Lok Sabha Question No. 1221 (UNSTARRED), answered on 2018-02-09
Subject: GDP on Health
Ministry: HEALTH AND FAMILY WELFARE
Asked by: PREM DAS RAI, DEEPENDER SINGH HOODA

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

## LOK SABHA UNSTARRED QUESTION NO. 1 221 TO BE ANSWERED ON 9 TH FEBRUARY, 2018

## GDP ON HEALTH

## 1221. SHRI PREM DAS RAI: SHRI DEEPENDER SINGH HOODA:

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

- (a) the percentage of Gross Domestic Product (GDP) spent on health during each of the las years  along  with  percentage  of  GDP  allocated  to  healthcare  of  women  and  children  in country at present;
- (b) the steps taken with regard to raising public health expenditure to 2.5 per cent of t promised under the National Health Policy (NHP), 2017 and 2015;
- (c)  the steps  being  taken  at  present  to  upgrade  existing  sub - centers  and  reorienting  Primary Health Centers (PHCs) into Health and Wellness Centers to provide comprehensive healthcare
- (d) the disease - specific policies stated in the NHP and the measures taken t o achieve them; and
- (e) the steps proposed to be taken to ensure at least 2.5 per cent of GDP is spent on heal

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

- (a):          As  per  Economic  Survey  2016 - 17 Volume  2  brought  out  by  Ministry  of  Finance, expenditure  by  Government  (Central  and  State  Governments  combined)  on  health  as percentage of Gross Domestic Product (GDP) for  last three years is as under:

- (i)    2014 - 15 - 1.2%

- (ii)   2015 - 16 - 1.4% (RE)

- (iii)  2016 - 17 - 1.5 % (BE)

As per expenditure profile (Statement 12 & 13) of Budget Document 2018 - 19, the fund allocated for women (gender budget) and welfare of children under   Department of Health Family Welfare for 2018 - 19 (BE) is Rs. 22,267.21 Crore and Rs. 3086.51 Crore respectively.

Contd………

(b): The Budget outlay (Gross) for Ministry of Health and Family Welfare during 2018 - 19 (BE) is an increase of approximately 11.5% in comparison to the financial year 2017 - 18 (BE). Apart from increasing the budgetary outlay  on health sector by the Government of India, the following initiatives has also been taken to increase State expenditure on health secto inter - alia include :

- Keeping in view of the recommendations of 14 th Finance Commission, with effect from Financial Year 2015 - 6, the Centre - State funding ra tio has been increased from 75:25 to 60:40.  (except NE & Hill  States)
- As per the MoU signed with the States under NHM, the States are directed to incre their State health budget by at least 10% each year.

(c ): Based on the State specific prop osals, Ministry of Health and Family Welfare has made financial  provisions  for  28  States  and  4  UTs  to  upgrade  existing  Sub  Centres  (SCs) Primary Health Centres (PHCs) under the National Health Mission Programme Implementation Plans in financial year 20 17- 18.

(d) : The National Health Policy,2017 states following targets for reduction in incidenc prevalence of certain disease conditions:

- o HIV/AIDS: Achieve global target of 2020 (also termed as target of 90:90:90)
- o Eliminate  Leprosy  by  2018,  Kala - Azar  by  2017  and  Lymphatic  Filariasis  in  endemic pockets by 2017
- o Eliminate Tuberculosis by 2025: Achieving

and maintaining a cure rate of >85% in new sputum positive patients and reduce incid of new cases.

- o Reduce prevalence of blindness to 0.25/ 100 0 by 2025 and disease burden by one third from current levels.
- o Reduce  premature  mortality  from  cardiovascular  diseases,  cancer,  diabetes  and  chr respiratory diseases by 25% by 2025.

In order to achieve the  targets, the following measures have been ta ken so far:

- HIV/AIDS :  National  Strategic  Plan  on  HIV/AIDS  and  Sexually  Transmitted  Infections (STI),  2017 -24  has  been  approved  and  released  for  implementation.  Further,  a  'Mission Sampark' has  been  launched  to  re - enrol  those  people  living  with  HIV  (PLHIV) who left treatment after starting Anti Retro Viral Treatment (ART).
- Leprosy : A three - pronged strategy has been adopted for early detection of leprosy cases the community:
- Leprosy Case Detection Campaign (LCDC) for high endemic districts.
- Focused Leprosy Campaign for hot spots.

Contd……….

- Specific plan for Case Detection in Hard to reach areas.
- Kala Azar : A national strategy for elimination of Kala - azar has been developed in line with WHO Regional Strategic Framework for elimination of Kala - azarfrom the South - East Asia Region (2011 - 2015) and includes a multipronged approach to achieve the cited target. focus of the strategy is on early diagnosis & complete case management, integrated v management and vector surveillance, monitoring, sur veillance and evaluation, strengthening capacity of human resource in health, advocacy, communication and social mobilization inter - sectoral convergence .
- Lymphatic Filariasis : National Task Force (NTF) constituted by the Government of India developeda strategy for Elimination for Lymphatic Filariasis (ELF) in India.
- Major  components/functions/tasks  towards  implementation  strategy  include:  Diseas burden estimation, Mapping and stratification, Advocacy, Social mobilizatio Implementation  of  MDA,Implementation  of  disability  prevention  and  management, Monitoring and Evaluation, Background surveillance to prevent resurgence and Certification
- Tuberculosis :  The  Revised  National  Tuberculosis  Control  Program  has  now  added  an element of nutritional supp ort for TB patients. This is expected to improve compliance to t treatment as well as reduce drop - out rates.
- Blindness :  Many  steps    have  been  taken  under  National  Programme  for  Control  of Blindness and Visual Impairment (NPCB& VI) for reduction in the prevalence of blindness and to achieve the elimination of avoidable blindness:
- Premature  mortality  due  to  cardiovascular  diseases,  cancer,  diabetes  and  chronic respiratory diseases : A National Program for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) is implemented under the National Health Mission. To better integrate the preventive care for NCDs and early diagnosis, a Popu based Screening (PBS) for Diabetes, Hypertension and Common Cancers viz. Oral, Breast and Cervical Cancer has also been launched. To improve range of NCD services at su -district level, and enable a better continuum of care for NCD patients Health and We Centres have been planned under the Comprehensive Prima ry Health Care initiative.
- (e) : The National Health Policy, 2017 envisages that the resource allocation to States linked with State development indicators, absorptive capacity and financial indicators. Th would  be  incentivised  for  incr eme tal  State  resources  for  public  health  expenditure.  Genera taxation will remain the predominant means for financing care.

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