Palliative Care in India: Overview & Current Trends
Historical Context:
- Palliative medicine introduced in India in the 1980s.
- Specialized degree programs now available in several medical colleges.
Recent Legislative & Policy Developments:
- Rajya Sabha Report: Advocates for increased coverage of palliative care, especially for cancer patients, by incorporating it into standard treatment protocols.
- Calls for policy reforms to address the growing need for holistic care for patients with chronic illnesses.
Palliative Care Principles:
- Focus on comprehensive care that extends beyond physical health to include emotional, financial, and familial dimensions.
- Aims to manage suffering without pursuing aggressive treatments that may not improve quality of life.
Clinical Considerations:
- Case Study: 80-year-old woman with severe health issues, highlighting the implications of medical decisions on patient quality of life.
- Two treatment paths: aggressive intervention vs. focused management to alleviate suffering and maintain quality of life.
Doctors' Responsibilities:
- All physicians should integrate palliative care principles and recognize their role in providing compassionate care.
- Emphasis on the necessity for medical professionals to train in not only clinical skills but also in socially relevant and holistic patient care.
Economic Implications:
- Financial strain on families due to medical treatments must be acknowledged in palliative decision-making.
- Advocates for minimizing undue financial burdens while ensuring appropriate care.
Judicial and Ethical Considerations:
- Ethical duty of doctors includes considering the psychological and emotional impacts of health interventions on patients and their families.
- The responsibility of care should extend beyond hospital settings to support at-home management and quality of life improvements.
Training and Future Directions:
- Medical education programs should include palliative care training, integrating these principles throughout medical practice.
- The importance of creating a paradigm shift in healthcare towards recognizing death as a natural transition and the necessity for compassionate end-of-life care.
Conclusion:
- Palliative care should not be viewed as a specialized segment but as an integral part of all medical practice.
- Enhanced training and awareness among healthcare providers can significantly improve access to palliative care, positioning it as a core component of comprehensive medical care.

Palliative Care in India: Overview & Current Trends
Historical Context:
- Palliative medicine introduced in India in the 1980s.
- Specialized degree programs now available in several medical colleges.
Recent Legislative & Policy Developments:
- Rajya Sabha Report: Advocates for increased coverage of palliative care, especially for cancer patients, by incorporating it into standard treatment protocols.
- Calls for policy reforms to address the growing need for holistic care for patients with chronic illnesses.
Palliative Care Principles:
- Focus on comprehensive care that extends beyond physical health to include emotional, financial, and familial dimensions.
- Aims to manage suffering without pursuing aggressive treatments that may not improve quality of life.
Clinical Considerations:
- Case Study: 80-year-old woman with severe health issues, highlighting the implications of medical decisions on patient quality of life.
- Two treatment paths: aggressive intervention vs. focused management to alleviate suffering and maintain quality of life.
Doctors' Responsibilities:
- All physicians should integrate palliative care principles and recognize their role in providing compassionate care.
- Emphasis on the necessity for medical professionals to train in not only clinical skills but also in socially relevant and holistic patient care.
Economic Implications:
- Financial strain on families due to medical treatments must be acknowledged in palliative decision-making.
- Advocates for minimizing undue financial burdens while ensuring appropriate care.
Judicial and Ethical Considerations:
- Ethical duty of doctors includes considering the psychological and emotional impacts of health interventions on patients and their families.
- The responsibility of care should extend beyond hospital settings to support at-home management and quality of life improvements.
Training and Future Directions:
- Medical education programs should include palliative care training, integrating these principles throughout medical practice.
- The importance of creating a paradigm shift in healthcare towards recognizing death as a natural transition and the necessity for compassionate end-of-life care.
Conclusion:
- Palliative care should not be viewed as a specialized segment but as an integral part of all medical practice.
- Enhanced training and awareness among healthcare providers can significantly improve access to palliative care, positioning it as a core component of comprehensive medical care.

