The National Health Account Estimates 2019-20 have been released recently.
Key highlights of the findings:
Increase in government spending: There has been a consistent increase in government spending.
The government spent 1.35% of the country’s Gross Domestic Product (total value of the final goods and services in a year indicative of a country’s economy) on healthcare during the year, bouncing back from a slight drop seen in 2018-19 as per the report.
Declining out-of-pocket expenditure by people: Money spent by people from their own pocket on healthcare has been going down.
1% of the total spending on healthcare in FY2020 came directly out of people’s pockets. But this is actually a 15.5 percentage point drop from 62.6% of the spending coming out-of-pocket in FY 2015.
Increase in social security: There has been a consistent increase in social security expenditure by the government, which increased from 5.7% of the total spending on health in FY 2015 to 9.3% in FY 2020.
The highest focus was given to the primary sector: A major chunk of the government’s health spend was in the primary sector.
Out of the total spending by the government on healthcare in FY 2020, 55.9% went to primary care, 29.6% went to secondary care, and 6.4% went to tertiary care.
Other Sectors: To compare, the government spent 51.3% on primary care, 21.9% on secondary care, and 14% on tertiary care in FY 2015.
Ayushman Bharat – Health and Wellness Centres (AB-HWCs): Services at AB-HWCs are free and universal to all individuals residing in the service area.
Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana (AB-PMJAY): AB-PMJAY provides health coverage of up to Rs 5.00 lakh per family per year to 10.74 crores poor, deprived families as per Socio-Economic Caste Census (SECC) database
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 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).
Significance: These estimates are not only comparable internationally but also enable the policymakers to monitor the progress in different health financing indicators of the country.