy measures
-
Prelims 2024
Factual recall, Conceptual understanding
-
Prelims 2026
Multi-statement analysis, Factual recall
-
Prelims 2026
Multi-statement analysis, Factual recall
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Gujarat approves de-addiction centres in all district hospitals
Strengthening public health infrastructure, particularly at the district level, is essential for improving healthcare access and addressing specialized needs like de-addiction. Government initiatives aim to bridge gaps in service delivery and ensure equitable health outcomes across regions, contributing to universal health coverage.
See also
Past papers
2018–2026 · 7 questions
In the news
Gujarat approves de-addiction centres in all district hospitals
Strengthening public health infrastructure, particularly at the district level, is essential for improving healthcare access and addressing specialized needs like de-addiction. Government initiatives aim to bridge gaps in service delivery and ensure equitable health outcomes across regions, contributing to universal health coverage.
Try these PYQs
Which of the following statements with regard to the persons with disabilities in India is/are correct ?
1. The Rights of Persons with Disabilities Act, an Act passed by the Parliament of India in 2018, mandates reservation in education and employment, places a legal duty on Governments to ensure accessibility and non-discrimination.
2. The Sugamya Bharat Abhiyan focuses on achieving universal accessibility for Persons with Disabilities across three key domains — built infrastructure, transport systems and information and communication technology.
3. The National Divyangjan Finance and Development Corporation (NDFDC) is a public sector organisation set up by the Ministry of Corporate Affairs as a not-for-profit company to promote entrepreneurship among Persons with Disabilities (PwDs).
Select the answer using the code given below :
Statement 1 is Incorrect: The Rights of Persons with Disabilities (RPwD) Act was passed by the Parliament of India in 2016, not 2018. It aligns with the UN Convention on the Rights of Persons with Disabilities and places a legal obligation on governments to ensure non-discrimination and accessibility. It also mandates reservations for PwDs, such as increasing the quota to 4% in government employment and 5% in higher education. Statement 2 is Correct: The Sugamya Bharat Abhiyan (Accessible India Campaign) was launched in 2015 by the Department of Empowerment of Persons with Disabilities (DEPwD). It focuses on achieving universal accessibility for Persons with Disabilities across three key domains: built infrastructure (barrier-free public buildings), transport systems (accessible railways, airports, and roads), and information and communication technology (accessible government websites and digital ecosystems). Statement 3 is Incorrect: The National Divyangjan Finance and Development Corporation (NDFDC) is a Central Public Sector Undertaking registered as a not-for-profit company to provide concessional financial assistance to promote entrepreneurship, self-employment, and higher education among PwDs. However, it was set up under the aegis of the Ministry of Social Justice and Empowerment, not the Ministry of Corporate Affairs. Therefore, the correct option is B.
With reference to Ayushman Bharat Digital Mission, consider the following statements:
1. Private and public hospitals must adopt it.
2. As it aims to achieve universal health coverage, every citizen of India should be part of it ultimately.
3. It has seamless portability across the country.
Which of the statements given above is/are correct?
Ayushman Bharat Digital Mission aims to provide digital health IDs for all Indian citizens to help hospitals, insurance firms, and citizens access health records electronically when required. Statement 1 is incorrect. Ayushman Bharat Digital Mission (ABDM) has not made it mandatory for adoption by private and public hospitals. Its adoption so far would be voluntary. Participation in ABDM is voluntary including for citizens. Participation of a healthcare facility or an institution is also voluntary and shall be taken by the respective management (government or private management). Statement 2 is incorrect. The aim of the Ayushman Bharat Digital Mission is to facilitate the ease of access to medical records and it is not been mandated to have every citizen as its part though the facility is available to every citizen on a consent basis. Statement 3 is correct. ABDM will have a national footprint and will enable seamless portability across the country through a Health ID Personal Health Identifier.
Consider the following statements :
Statement-I :India's public sector health care system largely focuses on curative care with limited preventive, promotive and rehabilitative care.
Statement-II: Under India's decentralized approach to health care delivery, the States are primarily responsible for organizing health services.
Which one of the following is correct in respect of the above statements?
* Statement I is correct: India's public healthcare system prioritises curative care, which focuses on treating existing illnesses. Preventive, promotive, and rehabilitative care, which aims to prevent diseases, promote good health, and help people recover from illness, receive less emphasis. * Statement II is correct: India's healthcare system follows a decentralised approach. The central government sets policies and provides financial assistance, but individual states are responsible for organising and delivering health services to their populations. This allows for flexibility based on local needs and contexts.
Therefore, the answer is Both Statement I and Statement II are correct.
Consider the following statements in relation to Janani Suraksha Yojana:
1. It is safe motherhood intervention of the State Health Departments.
2. Its objective is to reduce maternal and neonatal mortality among poor pregnant women.
3. It aims to promote institutional delivery among poor pregnant women.
4. Its objective includes providing public health facilities to sick infants up to one year of age.
How many of the statements given above are correct?
Statement 1 is incorrect: Janani Suraksha Yojana (JSY) is a 100% Centrally Sponsored Scheme under the National Health Mission (NHM). It is a central intervention implemented by states, not an intervention of the State Health Departments. Statement 2 is correct: The primary objective is to reduce maternal and neonatal mortality by encouraging safe, institutional births. Statement 3 is correct: The scheme provides a cash incentive to mothers to promote institutional delivery, particularly among those from BPL, SC, and ST households. Statement 4 is incorrect: While care for sick infants is a priority under the National Health Mission, the provision of free facilities for sick infants up to one year of age is specifically a feature of the Janani Shishu Suraksha Karyakram (JSSK) launched in 2011. JSY, launched in 2005, is primarily a conditional cash transfer scheme for delivery.
