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Written By: Agencies | Updated : September 26, 2013 6:10 PM IST
Spending on healthcare needs to be increased, as public expenditure on health in India is barely 1.2 percent of the gross domestic product (GDP) as against four percent in advanced countries, President Pranab Mukherjee said on Monday. There is a need to increase our spending in the health sector. Public expenditure on health in India is 1.2 per cent of the GDP, which is lower than four percent in Australia, Britain, Norway and the US, Mukherjee said, inaugurating the new building of the JSS Hospital in, about 150 km from Bangalore.
Noting that health coverage strategy had to look beyond cure and intervention, the president said preventive healthcare had to be given importance due to the increasing trend of lifestyle diseases.
Our health system has to be geared to treat people and provide guidance about prevention of medical conditions, he said.
Admitting that the public sector health service in the country was still limited by its reach, Mukherjee called for greater intervention to offer a world class healthcare system to the common people.
Quality of healthcare delivery is also found wanting. Many people depend on the private sector for health services. They often fail to meet expensive medical treatment and suffer. Even common people should have access to specialty treatment, which should not be denied due to high costs, the President asserted.
The health of a country's population defines the state of development. A healthy population holds greater capacity to access opportunities for education, knowledge and employment, Mukherjee noted.
Stressing on the need to strengthen medical education to have more specialists, the president said research centres had to be encouraged for innovations and manufacturing latest equipment for medical procedures instead of importing them.
Set up by the Veera Simhasana Peetha of Suttur in 1954, the Jagadguru Sri Shivarathreeshwara hospital provides affordable medical services to the people in urban and rural areas in this southern district.
Exactly how low is our spending?
We ve mentioned the issue of low spends before. Currently, India spends about 2% of the nation s GDP on healthcare. This has led to very high out-of-pocket (OOP) expenditure for the general public. This means that 78% of all spends on healthcare are paid by the people and 72% of this is on drugs alone. Estimates suggest that 39 million people are forced into poverty because of medical expenditure. Here s a breakdown of total % of GDP spent on healthcare, percentage spent by individuals and per capita spent by the governments of various developed, developing and under-developed countries.
Country | Total % of GDP spent on healthcare | Private Expenditure % | Per capita spent on healthcare (US $) | Per capita government spends on healthcare (US$) |
India | 4.1 | 70.8 | 132 | 39 |
USA | 17.9 | 46.9 | 8362 | 4437 |
UK | 9.6 | 16.1 | 3480 | 2919 |
South Africa | 8.9 | 55.9 | 935 | 412 |
China | 5.1 | 46.4 | 379 | 203 |
Brazil | 9 | 53 | 1028 | 483 |
Pakistan | 2.2 | 61.5 | 59 | 23 |
Nigeria | 5.1 | 62.1 | 121 | 46 |
Russia | 5.1 | 37.9 | 998 | 620 |
Source: WHO
As we can see we re nowhere near the top bracket US or UK. We don t even spend anything close to what our BRICS (Brazil, Russian, India, China and South Africa) counterparts spend. In fact, our spends are even lower than a country like Nigeria s.
Because of the centre s negligent attitude, most of the resources lie with the private sector. It currently has 80% of all doctors, 26% of nurses, 49% of beds and 78% of ambulatory services and 60% of in-patient care. It seems audacious not to exploit those resources. To this effect, the Planning Commission had suggested that the public sector tie-up with the private sector to improve the country s healthcare scenario. However, the proposal was vehemently opposed by health activists who felt that it would corporatize healthcare.
Source: Planning Commission Health Division report for the 12th Five Year Plan
With inputs from IANS
