APSC Answer Writing (Daily) based on Assam Tribune – 29/08/2025
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 (29-08-2025).
Q. “Equitable healthcare is central to inclusive growth. Critically examine Assam’s Mission Niramay in the context of India’s goal of Universal Health Coverage.”
🔹 Introduction
Health is a fundamental pillar of human development, and India’s National Health Policy 2017 envisions Universal Health Coverage (UHC). Assam, despite progress, continues to face high maternal and infant mortality, poor nutrition, and weak health infrastructure. Against this backdrop, the Government of Assam launched Mission Niramay (2025), aimed at providing accessible, affordable, and quality healthcare for every household, especially in rural and vulnerable regions.
🔹 Body
1. Significance of Mission Niramay
- Equitable Access: Extends healthcare to tea-garden workers, tribal communities, and flood-prone rural belts.
- Integration: Links with Ayushman Bharat and National Digital Health Mission.
- Preventive Care: Focus on screenings, diagnostics, and wellness centres.
- Digital Health: Promotes electronic health records and telemedicine.
- Insurance Coverage: Expands protection against catastrophic health expenditure.
2. Challenges
| Challenge | Explanation |
| Infrastructure Deficit | Many PHCs and sub-centres lack equipment and staff. |
| Human Resources | Shortage of doctors and nurses in rural areas. |
| Financial Sustainability | Universal coverage requires long-term funding. |
| Awareness Gap | Beneficiaries often unaware of entitlements. |
| High Disease Burden | Assam’s high MMR (195 per lakh live births) and IMR (36/1000) reflect deep challenges. |
3. Government Initiatives Supporting Niramay
- Ayushman Bharat – PMJAY: ₹5 lakh cover per family.
- Health Infrastructure Development Project (with JICA).
- Mobile Medical Units in tea-garden areas.
- National Digital Health Mission for unique health IDs.
- ASHA and ANM workers supporting grassroot healthcare.
4. Way Forward
- Strengthen Primary Health Centres with modern equipment and adequate staff.
- Incentivize doctors and nurses for rural postings through financial and career benefits.
- Public-Private Partnerships (PPP) for diagnostics and tertiary care.
- Community Participation: Empower Panchayats and ASHAs for awareness drives.
- Financial Resilience: Dedicated state health fund to ensure sustainability.
🔹 Conclusion
Mission Niramay has the potential to be a game-changer for Assam’s health landscape, bridging inequalities and reducing disease burden. However, its success depends on robust infrastructure, skilled manpower, sustainable financing, and community engagement. If implemented effectively, it can not only transform Assam’s healthcare delivery but also serve as a model for Universal Health Coverage in India’s Northeastern region.n opportunity for resilient development and stronger bilateral ties.
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