National Health Accounts (NHA) estimates for India for 2017-18

National Health Accounts (NHA) estimates- Relevance for UPSC Exam

• GS Paper 2: Governance, Administration and Challenges- Government policies and interventions for development in various sectors and issues arising out of their design and implementation.

National Health Accounts (NHA) estimates- Context

• The National Health Accounts estimates for India for 2017-18 were released recently by the Union Ministry of Health.
• National Health Accounts (NHA) estimates for India for 2017-18 findings show that Out-of-pocket expenditure (OOPE) as a share of total health expenditure and foreign aid for health has both come down.

National Family Health Survey: Population Slowdown

National Health Accounts (NHA) estimates 2017-18: Key Findings

• As a share of total health expenditure, OOPE has come down to 48.8% in 2017-18 from 64.2% in 2013-14.
• Even in the case of per capita OOPE, there has been a decline from ₹2,336 to ₹2,097 between 2013-14 to 2017-18.
• Increase in share of government health expenditure as % of GDP: It has increased from 1.15% in 2013-14 to 1.35% in 2017-18.
• Increase in share of Government Health Expenditure in total health expenditure: It has increased from 28.6% in 2013-14 to 40.8% in 2017-18.
• Increase in the Government health expenditure in per capita terms: It has increased from ₹1,042 to ₹1,753 between 2013-14 to 2017-18.
• Increase in share of primary healthcare in current Government health expenditure: It has increased from 51.1% in 2013-14 to 54.7% in 2017-18.
• Share of Primary, Secondary and tertiary Health expenditure in total government health expenditure:
  • Primary and secondary care accounts for more than 80% of the current Government health expenditure.
  • There has been an increase in the share of primary and secondary care in the case of Government health expenditure.
  • Between 2016-17 and 2017-18 in the Government sector, the share of primary and secondary care has increased from 75% to 86%.
• Share of Primary, Secondary and tertiary Health expenditure in total private health expenditure:
  • Share of tertiary care has increased but primary and secondary care show a declining trend.
  • Share of primary and secondary care has declined from 84% to 74%.
• Increase in the share of social security expenditure on health: It includes the social health insurance program, Government financed health insurance schemes, and medical reimbursements made to Government employees.
  • As a per cent of total health expenditure, the increase is from six per cent in 2013-14 to around nine per cent in 2017-18.
• Reduction in the Share of Foreign aid for health: It has come down to 0.5%, showcasing India’s economic self-reliance.

The Editorial Analysis- Small Grant but a Big Opportunity for Local Bodies

National Health Accounts (NHA) estimates 2017-18

• About: National Health Accounts (NHA) estimates for India is a report produced by National Health Systems Resource Centre, designated as National Health Accounts Technical Secretariat in 2014 by the Health Ministry.
  • National Health Accounts (NHA) estimates 2017-18 is the fifth such report produced by National Health Systems Resource Centre.
• Estimation method: National Health Accounts (NHA) estimates are prepared by using an accounting framework based on the internationally accepted System of Health Accounts 2011, provided by the World Health Organization (WHO).

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