Lok Sabha Question No. 2201 (UNSTARRED), answered on 2016-07-29
Subject: Public Spending on Health
Ministry: HEALTH AND FAMILY WELFARE
Asked by: SANTOSH AHLAWAT, BHOLA SINGH, SUMEDHANAND SARASWATI, SHIVKUMAR CHANABASAPPA UDASI

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

## [ LOK SABHA UNSTARRED QUESTION NO. 2201 TO BE ANSWERED ON 29 TH JULY, 2016

## PUBLIC SPENDING ON H EALTH

## 2201. SHRIMATI SANTOSH AHLAWAT: SHRI BHOLA SINGH: SHRI SUMEDHANAND SARSWATI: SHRI SHIVKUMAR UDASI:

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

(a) whether Government is aware that public spending on health in India is the lowest in the world and the health and medical services are becoming costlier, if so, the details thereof and the reasons therefor; and

(b)  the  action  taken  by  the  Government in  this  regard  through  increased  funding  to improve health related facilities and infrastructure, State/UT - wise?

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

(a): As  per  World  Health  Statistics  2015  brought  out  by  World  Health  Organisation (WHO), the General Government expenditure on health as percentage of total expenditure o health  in India  was  30.5  per  cent  in  2012  as  compared  to  select  developing  countrie Bangladesh 31.9%,   China 56%, Indonesia 39.6%, Philippines 30.4%, Malaysia 55.2% and Sri Lanka 39.1%.

(b): In  order  to  improve  the  health  related  facilities  and  infrastructure  in the  country,  the Government has taken several steps which inter - al a include:

- Initiatives  under  National  Health  Mission  (NHM)  for  providing  financial  support States/UTs  to  strengthen  their  health  systems  particularly  to  cater  to  the  hea needs o f rural areas, which inter - alia include support for :  establishment/up - gradation/ renovation of health infrastructure; engagement of nurses, doctors and specialis contract basis  to meet deficit in human resources in health sector; making ava i mproved  health  facilities  including  free  essential  medicines  in  all  public facilities;  selection  and  training  of  Accredited  Social  Health  Activists  (AS Mobile Medical Units and Emergency Referral Transport Services and initiatives l Janani - Shishu    Suraksha  Karyakram(JSSK), Rashtriya  Bal  Swasthya  Karyakram (RBSK) and Rashtriya Kishor Swasthya Karyakram (RKSK).
- The Government has also taken steps for strengthening district hospita and  making  available  tertiary health      care  services  in  the public  sector  through strengthening of hospitals, establishment of AIIMS institutions in the States a -gradation of existing Government medical colleges across the country.

A statement showing State - wise  allocation,  under  National  Health  Mission (NHM) for last three years and current year is annexed.

## Statement showing State-wise allocation under NHM

| Sl. No.   | States                    | 2013-14    | 2014-15    | 2015-16    | 2016-17    |
|-----------|---------------------------|------------|------------|------------|------------|
| Sl. No.   | States                    | Allocation | Allocation | Allocation | Allocation |
| 1         | Andaman & Nicobar Islands | 23.83      | 28.22      | 28.21      | 47.51      |
| 2         | Andhra Pradesh            | 1184.24    | 707.15     | 616.23     | 596.79     |
| 3         | Arunachal Pradesh         | 86.31      | 185.65     | 160.01     | 162.62     |
| 4         | Assam                     | 1214.83    | 1095.38    | 941.29     | 937.39     |
| 5         | Bihar                     | 1487.65    | 1292.13    | 1108.61    | 1129.08    |
| 6         | Chandigarh                | 18.53      | 19.40      | 14.24      | 22.30      |
| 7         | Chattisgarh               | 500.72     | 555.66     | 479.38     | 478.19     |
| 8         | Dadra & Nagar Haveli      | 8.73       | 13.99      | 11.37      | 18.85      |
| 9         | Daman & Diu               | 6.48       | 9.69       | 9.11       | 15.08      |
| 10        | Delhi                     | 211.46     | 192.59     | 142.81     | 207.01     |
| 11        | Goa                       | 27.12      | 27.63      | 19.41      | 19.74      |
| 12        | Gujarat                   | 833.94     | 858.47     | 677.65     | 676.51     |
| 13        | Haryana                   | 313.57     | 317.42     | 249.33     | 242.46     |
| 14        | Himachal Pradesh          | 225.95     | 232.00     | 197.92     | 209.03     |
| 15        | Jammu & Kashmir           | 433.87     | 435.17     | 368.00     | 391.14     |
| 16        | Jharkhand                 | 582.97     | 563.92     | 493.37     | 487.41     |
| 17        | Karnataka                 | 814.17     | 834.09     | 706.09     | 702.94     |
| 18        | Kerala                    | 424.15     | 373.58     | 305.87     | 303.32     |
| 19        | Lakshadweep               | 3.61       | 5.89       | 4.28       | 6.73       |
| 20        | Madhya Pradesh            | 1141.03    | 1250.17    | 1085.37    | 1105.63    |
| 21        | Maharashtra               | 1520.71    | 1536.58    | 1282.31    | 1246.56    |
| 22        | Manipur                   | 127.75     | 144.97     | 118.53     | 119.41     |
| 23        | Meghalaya                 | 139.24     | 160.21     | 131.00     | 128.47     |
| 24        | Mizoram                   | 86.20      | 116.53     | 97.87      | 94.65      |
| 25        | Nagaland                  | 114.42     | 131.26     | 108.75     | 105.80     |
| 26        | Orissa                    | 678.99     | 730.09     | 624.71     | 709.01     |
| 27        | Puducherry                | 21.29      | 25.46      | 17.77      | 37.52      |
| 28        | Punjab                    | 362.38     | 351.89     | 284.75     | 280.89     |
| 29        | Rajasthan                 | 1091.20    | 1238.11    | 1069.38    | 1101.93    |
| 30        | Sikkim                    | 42.32      | 51.42      | 45.86      | 46.16      |
| 31        | Tamil Nadu                | 1020.75    | 968.18     | 794.38     | 779.18     |
| 32        | Tripura                   | 165.43     | 161.75     | 139.08     | 137.71     |
| 33        | Uttar Pradesh             | 3584.98    | 2650.25    | 2299.49    | 2292.55    |
| 34        | Uttarakhand               | 310.55     | 308.10     | 256.60     | 266.59     |
| 35        | West Bengal               | 1179.64    | 1053.27    | 883.49     | 856.54     |
| 36        | Telangana                 | 0.00       | 506.45     | 440.58     | 434.01     |
| Sub Total | Sub Total                 | 19989.01   | 19132.72   | 16213.09   | 16396.70   |

Note:  . Allocation is per Original outlay/B.E