Lok Sabha Question No. 636 (UNSTARRED), answered on 2016-11-18
Subject: Sustainable Development Goals
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Shrirang Appa Barne, SHIVAJI ADHALRAO PATIL, ANANDRAO  ADSUL, VINAYAK BHAURAO RAUT, SHRIKANT EKNATH SHINDE, JAYADEV GALLA

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

## LOK SABHA UNSTARRED QUESTION NO. 636 TO BE ANSWERED ON 18 TH NOVEMBER, 2016

## SUSTAINABLE DEVELOPM ENT GOALS

## 636. SHRI SHRIRANG APPA BARNE:

SHRI ADHALRAO PATIL SHIVAJIRAO:

SHRI ANANDRAO ADSUL:

SHRI VINAYAK BHAURAO RAUT:

DR. SHRIKANT EKNATH SHINDE:

SHRI JAYADEV GALLA:

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

- (a) whether the Government is aware that India was ranked below Comoros and Ghana and was placed just ahead of Pakistan and Bangladesh on the health related Sustainable Development Goals(SDGs) index;
- (b)  if  so,  the  reaction  of  the  Government thereto  and  the  steps  taken  by  the Government  to improve India's position in the hea lth related SDG index;
- (c) whether the Government has taken any note of WHO Report which ranks India's healthcare system at 112 out of 190 countries and if so, the details thereof;
- (d) whether the Government is spending adequate amount of funds on health in the country and if so, the details thereof; and
- (e)  whether  the  National  Health Accounts  which  estimates  the  expenditure ncurred  for consumption of healthcare goods and services in India has presented the data for 2013 - 14 and if so, the details thereof?

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

- (a) & (b) : Yes.    A  study  titled  'Measuring  the  health - related  Sustainable  Development Goals in 188 Countries: a baseline analysis from the Global Bur den  of  Disease  Study  2015' published recently in 'The Lancet'  placed India  below Ghana and Comoros and above Pakistan and Bangladesh. The study provides an analysis of 33 health - related Sustainable Development Goal (SDG) indicators.

The  SDG  3  of  'health  and  wellbeing  of  all  at  all  ages'  is  in  sync  with  the  vision  of proposed National Health policy and National Health Mission (NHM). The unfinished agenda Millennium Development Goals including Reproductive and Child Health (RCH) and Disease control targets are part of NHM goals and intersectoral convergence is a key strategy. U healthcare  is  a  stated  goal  of  the  government.  It  is  also  one  of  the  targets  of  S Development  Goals  (SDGs)  and  underpins  all  other  targets  in SDG  3 relating  to  Health.    A National Task Force on SDG 3 has been set up by the Ministry not only to deliberate on and strategy but also provide technical support and guidance on SDGs to States.

(c): Yes.  The  World  Health  Report  2000  published by  World  Health  Organization  ranked member  countries  (191)  where  India  is  placed  at  112 th position  on  overall  health  system performance.  The  ranking  is  based  on  the  composite  index  of  five  performance  indica covering health & its inequality, responsive ness le l & its distribution and fair financing.

(d):  Public  health  is  a  state  subject.  However,  under  NHM,  Government  provides  suppor States / UTs to strengthen their healthcare system for provision of accessible, afford quality  health  car e  to  the  people.  To  reduce  the  out  of  pocket  expenditure,  NHM  provide supports to States to provide free patient care including drugs and diagnostics free o public health facilities. Support is also provided for free dialysis to the poor under e Pradhan Mantri  National  Dialysis  Programme.  Under  the  Rastriya  Swasthya  Bima  Yojna  (RSBY), cashless benefit upto Rs. 30,000 per annum per family for specified hospitalization proce available to all BPL population and eleven other categories of vu lne able pop lation groups.

As per Economic Survey 2015 - 16 brought out by Ministry of Finance, public expenditure on health (Centre and States) as percentage of Gross Domestic Product (GDP) for 2015 - 16 (BE) was 1.3 per cent.

(e): Yes.  The total healthca re expenditure estimated under the System of Health Accounts 2011 framework  for  India,  is  Rs.  4,53,106  Crore  during  2013 - 14  of  which  Government  Health Expenditure is Rs. 1,29,778 Crore.

A statement of estimates of health care expenditure parameters/indic tors during the year 2013- 14 is annexed.

Estimates of health care expenditure parameters/indicators during the year 2013 - 14

| Indicator/Parameter                                              | 2013- 14   |
|------------------------------------------------------------------|------------|
| Total Health Expenditure (Rs. in Crore)                          | 4,53,106   |
| Total Government Health Expenditure ( Rs. In Crore)              | 1,29,778   |
| Household Health Expenditure (Rs. in Crore )                     | 3,06,938   |
| Out of Pocket Health Expenditure by Households (Rs.i n Crore)    | 2,90,932   |
| Total Health Expenditure as Percent of GDP                       | 4.02%      |
| Government Health Expenditure as Percent of GDP                  | 1.15%      |
| Out of Pocket Health Expenditure as percent of Total Expenditure | 64.20%     |
| Government Health Expenditure as percentage of Total Expenditure | 28.6%      |

Source: National Health Accounts Estimates for India 2013 - 14