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12th Plan Health Final Report From Steering Committee

12th Plan Health Final Report From Steering Committee

Ratings: (0)|Views: 2,053|Likes:
Published by Vaishnavi Jayakumar
Final version of the Report of the Steering Committee on Health for the 12th Five Year Plan. India dt 28-Feb-2012

------------

Budget 2012: Fiscal deficit checks big hike in health allocation

Kounteya Sinha, TNN | Mar 1, 2012, 05.14AM IST

NEW DELHI: The government had promised to step up spending on health to 2.5% of GDP in the 12th Plan, but is likely to allocate a modest 13%-15% jump in this year's Union Budget due to a resource squeeze caused by slowing growth.
While Prime Minister Manmohan Singh is keen to widen healthcare coverage and ensure better medical facilities, the Planning Commission has indicated that the health ministry's allocation could be around Rs 27,000 crore for 2012-13, a jump of 13%. It was Rs 24,000 crore last year.

A high-level review held by the Prime Minister's Office recently has firmly fixed India's health budget at 2.5% of GDP - a target mentioned by the PM during a recent speech at a function to mark India's success in eradicating polio.

The 12th Plan (2012-17) targets an increase over current spending that adds to 1.4% of GDP. The PMO has asked the Plan panel to allocate adequate resources to achieve this target, said an official press release.

The health ministry had hoped to receive around Rs 40,000 crore during 2012-13, given the government's ambition to universalize healthcare, improve and expand the primary health centre network and provide free medicines in public hospitals. These expectations have been hit by the sub-7% growth that hurt revenue collections and UPA-II's social welfare programmes.

But officials expect major allocations of the 12th Plan to begin flowing in from next year. "The allocation for the first year of the 12th Plan was expected to be less. It is only to support existing healthcare programmes. The chunk of the expected 12th Plan budget will start coming in from 2013-14," an official said.

Sources said "as against India's Rs 90,000 crore health budget for the 11th Plan, we expect Rs 3 lakh crore in the 12th Plan."

The PMO said on Wednesday, "The Prime Minister has emphasized the need for increased outlay on health sector during 12th Plan so that adequate funds are made available for the sector. He has also stated that though funds for the health sector will not be a constraint, there is a need to create adequate capacity at the Centre and the states to meaningfully absorb the increased outlay."

The official release did point to the crucial role of the states that are to account for two-thirds of the planned spending. "As health is primarily a state subject, the outlay of states for health would be critical in achieving this target. The Planning Commission may motivate states to allocate more funds for the health sector."

The Plan panel's high-level expert group on universal health coverage had first proposed increasing the health budget to 2.5% of GDP by 2017, and to at least 3% of GDP by 2022. The group had said, "Even if we assume that the combined public and private spending on health remains at the current level of around 4.5% of GDP, this will result in a five-fold increase in real per capita health expenditures by the government from around Rs 650-700 in 2011-12 to Rs 3,400-3,500 by 2021-22."

It added, "Increased public expenditures, in our estimate, will lead to a sharp decline in the proportion of private out-of-pocket spending on health - from around 67% today to around 33% by 2022."

India devotes among the lowest proportion of total public spending to health - at or below 4.4% of total government spending between 1999 and 2009, according to WHO. Only nine countries (out of 191) devoted a smaller share of government spending to health than India.


http://timesofindia.indiatimes.com/business/budget-2012/pre-budget/Budgtet-2012-Fiscal-deficit-checks-big-hike-in-health-allocation/articleshow/12091539.cms
Final version of the Report of the Steering Committee on Health for the 12th Five Year Plan. India dt 28-Feb-2012

------------

Budget 2012: Fiscal deficit checks big hike in health allocation

Kounteya Sinha, TNN | Mar 1, 2012, 05.14AM IST

NEW DELHI: The government had promised to step up spending on health to 2.5% of GDP in the 12th Plan, but is likely to allocate a modest 13%-15% jump in this year's Union Budget due to a resource squeeze caused by slowing growth.
While Prime Minister Manmohan Singh is keen to widen healthcare coverage and ensure better medical facilities, the Planning Commission has indicated that the health ministry's allocation could be around Rs 27,000 crore for 2012-13, a jump of 13%. It was Rs 24,000 crore last year.

A high-level review held by the Prime Minister's Office recently has firmly fixed India's health budget at 2.5% of GDP - a target mentioned by the PM during a recent speech at a function to mark India's success in eradicating polio.

The 12th Plan (2012-17) targets an increase over current spending that adds to 1.4% of GDP. The PMO has asked the Plan panel to allocate adequate resources to achieve this target, said an official press release.

The health ministry had hoped to receive around Rs 40,000 crore during 2012-13, given the government's ambition to universalize healthcare, improve and expand the primary health centre network and provide free medicines in public hospitals. These expectations have been hit by the sub-7% growth that hurt revenue collections and UPA-II's social welfare programmes.

