Tamil Nadu Economy Textbook Questions – Education and Health Systems in Tamil Nadu · Evolution of Education: History, Acts and Policies · School Education System · Higher and Technical Education · Health System: Evolution and Administration · Public Health Infrastructure and Schemes · Health Indicators: Tamil Nadu and India · Medical Education and Health Workforce · Comparison with India and Current Challenges (Part 2)

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Tamil Nadu Economy Textbook Questions – Education and Health Systems in Tamil Nadu · Evolution of Education: History, Acts and Policies · School Education System · Higher and Technical Education · Health System: Evolution and Administration · Public Health Infrastructure and Schemes · Health Indicators: Tamil Nadu and India · Medical Education and Health Workforce · Comparison with India and Current Challenges (Part 2) – 20 questions, subject: Tamil Nadu Economy. 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.  
Which of the following statements about the Tamil Nadu Health System Reform Program (TNHSRP) are correct?
  1. A loan agreement of US$ 287 million was signed with the World Bank for the programme on 04.06.2019.
  2. It is the first use of Program-for-Results lending in the health sector.
  3. It is a centrally sponsored scheme funded in the Centre : State ratio of 60 : 40.

Correct Answer: D [1, 2 only]

Explanation:

1, 2 correct (PIB 04.06.2019: US$ 287 million World Bank loan; first health PforR loan). 3 is wrong: not a Union scheme; funded by loan and State (about 70:30).

2.  
Assertion (A): In the Revised Budget 2026-27, the allocation for medicines was increased by Rs.100 crore.
Reason (R): With increased screening and early detection, the number of patients needing regular treatment for hypertension, diabetes and cancer is steadily rising.

Correct Answer: A []

Explanation:

Both are true and R correctly explains A: the allocation was raised to ensure uninterrupted drug supply (Revised Budget Speech 05.08.2026, para 61).

3.  
Match the health indicator of Tamil Nadu with its SRS value (MMR: 2022-24; TFR, CBR: 2023; life expectancy: 2019-23):
a. Maternal Mortality Ratio (MMR)1. 1.3
b. Total Fertility Rate (TFR)2. 12.0
c. Life expectancy at birth (years)3. 25
d. Crude Birth Rate (CBR)4. 73.4

Correct Answer: A [3 1 4 2]

Explanation:

MMR 25 (2022-24; earlier 35 for 2021-23), TFR 1.3 (2023), life expectancy 73.4 years (2019-23), CBR 12.0 (2023).

4.  
Which of the following statements about the NITI Aayog State Health Index are correct?
  1. In Round I released in 2018, Tamil Nadu ranked third among the Larger States.
  2. In Round IV (2019-20) released in 2021, Tamil Nadu ranked first.
  3. Tamil Nadu's overall score in Round IV was 72.42.

Correct Answer: C [1, 3 only]

Explanation:

1, 3 correct: Round I (9.2.2018) Kerala, Punjab, Tamil Nadu; Round IV Kerala 82.20, TN 72.42. 2 is wrong: Kerala was first in Round IV, TN second.

5.  
Which of the following statements about medical education in Tamil Nadu are correct?
  1. As per the NMC seat matrix for 2026-27, Tamil Nadu has 14,299 MBBS seats in 78 medical colleges.
  2. In 2026-27, the majority of Tamil Nadu's MBBS seats are in government colleges.
  3. In the academic year 2021-22, a total of 1,450 MBBS seats were permitted in 11 new government medical colleges in Tamil Nadu.

Correct Answer: D [1, 3 only]

Explanation:

1 is correct (NMC seat matrix, 21.09.2026). 2 is wrong: Govt 5,349, private 8,950. 3 is correct (7 colleges x 150 + 4 x 100 = 1,450).

6.  
Assertion (A): As of November 2024, the Tamil Nadu Medical Council (1,49,399) is next only to the Maharashtra Medical Council in the number of registered allopathic doctors.
Reason (R): More than half of all registered allopathic doctors in India are registered in Tamil Nadu.

Correct Answer: C []

Explanation:

A is true (Maharashtra 2,09,540; Tamil Nadu 1,49,399). R is false: India's total is 13,86,145, so Tamil Nadu's share is only about 10.8%.

