Introduction India has long struggled with high maternal and infant mortality rates, especially in rural and underserved areas. To tackle this critical issue, the Government of India launched the Surakshit Matritva Aashwasan (SUMAN) initiative under the Ministry of Health and Family Welfare. The scheme aims to provide assured, dignified, respectful, and quality healthcare at no cost to every woman and newborn. Launched in October 2019, SUMAN is a rights-based approach to maternal and child healthcare, designed to provide dignified, respectful, and free healthcare services to all pregnant women, postnatal mothers, and newborns. What is SUMAN? SUMAN, short for Surakshit Matritva Aashwasan, is a government initiative launched on October 10, 2019. It seeks to reduce maternal and neonatal mortality by ensuring universal access to quality and respectful maternal healthcare services. Objectives of SUMAN The main goals of SUMAN are: Broader Alignment: Key Components of SUMAN SUMAN is more than a maternal care scheme—it is a system-wide reform in maternal and child healthcare services: 1. Service Guarantee Charter 2. Respectful Maternity Care (RMC) 3. Grievance Redress Mechanism 4. Infrastructure and Quality Assurance Key Features of SUMAN Feature Details Free Services Antenatal check-ups, delivery (normal/C-section), postnatal care, sick newborn care Zero Expense Guarantee No charges for any maternal or neonatal health services in public facilities Grievance Redressal Toll-free helpline, grievance portal, and community-based platforms Respectful Care Emphasis on dignity, privacy, and consent during childbirth Quality Benchmarking Adherence to LaQshya standards (Labour Room Quality Improvement Initiative) Community Monitoring Use of tools like Maternal Death Surveillance and Response (MDSR) Transport Facility Free referral transport for pregnant women and newborns Who is Eligible? Category Eligibility Pregnant Women All pregnant women accessing public health institutions Newborns All newborns up to 1 year of age Postnatal Mothers All mothers within 6 months of delivery Health Facilities All public health facilities across India Services Offered under SUMAN SUMAN promises the following entitlement-based healthcare services: For Pregnant Women For Sick Newborns Implementation Mechanism SUMAN is implemented by the Ministry of Health and Family Welfare (MoHFW) in collaboration with: SUMAN is integrated with existing health schemes and uses infrastructure, manpower, and data systems like: Target Beneficiaries Category Entitlement Pregnant Women Free & respectful maternity services Postnatal Mothers Free follow-up care up to 6 weeks Newborns Free care for sick infants up to 1 year Community Empowered to demand quality care and accountability Impact of SUMAN So Far Indicator Before SUMAN After SUMAN (As per NHM Reports) Maternal Mortality Ratio (MMR) 122 (2015-17) 97 (2018-20) Institutional Deliveries 78% 88%+ Sick Newborn Care Access Fragmented Improved access via SNCUs Awareness and Grievance Redressal Limited Increasing through toll-free platforms Note: While attribution to SUMAN alone is difficult, the program complements overall maternal healthcare efforts. Challenges in SUMAN Implementation Despite its ambitious design, SUMAN faces several challenges: Way Forward To enhance the effectiveness of SUMAN: Conclusion SUMAN reflects India’s commitment to universal health coverage and the right to dignified maternal care. It is a step toward achieving the Sustainable Development Goal (SDG) 3 — ensuring health and well-being for all, especially mothers and newborns. Ensuring a woman’s safety during pregnancy isn’t just about saving a life—it’s about safeguarding generations to come.

