Lok Sabha Question No. 292 (UNSTARRED), answered on 2023-07-21
Subject: States Healthcare Expenditure
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Jual Oram

## GOVERNMENT OFINDIA MINISTRY OFHEALTH AND FAMILY WELFARE DEPARTMENT OFHEALTH & FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION No. 292 TO BE ANSWERED ON 21 ST July, 2023

## STATES HEALTHCARE EXPENDITURE

## 292: SHRI JUAL ORAM:

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

- a. whether the Government proposes to increase the State's expenditure on health sector to address the shortcomings in the healthcare system;
- b. if so, the details thereof indicating the action taken by the Government in this regard; and
- c. the steps taken/proposed to be taken by the Government to provide good healthcare facilities to all the citizens of the country?

## ANSWER THE MINISTER OFSTATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (PROF. SATYA PAL SINGH BAGHEL)

(a) to (c): As per latest available National Health Account estimates, the Government Health Expenditure (GHE) has increased from 1.13% of GDP in 2014-15 to 1.35 % of GDP in 2019-20. National Health Policy (NHP), 2017 envisages raising government health expenditure to 2.5% of GDP in a time bound manner. Further, NHP 2017, also mentions that States should increase their health spending to atleast 8% of their budget and two thirds of such expenditure should be on primary care. The budget allocation for Department of Health & Family Welfare (DoHFW) has increased by 82% from Rs. 47,353 crore in 2017-18 (BE) to Rs. 86,175 crore in 2023-24 (BE). DoHFW is making continuous efforts to increase allocation in health budget. Further, the 15th Finance Commission has provided Rs. 70,051 crore Grants for health through the local Governments.

The Central Govt. has taken several initiatives for supplementing the efforts of the State for providing quality and affordable healthcare services to the people. Under National Health Mission, financial and technical support are provided to States/UTs to provide accessible, affordable and quality healthcare, especially to the poor and vulnerable sections of the population, in both urban and rural areas.

The Government has launched four mission mode projects, namely PM-Ayushman Bharat Health Infrastructure Mission (PM-ABHIM), Ayushman Bharat Health & Wellness Centres (ABHWCs), Pradhan Mantri Jan Arogya Yojana (PMJAY) and Ayushman Bharat Digital

Mission (ABDM).

PM-ABHIM was launched as a mission to develop the capacities of primary, secondary, and tertiary health care systems, strengthen existing national institutions and create new institutions to cater to detection and cure of new and emerging diseases. PM-ABHIM has an outlay of Rs 64,180 crore.

Under Ayushman Bharat Health & Wellness Centres (HWCs), Comprehensive Primary Healthcare by strengthening Sub Health Centres (SHCs) and Primary Health Centres (PHCs) are facilitated. The HWCs to provide preventive, promotive, rehabilitative and curative care for an expanded range of services encompassing Reproductive and Child care services, Communicable diseases, Non-communicable diseases and all health issues.

Pradhan Mantri Jan ArogyaYojana (PMJAY) is the largest publically funded health protection Scheme in the world which provides health cove of Rs.5.00 lakh per family per year for secondary and tertiary care hospitalization to 60 crore beneficiaries.

Ayushman Bharat Digital Mission (ABDM) has been launched with aim to develop the backbone necessary to support the integrated digital health infrastructure of the country.

With the aim to provide free tele-mental health services all over the country round the clock, particularly to under-served areas and people remotely located, the Tele Mental Health Assistance and Networking Across States (Tele-MANAS) was launched on 10 th October, 2022. The programme includes a network of 23 tele-mental health centres of excellence, with NIMHANS as the nodal centre and International Institute of Information TechnologyBangalore (IIITB) providing technology support.

Besides, quality generic medicines are made available at affordable prices to all under Pradhan Mantri Bhartiya Janaushadhi Pariyojana (PMBJP) in collaboration with the State Governments. Affordable Medicines and Reliable Implants for Treatment (AMRIT) Pharmacy stores have been set up in some hospitals/institutions.

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