 Hello and welcome to Chanakya AS Academy, I am Priya Kumari and today's topic for analysis is management of COVID-19 pandemic and related issues. So actually this is the name of the report which was recently given by the Parliamentary Standing Committee on Home Affairs. So this Parliamentary Standing Committee on Home Affairs of Rajya Sabha headed by Anand Sharma. So this committee recently submitted this report name management of COVID-19 and pandemic related issues. So the report highlighted some issues and also gave some recommendations regarding it. So we will see one by one. So let's see some probable question that can be asked in problems. The question is consider the following statements, statement one, it is common knowledge that the private sector is the dominant player in the healthcare arena in India. Almost 75% of healthcare expenditure comes from the pockets of households. Catastrophic healthcare cost is an important cause of impoverishment. So which of the statements given above is correct? One and two only, two and three only, one and three only, one, two and three. So try to answer this question and listen carefully to this video because as you know that health is like important topic in prelims as well as means. Try to listen this video carefully. So we all know that this COVID-19 was declared public health emergency of international concern by WHO on 30th January 2020. So like 30th January 2020. So this was actually PHEI, public health emergency of international concern. So this pandemic is still going on, we have seen so much of vaccine is coming up. So this pandemic created unprecedented global crisis and human disaster. And also this pandemic actually exposed so many loopholes in the health sector. If we talk about our health sector, India's health sector then we can see that country ranks 145 among 195 countries on healthcare access and quality index. Then we can see that doctor patient ratio in India is 1 is to 1700 which is very much less than recommended 1 is to 1000. Actually this is given by WHO. WHO says that there should be one doctor for 1000 people but in India there is one doctor for 1700 people. So as per the national health profile 2018, India's public health spending is less than. It is less than 1% of the country's GDP and as per the OECD data available for 2017, like this is the available data. India reportedly has 0.53 beds available per 1000 people. So we can see that this is the loophole in our health sector. And parliamentary committee came up with this report and highlighted many issues. So we will see these issues and the recommendation by parliamentary committee one by one. So first is preparedness. First issue highlighted by the committee is this preparedness. So the committee said that this sudden imposition of lockdown, this sudden imposition of lockdown, it created actually fear and anxiety among migrant workers and also this sudden imposition of lockdown. It did not give time people to prepare actually. Government didn't looked into the nitty gritties of this lockdown thing and this costed hugely on this economic. So this first thing was highlighted preparedness. Second is health funding. This report highlighted that central and state governments incurred heavy expenditure of COVID-19 treatment and related services. Third issue, vaccines. The report says that no emergency use authorization has ever been given by the central drug standard control organization set up under the Drugs and Cosmetics Act 1940. So actually this report says that this vaccine trials and the trials should be mandated requirements must be fulfilled. Then all phase of trials should be completed. So report highlighted this vaccine thing that no emergency authorization has ever been given. So this issue has been highlighted in the report. Next is malpractices. The report says that a report of private hospitals selling beds for treatment and black marketing and overpricing of some medicines. Like we have seen in the news that how this private hospitals were charging exorbitantly for one bed. And the public hospital, they did not have this capacity to take more and more patients. So this was the major loophole during this COVID thing. The next thing is data collection. We can see that report highlighted that a study is needed to understand the patterns in test rate, recovery and fatality rate. Then we need to identify such states where testing capacity is inadequate and districts where health infrastructure is lacking. Then next issue highlighted by the report is economic impact. It says that MSMEs are the one of the most adversely affected sectors during the pandemic. So and if we talk about the education, the report says that social inequalities with respect to access to online classes. Like we can, this was seen social inequalities in rural areas. No access to online classes. So the report highlighted these issues. Now we will see that what report has recommended to counter all these issues. So first is preparedness. This report asked to frame national plan and guidelines under the Disaster Management Act 2005 and Epidemic Disease Act 1897. Then creating an institutional mechanism, effective implementation of all decisions related to the pandemic, timely and equitable distribution of relief to beneficiaries. Then forming a separate wing within disaster management authority, which is set up under the 2005 act to handle such kind of pandemics. Then health funding. Strong public health care system across the country to deal with such shocks is needed. Then second is greater investment in health infrastructure, especially greater allocation to public hospitals. Like already private hospital made a lot of investment. But public hospitals need a lot of public hospitals. So this report has given this recommendation. Third is vaccines. The report is saying that all environment must be fulfilled and all phases of trial must be completed. Emergency use authorization should only be given in the rarest of rare case. So this COVID-19, of course, can say that rarest of rare case. So it's time to give this authorization. So we'll see the next data collections. So in data collections, it says that relevant data should be made publicly available to research community, research community and, of course, policymakers so that they can make the policy. It will help in policy making thing. And identifying the state where health infrastructure is not that good and district. Like map it that there is a problem here. Health infrastructure is not good here. So it's important to do this type of data collection. Basically, this thing will help policymakers a lot. And the next thing is malpractices. So what is the report for this? Comprehensive National Public Health Act to keep a check on private hospitals and on black marketing of medicines. Then creating awareness campaigns on availability of cheaper and effective repurposed medicines. Then making quality and affordable medicines available to everyone. Then exercising regulatory oversight on hospitals to avoid refusal of health insurance claims. Making COVID-19 treatment cashless for the insured. Like insurance company they be bhat manmani ki. In fact, sab nahi bhat manmani ki. Insurance company like they charged heavy premium. Specially to vulnerable section ko to aur onloga ne parishan kiya. Toh ispe bhi report mein yeh recommendation diya hai. Then next is social and economic impact. It says that a national database on migrant workers be launched at the earliest. Then a decent minimum wage, food security, safe living condition for all workers. The need to support MSMEs with dire working capital requirements. Fiscal stimulus and other interventions to help the revival of hospitality sector and related services. We can see that impact on education is pe kya bol raha hai report. Ispe bol raha hai financial assistance and low cost devices to students. Then strengthening of digital infrastructure and training teachers to conduct online classes. So yeh recommend kiya hai. Now we will see the answer of the questions which was asked initially. The answer should be the D should be the answer. So this question actually is framed from the report that is designing health financing systems to reduce catastrophic health expenditure. This report was given by actually WHO. So WHO said that it is common knowledge that the private sector is the dominant player in the healthcare arena in India. Almost 75% of healthcare expenditure comes from the pockets of households. Catastrophic healthcare cost is an important cause of impoverishment. Then catastrophic health expenditure is defined as out of pocket spending for healthcare. That exceeds a certain proportion of a household's income with the consequence that households suffers the burden of disease. This is all for today. Thank you. And do comment on the comment box ki aapko koi aur topic chahi jispe aur achese analysis karna ho. Toh please comment kare. Thanks and have a nice day. Don't forget to like, share and subscribe to our channel and press the bell icon to never miss an update.