NITI Aayog Report on Reimagining Care: Strategies for Empowering Caregivers in Viksit Bharat@2047 | Current Affairs | Vision IAS

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In Summary

  • India's care services market to reach USD 72.31 billion by 2030, driven by an aging population and increasing disability.
  • Dual care system exists: informal (family) and formal (professionals), with rising demand due to changing family structures and reduced informal care.
  • Key initiatives include NPHCE, SHATAYU, JEEVAN, and state-level programs in Karnataka and Kerala; global models vary from social insurance to societal care.

In Summary

The report presents India’s caregiving ecosystem and outlines a comprehensive roadmap for building an organised, professional, accessible and future-ready system of care.

  • Caregiving involves the physical, emotional, and social support provided to individuals who are unable to perform daily activities independently due to age, illness, or disability. (WHO)

Caregiving Ecosystem in India

  • India's care services market is projected to grow from USD 29.62 billion (2023) to USD 72.31 billion by 2030, at a 13.76% CAGR.
  • Dual Care System: Care is delivered through informal (family, friends, communities) and formal (trained professionals) caregivers.

Need for a Caregiving in India

  • Rising Care Demand: Ageing population and disability increase the need for long-term and palliative care.
    • Elderly Population: Estimated at 149 million (10.5%) in 2022, projected to reach 347 million (20.8%) by 2050.
  • Changing Family Structure: Urbanisation, migration, nuclear families, and higher female workforce participation are reducing informal family caregiving.
  • Others: Women shoulder disproportionate share of unpaid care work, Shortage of trained caregivers, lack of inter-ministerial coordination.

Key Initiatives in India

  • Institutional Caregiving: National Programme for Healthcare of the Elderly (NPHCE) etc.
  • SHATAYU (Senior Holistic Care Assistance and Training for Your Utility) Dashboard; JEEVAN (Joint Elderly Empowerment & Virtual Assistance Network) Application
  • Karnataka: Carers Groups (SHGs); Monthly Allowance for Unpaid Caregivers
  • Kerala: Kudumbashree K for Care project (employment in care economy)

Global Best Practices and Models on Long-Term Care (LTC)

  • Social Insurance Model: Based on collective risk-sharing (everyone contributes and, in return, they can access care when they need it). E.g. Germany
  • Residual Model: Government provides support to care seekers who are unable to meet the costs of taking care services. E.g. Spain
  • Local Need-Tested Model: Local authorities provide care based on assessed community needs. E.g. England, Italy.
  • Private-Insurance-Based Model: E.g. United States
  • Societal Care Model: Families, communities, government, and markets share caregiving responsibility. E.g. Sweden
  • Innovation: Australia (professional certification), China (AI and care robots).
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Societal Care Model

A comprehensive approach to caregiving where responsibility is shared among families, communities, government, and the market. Sweden is presented as an example of this model.

Private-Insurance-Based Model

A model of long-term care where individuals purchase private insurance policies to cover the costs of care services. The United States is cited as an example.

Local Need-Tested Model

A system where local authorities assess the care needs of their community and provide services accordingly. England and Italy are examples of countries that utilize this model.

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