Q. India’s position in global health and education rankings remains low despite numerous government initiatives. Discuss the structural weaknesses in India’s human capital development and Suggest long-term reforms for improving quality and accessibility in education and healthcare. (15 Marks, 250 Words)

Core Demand of the Question

  • Examine how India’s position in global health and education rankings remains low despite numerous government initiatives.
  • Discuss the structural weaknesses in India’s human capital development
  • Suggest long-term reforms for improving quality and accessibility in education and healthcare.

Answer

India’s 134th rank in the Human Development Index (HDI) 2023 underscores significant challenges in healthcare and education, despite sustained government efforts. Limited public spending, inadequate infrastructure, and disparities in access continue to weaken India’s human capital potential. A comprehensive approach is needed to address these structural gaps and ensure inclusive, high-quality education and healthcare for long-term national development.

India’s Position in Global Health and Education Rankings Remains Low Despite Government Initiatives

Challenges in India’s Health infrastructure

  • Low Public Health Expenditure: As per Latest  World Bank data on the world development indicators India’s public health spending (3.3% of GDP) is lower than BRICS nations, affecting healthcare access and quality.
  • High Out-of-Pocket Expenditure: As per National Health Accounts Estimates 2021-22, the Out-of-Pocket Expenditure (OOPE) as a percentage of Total Health Expenditure (THE) is 39.4%
    For example: WHO reports India’s out-of-pocket health spending as one of the highest globally, causing poverty for millions.
  • Poor Healthcare Infrastructure: Rural areas suffer from shortages of hospitals, doctors, and medical equipment, impacting service delivery.
    For example: India has only 1 doctor per 834 people, which still has scope of improvement.

Challenges in Indian Education Sector

  • Low Government Education Spending: India’s education spending (4.6% of GDP) is lower than peers, affecting learning outcomes.
    For example: Among BRICS nations, South Africa invested 6.1% of their GDP in the education sector, leading to better global rankings in literacy and innovation.
  • Poor Learning Outcomes: Surveys show low numeracy and literacy rates, even at primary levels, hindering skill development.
    For example: ASER 2023 found 25% rural kids aged 14-18 can’t read Std 2 level in their own tongue.
  • Limited Higher Education Quality: Only a few Indian institutions rank globally, with a stark disparity between top and second-tier colleges.
    For example: QS World University Rankings 2025 lists only IIT Bombay and IIT Delhi in the top 150, while China has multiple universities in the top 50.

Structural Weaknesses in India’s Human Capital Development

  • Inefficient Public School System: Government schools lack infrastructure, trained teachers, and digital access, leading to a preference for private schools.
  • Limited Vocational Training: Skill development starts late, with few vocational courses integrated into the school curriculum.
    For example: Around 5% of India’s workforce is formally skilled, compared to 75% in Germany (ILO report). 
  • Inadequate Healthcare Workforce: Doctor and nurse shortages persist, impacting quality healthcare delivery, especially in rural areas.
    For example: India has only 1.7 nurses per 1,000 people, below the WHO-recommended 3:1000 ratio.
  • Weak Centre-State Coordination: Healthcare and education policies suffer due to gaps in implementation and funding between Centre and States.
    For example: Many health schemes like Ayushman Bharat face uneven implementation, reducing nationwide impact.

Long-Term Reforms for Improving Quality and Accessibility in Education and Healthcare

  • Increase Public Investment: Raise education and health spending to at least 6% and 4% of GDP, respectively, for better infrastructure and services
  • Strengthen Digital Learning: Expand AI-driven and e-learning platforms to bridge rural-urban education gaps.
  • Universal Health Coverage (UHC): Implement a nationalized primary healthcare model to reduce out-of-pocket expenses.
  • Integrate Vocational Training in Schools: Introduce early-age skill development aligned with industry needs.
    For example: Germany’s dual vocational education system ensures 90% employability after schooling.
  • Incentivize State Reforms: Link central funds to performance in education and healthcare to encourage reforms.
    For example: Performance-linked grants in NITI Aayog’s health index helped improve state-wise healthcare services.

“Healthy minds, healthy nation” should be India’s guiding mantra. Strengthening public investment, fostering PPP models, and leveraging technology-driven solutions can bridge gaps in education and healthcare. A rights-based approach, integrated with skilled workforce development and universal coverage, will ensure equity and excellence. A reformed governance mechanism can transform human capital into India’s greatest asset.

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1 comment

  1. India’s position in global health and education rankings remains low despite various government initiatives. The structural weaknesses in human capital development are deeply embedded in systemic issues within both the education and healthcare sectors.

    Structural Weaknesses in Education:
    1. Inadequate Infrastructure: Many schools, especially in rural areas, lack basic facilities such as clean drinking water, sanitation, and electricity. Poor infrastructure impacts student attendance, retention, and overall learning outcomes.
    2. Teacher Quality and Training: The quality of teachers is often compromised due to inadequate training and low salaries. Many teachers in rural schools have limited pedagogical skills and are burdened with administrative work, leaving little time for effective teaching.
    3. Curriculum Rigidity: The education system often prioritizes rote learning over critical thinking and practical skills, which fails to equip students for the modern job market.
    4. Inequality in Access: There is a significant disparity in access to quality education between urban and rural areas, as well as among different socioeconomic groups. This leads to uneven educational outcomes and perpetuates cycles of poverty.

    Structural Weaknesses in Healthcare:
    1. Limited Healthcare Access: There is a severe shortage of healthcare facilities and professionals, particularly in rural and remote areas. People often have to travel long distances to access basic healthcare services.
    2. Underfunding and Resource Constraints: The healthcare sector is underfunded, with inadequate allocation of resources to improve infrastructure, medical technology, and training for healthcare professionals.
    3. Private Sector Dominance: The privatization of healthcare in India has led to high costs and inequitable access to quality services, further burdening the poor and marginalized communities.

    Long-term Reforms:
    1. Education System Overhaul: A shift towards a more flexible and inclusive curriculum that emphasizes critical thinking, creativity, and vocational training is essential. Additionally, enhancing teacher training programs, increasing teacher salaries, and ensuring proper school infrastructure will improve education quality.
    2. Investment in Healthcare Infrastructure: The government should increase public healthcare spending and invest in building and upgrading healthcare facilities, especially in rural areas. Ensuring a more equitable distribution of healthcare professionals and resources is vital.
    3. Public-Private Partnerships: Encouraging public-private partnerships in both education and healthcare can bring in efficiency and innovation while making services more accessible to marginalized communities.
    4. Universal Health and Education Coverage: Implementing policies for universal access to healthcare and education, ensuring that quality services are available to all, irrespective of their socio-economic status, is crucial for long-term human capital development.

    By addressing these structural weaknesses through comprehensive reforms, India can improve the quality and accessibility of education and healthcare, thereby enhancing its human capital and global ranking.

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UDAAN PRELIMS WALLAH
Comprehensive coverage with a concise format
Integration of PYQ within the booklet
Designed as per recent trends of Prelims questions
हिंदी में भी उपलब्ध

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