Introduction Tuberculosis (TB), a communicable disease caused by Mycobacterium tuberculosis, has been a persistent public health challenge in India. The country accounts for nearly one-fourth of the global TB burden, making it a critical concern for national development and public health planning. In response to this challenge, the Government of India is implementing the National Tuberculosis Elimination Programme (NTEP), earlier known as the Revised National Tuberculosis Control Programme (RNTCP). The goal is to eliminate TB by 2025, five years ahead of the global target set under the Sustainable Development Goals (SDGs). Background and Evolution This change in nomenclature marked a more ambitious and outcome-driven approach, aligning with Prime Minister Narendra Modi’s vision of a TB-free India by 2025. Objectives of NTEP Constitutional and Legal Dimensions of TB Elimination Although health is a State subject under the Seventh Schedule, TB elimination is a national priority, justified under: Key Features of NTEP 1. Universal Access to TB Services NTEP ensures access to high-quality TB diagnosis and treatment for all segments of society, including vulnerable populations such as migrants, urban poor, tribal communities, and people with HIV/AIDS. 2. Free Diagnosis and Treatment TB diagnosis and treatment are provided free of cost in public health facilities, including free medicines, diagnostics, and follow-up. 3. Nikshay Ecosystem “Nikshay” is a real-time online patient management system used under NTEP for case notification, treatment tracking, and adherence monitoring. 4. Public-Private Partnership (PPP) The programme encourages private sector participation to ensure comprehensive coverage and timely notification of TB cases. 5. Community Engagement Introduction of Nikshay Mitras under “Pradhan Mantri TB Mukt Bharat Abhiyan”, where individuals and organizations can adopt TB patients and support them nutritionally and emotionally. 6. Multisectoral Accountability Framework Adoption of a framework to engage ministries beyond the health sector, such as housing, nutrition, education, and urban development. Strategies under NTEP Strategy Description DOTS (Directly Observed Treatment, Short Course) Ensures adherence to treatment through supervised medication intake TB Preventive Treatment (TPT) Prophylactic treatment for high-risk groups Active Case Finding (ACF) Proactive screening in high-risk populations TB-HIV Collaborative Activities Integrated management for co-infected individuals Drug-Resistant TB Management Includes second-line treatment and follow-up Airborne Infection Control (AIC) Promotes environmental and personal protection practices TB Types Covered under NTEP Recent Initiatives and Milestones Pradhan Mantri TB Mukt Bharat Abhiyaan (2022) A nationwide campaign to eliminate TB by engaging civil society. Citizens can volunteer as Nikshay Mitras to support TB patients with nutritional aid, vocational training, and psychosocial support. Nikshay Poshan Yojana (2018) Provides ₹500/month nutritional support to all TB patients for the duration of their treatment. Universal Drug Susceptibility Testing (U-DST) All diagnosed TB patients are tested for drug resistance at the outset to ensure appropriate treatment regimens. Expansion of CB-NAAT and TRUENAT machines Rapid molecular diagnostics for early and accurate TB detection. Achievements of NTEP (as of 2024) Parameter Status TB Notifications (2023) Over 24 lakh cases Private Sector Notifications ~35% of total cases Nikshay Poshan Yojana Beneficiaries 45+ lakh TB patients Drug-Resistant TB Treatment Sites 500+ across India Labs with Molecular Diagnostic Tools Over 3,000 International Commitments and India’s Role India is a signatory to multiple global declarations and SDG targets: International Framework India’s Commitment UN Sustainable Development Goals (SDG 3.3) End TB by 2030 WHO End TB Strategy (2014–2035) 90% reduction in TB deaths, 80% reduction in TB incidence UN High-Level Meeting on TB (2018) India pledged to eliminate TB by 2025, ahead of the global target Challenges in TB Elimination Challenge Explanation Social Stigma TB patients often hide illness, delaying treatment Drug Resistance Rising MDR and XDR cases due to incomplete or inappropriate treatment Urban-Rural Disparity Healthcare access and reporting are skewed toward urban centers Underreporting in Private Sector Many private practitioners do not notify TB cases Malnutrition & Poverty These are major underlying causes and worsen TB outcomes Health System Gaps Lack of infrastructure, trained staff, and follow-up in remote areas TB Elimination Target – India vs Global Parameter India (NTEP Target) Global (WHO Target) Elimination Year 2025 2030 Reduction in TB incidence 80% (from 2015) 80% (by 2030) Reduction in TB deaths 90% (from 2015) 90% (by 2030) NTEP & Sustainable Development Goals (SDGs) The National TB Elimination Programme directly supports: Way Forward Conclusion The National Tuberculosis Elimination Programme (NTEP) represents a bold and strategic vision to eradicate one of India’s oldest public health threats. Its success depends on strong political will, community participation, innovative healthcare delivery, and robust health infrastructure. With an aggressive target of elimination by 2025, India is on a mission to not just treat TB but to eliminate its very existence from society.

