India’s spend on preventive health is 9% of healthcare expenditure

//India’s spend on preventive health is 9% of healthcare expenditure

India’s spend on preventive health is 9% of healthcare expenditure

India needs a new healthcare model. Now this model has to be based on preventive care and on detecting and treating conditions way before they occur. The challenge in India is 2 fold, on one side we don’t have the infrastructure and the medical capability to treat chronic secondary and tertiary diseases while on the other side the costs of such treatments are very high. With more than 70% of the expenditure coming out of pocket, it would mean that families would struggle to meet their basic need and often treatment would be scarified leading to loss of productive life and individuals unable to take care of themselves and their dependents.

The data for the last 10 years released by the ministry of health and family welfare is very interesting. Just a few weeks ago the government  the National Health Accounts, 2013-2014. According to this report we spend around Rs 40,628 crores or  9.6 % of the healthcare expenditure on preventive care. The definition of preventive care as per the report are all Government funded national health programs like the National Disease Control Program.

The pie chart below gives the breakdown

Expenditure Breakdown_Healthcare in India

 

 

 

 

 

 

 

 

 

 

(Source: National Health Accounts, Figure 5 Current distribution of healthcare expenditure according to healthcare functions)

A break down of the expenses as per the report indicate

  1. Information, Education and Counseling (IEC) Programmes This category includes all the expenditure on IEC activities. The estimated expenditure under this category is Rs 3,622 crores.
  2. Immunization Programmes This category includes all the expenditure on immunization programs. The estimated expenditure under this category is Rs 1,902 crores.
  3. Early Disease Detection Programmes This category includes all the expenditure on early disease detection program. For eg. Iodine deficiency Program. The estimated expenditure under this category is Rs 377 crores.
    26 National Health Accounts Estimates for India, 2013-14
  4. Healthy Condition Monitoring Programmes This category includes all the expenditure on healthy condition monitoring program like the National program for healthcare of the elderly. The estimated expenditure under this category is Rs 25,499 crores.
  5. Epidemiological Surveillance, Risk and Disease Control Programmes This category includes all the expenditure on Epidemiological surveillance, risk and disease control programmes like the National Disease Control Programmes (communicable and non-communicable). The estimated expenditure under this category is Rs 9,224 crores.
  6. Preparing for Disaster and Emergency Response Programmes This category includes all the expenditure on preparing for disaster and emergency response programmes like health sector disaster preparedness and management program. The estimated expenditure under this category is Rs 4 crores.

All the data is from the report and I would encourage one and all to read the findings. In later posts we would look at what are the implications of these findings and what are the steps that we recommend to get India running on a new healthier model of care.

By |2016-08-30T08:02:56+00:00August 30th, 2016|Public Health|0 Comments

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