The National Health Accounts Estimates report for India (2019-20)

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Key highlights-

• It noted that the share of out-of-pocket expenditure (OOPE) in total health expenditure has declined from 62.6% in 2014-15 to 47.1% in 2019-20.
• The government health expenditure’s share in the country’s total GDP increased from 1.13% (2014-15) to 1.35% (2019-20).
• The data reflected that the government health expenditure (GHE) as a share of the total health expenditure (THE) increased from 29 per cent to 41.4 per cent during the same period.
• In per capita terms, GHE has doubled from Rs. 1,108 to Rs. 2,014 between 2014-15 to 2019-20. 
• The government spending on health between 2018-19 and 2019-20 increased by 12%, more than double the growth rate between 2017-18 and 2018-19 which was at 5%.
• Additionally, in General Government Expenditure (GGE), the share of health sector spending has steadily increased from 3.94% to 5.02% between 2014-15 and 2019-20. 
• Another positive trend in the country’s health financing space is the increase in Social Security Expenditure (SSE) on healthcare. This increase in social security has a direct impact on reducing out-of-pocket payments. 
• The share of SSE on health, which includes government-funded health insurance, medical reimbursement to government employees, and social health insurance programs, in total Health Expenditure (THE), has increased from 5.7% in 2014-15 to 9.3% in 2019-20.

About National Health Account (NHA) estimates:

• The National Health Account (NHA) estimates for India 2019-20 is the seventh consecutive NHA estimates report prepared 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 standard of System of Health Accounts, 2011, developed by the World Health Organization (WHO).
• With the present estimate of NHA, India now has a continuous series of NHA estimates for the country, from 2013-14 to 2019-20. 
• These estimates are not only comparable internationally, but also enable the policymakers to monitor the progress in different health financing indicators of the country.

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