New Delhi: The share of government health expenditure in the total GDP of the country has increased. It has increased from 1.15 per cent in 2013-14 to 1.35 per cent in 2017-18. This information is given in the National Health Accounts Estimates Report.
In addition, the share of government health expenditure in total health expenditure has also increased over time. The share of government expenditure was 40.8 percent in 2017-18, which is much higher than 28.6 percent in 2013-14. The estimation findings also show that the government’s health expenditure as a share of total government expenditure has increased from 3.78 per cent to 5.12 per cent between 2013-14 and 2017-18, which clearly reflects the government’s contribution to the health sector in the country. Shows priority.
Rajesh Bhushan, Secretary, Ministry of Health and Family Welfare released the findings of India’s National Health Accounts (NHA) estimates for 2017-18 here on Monday.
According to the report, in terms of per capita, government health expenditure has increased from Rs 1,042 to Rs 1,753 between 2013-14 and 2017-18. The nature of growth in the health sector of the government is also moving in the right direction, as there is more emphasis on primary healthcare. The share of primary healthcare in the current government health expenditure has increased from 51.1 per cent in 2013-14 to 54.7 per cent in 2017-18.
Primary and secondary health facilities account for more than 80 percent of the current government health expenditure. There has been an increase in the share of primary and secondary health facilities in terms of government health expenditure. In the case of the private sector, the share of tertiary care has increased, but primary and secondary health care shows a declining trend. Between 2016-17 and 2017-18, the government’s share in primary and secondary healthcare has increased from 75 per cent to 86 per cent. The share of primary and secondary health facilities in the private sector has come down from 84 per cent to 74 per cent.
According to the report, the share of social security expenditure on health, which includes social health insurance programmes, government-funded health insurance schemes and medical reimbursement to government employees, has increased. As a percentage of total health expenditure, the increase has been around 9 per cent in 2017-18 from 6 per cent in 2013-14. The findings of the estimate also show that foreign aid for health has come down by 0.5 percent, reflecting India’s economic self-reliance.
This is the fifth consecutive NHA report prepared by the National Health Systems Resource Center (NHSRC), which has been named as the National Health Accounts Technical Secretariat (NHATS) in 2014 by the Union Health Ministry. NHA estimates are prepared using an accounting framework based on the Internationally Accepted Health Accounting System 2011 provided by the World Health Organization (WHO).
The NHA estimates for 2017-18 not only show an increasing trend in government spending on health, but also show increasing confidence in the public health care system.
There is a continuous time series on NHA estimates for both government and private sources for five years from 2013-14 in India, with the current estimate of NHA 2017-18.
These estimates are not only internationally comparable, but also enable policy makers to monitor progress towards universal health coverage as envisaged in the National Health Policy, 2017.
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