Lok Sabha Question No. 1939 (UNSTARRED), answered on 2021-07-30
Subject: Expenditure on healthcare
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Shardaben Anilbhai Patel, Mitesh Rameshbhai (Bakabhai) Patel

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

## LOK  SABHA UNSTARRED QUESTION NO 1939 TH

## TO BE ANSWERED ON 30 JULY, 2021

## 'EXPENDITURE ON HEALTHCARE'

## 1939. SHRIMATI SHARDABEN ANILBHAI PATEL: SHRI MITESH RAMESHBHAI PATEL (BAKABHAI) :

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

- a) the details of the average expenditure incurred by the Government for providing services to each person during the last wo years ;
- b) whether it is very less as compared to the developed countries and if so, the detai ;
- c) whether health services in the country are becoming expensive day by day and if s details thereof ; and
- d) the necessary steps taken or being taken by the Government to provide affordable health services to the people particularly the poor?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (DR. BHARTI PRAVIN PAWAR)

- (a)  As  per  the  National  Health  Account  Estimates, per  capita  expenditure  incurred  by Government on health for the latest available past four years is as follows:

2013- 14: Rs. 1042

2014- 15: Rs. 1108

2015- 16: Rs. 1261

2016- 17: Rs. 1418

It is evident that per capita expenditure incurred by Government has increased by 36.1% during 2013 - 14 to 2016 -17.

- (b) As per the latest Global Health Expenditure Database (GHED), per capita Governmen Health Expenditure of some of the developed countries in 2018 is as under:
- (c )  As  per  the  available  National  Health  Account  Estimates, out  of  pocket  expenditure (OOPE) by the households, as a percent of current health expenditure (CHE), is as foll

| Countries                | Per Capita Domestic G eneral Government Health Expenditure (in PPP - Int$)*   |
|--------------------------|-------------------------------------------------------------------------------|
| France                   | 3,852                                                                         |
| Germany                  | 4,737                                                                         |
| Italy                    | 2,678                                                                         |
| Russian Federation       | 885                                                                           |
| United Kingdom           | 3,631                                                                         |
| United States of America | 5,356                                                                         |

*PPP - Int$: -Purchasing Power Parity -International Dollar

Source: Global Health Expenditure Database, World Health Organization (WHO)

Available at:

https://apps.who.int/nha/database/Select/Indicators/en

2013- 14: 69.1%

2014- 15: 67.0%

2015- 16: 64.7%

2016- 17: 63.2%

It is evident that OOPE as a percent of CHE has declined by 5.9 percentage points from 2013- 14  to  2016 - 17  implying  that  financial  protection  to  households  for  healthcare improved over this period.

- d) Public  Health  &  Hospital  being  a  State  subject,  the  primary  responsibility  to  p affordable healthcare services to the pe ople lies with the State Government. However, the Central  Govt.  has  taken  several  initiatives  for  supplementing  the  efforts  of  the  S providing  quality  and  affordable  healthcare  services  to  the  people.  Some  of  the initiatives  include  National Health  Mission,  Ayushman  Bharat  (AB) - Health  &  Wellness Centres (HWCs), Pradhan Mantri Jan Arogya Yojana (PMJAY), Pradhan Mantri Swasthya Suraksha Yojana (PMSSY) and upgradation of medical colleges.

The current year budget (2021 - 2) has announced Pr adhan Mantri Atma Nirbhar Swasth Bharat Yojana (PM - ASBY), a new Centrally Sponsored Scheme, with an outlay of about Rs. 64,180 crores. This will develop capacities of primary, secondary, and tertiary care Systems,  strengthen  existing  national  instit utions,  and  create  new  institutions,  to  cater  to detection and cure of new and emerging diseases. This will be in addition to the Na Health Mission.