7.  
Match the indicator of Tamil Nadu with its official value:
a. Literacy rate (2011, final)1. 47
b. Higher education GER (2021-22)2. 4.5
c. Colleges per lakh population aged 18–23 (2023-24)3. 80.09
d. Dropout rate at secondary level (%)4. 43

Correct Answer: B [3 1 4 2]

Explanation:

Literacy 80.09% (Census 2011), higher education GER 47 (AISHE 2021-22), college density 43 (AISHE 2023-24), secondary dropout 4.5%.

8.  
Which of the following statements on literacy in Tamil Nadu as per the final data of Census 2011 are correct?
  1. The female literacy rate of the State was 73.14%.
  2. In the 1961 Census, the literacy rate of Tamil Nadu was below the national average.
  3. Urban literacy (87.04%) was higher than rural literacy (73.54%).

Correct Answer: A [1, 3 only]

Explanation:

1, 3 correct: female literacy 73.14%; urban 87.04%, rural 73.54%. 2 is wrong: in 1961 Tamil Nadu (36.4%) was already above India (28.3%).

9.  
As per PIB (29.07.2020), which age groups do the two "3-year" stages of the 5+3+3+4 structure of NEP 2020 cover?

Correct Answer: D [8–11 and 11–14]

Explanation:

Ages 3-8 (5 years), 8-11 (3), 11-14 (3), 14-18 (4) (PIB 29.07.2020); Tamil Nadu's 2025 policy uses 5+3+2+2 by class.

10.  
Assertion (A): The "Ennum Ezhuthum" scheme does not cover students of private (self-financing) schools in Tamil Nadu.
Reason (R): The scheme is implemented only in Government and Government-aided schools (37,767 schools, 25.08 lakh students).

Correct Answer: A []

Explanation:

Both are true and R directly explains A: Policy Note 2025-26 says 25.08 lakh students in 37,767 Government and aided schools benefited.

11.  
As per the Tamil Nadu Economic Survey 2024-25 (2023-24), at which level does Tamil Nadu's GER exceed the all-India average by the widest margin (about 26.7 points)?

Correct Answer: C [Higher secondary (XI–XII)]

Explanation:

Table 7.3: higher secondary 82.9 vs 56.2 (+26.7); secondary +20.1; elementary +6.7. Pre-primary and higher education GER are not in the table.

12.  
As per AISHE 2023-24, which State has the highest number of colleges per lakh population in the 18–23 age group? (On the same measure, Tamil Nadu is 43 and India 32.)

Correct Answer: B [Karnataka]

Explanation:

Karnataka leads with 69, then Telangana 56; Tamil Nadu is 43. Uttar Pradesh has the most colleges (8,625) but not the highest density.

13.  
Assertion (A): The Health Survey and Development Committee chaired by Sir Joseph Bhore recommended integration of preventive and curative services at all administrative levels.
Reason (R): The Bhore Committee was appointed after Independence, in 1950.

Correct Answer: C []

Explanation:

A is true; R is false: the Bhore Committee was set up in 1943 and reported in 1946.

14.  
Arrange the following events in the health administration of Tamil Nadu in chronological order: 1. Incorporation of TNMSC 2. Drug Control Administration became an independent department 3. Directorate of Medical Education bifurcated 4. Separate Directorate for the ESI Scheme

Correct Answer: A [3, 2, 1, 4]

Explanation:

Medical Education Directorate 1966, Drug Control as separate department 1982, TNMSC 01.07.1994, separate ESI Directorate 01.01.1999.

15.  
Arrange the following in chronological order: 1. G.O. on Innuyir Kaappom – Nammai Kaakkum 48 2. TNHSRP loan agreement with the World Bank 3. Agreement for Phase III of the DANIDA Area Health Care Project 4. World Bank approval of the Tamil Nadu Health Systems Project (TNHSP)

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

Explanation:

DANIDA Phase III agreement 24.12.1996, TNHSP World Bank approval 2005, TNHSRP loan agreement 04.06.2019, Innuyir Kaappom G.O. 03.02.2022.