Why in News ? Delhi has officially joined the Ayushman Bharat-Pradhan Mantri Jan Arogya Yojana (AB PM-JAY). The first 30 beneficiaries received their Ayushman cards at an event held at Vigyan Bhawan. Citizens in Delhi can now register for the scheme, which aims to provide comprehensive healthcare coverage. Introduction The Ayushman Bharat Scheme, launched in 2018, marks a significant step toward achieving Universal Health Coverage (UHC) in India. Envisioned under the National Health Policy (NHP) 2017, Ayushman Bharat is a comprehensive, holistic, and inclusive health initiative aimed at transforming the Indian healthcare system. Background and Context India has long struggled with issues of inadequate public health infrastructure, high out-of-pocket expenditure (OOPE), and insufficient health insurance coverage. According to the National Sample Survey Office (NSSO) 2014 data, over 63 million people are pushed into poverty every year due to healthcare expenses. To address these challenges, the Government of India launched Ayushman Bharat to shift the focus from sectoral and segmented approaches to a comprehensive and need-based health service delivery model. The Vision Behind Ayushman Bharat According to the 2014 NSSO data, over 63 million Indians are pushed into poverty annually due to health-related expenses. Recognizing this grim reality, the Government of India conceptualized Ayushman Bharat not just as a financial support scheme but as a healthcare delivery transformation. By integrating prevention, early diagnosis, hospitalization, and rehabilitation under one framework, Ayushman Bharat moves away from segmented health interventions towards comprehensive need-based service delivery. Components of the Scheme The Ayushman Bharat program has two major components: 1. Health and Wellness Centres (HWCs) 2. Pradhan Mantri Jan Arogya Yojana (PM-JAY) Eligibility Criteria for PM-JAY PM-JAY uses Socio-Economic Caste Census (SECC) 2011 data to identify beneficiaries in rural and urban areas. Rural Criteria: Urban Criteria: Implementation Mechanism Funding Pattern Entity Contribution Central Government 60% State Governments 40% Note: For North-Eastern and Himalayan states, the ratio is 90:10. Achievements of Ayushman Bharat Parameter Performance (As of 2024) Beneficiaries covered Over 55 crore Hospital admissions under PM-JAY More than 5 crore Total empanelled hospitals 27,000+ (public and private) Operational Health and Wellness Centres Over 1.6 lakh Claims submitted and paid ₹60,000+ crore Benefits and Significance AB PM-JAY for Senior Citizens About: The Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana (AB PM-JAY) is India’s flagship health insurance scheme aimed at providing financial protection and quality healthcare services to over 10.74 crore vulnerable families, including senior citizens, who are often the most vulnerable to health-related financial shocks. Senior citizens, especially those without regular income, pensions, or family support, face significant challenges in accessing and affording healthcare. PM-JAY plays a crucial role in ensuring elderly care, financial risk protection, and access to secondary and tertiary healthcare without burdening the individual.Senior citizens, especially those without regular income, pensions, or family support, face significant challenges in accessing and affording healthcare. PM-JAY plays a crucial role in ensuring elderly care, financial risk protection, and access to secondary and tertiary healthcare without burdening the individual. Key Developments Related to Senior Citizens under PM-JAY: Year Development 2018 Launch of PM-JAY with inclusive eligibility—no age or family size limit 2020 Introduction of geriatric care packages under PM-JAY 2021 Integration of telemedicine services through Health and Wellness Centres 2022 Launch of special campaigns targeting elderly awareness in rural areas 2023 Enhanced hospital empanelment for geriatric care in Tier 2 & 3 cities 2024 Collaboration with NPHCE (National Programme for Health Care of the Elderly) for seamless care delivery Challenges and Issues Challenge Explanation Awareness Gap Many eligible families remain unaware of benefits. Quality Control Variability in service quality among empanelled hospitals. Fraudulent Claims Cases of misuse in some states due to poor monitoring. Infrastructure Constraints HWCs still lack adequate personnel and facilities in remote regions. Data Privacy Concerns around patient data under ABDM. Ayushman Bharat Digital Mission (ABDM) Launched in 2021, ABDM aims to digitize the Indian healthcare ecosystem. Key Features: Ayushman Bharat in Budget 2025-26 Ayushman Bharat & SDGs Ayushman Bharat directly contributes to the following Sustainable Development Goals (SDGs): India’s initiative is also often compared globally with models like the UK’s NHS and the US’s Obamacare, albeit with a more targeted, insurance-led approach focused on the most economically vulnerable. Way Forward Conclusion The Ayushman Bharat scheme has redefined healthcare delivery in India by integrating preventive, promotive, and curative care. It is not only a social welfare initiative but also a strategic health policy to drive India’s long-term growth and human development. Ayushman Bharat has emerged not just as a health insurance scheme, but as a structural reform in India’s healthcare system. As we move forward, a sustained focus on awareness, infrastructure, quality assurance, and digital enablement will ensure that Ayushman Bharat delivers on its promise of “Swasth Bharat, Samriddh Bharat”—a healthy and prosperous India.

