The National Health Policy 2017 envisages raising public health expenditure progressively to 2.5% of the GDP by 2025
GN Bureau | February 10, 2018
The National Health Mission, which is aimed at achieving universal access to health care by strengthening health systems, institutions and capabilities, needs to be significantly improved to become more effective.
The allocations for the health ministry has increased by 2 percent from Rs 53,294 crore in 2017-18 to Rs 54,600 crore in 2018-19. In 2018-19, the union government allocated Rs 30,130 crore to NHM, a decrease of 2 percent from the previous year, said Accountability Initiative (AI) at the Centre for Policy Research.
The fund for NHM is released by union government to state treasuries who further release it to State Health Societies (SHSs). There are significant delays in the release of funds from the treasury to SHSs. In FY 2016-17, release of funds from the treasury to SHS took around 5 months in Karnataka and Maharashtra, it said. In 2016-17, only 57 percent of total available budget was spent.
The report also noted that there are significant shortfalls in specialists in Community Health Centres (CHCs). As on March 2017, there was an 82 per cent shortfall in the number of specialists required across CHCs and 65 per cent of the sanctioned posts were vacant.
In May 2013, the union government launched the National Health Mission (NHM) which consists of two sub-missions: a) the National Rural Health Mission (NRHM) launched in 2005 to provide accessible, affordable and quality health care in rural India, and b) the National Urban Health Mission (NUHM), a sub-mission launched in 2013 for urban health, said the official NHM website.
The planning commission in a report said that a health system is the sum total of all the organizations, institutions and resources whose primary purpose is to improve health.
The 11th Plan had set six health outcome indicators as time-bound ‘goals’. These included lowering maternal and infant mortality, malnutrition among children, anaemia among women and girls, and fertility, and raising the child sex ratio. Though, there has been progress on all these fronts, except child sex ratio, the goals have not been fully met, said the report of the steering committee on health for the 12th five year plan.
Union minister Anupriya Patel informed parliament that as per National Health Accounts Estimates for India 2014-15, the per capita government health expenditure in India is estimated at Rs.1108. The National Health Policy 2017 envisages raising public health expenditure progressively to 2.5% of the GDP by 2025.
Based on the recommendation of the Group of Experts (GoE) headed by Prof. Ranjeet Roy Chaudhary and the department related Parliamentary Standing Committee of Health and Family Welfare, a draft National Medical Commission Bill was framed by a committee headed by Vice Chairman Niti Aayog which was subsequently approved by the Group of Ministers with some modification. The National Medical Commission Bill, 2017 has been introduced in the Lok Sabha on December 29, 2017.
Another planning commission report planningcommission.nic.in/aboutus/committee/wrkgrp12/health/WG_1NRHM.pdfsaid that the National Rural Health Mission (NRHM) of the Eleventh Plan was “conceptualized in response to what were perceived as systemic flaws in the health system namely, the lack of a holistic approach, absence of linkages with collateral health determinants, gross shortage of infrastructure and human resources, lack of community ownership and accountability, non-integration of vertical disease control programs, inadequate responsiveness to community needs and lack of financial resources”.
Clearly, a lot more needs to be done to make public health more accessible and affordable to the people.
In an interview with Governance Now, Anil Kumar Jha, special DGP, CID, Assam, who is also nodal officer for the CCTNS project, speaks of what the system in its present form has helped his state achieve. What is the current status of CCTNS in Assam and its outcome?
A stand-off between the ministry of home affairs (MHA) and software development firm Wipro seems to have long held up the Rs 2,000 crore crime and criminal tracking network and systems (CCTNS) project, conceptualised ten years ago. The project aims to digitise and connect all police stations in the country
Questioning the development model pushed ahead for profit oriented growth, social and political activists, academicians, financial analysts and civil society organisations are holding a three day confluence of Peoples’ Convention on Infrastructure Financing in Mumbai. &nb
About one-fourth of India’s elderly face abuse at the hands of those they trust the most – the son (52%) followed by the daughter in law (34%),spouse/partner (14%), daughter(6%) grandchild (6%), son in law(3%), parent(1%) and care giver(1%), reveals a report by the HelpAge Ind
The official statistics provided by the department of industrial policy and promotion (DIPP) under the ministry of commerce and industry shows that between January 2000 and December 2017, India received $368 billion of foreign direct investment (FDI). It also says that Mauritius was the source of $125 bill
The declaration communicated through the director general of military operations (DGMO) of Pakistan and India on May 29, 2018, to implement the ceasefire agreement of 2003 between the two countries in “letter and spirit” has opened up an opportunity to restore peace in the disturbed Kashm