Categories
Public Health

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.

Categories
Healthcare Delivery Healthcare Start ups Healthcare Technology Public Health

The Digital opportunity for healthcare in India

India has a unique opportunity to create a healthcare model that serves the 1.3 citizens. This has to be an integration of primary, secondary, tertiary care with preventive health initiatives. Also this has to involve leveraging technology, in the form of digital transformation as well as gadgets like the smart phone that are prevalent across the nation. I look at two start ups that are active in this space, Lybrate and HealthifyMe.

Do let me know on your thoughts on this model.

Categories
Healthcare Delivery

Know Your Lab: How an Online Service Seeks to Revolutionize the Indian Diagnostic Setup

 

The internet has revolutionized consumer choices like never before. Traditional retail stores have discovered the potential of online shopping. Taxis are booked through apps and food is ordered over a click of a button. One can compare products, prices and the best stores in a blink. And in Bengaluru, services such as Medyog are extending the consumer experience from everyday lifestyle choices to critical sectors such as affordable healthcare. Last week I had written about Hospital Ratings, but did you know that you can rate diagnostic labs as well ?

How often have we been advised tests to be conducted at a lab referred by the doctor, irrespective of the cost or the quality? And if left on their own, patients are hounded by questions like where do they go to conduct the test, which diagnostic center is better, how much would it cost and so on.