Challenges Faced by Survey Enumerators
Summary of the Social and Educational Survey Challenges in Bengaluru
Digital Divide Among Enumerators:
- Technology Issues: Enumerators face frequent app freezing after KYC checks and inaccurate location pins, leading to inefficiencies in completing surveys.
- Generational Gap: Younger staff adapt more easily to digital tools, while older enumerators, aged 50 and above, struggle due to limited computer literacy.
- Training Deficiencies: Enumerators reported insufficient training on digital tools and recognized that the app's usage was not well covered.
Economic Burden:
- Enumerators incur additional expenses for:
- Daily mobile data recharges.
- Purchasing power banks for charging devices mid-survey.
- Suggestions for compensation for these added costs from authorities have been made.
Survey Format Challenges:
- Complicated survey format with multi-choice and coded questions exacerbates difficulties for enumerators who are not accustomed to such data entry.
- Survey targets experience fluctuations; e.g., assignments can change abruptly from 285 to 500 households during the survey period.
Handling Non-Participation:
- Enumerators must report non-participating households. They face pressure to justify any missed houses, leading to further stress during survey implementation.
Public Perception and Treatment:
- Enumerators experience hostility from some residents, including instances of verbal abuse when attempting to conduct surveys, reflecting a gap in public awareness about the survey's importance.
Key Implications:
- Work Environment: Challenges affect both the morale and efficiency of enumerators.
- Data Integrity: Manual recording becomes necessary due to software issues, potentially compromising data accuracy and efficiency.
- Participation Concerns: Residents’ distrust affects data collection quality; fears regarding misuse of collected data need addressing.
Recommendations:
- Enhanced training programs for enumerators focusing on digital literacy.
- Improved support systems for managing issues arising from technology during surveys.
- Authorities should consider compensatory measures for enumerators covering unforeseen economic burdens.
Conclusion:
Systematic issues related to digital tools used in the Social and Educational Survey highlight need for better technology integration and support, alongside fostering a positive interaction environment between enumerators and the public.
Economic and Social Development

Bihar's Employment Crisis Overview
Employment Situation in Bihar: Key Facts and Insights
1. Unemployment Trends:
- Unemployment has emerged as a significant political issue in Bihar, ranking among the top voter concerns in the Assembly elections.
- In 2015, 9.1% of voters identified unemployment/jobs as a critical issue. This figure nearly doubled to 21.0% by 2020.
2. Recent Employment Statistics (PLFS Data):
- Unemployment Rate (UR):
- Bihar: 5.2% (April-June 2025 quarterly report) and 3% (July 2023-June 2024 annual report).
- National average: 5.4% (quarterly) and 3.2% (annual).
- Worker Population Ratio (WPR):
- Bihar: 46.2% (quarterly) and 51.6% (annual).
- National average: 52% (quarterly) and 58.2% (annual).
- Labour Force Participation Rate (LFPR):
- Bihar: Low WPR and LFPR indicate many individuals are neither employed nor seeking work.
3. Youth Employment:
- Among youth (ages 15-29), only 28 out of 100 are engaged in work, showcasing the dire youth employment situation.
- Bihar ranks lowest in youth work participation and labor force participation compared to similar states.
4. Gender Disparities:
- Female WPR: Only 30.1%.
- Female youth (15-29 years) participation: 31.2%, significantly lower compared to neighboring Jharkhand (49.3%).
5. Nature of Employment:
- Only 8.7% of workers in Bihar hold regular wage/salaried jobs, the lowest rate among comparable states.
- A high share (23.8%) of employment is in casual labor, indicating a predominance of informal job availability.
6. Governance and Policy Implications:
- Bihar's governance under Chief Minister Nitish Kumar has been criticized for failing to improve education and human capital, with a literacy rate of 73.2%, lower than the national average.
- The lack of investment in industrial growth and job creation has led to stagnant economic conditions.
7. Need for a Comprehensive Strategy:
- Recommendations for Bihar include:
- Revamping the educational system.
- Creating formal employment opportunities.
- Addressing issues of outmigration to enhance local job creation and retain workers.
8. Comparative Analysis:
- Bihar has been compared to nine other large, low-income states (Assam, Chhattisgarh, Jharkhand, Madhya Pradesh, Odisha, Rajasthan, Uttar Pradesh, and West Bengal) and ranks lowest in employment indicators.
9. Structural Challenges:
- The employment landscape reveals deep-rooted structural weaknesses exacerbated by insufficient governance and policy failings over nearly two decades.
10. National and Global Context:
- Findings underscore a critical need for urgent interventions to break the cycle of poverty and underdevelopment within the state, reflecting broader national employment trends.
Conclusion
The employment crisis in Bihar, driven by low participation rates, gender disparities, and informal job structures, underscores the urgent need for systemic reforms to improve employment outcomes and economic resilience.
Economic and Social Development

