India's healthcare spending lower than Sudan, Tanzania, Namibia, Malawi, with very high "catastrophic spending"

By A Representative
A research paper published in a top San Francisco-based multidisciplinary open access journal by a non-profit, PLOS, has said that the public health spending in India (4% of GDP) is among the lowest, not only in the larger economies of the world, but also compared to poorer countries such as Malawi (8.3%), Namibia (7.7%), Tanzania (7.3%) and Sudan (6.5%).
Insisting that India needs to “prioritise” its public health spending, especially Janani Suraksha Yojana (JSY) entitlements, in order to address the “exceedingly high Out-Of-Pocket Expenditures (OOPE) that many women incur for maternity care”, the paper says, this is particularly important “given the large disparities in the cost of maternity care between public and private health facilities.”
Insisting that “there is also a need to control the sky-rocketing costs of private health care services, and increase the availability and accessibility of quality public health facilities for maternity care in India”, the paper says, India remains “the highest contributor in terms of absolute numbers of female deaths occurring in the world due to pregnancy-related causes.”
“In 2014, India along with Nigeria accounted for one-third of all global maternal deaths, with 17% (50,000) in India and 14% (40,000) in Nigeria.”, the paper, titled “High Spending on Maternity Care in India: What Are the Factors Explaining It?”, the paper adds.
“Further”, the it complains, “Public expenditure on healthcare in India has stagnated since the early 1990s. Government expenditure on health care is considerably low compared to other countries with similar levels of per-capita income, inequality and poverty.”
“On the other hand”, it adds, “the private healthcare industry has witnessed an unprecedented boom, growing at a rate of over 15% compounded annually, more than twice the growth rate for all services over the same period.”
“As a consequence, the pattern of current health spending suggests that households meet 71% of their total health spending, with government contributions accounting for only 20% (Central), 6% (State) and the remaining 2% made up by local bodies, other firms and external flows respectively”, the paper underlines.
Commenting on Government of India efforts to reduce OOPE on maternal health care services, and improve maternal health outcomes in the country, through JSY, the world’s largest Conditional Cash Transfer (CCT) scheme under the National Health Mission (NHM), the paper says, it is “grossly insufficient” in providing “quality health care services” a forte of private health care facilities.
“Government health services in India are marred by unavailability and absenteeism of health professionals, poor health care facility and infrastructure, shortage of drugs and equipment, physical inaccessibility and some anecdotal evidence of callous behaviour of healthcare professionals”, the paper says.
Pointing out that “maternal healthcare related expenditures” are becoming “catastrophic for households”, the paper, which is based on the 2016 National Sample Survey Organisation (NSSO) report, “Key Indicators of the Social Consumption in India: Health”, says, “The average Cost of ANCs and PNCs per pregnancy were US$ 46 and US$ 28 respectively, with delivery expenditure (US$ 160) accounting for the largest share of average Total Maternity Expenditure or TME (US$ 258)”.
Revealing that the lowest earning (5% of all households) spent 75% of what it calls households' catastrophic maternal expenditure or CME, the paper says, “The proportion reduced with the rise in the income level – “to 50% the 10% threshold level and further decreased to 34% at 15% level”, the paper underscores.
“Average spending on total maternity cost was US$235 among women in the age group of 15–24 years, US$ 241 in the age-group 25–29 years, falling to US$ 225 for women aged 30–49 years”, the report states, adding, “Urban women incurred higher maternity expenditure (US$ 326) than their rural counterparts (US$ 196).”

Comments

New RTI draft rules inspired by citizen-unfriendly, overtly bureaucratic approach

By Venkatesh Nayak* The Department of Personnel and Training , Government of India has invited comments on a new set of Draft Rules (available in English only) to implement The Right to Information Act, 2005 . The RTI Rules were last amended in 2012 after a long period of consultation with various stakeholders. The Government’s move to put the draft RTI Rules out for people’s comments and suggestions for change is a welcome continuation of the tradition of public consultation. Positive aspects of the Draft RTI Rules While 60-65% of the Draft RTI Rules repeat the content of the 2012 RTI Rules, some new aspects deserve appreciation as they clarify the manner of implementation of key provisions of the RTI Act. These are: Provisions for dealing with non-compliance of the orders and directives of the Central Information Commission (CIC) by public authorities- this was missing in the 2012 RTI Rules. Non-compliance is increasingly becoming a major problem- two of my non-compliance cases are...

History, culture and literature of Fatehpur, UP, from where Maulana Hasrat Mohani hailed

By Vidya Bhushan Rawat* Maulana Hasrat Mohani was a member of the Constituent Assembly and an extremely important leader of our freedom movement. Born in Unnao district of Uttar Pradesh, Hasrat Mohani's relationship with nearby district of Fatehpur is interesting and not explored much by biographers and historians. Dr Mohammad Ismail Azad Fatehpuri has written a book on Maulana Hasrat Mohani and Fatehpur. The book is in Urdu. He has just come out with another important book, 'Hindi kee Pratham Rachna: Chandayan' authored by Mulla Daud Dalmai.' During my recent visit to Fatehpur town, I had an opportunity to meet Dr Mohammad Ismail Azad Fatehpuri and recorded a conversation with him on issues of history, culture and literature of Fatehpur. Sharing this conversation here with you. Kindly click this link. --- *Human rights defender. Facebook https://www.facebook.com/vbrawat , X @freetohumanity, Skype @vbrawat

