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GOVERNMENT OF INDIA
MINISTRY OF HEALTH AND FAMILY WELFARE
LOK SABHA
STARRED QUESTION NO: 192
ANSWERED ON:  24.08.2012
EXPENDITURE ON HEALTH SECTOR
DINESH CHANDRA YADAV
BISHNU PADA RAY
Will the Minister of



HEALTH AND FAMILY WELFARE be pleased to state:-




(a) the per capita expenditure incurred on health by private and Government sectors during the last three years, year-wise;

(b) the percentage of GDP estimated to be spent on the health sector by the private sector in comparison to the Government sector during the said period;

(c) whether the said imbalance on health expenditure has led to commercialization of the sector;

(d) if so, the reaction of the Government thereto ; and

(e) the steps taken/proposed by the Government to make medical treatment available within reach of the common man, especially in the rural and non-metro cities in the present scenario?


ANSWER

THE MINISTER OF HEALTH AND FAMILY WELFARE (SHRI GHULAM NABI AZAD)

(a)to(e):A statement is laid on the Table of the House.

STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 192 FOR 24TH AUGUST, 2012

(a) The per capita public expenditure on health estimated from Economic Survey 2011-12 (both Central and States combined) during the last three years under Plan (inclusive of Centrally Sponsored Schemes) and Non-Plan is as below :
2009-10		-	Rs. 759.00

2010-11 - Rs. 882.00
2011-12 - Rs. 954.00

Private health expenditure in the country is not centrally maintained.

(b) As per Economic Survey 2011-12, the expenditure by Government (Central and State Government combined) on the health as percentage of GDP, during 2009-10, 2010-11 and 2011-12 is 1.36, 1.35 and 1.30 respectively, which includes expenditure on medical and public health, family welfare, water supply and sanitation. As per World Health Statistics 2012 brought out by World Health Organization (WHO), the private expenditure on health as percentage of GDP is estimated at 2.93 per cent in 2009 for India.

(c)to(e):The health care in India comprises of a mix of both public and private sector. While the private sector is generally guided by the profit motive, the underlying sentiment of the public health system in India is to provide accessible, affordable and accountable health care with special focus on the rural population. As per Economic Survey 2011-12, the expenditure on health by Centre and States combined has increased from Rs. 88050 crore in 2009-10 to Rs. 115,426 crore in 2011-12 (BE). Public outlay on health is inter- alia dependent on the overall resource availability of the Government, competing sectoral priorities as also the absorptive capacity of the system.

Health is a State subject with States responsible for providing healthcare to their population. However, to strengthen the hands of State Governments, central funding is provided under National Health Programmes. National Rural Health Mission (NRHM) is the flagship programme, launched in 2005 to strengthen health system including augmentation of infrastructure and human resources to provide accessible, affordable and accountable health care in rural areas with special focus on marginalised and vulnerable population.

Since the inception of the Mission, Central funding to the tune of Rs.71086.23 crore has been provided (upto July, 2012) to the States/UTs. Under NRHM, about 1.50 lakh health human resources have been added, which includes 8230 Allopathic Doctors, 3083 Specialists, 10439 Ayush doctors, 66552 ANMs, 32915 Staff Nurses and 14913 Paramedics in States to fill in critical gaps. Over 8.66 lakh ASHAs have been engaged under the Mission to address preventive and promotive care and to act as a link between community and health facilities. As on March 2012, 20634 new construction have been sanctioned, in addition to 19586 works sanctioned for renovation of health facilities.

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