16.  
Assertion (A): As per SRS 2023, the Total Fertility Rate of Tamil Nadu (1.3) is below the replacement level of 2.1.
Reason (R): As per SRS 2022-24, the Maternal Mortality Ratio of Tamil Nadu (25) is below the SDG target of 70.

Correct Answer: B []

Explanation:

Both are true, but a low MMR does not explain a low TFR; they are separate indicators. Hence B.

17.  
As per the SRS 2021 Statistical Report (PIB 10.5.2025), which set lists States that have achieved the SDG targets for all three of NMR, U5MR and MMR?

Correct Answer: B [Kerala, Tamil Nadu, Maharashtra]

Explanation:

Only Kerala, Tamil Nadu and Maharashtra appear in the lists for all three; the other States miss the MMR or NMR list.

18.  
As per the NMC MBBS seat matrix for 2026-27, which of the following is correct?

Correct Answer: A [The private-college share of MBBS seats in Tamil Nadu (≈ 63%) is higher than the all-India share (≈ 54%)]

Explanation:

Private share: Tamil Nadu 8,950/14,299 ≈ 62.6% vs India ≈ 54.4%; TN has ≈ 10.2% of seats, added 1,250 seats, and 37 govt < 41 private colleges.

19.  
Assertion (A): As per the final data of Census 2011, Kanniyakumari district ranks first in male, female and total literacy.
Reason (R): As per Census 2011, the male–female literacy gap among the districts of Tamil Nadu is the smallest in Kanniyakumari (3.75 points).

Correct Answer: D []

Explanation:

A is false: Kanniyakumari leads in total and female literacy, but Chennai (93.70) leads in male literacy. R is true: gap 3.75 is the smallest. Hence D.

20.  
Comparing the Budget Speech 2025-26 with the Revised Budget 2026-27 speech of 05.08.2026, the allocation of which of the following departments increased?

Correct Answer: A [Health and Family Welfare Department]

Explanation:

Health rose from ₹21,906 to ₹23,357 crore; School Education and Higher Education allocations fell, so only Health increased.

? Full lessons and explanations – Tamil Nadu Economy PDF textbook (₹299): www.shanmugamiasacademy.in/study-materials/tnpsc-gs-unit-5-tamil-nadu-economy

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› Tamil Nadu Economy Textbook Questions – Socio-Economic Problems and Current Affairs · Population Change · Employment and Migration · Poverty, Inequality and Urbanisation · Agriculture, Water and Climate Stress · Social Problems with Official Data · State Finances and Centre–State Fiscal Issues · Current Affairs 2025–2026 · Important Days, Awards and Events (Part 2) › Tamil Nadu Economy Textbook Questions – Socio-Economic Problems and Current Affairs · Population Change · Employment and Migration · Poverty, Inequality and Urbanisation · Agriculture, Water and Climate Stress · Social Problems with Official Data · State Finances and Centre–State Fiscal Issues · Current Affairs 2025–2026 · Important Days, Awards and Events (Part 1) › Tamil Nadu Economy Textbook Questions – Public Awareness and Public Administration · Citizens’ Rights and Awareness · State Administration · District and Field Administration · Public Service and Accountability · Boards, Corporations and Public Sector Bodies · Welfare Schemes and Their Utility · Public Delivery Systems · Problems and Reforms (Part 2) › Tamil Nadu Economy Textbook Questions – Public Awareness and Public Administration · Citizens’ Rights and Awareness · State Administration · District and Field Administration · Public Service and Accountability · Boards, Corporations and Public Sector Bodies · Welfare Schemes and Their Utility · Public Delivery Systems · Problems and Reforms (Part 1) › Tamil Nadu Economy Textbook Questions – e-Governance in Tamil Nadu · Meaning, Types and Growth · Institutions and Departments · Citizen Services and Grievance Redress · Department-wise e-Governance · Digital Infrastructure and Data · Laws and Policies · Rankings and Awards · Challenges and Solutions (Part 2) › Tamil Nadu Economy Textbook Questions – e-Governance in Tamil Nadu · Meaning, Types and Growth · Institutions and Departments · Citizen Services and Grievance Redress · Department-wise e-Governance · Digital Infrastructure and Data · Laws and Policies · Rankings and Awards · Challenges and Solutions (Part 1)
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