In news- The Ministry of Health & Family Welfare released findings of the National Health Accounts (NHA) Estimates for India for 2017-18 recently.
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.
National Health Systems Resource Centre-
- It was established in 2006-07 under the National Rural Health Mission (NRHM) of Government of India to serve as an apex body for technical assistance.
- Its mandate is to assist in policy and strategy development in the provision and mobilization of technical assistance to the states and in capacity building for the Ministry of Health and Family Welfare (MoHFW) .