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APSC Answer Writing (Daily) based on Assam Tribune – 02/08/2025

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 (02-08-2025).

📝 Question (GS Paper 2 – Governance/Health):

“Discuss the challenges and opportunities associated with strengthening health infrastructure in the Northeastern region of India under the Ayushman Bharat Health Infrastructure Mission (PM-ABHIM).”

🔹 Introduction

The Northeastern region of India has historically faced limitations in health infrastructure due to geographical, socio-economic, and administrative challenges. The launch of the PM-Ayushman Bharat Health Infrastructure Mission (PM-ABHIM) in 2021 marks a significant step toward transforming India’s public health system, with a dedicated focus on strengthening health infrastructure in underserved regions, including the Northeast.

🔑 Opportunities under PM-ABHIM for Northeast

Opportunity	Explanation
Equity in Access	Establishment of Health and Wellness Centres (HWCs) in remote areas bridges the rural–urban divide.
Emergency Care Expansion	New Critical Care Hospital Blocks offer better trauma and emergency response, especially in flood-prone and border areas.
Digital Health Ecosystem	Tools like eSanjeevani empower teleconsultation, crucial in hilly and inaccessible regions.
Skilling of Human Resources	Dedicated support for public health labs and training infrastructure boosts regional capacity.
Disease Surveillance	Improved Integrated Public Health Labs (IPHLs) help track diseases in cross-border, tribal belts.

⚠️ Challenges in Implementation

Challenge	Details
Geographic and Climate Constraints	Difficult terrain and seasonal disruptions delay infrastructure work and delivery of health services.
Shortage of Medical Manpower	High vacancy rates of doctors and specialists in rural PHCs and CHCs.
Low Digital Connectivity	Hinders rollout of telemedicine and digital health records in tribal districts.
Coordination Issues	Weak Centre-State synergy delays fund utilization and project monitoring.
Cultural Sensitivities	Indigenous communities often rely on traditional healing, affecting modern health uptake.

📊 Government Initiatives Complementing PM-ABHIM

NER Vision 2035: Emphasizes inclusive development with health as a priority sector.
NESIDS (North East Special Infrastructure Development Scheme): Allocates funds for healthcare institutions.
Mission Indradhanush & NHM: Focus on maternal-child health and immunization.
Establishment of Medical Colleges: Assam is getting 16 new medical colleges by 2026.

🚀 Way Forward

Customized State Health Action Plans aligned with NEP & PM-ABHIM.
Training Community Health Officers (CHOs) from within tribal communities.
Mobile Diagnostic Vans for far-flung areas.
Public–Private Partnerships (PPP) in hospital and lab management.
Use of drones and GIS tools for logistics and epidemic tracking.
Retention Incentives for doctors and nurses posted in remote areas.

🔚 Conclusion

The PM-ABHIM presents a transformative opportunity to bridge the long-standing healthcare divide in Northeast India. However, context-sensitive implementation, combined with local participation and institutional innovation, is essential to ensure universal, resilient, and inclusive health systems in the region.

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