Health Sector – UHC, National Health Policy, Family Planning, Health Insurance, etc.

Health Expenditure at 1.84% of GDP

Note4Students

From UPSC perspective, the following things are important :

Prelims level: Health Expenditure Share of GDP

Why in the News?

The Union government has steadily increased its spending on healthcare, with the expenditure rising to 1.84% of GDP in 2021-22, up from 1.15% in 2013-14.

Overview of India’s Health Expenditure

  • India has shown a consistent increase in government spending on healthcare, reflecting a growing commitment to improving the public healthcare system.
  • As of 2021-22, government health expenditure (GHE) rose to 1.84% of GDP, up from 1.15% in 2013-14, and is on track to meet the National Health Policy 2017 target of 2.5% of GDP by 2025.
  • The rise in health expenditure has been particularly significant postCOVID-19, with a 37% increase in government spending from 2020-21 to 2021-22.
  • This has led to better healthcare accessibility, reduced financial burden on individuals, and greater focus on strengthening healthcare infrastructure.

What is Total Health Expenditure?

  • Total Health Expenditure (THE) refers to the sum of all current and capital expenditures incurred by the government, private sector, and external sources for healthcare purposes in a given period.
  • This includes:
    • Current Health Expenditure (CHE): Ongoing spending on healthcare services, such as hospitals, doctor visits, and medical supplies.
    • Capital Expenditure: Investments in healthcare infrastructure, such as building hospitals or purchasing medical equipment.
  • In 2020-21, India’s THE was estimated at ₹7,39,327 crores, constituting 3.73% of GDP, with a per capita expenditure of ₹5,436.
  • In 2021-22, this figure increased to ₹9,04,461 crores, representing 3.83% of GDP, reflecting a proactive government response to healthcare challenges and pandemic management.

Reasons for Reduced Out-of-Pocket Expenditure (OOPE)

The reduction in OOPE can be attributed to:

  • Increased government health spending, making healthcare more affordable.
  • Expansion of public health services, including vaccination and preventive care.
  • Growth in government-funded health insurance and social security programs, reducing reliance on personal funds.
  • Health initiatives like Ayushman Bharat have eased the financial burden.
  • Improved public healthcare access and financial protection have reduced hardship for low- and middle-income families.

PYQ:

[2021] “Besides being a moral imperative of a Welfare State, primary health structure is a necessary precondition for sustainable development.” Analyse.

 

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