APSC Answer Writing (Daily) based on Assam Tribune – 26/12/2025
For APSC CCE and other Assam Competitive examinations aspirants, practicing Daily Answer Writing is vital. This blog covers the most important Main question and its model Answer from the Assam Tribune today (26-12-2025).
GS Mains Question
“Despite multiple national health programmes, Assam continues to record a high Maternal Mortality Ratio (MMR).
Analyse the reasons and suggest measures to address the problem.”
Model Answer
Introduction
Assam has consistently reported one of the highest Maternal Mortality Ratios (MMR) in India. Since maternal deaths are largely preventable, the persistence of high MMR reflects systemic gaps in healthcare delivery, social determinants of health, and governance effectiveness, particularly in rural and flood-prone regions.
Reasons for High MMR in Assam
1. Health System Gaps
- Inadequate antenatal and postnatal care
- Shortage of gynaecologists and anaesthetists in district hospitals
- Poorly functioning First Referral Units (FRUs)
2. Delays in Care (Three-Delay Model)
- Delay in deciding to seek care due to low awareness
- Delay in reaching health facilities due to poor connectivity and floods
- Delay in receiving quality treatment at facilities
3. Socio-Economic Factors
- High prevalence of anaemia and malnutrition
- Early marriage and repeated pregnancies
- Poverty and low female literacy
4. Geographic & Climatic Constraints
- Riverine areas, floods, and difficult terrain limit access to emergency care
Measures Needed
- Strengthen Primary Healthcare
- Quality antenatal check-ups and nutrition interventions
- Emergency Obstetric Care
- Fully functional FRUs with blood banks and specialists
- Human Resource Incentives
- Financial and career incentives for rural postings
- Transport & Referral Systems
- Reliable ambulance services, especially during floods
- Community Engagement
- ASHA-led awareness on institutional deliveries and danger signs
- Convergence Approach
- Integrate health with nutrition, education, and women empowerment schemes
Conclusion
Reducing maternal mortality in Assam requires moving beyond scheme-based interventions to a continuum-of-care and systems-strengthening approach. Improving last-mile healthcare delivery, addressing social determinants, and ensuring accountability can significantly lower MMR and advance women’s health, dignity, and human development in the State. and sustaining Assam’s iconic tea economy.
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