National Health Accounts (NHA) Estimates for India

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About NHA estimates report & key findings-

• This is the fifth consecutive NHA report produced by National Health Systems Resource Centre (NHSRC), designated as National Health Accounts Technical Secretariat (NHATS) in 2014 by the Union Health Ministry. 
• The NHA estimates are prepared by using an accounting framework based on the internationally accepted System of Health Accounts (SHA) 2011, provided by the World Health Organization (WHO).
• The 2017-18 NHA estimates not only show government expenditure on health exhibiting an increasing trend but also growing trust in the public health care system. 
• With the present estimate of NHA 2017-18, India has had a continuous Time Series on NHA estimates for both government and private sources for five years since 2013-14. 
• The NHA estimates for 2017-18 clearly show that there has been an increase in the share of government health expenditure in the total GDP of the country from 1.15% in 2013-14 to 1.35% in 2017-18. 

• Additionally, the share of Government Health Expenditure in total health expenditure has also increased overtime. In 2017-18, the share of government expenditure was 40.8%, which is much higher than 28.6% in 2013-14.
• The findings also show that the Government’s health expenditure as a share of total Government expenditure has increased from 3.78% to 5.12% between 2013-14 and 2017-18, clearly indicating Government’s priority for the health sector in the country.

• In per capita terms, the government health expenditure has increased from Rs 1042 to Rs.1753 between 2013-14 to 2017-18. 
• There has been an increase in share of primary and secondary care in case of Government health expenditure. 
• In the case of the private sector, the share of tertiary care has increased but primary and secondary care show a declining trend. 
• The share of social security expenditure on health, which includes the social health insurance program, Government financed health insurance schemes, and medical reimbursements made to Government employees, has increased. 
• The foreign aid for health has come down to 0.5%, showcasing India’s economic self-reliance.
• The out-of-pocket expenditure (OOPE) as a share of total health expenditure came down to 48.8% in 2017-18 from 64.2% in 2013-14. 
• One of the factors attributing to this decline is the increased utilisation and reduction in cost of services in government health facilities. 

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