Lok Sabha Question No. 3314 (UNSTARRED), answered on 2017-08-04
Subject: Health Expenditure
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Adhikari Dibyendu

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

LOK SABHA UNSTARRED QUESTION NO. 3314 TO BE ANSWERED ON 4 TH AUGUST , 2017

## HEALTH EXPENDITURE

## 3314. SHRI DIBYENDU ADHIKARI:

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

- (a)  whether  the  Government  has  received  a  detailed  study  analysis  of  NSSO  on  the  pati suffering from cardiovascular disease and are getting treatment out - of - pocket expenditure and if so, the details the reof;
- (b) whether the report overviews that more than 55 percent of the country's population suffered from 'catastrophic' health expenditures thereon and if so, the details thereof;
- (c)  whether  the  Government  proposes  to  set  up  a  Medical  Technology  Ass essment  Board  to initiative universal health policy process therefor and if so, the details thereof; and
- (d)  whether  the  Government  proposes  to  setup  more  'friendly'  health  support  system  in  the country with all facilities thereof and if so, the details thereof ?

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

- (a): As per NSS Report No. 574: Health in India and Key Indicator of Social Consumption i India, National Sample Survey 71 st round (January 2014 -June 2014) conducted by NSSO, there  were  341  estimated  cases  of  hospitalization  on  account  of  cardio - vascular  diseases reported per 100,000 and average medical expenditure per hospitalization case due to ca -vascular diseases wa s estimated as Rs. 31647.
- (b): As per the aforesaid publication, t he rural population spent, on an average, Rs.14,935 for a hospitalised treatment while in Urban area it was Rs. 24,436.

Contd…..

(c ): To facilitate the process of transparent, evidence based and informed decision mak in  the  field  of  health,  Government  of  India  is  setting  up  Medical  Technology  Assessm Board,  which  will  generate  and  compile  evidences  related  to  cost - effectiveness, clinical -effectiveness  and  safety  of  medicines,  devices  and  health  programmes  by  means  of  Heal Technology Assessment (HTA) studies.It will evaluate appropriateness and cost effectiveness of the available health technologies in India, so that maximum people can have access to quality healthcare at minimum cost in the country.

(d): The Government has taken several steps in order to set up more friendly health supp system in the country which is inter - alia :

(1 )  National  Quality  Assurance  Standards  (NQAS) -National  Quality Assurance Standards have been developed keeping in the specific requirements for public health facilities as well global best practices.

(2) Quality  Certification -Quality  Certification  program  for  public  health facilities  has  been  launched  with  aim  of  recognizing  the  good  preforming facilities as well improving credibility of public hospitals in community.

(3) Kayakalp award scheme - Kayakalp Award Scheme aims to improving Cleanliness,  Hygiene  and  waste  management  practices  in  Public  Health Facilities.

(4) Laboratory  improvement  for  Excellence  (LIFE) :  Scheme  for Laboratory  Quality  Improvement  mandates  for  focused  intervention  for improving  &  standardization  the  quality  of  laboratory  services  through assessment, capacity building , and accreditation.

(5)  Mera  Asapatal  patient  feedback  systemThis  program  utilises  IT enabled  tools  to  collect,  analyse  and  improve  the  patient  satisfaction  in public health facilities.

(6) Standard Treatment Guidelines - Standard Treatment Guidelines plays critical role in ensuring evidence based clinical practice and quality of care.

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