Lok Sabha Question No. 1731 (UNSTARRED), answered on 2016-11-25
Subject: Healthcare in India
Ministry: HEALTH AND FAMILY WELFARE
Asked by: RAYAPATI SAMBASIVA RAO, PREM DAS RAI, BOORA NARSAIAH GOUD

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENT OF HEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO. 1731 TO BE ANSWERED ON 25 TH NOVEMBER, 2016

## HEALTHCARE IN INDIA

## 1731. SHRI RAYAPATI SAMBASIVA RAO: SHRI PREM DAS RAI: DR. BOORA NARSAIAH GOUD:

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:

- (a) whether the Government is aware that underlying reasons for increase in diseases an health in India is due to low spending and skewed priorities and if so, the reasons therefor;
- (b) whether the Government is aware that in India healthcare expenditure is around 1.4 p of GDP, if so, the details thereof;
- (c) the efforts have been made in the last three years to increase the healthcare spending country with alarming rate of growth in diseases;
- (d) the total expenditure incurred on rural health by the Centre in the last three years;
- (e) the steps taken t o improve access to healthcare in tribal and mountainous regions;
- (f) the details of State allocations for health across India and ranking of States in ter budget and public healthcare; and
- (g) whether the Government has any policy towards universal health, if so, the details thereof?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE ( ANUPRIYA PATEL )

- (a): Various factors like low levels of education, lack of environmental sanitation an drinking  water, under - nutrition,  poor  housing    conditions,  tobacco  consumption,  poverty unemployment, unhealthy lifestyle  etc. impact health.

The delivery of health care largely rests with the States, Health being a state sub allocation of funds to health sect or inter - alia is dependent on the overall resource availability o the Government, competing sectoral priorities, as also the absorptive capacity of the syst

- (b): As per Economic Survey 2015 - 16,  the  expenditure by  Government (Central and State Governme nts combined) on health as percentage of Gross Domestic Product (GDP) for 2015 - 16 (BE) was 1.3 per cent.

Contd……….

(c ) As per 12 th Five Year Plan document, total public funding by the Centre and States, p and non - plan, on core health is envisaged to increase to 1.87 per cent of GDP by the end Twelfth  Plan.    The  Draft  National  Health  Policy  2015  envisages  raising  public  he th expenditure progressively to 2.5% of the GDP.

(d): The allocation to States/UTs under National Health Mission  by Centre Government f last three years is as under :

- (i) 2013- 14 - Rs. 19,989.01 Crore
- (ii) 2014- 15 - Rs. 19,132.72 Crore
- (iii) 2015- 16 - Rs. 1 6,213.09 Crore

(e): To  improve  access  to  healthcare  in  tribal  and  hilly  regions,  the  Government  u National Health Mission has taken several steps which inter - alia include:

- All the North Eastern States which have a high tribal population and other hilly states get funds under NHM from Government of India in the proportion of 90 (GoI  Share):10  (State  Share)  as  against  share  of  funding  in  the  ratio  of  7 between Government of India and non -North Eastern States and non -hilly States.
- Relaxed norms fo r setting up of health facilities.
- Strengthening of Sub - Centre.
- Relaxed Norms for treatment of Specific Diseases
- Incentives are  provided  to  health  personnel serving  in  remote,  underserved  and  tribal areas.
- R elaxing  the  norm  of one  ASHA  per  1000  population  to  one  ASHA  per  habitation  in Tribal/hilly and difficult areas
- Relaxation of norms for setting up of sub - centres in difficult hilly areas by introducing a new norm of 'Time to care'. Under this norms, a sub centre can be set u p within 30 minutes of walk from habitation.

(f): A statement showing allocation for health by the States/UTs for 2015 - 16(BE) ranked in descending order is annexed.

