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NEWS ALERTS | Public’s health is at peril, warns National Health Profile
Public’s health is at peril, warns National Health Profile

Public’s health is at peril, warns National Health Profile

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published Published on Sep 29, 2015   modified Modified on May 6, 2016

A day before the Prime Minister of India left for a two-nation tour to Ireland and the United States this September, the National Health Profile 2015 was released by the Minister of Health and Family Welfare Shri JP Nadda. The report, which has presented a dismal picture of the state of public health, shows that cases of cancer is expected to rise in India by almost 15 percent from 11.5 lakhs in 2015 to 13.2 lakhs in 2020.

Prepared by the Central Bureau of Health Intelligence (CBHI), the report finds that cardiovascular disease (24 percent), chronic respiratory disease (11 percent), cancer (6 percent) and diabetes (2 percent) are the leading causes of mortality in India.

The state of health infrastructure and human resources is at its nadir, says the National Health Profile 2015. Although the number of students taking admissions in medical colleges has roughly quadrupled between 1991-92 and 2014-15, the average population served per Government allopathic doctor is 11,528 in the country.

Similarly, between 1994-95 and 2014-15, the number of students taking admissions in dental colleges for Bachelor of Dental Surgery (BDS) has increased by 13.2 times, and for Masters in Dental Surgery (MDS), it has gone up by 24.5 times. However, the average population served per Government dental surgeon is still too high i.e. 2.2 lakhs.

Although people with vision disability (nearly 50.3 lakh population) constitute 19 percent of total disabled population, there are only 249 eye banks in the entire nation, which means one eye bank serves the need of 20,201 visually disabled.  

For a population of 1,790, only one bed is available in hospitals in India.

But what is the root cause behind this pathetic situation?

Based on various reports, the National Health Profile 2015 shows that among countries with significant universal health coverage (UHC), public expenditure on health as a percentage of Gross Domestic Product (GDP) during 2013 has been relatively low in India (1.1 percent) as compared to countries like Sri Lanka (1.4 percent), China (3.1 percent), South Africa (4.3 percent), Russian Federation (3.1 percent) and Brazil (4.7 percent).

The per capita public expenditure on health has been relatively low in India (US$ 16) as compared to the neighbouring nations like Sri Lanka (US$ 45), Bhutan (US$ 66) and Maldives (US$ 415).      

Although the per capita public expenditure on health in nominal terms has gone up from Rs. 621 in 2009-10 to Rs. 1280 in 2014-15, the Centre-state share in total public expenditure on health has changed from 36:64 in 2009-10 to 30:70 in 2014-15. This means that the burden of public health expenditure has tilted away from the Centre and moved towards the states.

As a share of total consumption expenditure, out-of-pocket (OOP) expenditure on health has been 6.7 percent in rural India and 5.5 percent in urban India in 2011-12. The per capita OOP expenditure as well as the share of OOP in total consumption expenditure has been found to be positively correlated with consumption expenditure fractiles; higher fractiles had higher levels of both per capita OOP and share of OOP in consumption expenditure during 2011-12.

Around 22 crore individuals were covered under any health insurance in 2013-14. This means less than one-fifth of the nation’s population had any health insurance coverage.
 
Please click here to access the key findings of the National Health Profile 2015.

References

National Health Profile 2015, produced by the Central Bureau of Health Intelligence, Ministry of Health and Family Welfare, please click here to access

Shri J P Nadda releases National Health Profile-2015, Press Information Bureau, http://pib.nic.in/newsite/PrintRelease.aspx?relid=127098

71st round NSS report: Key Indicators of Social Consumption in India Health (published in June 2015), please click here to access

Rising burden of out-of-pocket health expenditure, please click here to access
 
Health expense is a major burden on rural citizenry, please click here to access

National Health Profile 2015: Suicides on a rise, cancer cases may grow by 15 per cent in five years -Karnika Bahuguna, Down to Earth, 23 September, 2015, please click here to access
 
Less than 20% of population under health insurance cover: Report -Sushmi Dey, The Times of India, 24 September, 2015, please click here to access

National Health Profile highlights poor doctor-patient ratio -Rukmini S, The Hindu, 22 September, 2015, please click here to access

Respiratory disease cases rose by 5 million since 2012: Government -Sushmi Dey, The Times of India, 23 September, 2015, please click here to access

New Health Policy and Chronic Disease: Analysis of Data and Evidence -Subrata Mukherjee, Anoshua Chaudhuri, and Anamitra Barik, Economic and Political Weekly, Vol-L, No. 37, September 12, 2015, please click here to access
 
Image Courtesy: UNDP India


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