Lok Sabha Question No. 4532 (UNSTARRED), answered on 2019-07-19
Subject: Public Health Spending
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Rajiv Ranjan (Lalan) Singh, Su Thirunavukkarasar, Kaushalendra Kumar

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

## LOK SABHA UNSTARRED QUESTION NO. 4532 TO BE ANSWERED ON 19 TH JULY, 2019

## PUBLIC HEALTH SPENDI NG

## 4532. SHRI RAJIV RANJAN SINGH ALIAS LALAN SINGH: SHRI SU. THIRUNAVUKKARASAR: SHRI KAUSHALENDRA KUMAR:

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

- (a) whether public health spending in many States across the country is very less and the are spending 1.4 per cent of th e GDP at current national average as per the recent NITI Aayog report, if so, the details thereof;
- (b)  whether  NITI  Aayog  has  also  suggested  that  all  States  also  need  to  raise  public spending to at least 8 per cent of their GDP to met the National Health Policy 2017 goal, if so, the details thereof along with the action taken or proposed to be taken by the Government regard;
- (c) whether NITI Aayog has submitted their recommendation to the Government to increase the Central  allocation  of  health  budget  for  Uttar  Pradesh,  Bihar,  Uttarakhand  and  various States, if so, the details thereof; and
- (d) whether the Government is considering to accept the NITI Aayog recommendation, if so, the details thereof and if not, the reasons for the same?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI ASHWINI KUMAR CHOUBEY)

- (a): Public  health  expenditure  as  a  percentage  of  Gross  State  Domestic  Product  in  se States, as per National Health Accounts Estimates 2015 - 16, may be seen at Annexure.
- (b): The National Health Policy, 2017 envisages increasing State sector health spendin g to more than 8% of their budget by 2020.
- (c): The document 'Three Year Action Agenda, 2017 -18 to 2019 -20' of NITI Aayog states that  'Government  expenditure  on  public  health  should  be  increased  significantly  to  cover screenings for the entire population , active case detection and disease surveillance including from  the  private  sector.  Additionally,  evidence - based  preventive  health  interventions  like breastfeeding as well as infant and young child feeding during the first two years of lif be mains treamed through adequate budgetary allocations and plans of action at the nation -level'.

(d)  Under  the  National  Health  Mission  (NHM),  the  annual  resource  envelope  of  a  State decided based on its population, and a weightage factor derived from the State's area, health lag and  socio - economic  backwardness  of  the  State.    The  Mission  Steering  Gr oup  of  NHM  has approved  the  weightages  for  financial  allocation  of  funds  to  States.  For  UP  and  Biha weightage is 1.3.  For the hilly State of Uttarakhand, it is 3.

Government Health Expenditure as percentage of GSDP by select States, 2015-16

|   No. | State             |   Government Health Expenditure (GHE) as a percentage of Gross State Domestic Product |
|-------|-------------------|---------------------------------------------------------------------------------------|
|     1 | Assam             |                                                                                   1.5 |
|     2 | Andhra Pradesh    |                                                                                   1   |
|     3 | Bihar             |                                                                                   1.2 |
|     4 | Chhattisgarh      |                                                                                   1.1 |
|     5 | Gujarat           |                                                                                   0.8 |
|     6 | Haryana           |                                                                                   0.6 |
|     7 | Himachal Pradesh  |                                                                                   1.4 |
|     8 | Jammu and Kashmir |                                                                                   1.7 |
|     9 | Jharkhand         |                                                                                   1   |
|    10 | Karnataka         |                                                                                   0.8 |
|    11 | Kerala            |                                                                                   1   |
|    12 | Madhya Pradesh    |                                                                                   1.1 |
|    13 | Maharashtra       |                                                                                   0.7 |
|    14 | Odisha            |                                                                                   1   |
|    15 | Punjab            |                                                                                   0.8 |
|    16 | Rajasthan         |                                                                                   1.2 |
|    17 | Tamil Nadu        |                                                                                   0.8 |
|    18 | Uttar Pradesh     |                                                                                   1.3 |
|    19 | Uttarakhand       |                                                                                   0.9 |
|    20 | Telangana         |                                                                                   0.9 |

Source:  National Health Accounts Estimates 2015-16