(g): Public health is a state subject. Under the National Health Mission, support is being provided to States/UTs to strengthen their healthcare systems to provide accessible, affor and quality health care to all the citizens. Moving towards Universal Health Coverage wher people are able to use quality health services that they nee d without suffering financial hardship is a key goal of 12th Plan.

……………

## ANNEXURE

## Statement showing allocation of fund for Health by States/ UTs for  2015-16(BE)

| Estimated Public Expenditure in Health by States & Union Territories (Rs. in Crore)   | Estimated Public Expenditure in Health by States & Union Territories (Rs. in Crore)   | Estimated Public Expenditure in Health by States & Union Territories (Rs. in Crore)   |
|---------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------|
| Sl.No.                                                                                | States/UTs                                                                            | 2015-16 (BE)                                                                          |
| 1                                                                                     | Uttar Pradesh                                                                         | 16097.66                                                                              |
| 2                                                                                     | Rajasthan                                                                             | 12032.98                                                                              |
| 3                                                                                     | Maharashtra                                                                           | 10090.42                                                                              |
| 4                                                                                     | Tamil Nadu                                                                            | 8162.75                                                                               |
| 5                                                                                     | Gujarat                                                                               | 7844.59                                                                               |
| 6                                                                                     | West Bengal                                                                           | 6346.35                                                                               |
| 7                                                                                     | Karnataka                                                                             | 6321.36                                                                               |
| 8                                                                                     | Madhya Pradesh                                                                        | 6091.40                                                                               |
| 9                                                                                     | Andhra Pradesh                                                                        | 6021.67                                                                               |
| 10                                                                                    | Kerala                                                                                | 5642.84                                                                               |
| 11                                                                                    | Telangana*                                                                            | 5197.73                                                                               |
| 12                                                                                    | Bihar                                                                                 | 5059.23                                                                               |
| 13                                                                                    | Delhi                                                                                 | 4638.37                                                                               |
| 14                                                                                    | Odisha                                                                                | 3896.60                                                                               |
| 15                                                                                    | Assam                                                                                 | 3551.37                                                                               |
| 16                                                                                    | Chhattisgarh                                                                          | 3281.74                                                                               |
| 17                                                                                    | Haryana                                                                               | 3252.06                                                                               |
| 18                                                                                    | Punjab                                                                                | 3214.02                                                                               |
| 19                                                                                    | Jharkhand                                                                             | 2941.24                                                                               |
| 20                                                                                    | Jammu & Kashmir                                                                       | 2680.28                                                                               |
| 21                                                                                    | Uttarakhand                                                                           | 1782.14                                                                               |
| 22                                                                                    | Himachal Pradesh                                                                      | 1776.30                                                                               |
| 23                                                                                    | Tripura                                                                               | 802.97                                                                                |
| 24                                                                                    | Goa                                                                                   | 739.63                                                                                |
| 25                                                                                    | Arunachal Pradesh                                                                     | 656.54                                                                                |
| 26                                                                                    | Meghalaya                                                                             | 632.83                                                                                |
| 27                                                                                    | Puducherry                                                                            | 574.07                                                                                |
| 28                                                                                    | Nagaland                                                                              | 515.39                                                                                |
| 29                                                                                    | Manipur                                                                               | 486.93                                                                                |
| 30                                                                                    | Mizoram                                                                               | 486.91                                                                                |
| 31                                                                                    | Sikkim                                                                                | 342.96                                                                                |
| UTs                                                                                   | UTs                                                                                   |                                                                                       |
| 1                                                                                     | Chandigarh                                                                            | 387.08                                                                                |
| 2                                                                                     | Andaman & Nicobar Island                                                              | 262.31                                                                                |
| 3                                                                                     | Dadra & Nagar Haveli                                                                  | 94.09                                                                                 |
| 4                                                                                     | Daman & Diu                                                                           | 64.57                                                                                 |
| 5                                                                                     | Lakshadweep                                                                           | 59.72                                                                                 |
|                                                                                       | Total                                                                                 | 132029.10                                                                             |