The findings of the National Health Accounts (NHA) Estimates for India for 2018-19 was released on September 12, 2022.
Key highlights of NHA Estimates for India for 2018-19
- The NHA estimates for 2018-19 show that there has been an increase in the share of government health expenditure in the total GDP of the country. It has increased from 1.15% in 2013-14 to 1.28% in 2018-19.
- The share of Government Health Expenditure in Total Health Expenditure has also increased over time. In 2018-19, the share of government expenditure was 40.6%, substantially higher than the share of 28.6% in 2013-14.
- Government’s health expenditure as a percentage of Current Health Expenditure has increased from 23.2% in 2013-14 to 34.5% in 2018-19.
- It has also been observed that per capita government spending on healthcare has increased by 74% since 2013-14, i.e., Rs. 1042 to Rs. 1815 in 2018-19.
- Out-of-Pocket Expenditure (OOPE) as percentage of total health expenditure has declined substantially by 16% points, from 64.2% to 48.2%.
- Out of pocket expenditure as a percentage of current health expenditure has also declined over time from 69.1% in 2013-14 to 53.2% in 2018-19. Per capita out-of-pocket expenditure in the country has decreased by 8% since 2013-14, from Rs. 2,366 to Rs. 2,155 currently.
- Focusing on social security has resulted in expenditure on health as a percentage of total health expenditure growing from 6% to 9.6% now.
- The government-financed health insurance expenditure has increased by 167% since 2013-14. The NHA estimates for 2018-19 also indicate falling reliance on external funding in the health sector of the country.
- The findings from the report depict that foreign aid for health has come down to 0.4% in 2018-19 from 2.3% in 2004-05, showcasing India’s economic self-reliance.
About National Health Account (NHA) estimates
- The National Health Account (NHA) estimates for India 2018-19 is the sixth 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).