Punjab Farmers Struggle After Floods
Summary of Flood Impact on Punjab Farmers
Flood Overview:
- Punjab experienced severe flooding in August and September, displacing 6.87 lakh people and affecting over 20 lakh individuals across 2,614 villages.
- Approximately 2 lakh hectares of farmland were impacted, accounting for less than 5% of the total area sown during the kharif season.
Economic Impact:
- Farmers reported losses exceeding ₹50 lakh per individual, with many accruing substantial debts, averaging ₹10 lakh.
- The state government announced a compensation scheme offering ₹10,000-₹20,000 per acre based on damage severity, but this aid has yet to be disbursed.
- Many farmers expressed concerns about mounting interest on loans, particularly from middlemen, which reach as high as 24% annually.
Government Response:
- The Aam Aadmi Party states that for the first time, they will complete the inspection (girdawari) process within 45 days to expedite compensation disbursement.
- Despite government pledges, farmers report a lack of tangible assistance and have criticized the state and central government response as inadequate.
Community Response:
- Farmers are mobilizing volunteer efforts to restore fields; many farmers from neighboring states of Haryana and Uttar Pradesh are assisting.
- Local gurdwara committees are involved in repairing broken embankments to prevent future flooding.
- Fear exists that the extensive restoration work might hinder the upcoming rabi sowing season.
Testimonies from Affected Farmers:
- Naseeb Singh, a farmer with significant land loss, recounts the physical and financial toll, stating he could not manage without community help.
- Amrik Singh reported a total loss of ₹14 lakh from his cauliflower crop and is contemplating selling livestock to repay debts.
- Surjeet Singh and Nishand Singh revealed further flooding issues across multiple villages, highlighting widespread agricultural damage.
Judicial and Fiscal Considerations:
- The All India Kisan Sabha has called for immediate cash compensation, emphasizing the urgent need for government intervention to alleviate farmer distress.
- Farmers and unions are pushing for accountability, citing a lack of official presence or action in the flood-affected areas.
Conclusion:
- The natural calamity has led to significant agricultural distress in Punjab, highlighting systemic issues within disaster response and support systems for farmers. The reliance on community solidarity in the absence of government support underlines the critical human impact of such environmental disasters. Further assessments and prompt actions are necessary to ensure farmer livelihoods and recovery in the aftermath of the floods.
Economic and Social Development

India and UK Leaders Discuss Cooperation
International Relations & Agreements
India-U.K. Partnership: Prime Minister Narendra Modi and U.K. Prime Minister Keir Starmer emphasized their nations as "natural partners," vital for global stability and economic progress during Starmer’s visit to India (October 9, 2025).
Israel-Palestine Conflict: Both leaders called for a “two-state solution” to resolve the Israel-Palestine conflict, supporting U.S. President Trump’s peace plan for Gaza. They sought “an immediate and lasting ceasefire, release of hostages, and delivery of humanitarian aid.”
Ukraine: Modi and Starmer reiterated their commitment to a "just and lasting peace" in Ukraine.
Government Schemes & Programs
Comprehensive Economic and Trade Agreement (CETA): Modi termed the recent CETA as “historic,” aimed at reducing import costs, creating employment for youth, and enhancing trade. Starmer highlighted it as a "breakthrough" moment.
Joint Economic and Trade Committee (JETCO): India and U.K. signed Terms of Reference for JETCO, intended to strengthen strategic engagement and implement CETA effectively.
India-U.K. Technology Security Initiative: Created to foster joint research and innovation in critical technologies.
Economic Indicators & Data
- Economic Engagement: Both countries identified economic progress and defense co-production as focus areas, with commitments to enhance bilateral trade.
Judicial & Legislative Aspects
- Immigration Policy: Foreign Secretary Vikram Misri emphasized India’s stance against illegal immigration during migration and mobility discussions.
Environmental Cooperation
- Climate Change Initiatives: The leadership underscored collaboration on climate change, sustainable development, and youth engagement through Commonwealth channels.
Science & Technology Engagement
- Innovation Collaborations:
- Establishment of the Joint AI Research Centre and Climate Technology Startup Fund to support innovators in climate, technology, and AI.
- Creation of the Connectivity and Innovation Centre and the Supply Chain Observatory for critical minerals.
International Condemnations
- Leaders condemned acts of violence including the attack in Pahalgam and an incident in Manchester during Yom Kippur, reinforcing their commitment to counter-terrorism and security cooperation.
Conclusion
The joint visit solidified the India-U.K. partnership while addressing global issues like the Israel-Palestine conflict and Ukraine, and advocating for strategic economic and technological alliances.
International Relation

