Q. “Besides being a moral imperative of a Welfare State, primary health structure is a necessary precondition for sustainable development.” Analyse.
(GS Paper II – Governance, Welfare Schemes | 250 words)
Introduction:
A Welfare State ensures the well-being of its citizens, especially the vulnerable. A strong primary health care (PHC) system is not only a moral responsibility but also a strategic tool to achieve inclusive and sustainable development.
Moral Imperative of a Welfare State:
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Right to Health is implicit in Article 21 of the Indian Constitution.
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PHCs provide accessible, affordable, and equitable health care to all, especially rural and marginalised communities.
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Reduces out-of-pocket expenditure, preventing medical impoverishment.
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Promotes social justice and strengthens public trust in the State.
Precondition for Sustainable Development:
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SDG Goal 3 (Good Health and Well-being) directly depends on functional PHCs.
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Healthy populations are more productive, contributing to economic growth.
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Early detection and prevention reduce the burden on secondary and tertiary care, making health systems cost-effective.
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PHCs aid in controlling communicable and non-communicable diseases, maternal and child health, and immunisation.
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During pandemics like COVID-19, PHCs became the first line of defense.
Government Initiatives:
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Ayushman Bharat - Health & Wellness Centres (HWCs) aim to strengthen PHCs with expanded services including NCD care and mental health.
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National Health Mission improves infrastructure, human resources, and community participation in health delivery.
Conclusion:
Primary health infrastructure is both a moral duty and developmental necessity. Strengthening PHCs ensures universal health coverage, reduces inequalities, and fosters sustainable socio-economic progress.
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