Topic– Issues relating to development and management of Social Sector/Services relating to Health, Education, Human Resources.
1) What do you understand by hemoglobinopathies. Discuss. Also, discuss the objectives and the recommendations of the draft policy for Prevention and Control of Hemoglobinopathies.(250 words)
Why this question
The centre has recently released the draft policy for Prevention and Control of Hemoglobinopathies. It is therefore necessary to know what are hemoglobinopathies and what are the objectives and the strategy of the draft policy.
Discuss- This is an all-encompassing directive which mandates us to write in detail about the key demand of the question. We also have to discuss about the related and important aspects of the question in order to bring out a complete picture of the issue in hand.
Key demand of the question.
The question wants us to write in detail about the meaning and significance of hemoglobinopathies. It also wants us to write in detail about the objectives of the recently mooted draft policy for Prevention and Control of Hemoglobinopathies as well as the strategy recommended by it.
Structure of the answer
Introduction– Define hemoglobinopathies- e.g A genetic defect that results in abnormal structure of one of the globin chains of the hemoglobin molecule. Thalassemia major, sickle cell disease and Hb E are the three most important clinical syndromes among hemoglobinopathies in India. They impose a heavy burden on the affected families and the health sector.
- Write a few more lines about hemoglobinopathies. E.g The severity of these disorders manifests in children of ‘healthy’ carrier couples which makes their prevention and support for management an issue of public health importance. They require lifelong blood transfusions and iron chelation treatment, with monitoring and management of disease complications. Presently, the only cure available for thalassemia major is bone marrow transplantation(BMT), which is possible in only a few patients, mainly because of non-availability of a suitable HLA matched donor.
- Discuss the objectives of the draft policy. E.g Provide affordable and quality care for all patients with Thalassemia major and Sickle Cell Disease; Reduce the prevalence of hemoglobinopathies.
- DIscuss the strategy envisaged (recommendations). E.g compulsory genetic screening of all pregnant women along with putting in place advanced facilities for comprehensive care of such patients; provision of medicines, including iron chelating agents, leukocyte filters and infusion pumps free of cost to the poor patients; waiver of GST and custom duties to reduce cost of treatment for the affected families; creating awareness of these disorders in the community for better acceptance of carrier screening etc.
Conclusion– sum up your discussion in a few lines and form a fair and a balanced conclusion on the above issue.