India and UK Sign Defence Deal
Summary of India-UK Defence and Investment Agreement
Defence Collaboration
- Contract Value: £350 million defence deal signed for the procurement of Lightweight Multirole Missiles (LMM) for the Indian Army. The missiles will be manufactured in Belfast.
- Naval Collaboration: An Implementing Arrangement for electric-powered engines for naval ships, initial worth £250 million, was signed to enhance cooperation.
Investment Initiatives
- Indian Investment in UK: 64 Indian companies have committed to investing £1.3 billion (approx. ₹15,430 crore) in the UK across several sectors, including engineering and technology.
- Job Creation: Approximately 7,000 jobs are expected to be created in the UK due to these investments.
Major Indian Investment Announcements:
- TVS Motor: Plans to invest £250 million in Solihull for expanding Norton Motorcycles operations and developing next-gen electric vehicles.
- Cyient: Committed to invest £100 million to enhance innovation in sectors like semiconductors and clean energy, creating 300 jobs in the UK.
- Muthoot Finance UK Ltd: Plans to invest £100 million to expand its UK branch network to 20 locations.
- Hero Motors: Intends to invest £100 million over five years in e-mobility, bicycles, and aerospace industries in the UK.
Educational Cooperation
- Universities**: The University of Lancaster and University of Surrey received approval to set up campuses in India to accommodate the rising demand for higher education.
Future Prospects
- Complex Weapons Partnership: The missile deal serves as a stepping stone for a broader complex weapons partnership between India and the UK, which is under negotiation.
Background Context
- The new agreements reflect a strengthening of bilateral ties facilitated by the recent India-UK trade deal, enhancing business confidence and collaborative efforts in various sectors.
Key Economic Indicators
- Investment Figures: £1.3 billion by Indian firms in the UK; significant investments planned by private companies (TVS Motor, Cyient, Muthoot Finance, and Hero Motors).
- Job Creation: 7,000 jobs will emerge from the current investment agreements, impacting various UK regions.
International Significance
- The agreements highlight the growing strategic and economic partnership between India and the UK, with an emphasis on collaboration in defence technology and higher education.
This summary indicates the importance of international defence agreements, economic investments, and educational collaborations as key aspects of diplomatic relations between India and the UK.
International Relation

Economic Impact of Vision Care Investments
Investment in Vision Care: Economic Impact and Interventions
Economic Potential:
- Investment in vision care (including simple eye tests in schools and distribution of reading glasses) could contribute ₹3.6 lakh crore annually to the Indian economy.
- Breakdown of economic impact:
- ₹2.27 lakh crore in productivity gains.
- ₹78,700 crore in increased employment.
- ₹40,800 crore in reduced caregiving responsibilities.
- Breakdown of economic impact:
- Equivalent of 9,60,000 additional years of schooling for students.
- Potential to reduce the number of individuals experiencing depression by 8,27,000.
- Could prevent 65,000 transport injuries and fatalities.
Population Impact:
- Nearly 1 billion people in low and middle-income countries suffer from avoidable sight loss; about 70 crore of these individuals are in India.
- Avoidable sight loss results in significant personal and economic costs:
- Unemployment, lower educational attainment, decreased income, increased caregiving responsibilities (often borne by women), mental health issues, and higher risk of injury/illness.
Strategic Recommendations: The report identifies six key areas for government intervention to prevent sight loss:
- Implement early detection through community vision screenings.
- Provide reading glasses on-site.
- Enhance the capacity of the eye health workforce.
- Improve surgical productivity and team efficiency.
- Remove barriers to accessing eye care (e.g., financial cost, physical distance, and social stigma).
- Upgrade cataract surgery through innovative training, better biometry, and improved postoperative care standards.
Organizational Insights:
- Organizations involved:
- International Agency for the Prevention of Blindness (IAPB)
- Seva Foundation
- Fred Hollows Foundation
- Peter Holland, CEO of IAPB, emphasized the universality of sight loss, advocating that most cases can be prevented with affordable measures, such as expanded access to eye tests and glasses.
- Elizabeth Kurian, Chief Functionary and Trustee of Mission for Vision, highlighted the need for investment in vision care not just as a charitable cause, but as a crucial component of smart economic planning.
These findings underscore the importance of vision care in enhancing both individual quality of life and broader economic productivity in India, advocating for systematic changes and increased investment in eye health initiatives.
Economic and Social Development