Social Sector – Health, Education & Social Security

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🟠 Topic 22: Social Sector – Health, Education & Social Security


📌 Introduction

The social sector plays a vital role in ensuring inclusive and sustainable development. It encompasses health, education, and social security systems, which together form the foundation for human development. For a country like India, with a large population and significant socio-economic disparities, strengthening the social sector is essential for achieving economic growth, equity, and social justice.


1️⃣ Health Sector in India


📖 Importance of Health

✔️ Good health enhances productivity and income-earning capacity.
✔️ Healthy populations reduce healthcare costs and increase life expectancy.
✔️ Strong health systems are crucial for disaster preparedness (pandemics like COVID-19).


Key Health Indicators (2023)

Indicator Value
Life Expectancy ~70 years
Infant Mortality Rate (IMR) ~28 per 1000 live births
Maternal Mortality Ratio (MMR) ~97 per 1 lakh live births
Public Health Expenditure (2023) ~2.1% of GDP

⚠️ Major Challenges in Health Sector

1️⃣ Low Public Investment

  • India spends only 2.1% of GDP on health, far below the global average of ~6%.

2️⃣ Inadequate Infrastructure

  • Shortage of doctors, nurses, and healthcare facilities, especially in rural areas.

3️⃣ High Out-of-Pocket Expenditure (OOPE)

  • Over 60% of healthcare expenses are borne directly by households, pushing many into poverty.

4️⃣ Unequal Access

  • Urban-rural and rich-poor divides in healthcare access and quality.

5️⃣ Non-Communicable Diseases (NCDs)

  • Rising burden of lifestyle diseases like diabetes, heart disease, and cancers.

Government Schemes for Health

Scheme Focus Area
Ayushman Bharat Health insurance for 10 crore families
PM Ayushman Bharat Health Infrastructure Mission Strengthening health infrastructure
Mission Indradhanush Immunization for children & pregnant women
POSHAN Abhiyaan Nutrition improvement program
Janani Suraksha Yojana Safe motherhood

2️⃣ Education Sector in India


📖 Importance of Education

✔️ Education is a fundamental right under Article 21A.
✔️ Enhances employability, innovation, and economic growth.
✔️ Reduces poverty and gender inequality.
✔️ Builds informed and responsible citizens.


Key Education Indicators (2023)

Indicator Value
Literacy Rate (2023) ~77%
Gross Enrolment Ratio (Higher Education) ~27%
Gender Parity Index (GPI) ~0.96 (near parity)
Public Education Expenditure ~3.1% of GDP

⚠️ Major Challenges in Education

1️⃣ Access and Quality Gap

  • Regional and gender disparities in school enrolment, particularly at secondary level.
  • Learning outcomes are poor despite high enrolment (ASER reports).

2️⃣ Infrastructure Deficiency

  • Lack of toilets, drinking water, libraries, and digital access in government schools.

3️⃣ Teacher Shortage and Training Issues

  • High pupil-teacher ratios.
  • Need for continuous teacher training.

4️⃣ Affordability Issues

  • High cost of private education, especially in higher education.

5️⃣ Skill Mismatch

  • Curricula not aligned with 21st-century skills and industry demands.

Government Schemes for Education

Scheme Focus Area
Samagra Shiksha Abhiyan Holistic school education
PM e-Vidya Digital learning
Beti Bachao Beti Padhao Promoting girl child education
Mid-Day Meal Scheme (PM POSHAN) School nutrition
National Education Policy (NEP 2020) Education reforms

3️⃣ Social Security System in India


📖 Importance of Social Security

✔️ Provides financial protection against risks like old age, illness, disability, unemployment.
✔️ Ensures economic stability for vulnerable sections.
✔️ Reduces poverty and income inequality.


Key Social Security Schemes

Scheme Focus Area
EPFO (Employees’ Provident Fund) Retirement savings
ESIC (Employees’ State Insurance) Health and maternity benefits for workers
PM Jan Dhan Yojana Financial inclusion
PM Kisan Maandhan Yojana Pension for small farmers
Atal Pension Yojana Pension for unorganized sector

⚠️ Challenges in Social Security

1️⃣ Low Coverage

  • Vast sections of informal sector workers lack any formal social security coverage.

2️⃣ Fragmented Schemes

  • Multiple schemes with overlaps, but many potential beneficiaries remain uncovered.

3️⃣ Low Contribution Levels

  • Inadequate contributions in pension and insurance schemes, resulting in low benefits.

4️⃣ Awareness and Accessibility

  • Many rural and informal sector workers are unaware of schemes or find processes complex.

🔹 Integrated Approach: Health, Education & Social Security

Why Integration Matters

✔️ Better health ensures higher educational attainment.
✔️ Higher education enhances employment and incomes, improving social security contributions.
✔️ Stronger social security ensures access to healthcare and education for all.


Real-Life Example: Kerala Model

  • High public investment in health and education.
  • Strong social welfare programs.
  • Resulted in high HDI despite moderate economic growth.

📊 Summary Table – Key Indicators (2023)

Indicator Value
Health Expenditure (% of GDP) ~2.1%
Education Expenditure (% of GDP) ~3.1%
Literacy Rate ~77%
Infant Mortality Rate ~28 per 1000 live births
Coverage under Social Security ~25% of workforce

📚 Practice MCQ


1️⃣ Consider the following statements regarding Ayushman Bharat:

  1. It provides health coverage to rural and urban poor families.
  2. It covers both preventive and curative care.
  3. It is implemented by NITI Aayog.
  4. It provides a health cover of ₹10 lakh per family per year.

Which of the above statements are correct?

Options:
(a) 1 and 2 only
(b) 1, 2 and 4 only
(c) 2 and 4 only
(d) 1, 2 and 3 only

Tap here for Answer
Answer: (a) 1 and 2 only
Explanation: Ayushman Bharat provides ₹5 lakh health cover and is implemented by Ministry of Health and Family Welfare.

2️⃣ Which of the following is the flagship scheme for school education?

Options:
(a) Skill India
(b) Samagra Shiksha Abhiyan
(c) Ayushman Bharat
(d) Startup India

Tap here for Answer
Answer: (b) Samagra Shiksha Abhiyan
Explanation: It covers pre-school to senior secondary education.

3️⃣ Consider the following statements about PM Jan Dhan Yojana:

  1. It aims to provide universal access to banking.
  2. It offers an overdraft facility.
  3. It covers insurance benefits.

Which of the above statements are correct?

Options:
(a) 1 and 2 only
(b) 1, 2 and 3
(c) 2 and 3 only
(d) 1 and 3 only

Tap here for Answer
Answer: (b) 1, 2 and 3
Explanation: PMJDY covers banking, overdraft, insurance, and pension benefits.

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