With reference to the 'Pradhan Mantri Surakshit Matritva Abhiyan', consider the following statements:
1. This scheme guarantees a minimum package of antenatal care services to women in their second and third trimesters of pregnancy and six months post-delivery health care service in any government health facility.
2. Under this scheme, private sector health care providers of certain specialities can volunteer to provide services at nearby government health facilities.
Which of the statements given above is/are correct?
* Statement 1: Incorrect. The Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA) provides a minimum package of antenatal care (ANC) services only during the second and third trimesters of pregnancy. It does not cover post-delivery health care services for six months. The focus is on ensuring safe pregnancies through early detection and management of high-risk cases. * Statement 2: Correct. Under PMSMA, private sector health care providers (such as gynecologists, radiologists, and physicians) can volunteer to provide free services at nearby government health facilities on the 9th of every month. This public-private partnership enhances access to specialized care for pregnant women.
Show 3 more PYQs
With reference to the funds under Members of Parliament Local Area Development Scheme (MPLADS), which of the following statements are correct?
1. MPLADS funds must be used to create durable assets like physical infrastructure for health, education, etc.
2. A specified portion of each MP’s fund must benefit SC/ST populations
3. MPLADS funds are sanctioned on yearly basis and the unused funds cannot be carried forward to the next years
4. The district authority must inspect at least 10% of all works under implementation every year
Statement 1 is correct: The MPLAD scheme lets MPs recommend works for local infrastructure and development needs in their constituency. The focus is on creating durable assets that benefit the community. Certain works are prohibited under MPLAD guidelines, which MPs must follow. Statement 2 is correct: The scheme requires MPs to allocate at least 15% of the MPLADS entitlement for the year to areas inhabited by the Scheduled Caste population and 7.5% for areas inhabited by the Scheduled Tribe population. If there are insufficient tribal populations in the MP's constituency, they can recommend this amount for the creation of community assets in tribal areas outside their constituency, but within their State of election. If a state does not have Scheduled Tribe inhabited areas, this amount can be utilized in Scheduled Caste areas. Statement 3 is incorrect: Funds released to the District Authority by the Government of India under the MPLAD scheme are non-lapsable, meaning that funds left in the district can be carried forward and utilized in subsequent years. Statement 4 is correct: The District Authority is responsible for coordinating and supervising the works under the scheme at the district level. They also inspect at least 10% of the works under implementation every year. Based on the above information, the correct answer is (d).
Which of the following is/are the aim/aims of "Digital India" Plan of the Government of India?
1. Formation of India's own Internet companies like China did.
2. Establish a policy framework to encourage overseas multinational corporations that collect Big Data to build their large data centres within our national geographical boundaries.
3. Connect many of our villages to the Internet and bring Wi-Fi to many of our school, public places and major tourist centres
Select the correct answer using the code given below
* Statement 1 is not correct: The formation of India’s own internet companies, similar to China’s approach, is not an aim of the Digital India programme. The initiative focuses on creating digital infrastructure, providing digital services, and promoting digital literacy — not establishing government-backed internet firms. * Statement 2 is not correct: The Digital India plan does not include any policy framework to attract foreign multinational corporations to build data centres in India. While data localisation and data centre policies have emerged later under different frameworks, they are not part of the original Digital India objectives. * Statement 3 is correct: One of the key aims of Digital India is to connect villages through broadband and to provide Wi-Fi access in schools, public places, and tourist centres. This is part of its core pillars like Broadband Highways, Public Internet Access Programme, and Early Harvest Programmes.
Which of the following statements with respect to the Revamped Rashtriya Gram Swaraj Abhiyan (RGSA) is/are correct ?
1. The period of its implementation is 1st April, 2021 to 31st March, 2026.
2. The key objective of the Revamped RGSA is to develop the governance capabilities of the Panchayati Raj Institutions to deliver on the Sustainable Development Goals.
3. The share of the Central funding for the Revamped RGSA is 100% for all States and Union Territories.
Select the answer using the code given below :
Statement 1 is Incorrect: The Revamped Rashtriya Gram Swaraj Abhiyan (RGSA) was approved by the Cabinet Committee on Economic Affairs for implementation from 1st April 2022 to 31st March 2026 (co-terminus with the 15th Finance Commission period), not from 1st April 2021. Statement 2 is Correct: The primary objective of the revamped scheme is to develop and enhance the governance capabilities of Panchayati Raj Institutions (PRIs) so they can effectively deliver on the Sustainable Development Goals (SDGs). It focuses on the localization of SDGs at the grassroots level through inclusive local governance. Statement 3 is Incorrect: The Revamped RGSA is a Centrally Sponsored Scheme, meaning the funding is shared between the Centre and the States. It is not 100% centrally funded for all States and UTs. The sharing pattern is 60:40 (Centre:State) for general category States, and 90:10 for North-Eastern States, Hilly States, and the Union Territory of Jammu & Kashmir. 100% Central funding applies only to other Union Territories and specific Central components of the scheme. Therefore, option B is the correct answer.