UPSC Social Justice – Chapter 11: Health System – Structure, Policy and Financing (21 MCQs)

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UPSC Social Justice – Chapter 11: Health System – Structure, Policy and Financing (21 MCQs) – 22 questions, subject: Social Justice. Every question has the correct answer with a one-line explanation; tap "Show Answer". Free practice for TNPSC, UPSC, SSC, Bank and RRB exams – Shanmugam IAS Academy, Coimbatore.

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1.  

"Public health and sanitation; hospitals and dispensaries" is a subject in the:

Correct Answer: A [State List]

Explanation:

entry 6.

2.  

"Population control and family planning" was added to the Concurrent List by the:

Correct Answer: B [42nd Amendment]

Explanation:

entry 20A, 1976.

3.  

Which Article of the Constitution makes the improvement of public health a primary duty of the State?

Correct Answer: C [Article 47]

Explanation:

Article 47, a Directive Principle, makes raising nutrition, the standard of living and improving public health a primary duty of the State.

4.  

Under the norms for the plains, a Primary Health Centre covers a population of about:

Correct Answer: D [30,000]

Explanation:

Under the Indian Public Health Standards, a PHC covers about 30,000 people in the plains and 20,000 in hilly and tribal areas.

5.  

A Community Health Centre in the plains covers a population of about:

Correct Answer: A [1,20,000]

Explanation:

The IPHS norm for a Community Health Centre is about 1,20,000 people in the plains and 80,000 in hilly and tribal areas.

6.  

The three-tier structure of rural health care was first proposed by the:

Correct Answer: C [Bhore Committee]

Explanation:

1946.

7.  

The goal "Health for All by 2000" came from the:

Correct Answer: A [Alma-Ata Declaration]

Explanation:

1978.

8.  

The National Health Policy 2017 set a target for public health expenditure of:

Correct Answer: D [2.5 per cent of GDP by 2025]

Explanation:

NHP 2017 aimed to raise government health expenditure to 2.5 per cent of GDP in a time-bound manner by 2025.

9.  

ASHA workers were introduced under the:

Correct Answer: D [National Rural Health Mission]

Explanation:

2005.

10.  

Consider the following statements about PM-JAY:
1. It provides cover of ₹5 lakh per family per year.
2. It covers secondary and tertiary hospital care.
3. It is implemented by the National Medical Commission.
Which of the statements given above is/are correct?

Correct Answer: B [1 and 2 only]

Explanation:

PM-JAY gives ₹5 lakh per family per year for secondary and tertiary hospital care; it is run by the National Health Authority, not the NMC.

11.  

Assertion (A): The States carry the main responsibility for delivering health services in India.
Reason (R): Public health and hospitals are subjects in the State List.

Correct Answer: A [Both A and R are true, and R is the correct explanation of A]

Explanation:

Public health and hospitals are entry 6 of the State List, which is exactly why the States carry the main responsibility for delivering health services.

12.  

PM-JAY subsumed which earlier health insurance scheme?

Correct Answer: B [Rashtriya Swasthya Bima Yojana]

Explanation:

2008 scheme.

13.  

The National Medical Commission replaced the:

Correct Answer: A [Medical Council of India]

Explanation:

NMC Act, 2019.

14.  

The central regulator of drug quality under the Drugs and Cosmetics Act, 1940 is the:

Correct Answer: C [CDSCO]

Explanation:

The Central Drugs Standard Control Organisation is the central regulator for drug quality and approvals under the Drugs and Cosmetics Act, 1940.

15.  

Out-of-pocket expenditure on health refers to:

Correct Answer: A [money paid by households at the point of care]

Explanation:

Out-of-pocket expenditure is money households pay directly at the point of care, without reimbursement by insurance or the government.

16.  

The Mental Healthcare Act was passed in:

Correct Answer: B [2017]

Explanation:

Parliament passed the rights-based Mental Healthcare Act in 2017; it replaced the Mental Health Act, 1987.

17.  

Arrange the following in chronological order:
1. National Rural Health Mission
2. Bhore Committee report
3. Ayushman Bharat
4. Alma-Ata Declaration
Select the correct answer using the code given below:

Correct Answer: C [2-4-1-3]

Explanation:

1946, 1978, 2005, 2018.

18.  

The Supreme Court held that failure to give timely treatment in a government hospital violates Article 21 in:

Correct Answer: C [Paschim Banga Khet Mazdoor Samity case]

Explanation:

1996.

19.  

The first Ayushman Arogya Mandir (then a Health and Wellness Centre) was opened in 2018 in:

Correct Answer: D [Bijapur, Chhattisgarh]

Explanation:

The Prime Minister opened the first Health and Wellness Centre at Jangla, Bijapur district, Chhattisgarh, on 14 April 2018.

20.  

The Clinical Establishments (Registration and Regulation) Act was passed in:

Correct Answer: B [2010]

Explanation:

The Clinical Establishments (Registration and Regulation) Act was enacted in 2010 to register clinics and hospitals and set minimum standards.

21.  
UPSC Prelims 2023

Consider the following statements:
Statement-I: India's public sector health care system largely focuses on curative care with limited preventive, promotive and rehabilitative care.
Statement-II: Under India's decentralised approach to health care delivery, the States are primarily responsible for organizing health services.
Which one of the following is correct in respect of the above statements?

Correct Answer: B [Both Statement-I and Statement-II are correct and Statement-II is not the correct explanation for Statement-I]

Explanation:

both are true; the curative focus comes from spending and staffing patterns, not from decentralisation.

➤ Full notes, maps, tables, a reason for every option and Mains PYQs – U13 · Social Justice (UPSC book, ₹249): www.shanmugamiasacademy.in/study-materials/upsc-social-justice

22.  

The committee of 1973 that recommended multipurpose health workers in place of single-purpose workers was the:

Correct Answer: D [Kartar Singh Committee]

Explanation:

The Kartar Singh Committee (1973) recommended multipurpose health workers in place of single-purpose workers.

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