Lok Sabha Question No. 3277 (UNSTARRED), answered on 2016-08-05
Subject: Regional Variations in Health Spending
Ministry: HEALTH AND FAMILY WELFARE
Asked by: DHARAM VIRA GANDHI

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

## LOK SABHA UNSTARRED  QUESTION NO. 3277 TO BE ANSWERED ON 5 TH AUGUST, 2016

## REGIONAL VARIATIONS IN HEALTH SPENDING

## 3277. SHRI DHARAM VIRA :

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

(a)  whether  the  Government  is  aware  of  wide  range  of  regional  variations  in  public spending, if so, the details thereof, State/UT -wiseand the reasons therefor; and

(b) the steps taken by the Government to improve the situation including providing addi funding to States/UTs?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI FAGGAN SINGH KULASTE)

- (a) : The Government is aware o f wide range of variations in public health spending among States & UTs. The information on public health spending among the States & UTs is annexed.

Public health is a State subject and it is up to the States to decide the level funding for health.

- (b) : The steps taken by the Government to improve the situation including additional fun are as follows:
- (i) Under National Health Mission (NHM), funds are provided to States to strengthen health care system. Funding is also provide d t  States under other Centrally Sponsored Schemes viz. Rastriya Swasthya Bima Yojna (RSBY), Human Resources for Health & Medical Education and Tertiary Care Programme /Schemes.
- (ii)  The  funding  pattern  has  been  revised  to  60:40  between  the  Centre  and  t he  State (except  NE  &  Hill  States)  for  Centrally  Sponsored  Schemes.  This  will  ensure  hig contribution by States for such schemes.

(iii) The States are required to increase their State Health Budget by at least 10 the MOU between the Union and St ate Government for NHM.

(iv) Under the NHM, the funds allocated per capita are more for hill States, North E (NE) States and those States that are relatively backward from socio -economic point of view.

- (v) Regular reviews are made to ensure that S tates utilise the released funds.

## Health Expenditure by States and Union Territories

| States/UTs               | 2013-14 (Actual)* Rs. Thousand   |
|--------------------------|----------------------------------|
| Andaman & Nicobar Island | 2,018,049                        |
| Andhra Pradesh           | 63,727,949                       |
| Arunachal Pradesh        | 3,568,173                        |
| Assam                    | 17,109,325                       |
| Bihar                    | 26,554,463                       |
| Chhattisgarh             | 15,815,142                       |
| Delhi                    | 30,673,563                       |
| Goa                      | 4,631,213                        |
| Gujarat                  | 51,382,290                       |
| Haryana                  | 18,948,686                       |
| Himachal Pradesh         | 11,747,197                       |
| Jammu & Kashmir          | 13,647,101                       |
| Jharkhand                | 11,492,248                       |
| Karnataka                | 46,561,807                       |
| Kerala                   | 36,380,638                       |
| Madhya Pradesh           | 34,907,987                       |
| Maharashtra              | 74,097,210                       |
| Manipur                  | 4,121,708                        |
| Meghalaya                | 4,520,667                        |
| Mizoram                  | 3,479,035                        |
| Nagaland                 | 3,021,764                        |
| Odisha                   | 20,143,774                       |
| Puducherry               | 3,611,382                        |
| Punjab                   | 20,984,847                       |
| Rajasthan                | 47,956,209                       |
| Sikkim                   | 2,559,763                        |
| Tamil Nadu               | 62,017,984                       |
| Tripura                  | 4,091,047                        |
| Uttar Pradesh            | 94,882,241                       |
| Uttarakhand              | 10,735,329                       |
| West Bengal              | 49,201,561                       |

Source:

*Health Sector Financing by Centre & States /UTs in India [2013 -14 to 2015 -16], National Health Accounts Cell, Ministry of Health & Family Welfare, Government of India.

## Annexure