A STUDY ON INTER-STATE DISPARITIES IN PUBLIC HEALTH EXPENDITURE AND ITS EFFECTIVENESS ON HEALTH STATUS IN INDIA
DOI:
https://doi.org/10.29121/granthaalayah.v6.i2.2018.1542Keywords:
Public Health Services in India, Health Expenditure, Health Infrastructure, Inter-State Disparitie, Universal Health CoverageAbstract [English]
Public health services play an important role in the health status of the people and Health Expenditure by the Government occupies crucial part in influencing the health outcome in the country. The healthcare finances are influenced by the respective State's budgetary allocation which leads to inter-state disparity in health services and health status in India. This has implications on providing Universal Health Coverage, which aims at ensuring equitable health services to people at all levels in the country (National Health Portal, GoI). The researcher has selected 15 major states based on the level of population (which accounts for about 90 percent of the total population in India) to analyse the inter-state disparities in health sector. Alongside, this study focuses on the performance of public health sector of the selected states through a comparative analysis of various parameters depicting health expenditure, availability of health services, their utilization and health outcomes. With vast variation in the availability, affordability and utilisation of health services across different states, it is found that the economic conditions, health finance, infrastructure and effectiveness of health services at the state level have direct bearing on the health status of the people in the respective states. Therefore, it is essential to take necessary corrective measures that target the disparity, to achieve better and equitable health services for all, leading to Universal Health Coverage which is the real inclusiveness.
Downloads
References
Barenberg, Andrew; Basu, Deepankar; and Soylu, Ceren. (2015). “THE EFFECT OF PUBLIC HEALTH EXPENDITURE ON INFANT MORTALITY: EVIDENCE FROM A PANEL OF INDIAN STATES, 1983-84 TO 2011-12", Economics Department Working Paper Series Paper 199. DOI: https://doi.org/10.1080/00220388.2016.1241384
Bhattacharya, Govind. (2009) “INTRA-STATE DISPARITY IN GOVERNMENT EXPENDITURE:AN ANALYSIS”, Economic and Political Weekly, vol 44 nos 26 & 27
Central Bureau of Health Intelligence. (2015). “NATIONAL HEALTH PROFILE 2015”, MoHFW, GoI
Central Bureau of Health Intelligence. (2017). “NATIONAL HEALTH PROFILE 2017”, MoHFW, GoI
Deolalikar Anil, Dean Jamison, Prabhat Jha and Ramanan Laxminarayan. (2008). “FINANCING HEALTH IMPROVEMENTS IN INDIA”, Health Affairs, Vol. 27, No. 4
Gumber, Anil and Dhak, Biplab and Lalitha, N.(2011). “DECLINING FREE HEALTHCARE AND RISING TREATMENT COSTS IN INDIA: AN ANALYSIS OF NATIONAL SAMPLE SURVEYS 1986-2004”, Journal of Health Management, Vol. 14 No.2
MoHFW. (2006). “REPORT OF THE TECHNICAL GROUP ON POPULATION PROJECTIONS 2006”, National Commission on Population, GoI
MoHFW. (2016). “RURAL HEALTH STATISTICS 2015-16”, Statistics Division, MoHFW, GoI
MoHFW: “NATIONAL HEALTH PORTAL” MoHFW, GoI Retrieved from http://www.nhp.gov.in/universal-health-coverage
National Health Accounts Cell. (2009). “NATIONAL HEALTH ACCOUNTS, INDIA 2004-05”, MoHFW, GoI
NSSO. (2006). “MORBIDITY, HEALTH CARE AND CONDITION OF THE AGED”, NSS 60th Round (January – June 2006), NSSO, MoSPI , GoI
NSSO. (2015). “KEY INDICATORS OF SOCIAL CONSUMPTION IN INDIA: HEALTH”, NSS 71st Round (January – June 2014), NSSO, MoSPI, GoI
RGI. (2013). “SPECIAL BULLETIN ON MATERNAL MORTALITY IN INDIA, 2011-13”, Office of Registrar General, Ministry of Home Affairs, GoI
RGI. (2016). “SRS BULLETIN 2014”, Office of Registrar General, Ministry of Home Affairs, GoI
www.censusindia.gov.in
Downloads
Published
How to Cite
Issue
Section
License
With the licence CC-BY, authors retain the copyright, allowing anyone to download, reuse, re-print, modify, distribute, and/or copy their contribution. The work must be properly attributed to its author.
It is not necessary to ask for further permission from the author or journal board.
This journal provides immediate open access to its content on the principle that making research freely available to the public supports a greater global exchange of knowledge.