Question 1

Health data under SAHI will be centralized in a massive single government server to train AI models.

Accepted Answer

Under the ABDM architecture that SAHI utilizes, health records are federated, meaning they are stored at the original source (hospitals/clinics) and accessed only via explicit user consent through the Ayushman Bharat Health Account (ABHA).

Question 2

SAHI grants AI tools full autonomy to diagnose patients and prescribe medications without human oversight.

Accepted Answer

The framework enforces strict ethical stewardship, explicitly requiring that AI act as a clinical decision support system that augments, rather than replaces, human medical judgment.

Question 3

Consider the following statements regarding the Strategy for AI in Healthcare for India (SAHI):
1. It was launched as a legally binding statutory mandate by the Ministry of Electronics and Information Technology.
2. It leverages the BODH Platform, developed by IIT Kanpur, for benchmarking and testing AI tools prior to deployment.
3. Its implementation marks India as the first country in the WHO South-East Asia Region to adopt a comprehensive national AI strategy for health.
How many of the above statements are correct?

Accepted Answer

(b) Only two — Statement 1 is incorrect because SAHI was launched by the Ministry of Health and Family Welfare (MoHFW) and it serves as a recommendatory national framework, not a legally binding statutory mandate. Statements 2 and 3 are factually correct; the BODH Platform handles benchmarking, and SAHI sets a regional milestone for the WHO South-East Asia Region.

Question 4

Match List I (Initiative/Platform) with List II (Core Feature/Outcome):
List I:
1. National Health Stack
2. BODH Platform
3. ABDM
4. SAHI Framework

List II:
A. Consent-based architecture generating over 860 million health IDs
B. Risk-proportionate oversight and equitable AI datasets
C. Proposed unified health data systems via electronic registries in 2018
D. Benchmarking platform for testing clinical AI tools

Select the correct code:

Accepted Answer

(a) 1-C, 2-D, 3-A, 4-B — The National Health Stack (2018) proposed the unified electronic registries (C). The BODH Platform is the testing and benchmarking tool (D). The Ayushman Bharat Digital Mission (ABDM) operationalized the consent-based architecture (A). SAHI brings risk-proportionate oversight to healthcare AI (B).

Question 5

Assertion (A): The SAHI framework fundamentally avoids gathering all citizens' clinical records into a single centralized government AI database.
Reason (R): SAHI relies on the underlying Ayushman Bharat Digital Mission (ABDM) infrastructure, which mandates that health data is federated and accessed solely through explicit user consent.
Select the correct answer:

Accepted Answer

(a) Both A and R are true and R is the correct explanation of A — Both statements are correct. Assertion A is true because India's health data is not centralized in a single AI database. Reason R correctly explains this by identifying the architectural design of ABDM, which SAHI uses. ABDM utilizes a federated design, meaning data stays with the healthcare provider and is shared only via explicit patient consent (through ABHA), thereby enforcing privacy.

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