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ADITYA MATHORAIR 98

Question 18GS2GS2

How effective has India been in enhancing immunization coverage over the years? What challenges continue to affect immunization efforts in the country?

Open scan (p.47)

Introduction

Definition and approach to immunization building immunity through inoculation

9 words

Main Body

Immunization is defined as building immunity to disease by intentional inoculation with attenuated or part of pathogen. (Eg Smallpox Vaccine). Effective Immunization Coverage: (1) Universal coverage: of all children across nation. Eg POLIO. (2) Eradication of many Diseases: Eg smallpox/yaws. (3) Last Mile Reach: with help of Anganwadi Centre, PHC & ASHA worker. (Eg Mission Shashrihaun). (4) Efficient Supply Chain: to keep vaccines in cold storage to maintain efficacy. (Eg Measles Vaccine needs -10°C temp to be kept). (5) New Vaccines: Generated in record time to prevent deaths. Eg COVAXIN by Bharat Biotech. (6) Private Sector Participation: to leverage built efficient vaccine. (Eg Serum Institute).

Challenges: (1) Missed dosage: due to multiple leash. (& 60 million children missed measles vax due to covid). (2) Poor Last Mile Reach: Due to difficult topography, govt apathy. (3) Poor Weald Tech: Wastage wastage & inefficiency. (4) High Expense: for cost of some vaccines which are not covered by govt. (5) Rise of NTD: Neglected topical disease killing millions every year. (Eg Trachoma, Filarias). (6) COVID-19 Disruption: in Vaccine coverage, supply chain etc. (7) Poor synergy: by all govt department. - (8) Flying note vaccine in limited immunization ZEIDE tech: to manage & protect supply chain. (Eg AI, blockchain). (9) Use ASHA Workers: to latmile teach. (10) Expand F&DM vaccine (Only 0.4% of GDP spent in health). IF missed = 34-38 m infants. (11) Max Vaccine developed. (Eg Dengue). India's Immunization coverage must be expanded, reformed & saturated to build Healthy India & meet SDGs -3 (Good health & well-being).

— ADITYA MATHOR · AIR 98

256 words1 paragraphs
  • Comprehensive coverage of immunization effectiveness factors
  • Links private sector with government efforts
  • Mentions specific vaccines and storage requirements
  • Covers Last Mile Reach concept
  • Detailed enumeration of specific challenges
  • Quantified data (60 million, 0.4% GDP, 34-38 m infants)
  • Mentions technological solutions
  • Links to SDG-3
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Topper

ADITYA MATHOR

AIR 98

Subject & Paper

GS2GS2

Topic

Health and Public Health Services

Immunization Coverage and Challenges

Effectiveness of India's Immunization Programme

Writing Stats

265

Total words

1

Paragraphs

Technical and prescriptive

Tone

Linked PYQ

With multipronged strategy of the Central and State Governments specially in the last few years, the naxalite problem has been resolved to a large extent in the affected states of the country. However, there are a few pockets in certain states where naxalite problem still persists, mainly due to involvement of foreign countries. Rohit is posted as SP (Special Operations) for the last one year, in one of the districts which is still affected by the naxalite problem. The district administration has taken a lot of developmental works in the recent past in the naxalite affected areas to win the hearts and minds of the people. Over a period of time, Rohit has established an excellent intelligence network to get the real time information regarding the movement of naxalite cadre. To instill confidence in the public and have moral ascendancy over the naxalites, a number of cordons and search operations are being conducted by the police. Rohit, who himself was leading one of the contingents got a message though his intelligence source that about ten hard core naxalites were hiding in a particular village with sophisticated weapons. Without wasting any time, Rohit reached the target village with his team and laid out a foolproof cordon and started carrying out a systematic search. During the search, his team managed to overpower all the naxalites along with their automatic weapons. However, in the meantime, more than five hundred tribal women surrounded the village and started marching towards the target house. They were shouting and demanding the immediate release of insurgents since they are their protectors and saviours. The situation on the ground was becoming very critical as the tribal women were extremely agitated and aggressive. Rohit tried to contact his superior officer, IG (Special Operations) of the state on the radio set and on mobile phone, but failed to do so due to poor connectivity Rohit was in great dilemma since out of the naxalites apprehended, two were not only hard core top insurgents with prize money of & ten lakhs on their heads, but were also involved in a recent ambush on the security forces. However, if he did not release the naxalites, the situation could get out of control since the tribal women were aggressively charging towards them. In that case, to control the situation Rohit might have to resort to firing which may lead to valuable loss of lives _of civilians and would further complicate the situation. (a)What are the options available with Rohit to cope with the situation? (b)What are the ethical dilemmas being faced by Rohit ? (c)Which of the options, do you think, would be more appropriate for Rohit to adopt and why? (d)In the present situation, what are the extra precautionary measures to be taken by the police in dealing with women protesters?

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