Introduction The National Health Mission (NHM) is India’s flagship initiative aimed at achieving universal access to equitable, affordable, and quality healthcare services. Launched in 2013, NHM is an umbrella initiative that subsumes the National Rural Health Mission (NRHM) and the National Urban Health Mission (NUHM), targeting both rural and urban populations. With India’s demographic transition and epidemiological shift, NHM has become central to achieving the goals of the National Health Policy 2017, Sustainable Development Goals (SDG-3), and the broader vision of Ayushman Bharat. Evolution of NHM Year Milestone 2005 Launch of NRHM for improving rural health indicators 2013 Integration of NRHM and NUHM into a unified National Health Mission 2017 NHM aligned with National Health Policy 2017 and Ayushman Bharat 2020 onward Greater emphasis on Health and Wellness Centres (HWCs), NCDs, and pandemic resilience Objectives of NHM Constitutional and Legal Framework Institutional Framework NHM operates on a decentralized, flexible, and participatory model: Level Institution/Body Central Ministry of Health and Family Welfare, Mission Steering Group State State Health Society, State Health Mission District District Health Society Community Village Health, Sanitation, and Nutrition Committees (VHSNCs) Components of NHM 1. National Rural Health Mission (NRHM) 2. National Urban Health Mission (NUHM) Major Programme Interventions under NHM RMNCH+A (Reproductive, Maternal, Neonatal, Child & Adolescent Health) Communicable Disease Control Non-Communicable Disease (NCD) Management Health System Strengthening Role of ASHA Workers ASHAs are the backbone of NHM, bridging the gap between the healthcare system and the community: Digital Health and Innovation NHM is progressively integrating e-Governance and digital health tools: Achievements of NHM (As of 2024) Indicator Achievement IMR Declined from 58 (2005) to 28 (2022) MMR Reduced from 254 (2004-06) to 97 (2018-20) Institutional Deliveries >89% nationally Full Immunization ~85% (Mission Indradhanush) TB Cure Rate >85% (NTEP data) Urban PHCs Over 5,000 operational Health & Wellness Centres ~1.5 lakh functional Budgetary Allocations Challenges in NHM Implementation Challenge Description Inadequate Infrastructure Shortage of PHCs and medical equipment Human Resource Deficit Vacant posts and poor rural retention Urban Health Neglect NUHM not fully rolled out Poor Quality Monitoring Weak data collection and analysis Low Health Spending Public expenditure <2.5% of GDP Overburdened ASHA Workers Lack of fixed income or social protection Reforms and Way Forward Conclusion The National Health Mission is not just a health scheme—it’s a transformational movement. It symbolizes India’s commitment to healthcare equity, grassroots empowerment, and inclusive development. Yet, NHM’s success is contingent on robust governance, adequate funding, human resource investment, and technological integration.

