The National Health Systems Resource Center has recently released the National Health Accounts (NHA) report. This report is based on the System of Health Accounts 2011 provided by the World Health Organization (WHO). This report reveals key points. Government expenditure on health in our country..
Indian healthcare system: The National Health Systems Resource Center has recently released the National Health Accounts (NHA) report. This report is based on the System of Health Accounts 2011 provided by the World Health Organization (WHO). This report reveals key points. Although the government expenditure on health fell to 1.3 percent in 2018-19 for the first time in our country, it has been revealed that due to the Corona epidemic, the budget expenditure of the central and state governments on the health sector has reached 2.1 percent of the GDP in 2021-22. This is very close to the government’s target of bringing health expenditure to 2.5 percent of our GDP by 2025. It is said that the health expenditure has increased by almost 73 percent after the Covid-19 pandemic. Government expenditure on health in pre-Covid 2019-20 was Rs. 2.73 lakh crore in 2021-22 to Rs. 4.72 lakh crores. The Center has allocated around Rs.35,000 crores for the corona vaccination scheme itself.
Health and education are the two pillars of any nation’s welfare. The 2021 Economic Survey has recommended an increase in government spending on public health from at least 2.5 percent to 3 percent. But it is unfortunate that the allocations in the central budget for these two sectors are far from this goal. Expenditure on health has declined from 4.2 per cent of GDP to 3.2 per cent in the last 15 years due to expenditure by the people and insurance companies. People spend on their health from around 70 per cent in 2004-05 to 48 per cent in 2018-19. Government expenditure on public health increased from 22.5 percent to 40.6 percent. But the expenditure incurred by the state governments is higher than the central government. According to the Global Multidimensional Poverty Index (MPI) released by UNDP in 2018, the report shows that although the poverty rate in our country has improved somewhat in the last 10 years, progress in the health sector has lagged behind. A total of 3.9 percent of GDP is spent on health, including public and private expenditures. Compared to other Asian countries, Myanmar spends 4.9 percent, Nepal 6.9 percent and Pakistan 2.7 percent of the GDP in the first place among the countries that spend the most on health.
In 2018, India’s private per capita expenditure on healthcare was higher than that of Nepal, Pakistan, Bangladesh and Indonesia. But US private per capita expenditure is 26 times higher than our country. UK and Denmark spend more than 900 dollars per capita, while Brazil and Sweden spend more than 800 dollars per capita. Russia’s private health expenditure is more than 600 dollars and South Africa is spending more than 500 dollars. China, the world’s most populous country, spends twice as much as India.
In a report released by the Global Multidimensional Poverty Index (MPI), India’s health record is the worst. Still the under-five mortality rate is 43 infant deaths per 1,000 live births. It is sad that all these deaths are explainable. Even if the central and state governments pay attention to health as expected by the United Nations, the situation will not improve.