But officials expect major allocations of the 12th Plan to begin flowing in from next year. "The allocation for the first year of the 12th Plan was expected to be less. It is only to support existing healthcare programmes. The chunk of the expected 12th Plan budget will start coming in from 2013-14," an official said.

Sources said "as against India's Rs 90,000 crore health budget for the 11th Plan, we expect Rs 3 lakh crore in the 12th Plan."

The PMO said on Wednesday, "The Prime Minister has emphasized the need for increased outlay on health sector during 12th Plan so that adequate funds are made available for the sector. He has also stated that though funds for the health sector will not be a constraint, there is a need to create adequate capacity at the Centre and the states to meaningfully absorb the increased outlay."

The official release did point to the crucial role of the states that are to account for two-thirds of the planned spending. "As health is primarily a state subject, the outlay of states for health would be critical in achieving this target. The Planning Commission may motivate states to allocate more funds for the health sector."

The Plan panel's high-level expert group on universal health coverage had first proposed increasing the health budget to 2.5% of GDP by 2017, and to at least 3% of GDP by 2022. The group had said, "Even if we assume that the combined public and private spending on health remains at the current level of around 4.5% of GDP, this will result in a five-fold increase in real per capita health expenditures by the government from around Rs 650-700 in 2011-12 to Rs 3,400-3,500 by 2021-22."

It added, "Increased public expenditures, in our estimate, will lead to a sharp decline in the proportion of private out-of-pocket spending on health - from around 67% today to around 33% by 2022."

India devotes among the lowest proportion of total public spending to health - at or below 4.4% of total government spending between 1999 and 2009, according to WHO. Only nine countries (out of 191) devoted a smaller share of government spending to health than India.


http://timesofindia.indiatimes.com/business/budget-2012/pre-budget/Budgtet-2012-Fiscal-deficit-checks-big-hike-in-health-allocation/articleshow/12091539.cms

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Published by: Vaishnavi Jayakumar on Mar 01, 2012
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03/20/2013

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Report of the Steering Committee on Health for the12
th
Five-Year Plan
(Incorporating Reports of Working Groups and deliberations in SteeringCommittee meetings)Health and Family Welfare DivisionPlanning CommissionFebruary, 2012
1
 
Table of Contents
Tables, Graphs and Boxes......................................................................................................3Foreword .................................................................................................................................4Chapter-1: Framework for Health in 12th Plan.......................................................................6Chapter-2: National Health Programmes .............................................................................19Chapter-3: Health Information Systems................................................................................27Chapter-4: Convergence with other Social Sector Programmes..........................................32Chapter-5: Public Health Management.................................................................................37Chapter-6: Strengthening Tertiary Care................................................................................44Chapter-7: Human Resources for Health .............................................................................48Chapter-8: Regulation of Food, Drugs, Medical Practice and Public Health .......................56Chapter-9: Promoting Health Research................................................................................61Chapter-10: AYUSH – Integration in Research, Teaching and Health Care........................64Chapter-11: Inclusive Agenda...............................................................................................67Abbreviations.........................................................................................................................69Annexure: Constitution of Steering Committee on Health ....................................................722
 
Tables, Graphs and BoxesTables
Table 1:Health expenditure in India: 2002-2009 7Table 2:Centrally Sponsored Disease Control Programmes 14Table 3:Health Systems for the 12
th
Plan: An Overview 18Table 4:Population Covered Under Health Insurance (in millions) 23Table 5:Illustrative List of Ministries and Corresponding PRI FunctionsImpacting Health 35Table 6:Illustrative List of Items for Inclusion in MoU with States 43Table 7:Beds and Utilization of OPD/IPD Services in Public and PrivateFacilities 44Table 8:HRH Estimates for Health Care Services in Public Sector 48Table 9:Integration of AYUSH Healthcare Under NRHM 64
Graphs
Graph 1:Trends in National Health Indicators and Projections till 2017 9Graph 1.1:Maternal Mortality Ratio (MMR) 9Graph 1.2:Infant Mortality Rate (IMR) 10Graph 1.3:Total Fertility Rate (TFR) 10Graph 1.4:Underweight Children Below 3 years 11Graph 1.5:Anemia among Women (15-49 years) 11Graph 1.6:Child Sex Ratio (0-6 years) 12Graph 1.7:Household's (Out-of-Pocket) Share of National Health Expenditure 12
Boxes
Box 1:Illustration of Continuum of Health Care 21Box 2:Some areas of Convergence between ICDS and Health 36Box 3:Public Health in the National Health Policy, 2002 37Box 4:Cross subsidy model of the Aravind Eye Care system 473

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