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The frail nature of rural India’s health systems and the..(1)..patient load on a few..(2)..hospitals have become even more evident from the crisis at the Baba Raghav Das Medical College in Gorakhpur. The institution has come under the spotlight after reports emerged of the death of several children over a short period, although epidemics and a high mortality level are chronic features here. Medical infrastructure in several surrounding districts and even neighbouring States is so weak that a large number of very sick patients are sent to such apex hospitals as a last resort. The..(3)..aspects of the system are..(4)..from the Comptroller and Auditor General’s report on reproductive and child health under the National Rural Health Mission for the year ended March 2016. Even if the audit objections on financial administration were to be ignored, the picture that emerges in several States is one of inability to..(5)..the funds allocated, shortage of staff at primary health centres (PHCs), community health centres (CHCs) and district hospitals, lack of essential medicines, broken-down equipment and unfilled doctor vacancies. In the case of Uttar Pradesh, the CAG found that about 50% of the PHCs it..(6)..did not have a doctor, while 13 States had significant levels of vacancies. Basic facilities in the form of health sub-centres, PHCs and CHCs met only half the need in Bihar, Jharkhand, Sikkim, Uttarakhand and West Bengal, putting pressure on a ..(7)..of referral institutions such as the Gorakhpur hospital.
Templates for an upgraded rural health system have long been finalised and the Indian Public Health Standards were issued in 2007 and 2012, covering facilities from health sub-centres upwards. The Centre has set..(8)..health goals for 2020 and is in the process of deciding the financial..(9)..for various targets under the National Health Mission, including reduction of the infant mortality rate to 30 per 1,000 live births, from the recent..(10)..of 40.
- 1) shatterable
5) shiveryAnswer – 3)
Explanation: extraordinary – very unusual or remarkable.
- 1) referral
5) walkoverAnswer – 1)
Explanation: referral – an act of referring someone or something for consultation, review, or further action.
- 1) dysfunctional
2) intact3) harmed
5) disequilibriumAnswer – 1)
Explanation: dysfunctional – not operating normally or properly.
- 1) unscathed2) disequilibration
4) assets5) receiptsAnswer – 3)
Explanation: evident – clearly seen or understood; obvious.
- 1) disputable
5) drawingsAnswer – 4)
Explanation: absorb – take in or soak up (energy or a liquid or other substance) by chemical or physical action.
- 1) audited
2) obscure3) proceeds
5) revenueAnswer – 1)
Explanation: audited – conduct an official financial inspection of (a company or its accounts).
- 1) astasia
5) commissionAnswer – 4)
Explanation: handful – a quantity that fills the hand.
- 1) honorarium
4) avails5) withdrawAnswer – 2)
Explanation: ambitious – having or showing a strong desire and determination to succeed.
- 1) deduct
5) outlayAnswer – 5)
Explanation: outlay – an amount of money spent on something.
- 1) unassuming
3) satisfied4) diminish
5) decreaseAnswer – 2)
Explanation: estimate – roughly calculate or judge the value, number, quantity, or extent of.