Lok Sabha Question No. 2871 (UNSTARRED), answered on 2018-08-03
Subject: National Health Accounts
Ministry: HEALTH AND FAMILY WELFARE
Asked by: JYOTIRADITYA MADHAVRAO SCINDIA, KAMAL NATH

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

## LOK SABHA UNSTARRED QUEST ION NO. 2871 TO BE ANSWERED ON  3 RD AUGUST, 2018

## NATIONAL HEALTH ACCO UNTS

## 2871. SHRI JYOTIRADITYA M. SCINDIA: SHRI KAMAL NATH:

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

(a) whether the Government is aware of the recently released National Health Accounts rep health expenditure incurred by the Government;

(b) if so, the details and objectives of the National Health Accounts report;

(c) whether per -capita expenditure on Health by the Government per citizen is much lower compared to other developing countries; and

(d)  if so,  the  details  thereof  and  the  steps  taken  by  the  Government  to  increase  per expenditure on each citizen?

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

- (a): Yes,the Ministry of Health and Family Welfare, Government of India has released th National Health Accounts (NHA), Estimates for India 2014 - 15 in October 2017.
- (b): The  National Health  Accounts  describe  health  expenditures  and  flow  of  funds  in country's health  system  over  a  period  of  time - financial  year  for  India.  The  focus  is  on describing Current Health Expenditures (CHE) and their details presented according to var indicators and classifications as under:
- Revenues of healthcare financing     sch emes
- Healthcare financing schemes
- Healthcare providers and
- Healthcare Functions.

A  statement  showing  key  health  financing  indicators  for  India:  NHA  2014 - 15,  is  given  at Annexure-I.

(c ) & (d) A s tatement showing per - capita Government expenditure in respe ct of India as well as select developing countries during 2015 is given at Annexure -II.

In order to increase per capita expenditure on heath, the Government has formulated brought out National Health Policy, 2017 which envisages raising Gove rnment health spending to 2.5% of GDP by 2025 in a time bound manner. It also envisages increasing State sec health spending to more than 8% of their budget by 2020.

………………

## Annexure-I

## Key Health Financing Indicators for India: NHA Estimates 2014-15

|   Sl. No. | Indicator                                                                |   NHA 2014-15 |
|-----------|--------------------------------------------------------------------------|---------------|
|         1 | Total Health Expenditure (THE) as % GDP6                                 |          3.9  |
|         2 | THE per capita (Rs.)7                                                    |       3826    |
|         3 | Current Health Expenditure (CHE) as % of THE                             |         93.4  |
|         4 | Government Health Expenditures (GHE) as % of THE                         |         29    |
|         5 | GHE as % of GDP                                                          |          1.1  |
|         6 | GHE as % of General Government Expenditure (GGE)8                        |          3.9  |
|         7 | Per capita Government Health Expenditure (Rs.)                           |       1108    |
|         8 | Union Government Health Expenditure as % of GHE                          |         37    |
|         9 | State Government Health Expenditure as % of GHE                          |         63    |
|        10 | Government based Voluntary Health Insurance as % of GHE                  |          3.3  |
|        11 | Household Health Expenditure (incl. insurance contributions) as % of THE |         66.3  |
|        12 | Out of Pocket Expenditure as % of the                                    |         62.58 |
|        13 | Out of Pocket Expenditure as % of GDP                                    |          2.43 |
|        14 | Per capita out of Pocket Expenditure (Rs.)                               |       2394    |

## Annexure -II

Statement showing per-capita Government expenditure in respect of India as well as select developing countries during 2015

| Indicator          |   Domestic General Government Health Expenditure (GGHE-D) per Capita in US$ |   Domestic General Government Health Expenditure (GGHE-D) per Capita in PPP Int$ |
|--------------------|-----------------------------------------------------------------------------|----------------------------------------------------------------------------------|
| Year               |                                                                        2015 |                                                                             2015 |
| South Africa       |                                                                         252 |                                                                              582 |
| Brazil             |                                                                         334 |                                                                              595 |
| Russian Federation |                                                                         320 |                                                                              864 |
| Bangladesh         |                                                                           5 |                                                                               13 |
| India              |                                                                          16 |                                                                               61 |
| Indonesia          |                                                                          38 |                                                                              126 |
| Sri Lanka          |                                                                          63 |                                                                              190 |
| China              |                                                                         254 |                                                                              456 |

Source:  Global Health Expenditure Data base (online data), World Health Organization, 2018 (http://apps.who.int/nha/database/ViewData/Indicators/en) accessed on

24/7/2018.