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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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