Urgent need to study cause of large number of natural deaths in Gulf countries

By Venkatesh Nayak* According to data tabled in Parliament in April 2018, there are 87.76 lakh (8.77 million) Indians in six Gulf countries, namely Bahrain, Kuwait, Oman, Qatar, Saudi Arabia and the United Arab Emirates (UAE). While replying to an Unstarred Question (#6091) raised in the Lok Sabha, the Union Minister of State for External Affairs said, during the first half of this financial year alone (between April-September 2018), blue-collared Indian workers in these countries had remitted USD 33.47 Billion back home. Not much is known about the human cost of such earnings which swell up the country’s forex reserves quietly. My recent RTI intervention and research of proceedings in Parliament has revealed that between 2012 and mid-2018 more than 24,570 Indian Workers died in these Gulf countries. This works out to an average of more than 10 deaths per day. For every US$ 1 Billion they remitted to India during the same period there were at least 117 deaths of Indian Workers in Gulf ...

N-power plant at Mithi Virdi: CRZ nod is arbitrary, without jurisdiction

By Krishnakant* A case-appeal has been filed against the order of the Ministry of Environment, Forest and Climate Change (MoEF&CC) and others granting CRZ clearance for establishment of intake and outfall facility for proposed 6000 MWe Nuclear Power Plant at Mithi Virdi, District Bhavnagar, Gujarat by Nuclear Power Corporation of India Limited (NPCIL) vide order in F 11-23 /2014-IA- III dated March 3, 2015. The case-appeal in the National Green Tribunal at Western Bench at Pune is filed by Shaktisinh Gohil, Sarpanch of Jasapara; Hajabhai Dihora of Mithi Virdi; Jagrutiben Gohil of Jasapara; Krishnakant and Rohit Prajapati activist of the Paryavaran Suraksha Samiti. The National Green Tribunal (NGT) has issued a notice to the MoEF&CC, Gujarat Pollution Control Board, Gujarat Coastal Zone Management Authority, Atomic Energy Regulatory Board and Nuclear Power Corporation of India Limited (NPCIL) and case is kept for hearing on August 20, 2015. Appeal No. 23 of 2015 (WZ) is filed, a...

Gujarat agate worker, who fought against bondage, died of silicosis, won compensation

Raju Parmar By Jagdish Patel* This is about an agate worker of Khambhat in Central Gujarat. Born in a Vankar family, Raju Parmar first visited our weekly OPD clinic in Shakarpur on March 4, 2009. Aged 45 then, he was assigned OPD No 199/03/2009. He was referred to the Cardiac Care Centre, Khambhat, to get chest X-ray free of charge. Accordingly, he got it done and submitted his report. At that time he was working in an agate crushing unit of one Kishan Bhil.

Budget for 2018-19: Ahmedabad authorities "regularly" under-spend allocation

By Mahender Jethmalani* The Ahmedabad Municipal Corporation’s (AMC's) General Body (Municipal Board) recently passed the AMC’s annual budget estimates of Rs 6,990 crore for 2018-19. AMC’s revenue expenditure for the next financial year is Rs 3,500 crore and development budget (capital budget) is Rs 3,490 crore.

Warning bells for India: Tribal exploitation by powerful corporate interests may turn into international issue

By Ashok Shrimali* Warning bells are ringing for India. Even as news drops in from Odisha that Adivasi villages, one after another, are rejecting the top UK-based MNC Vedanta's plea for mining, a recent move by two senior scholars Felix Padel and Samarendra Das suggests the way tribals are being exploited in India by powerful international and national business interests may become an international issue. In fact, one has only to count days when things may be taken up at the United Nations level, with India being pushed to the corner. Padel, it may be recalled, is a major British authority on indigenous peoples across the world, with several scholarly books to his credit.

Licy Bharucha’s pilgrimage into the lives of India’s freedom fighters

By Moin Qazi* Book Review: “Oral History of Indian Freedom Movement”, by Dr Licy Bharucha; Pp240; Rs 300; Published by National Museum of Indian Freedom Movement The Congress has won political freedom, but it has yet to win economic freedom, social and moral freedom. These freedoms are harder than the political, if only because they are constructive, less exciting and not spectacular. — Mahatma Gandhi The opening quote of the book by Mahatma Gandhi sums up the true objective of India’s freedom struggle. It also in essence speaks for the multitudes of brave and courageous individuals who aspired to get themselves jailed for the cause of the country’s freedom. A jail term was a strong testimony and credential of patriotism for them. The book has been written by Dr Licy Bharucha, an academically trained political scientist and a scholar of peace studies and Gandhian studies, who was closely associated throughout her life with those who made the struggle for India’s independence the primar...

Justice for Zubeen Garg: Fans persist as investigations continue in India and Singapore

By Nava Thakuria* Even a month after the death of Assam’s cultural icon Zubeen Garg in Singapore under mysterious circumstances, thousands of his fans and admirers across eastern India continue their campaign for “ JusticeForZubeenGarg .” A large digital campaign has gained momentum, with over two million social media users from around the world demanding legal action against those allegedly responsible. Although the Assam government has set up a Special Investigation Team (SIT), which has arrested seven people, and a judicial commission headed by Justice Soumitra Saikia of the Gauhati High Court to oversee the probe, public pressure for justice remains strong.

Search This Blog