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APSC Answer Writing (Daily) based on Assam Tribune – 23/07/2025

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 (23-07-2025).

❓ Question:

Rural health delivery in India faces challenges of accessibility, awareness, and manpower. In this context, discuss the significance of Assam’s Mukhyamantri Swasthya Mitra Yojana as a model for decentralized, people-centric health facilitation. Highlight potential challenges and suggest a robust way forward.
(Word Limit: 250)

✅ Model Answer:

🔸 Introduction
India’s rural healthcare faces persistent gaps in outreach, especially in states like Assam where terrain, literacy, and poverty act as barriers. The Mukhyamantri Swasthya Mitra Yojana, recently launched by the Assam government, aims to bridge these gaps by deploying trained community health facilitators at the village level, serving as a crucial interface between citizens and public health services.

🔹 Significance of the Scheme

Area	Contribution
Last-Mile Health Access	Reaches remote, tribal, and riverine areas where ASHA/ANM coverage is inadequate
Digital Health Mission	Facilitates enrolment, teleconsultation, and digital health record maintenance
Insurance Inclusion	Assists citizens in accessing Ayushman Bharat and other welfare schemes
Health Literacy	Empowers communities with information on hygiene, vaccination, maternal care
Women Empowerment	Offers employment opportunities to rural women, fostering grassroots leadership

🔹 Key Challenges

Challenge	Explanation
Training & Quality Control	Ensuring standardized, accredited training across districts
Overlap with ASHA Roles	Potential confusion and redundancy in service delivery
Tech Adoption Barriers	Digital illiteracy among both workers and beneficiaries
Sustainability	Honorarium and performance incentives require consistent budgetary support
Trust Building	Community skepticism about new roles may delay acceptance

🔹 Way Forward

Structured Training Curriculum in partnership with health universities/IGNOU
Role Demarcation vis-à-vis ASHA, ANM, and CHOs for clarity and cooperation
Monitoring Dashboards using GPS-based reporting and citizen feedback apps
Public Campaigns through panchayats and SHGs to build awareness
Gender-Sensitive Deployment ensuring cultural acceptability and safety

🔸 Conclusion
The Swasthya Mitra Yojana exemplifies an innovative shift toward community-owned health facilitation, especially in states like Assam with complex health geographies. If implemented with robust training, coordination, and accountability, it can emerge as a replicable model for inclusive healthcare governance across India.

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