Lok Sabha Question No. 1317 (UNSTARRED), answered on 2017-12-22
Subject: Expenditure on Health Care
Ministry: HEALTH AND FAMILY WELFARE
Asked by: RAJU ALIAS DEVAPPA ANNA SHETTI, HARIOM SINGH RATHORE, ANJU BALA, B. SREERAMULU, Tejpratap Singh,Yadav, BHEEMRAO BASWANTHRAO PATIL, SADHU SINGH

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE

## DEPARTMENT OF HEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO. 1317 TO BE ANSWERED ON 2 2 ND DECEMBER, 2017

## EXPENDITURE ON HEALT H CARE

## 1317. SHRI RAJU SHETTY:

SHRI HARIOM SINGH RATHORE:

SHRIMATI ANJU BALA:

SHRI B. SRIRAMULU:

SHRI TEJ PRATAP SINGH YADAV:

SHRI BHEEMRAO B. PATIL:

PROF. SADHU SINGH:

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

- (a)  the  expenditure  on  healthcare  in terms  of  percentage  of  GDP  in Indiavis - a- vis  in  the developed/developing countries of the world during the last three years and the current year;
- (b) whether the expenditure on health is low in public sector compared to the private sector, if so, the details thereof;
- (c) whether the Government proposes to increase State's expenditure on health sector to address the shortcomings in the healthcare system;
- (d) if so, the details thereof and financial assistance provided to States/UTs during the last three years and the current year ; and
- (e) the steps taken/being taken by the Government to provide more funds and improve healthcare facilities in the country?

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

- (a): A  statement  showing  health  expenditure  as  percentage  of  Gross  Domestic  Product (GDP) in India vis - à- vis  select developed/ developing countries for 2013, 2014 and 2015 as available in the World Health Organization Global Health Expenditure database is given at Annexure - I . As per Economic Survey 2016 - 17 Volume- II brought out by Ministry of Finance, expenditure    by  Government  (Central  and  State  Governments  combined)  on  health  as percentage of GDP for last three years is as under :
- (i) 2014- 15 - 1.2%
- (ii) 2015- 16 - 1.4%
- (iii)2016-17 - 1.5%

(b): As per National Health Accounts Estimates for India 2014 - 15, Government expenditure on health in India is estimated to be  29% of total health expenditure.

(c): Apart from increasing the budgetary outlay under Nationa l Health Mission (NHM), the Government has taken the following initiatives to increase State expenditure on health se address the shortcoming in the healthcare system:

- i)   Keeping in view of the recommendations of 14 th Finance Commission, with effe ct from Financial Year 2015 - 16, the Centre - State funding ratio has been increased from 75:25 to 60:40.
2. ii)  As per the MoU signed with the States under NHM, the States are directed to inc their State health budget by at least 10% in each year.

The National  Health Policy, 2017 states that the resource allocation to States wi linked with State Development indicators, absorptive capacity and financial indicators.

(d): A  statement  showing  release  of  funds  to  States/UTs  under  National  Health  M ission during last three years and current year is given at Annexure - II.

(e): The Government is committed to increasing public health expenditure and its optimum utilization for maximum output as reflected in the several initiatives taken which, in - al ia include :

-  The  National  Health  Mission  (NHM)  providing  free  of  cost  health  care  in  the  publ health  facilities  through  a  nationwide  network  of  Community  Health  Centres  (CHCs), Primary Health Centres (PHCs) and Sub Centres (SCs) in both rural and urban areas. In addition  programmes  for  maternal  health,  children  and  adolescents  etc.  are  bei implemented.
-  Making available tertiary health   care services in the public sector through strengthenin of  hospitals,  establishment  of  AIIMS  institutions  in  the States  and  up - gradation  of existing Government medical colleges across the country.

Statement showing total expenditure on health as percentage of Gross Domestic Product (GDP) in respect of some select developing/ developed countries

| Name of the Countries    | Health Expenditure as % Gross Domestic Product (GDP)   | Health Expenditure as % Gross Domestic Product (GDP)   | Health Expenditure as % Gross Domestic Product (GDP)   |
|--------------------------|--------------------------------------------------------|--------------------------------------------------------|--------------------------------------------------------|
|                          | 2013-14                                                | 2014-15                                                | 2015-16                                                |
| South Africa             | 7.95                                                   | 8.12                                                   | 8.39                                                   |
| Brazil                   | 7.99                                                   | 8.43                                                   | 8.91                                                   |
| Canada                   | 10.58                                                  | 10.42                                                  | 10.90                                                  |
| United States of America | 16.96                                                  | 17.12                                                  | 17.43                                                  |
| France                   | 11.54                                                  | 11.72                                                  | 11.67                                                  |
| Germany                  | 10.97                                                  | 11.05                                                  | 11.15                                                  |
| Russian Federation       | 5.75                                                   | 5.82                                                   | 5.70                                                   |
| United Kingdom           | 10.14                                                  | 10.09                                                  | 10.21                                                  |
| Bangladesh               | 2.84                                                   | 2.82                                                   | 2.82                                                   |
| Bhutan                   | 4.45                                                   | 4.03                                                   | 4.02                                                   |
| India                    | 4.03                                                   | 3.89                                                   | 4.14                                                   |
| Srilanka                 | 3.04                                                   | 3.14                                                   | 2.97                                                   |
| Australia                | 8.81                                                   | 9.67                                                   | 9.45                                                   |
| China                    | 5.31                                                   | 5.46                                                   | 5.88                                                   |
| Japan                    | 10.79                                                  | 10.84                                                  | 10.90                                                  |
| Malaysia                 | 3.85                                                   | 4.03                                                   | 4.12                                                   |
| Singapore                | 3.91                                                   | 4.22                                                   | 4.60                                                   |

Source: Global Health Expenditure Database, WHO

## Annexure-II

## A statement showing release of funds to States/UTs under National Health Mission during last three years and current year

| (Rs. in Crore)   | (Rs. in Crore)   |
|------------------|------------------|
| Year             | Release          |
| 2014-15          | 17160.31         |
| 2015-16          | 17462.89         |
| 2016-17          | 17635.67         |
| 2017-18          | 14764.96         |

Note : 1.   Release for F.Y. 2017-18 is updated upto 5-12-2017 and is provisional.

2.   The above release relates to Central Govt. Grants and do not include State share contribution.