Introduction India’s journey towards becoming a global leader in science, technology, and innovation has seen several policy interventions and institutional mechanisms. One such flagship initiative that aims to bridge the gap between research and its societal application is IMPacting Research, INnovation and Technology (IMPRINT). About Launched on November 5, 2015, by the Ministry of Human Resource Development (MHRD) (now Ministry of Education), IMPRINT is a first-of-its-kind initiative involving all Indian Institutes of Technology (IITs) and the Indian Institute of Science (IISc). The initiative is designed to develop a roadmap for research to solve major engineering and technology challenges relevant to India. The overarching goal of IMPRINT is to align research in premier technical institutions with the needs of the nation and to ensure that the output of such research leads to viable, indigenous, and implementable technological solutions. Objectives of IMPRINT The key objectives of the IMPRINT initiative are as follows: Objective Explanation Identify Research Priorities To focus on areas with the highest potential impact on national development. Promote Translational Research To bridge the gap between fundamental research and technology development. Enhance Funding and Collaboration To improve research funding and facilitate collaboration between academia, industry, and government. Indigenize Technology To reduce dependency on foreign technology through self-reliant innovation. Address Societal Challenges To provide technological solutions to problems in healthcare, energy, housing, water, etc. Genesis and Vision Launched in 2015, IMPRINT was born from the realization that while India produced globally respected engineers and scientists, research output lacked direction, implementation, and national relevance. Vision:To steer research towards national priorities and create technology solutions for India’s most pressing problems, ranging from water scarcity to clean energy, sustainable housing to rural health. “IMPRINT is not only about innovation in laboratories. It is about innovating for India.” – Ministry of Education Phases of IMPRINT IMPRINT-I: The First Phase (2015) IMPRINT-I was conceptualized as a policy-catalyst programme aimed at identifying research domains that are critical for national progress. The goal was to mobilize the best minds in the country to conduct research in areas of utmost importance to the country. Focus Areas IMPRINT-I identified 10 technology domains for focused research: Implementation and Funding IMPRINT-II: The Second Phase (2018) Building upon the foundation laid by IMPRINT-I, the government launched IMPRINT-II in March 2018. This phase is being implemented by the Science and Engineering Research Board (SERB) under the Department of Science & Technology (DST), in coordination with the Ministry of Education. Salient Features Feature Details Implementing Agency Science and Engineering Research Board (SERB), DST Focus Science-led, application-oriented, and impact-driven research Target Audience All academic and research institutions in India Industry Involvement Emphasis on participation and funding from industries and user ministries Cost Sharing 50% by MoE, 25% by participating ministry/industry, 25% by academic institution Research Domains IMPRINT-II retained the original 10 domains and expanded the scope to support more collaborative and interdisciplinary projects, with an emphasis on technology translation and commercialization. IMPRINT-I vs. IMPRINT-II Parameter IMPRINT-I IMPRINT-II Year Launched 2015 2018 Focus Policy formulation & research identification Translational research & commercialization Implementing Agency Ministry of Education Science and Engineering Research Board (SERB), DST Participation IITs & IISc All central institutions & eligible research bodies Industry Involvement Low High (mandatory cost-sharing encouraged) Total Projects Funded 259 122 (as of 2023) Emphasis Knowledge generation Product/process development Key Achievements of IMPRINT Area Achievements Research Promotion Encouraged applied research in areas relevant to national needs. Indigenous Technologies Several technologies developed indigenously such as low-cost medical diagnostic devices, smart grids, and clean water systems. Collaborative Model Strengthened linkages between academia, industry, and government. Capacity Building Empowered institutions with resources and platforms for high-end research. Policy Impact Research outputs have informed policies in water management, energy efficiency, and health. Notable Projects under IMPRINT Project Title Domain Lead Institution Indigenous Medical Diagnostic Kit Healthcare IIT Madras Smart Grid for Power Distribution Energy IIT Bombay Water Purification using Nanotechnology Water Resources IIT Kharagpur Lightweight Bulletproof Armour Defence IISc Bangalore Significance in the Context of National Missions IMPRINT supports several flagship national missions: Core Pillars of IMPRINT These sectors are aligned with India’s Strategic Priorities, Make in India, Digital India, and Sustainable Development Goals (SDGs). Challenges Faced by IMPRINT Despite its promising framework, IMPRINT faces several challenges: Challenge Explanation Limited Industry Participation Difficulty in ensuring active and sustained involvement from the private sector. Funding Constraints Delays in funding release and inadequate financial support. Commercialization Bottlenecks Translating research into scalable and market-ready products is still limited. Administrative Delays Bureaucratic hurdles in project approvals and disbursement. Way Forward To enhance the effectiveness of IMPRINT and its alignment with national development: Conclusion The IMPRINT initiative is a visionary step in creating a synergistic research ecosystem that integrates academia, industry, and governance. By fostering applied, translational, and socially impactful research, it holds the potential to transform India into a technologically empowered and self-reliant nation.