New Delhi: The Union Health Ministry released the National Health Account (NHA) estimates for India 2020-21 and 2021-22. These estimates are the eighth and ninth in the series of reports released annually by the Union Ministry of Health & Family Welfare. Addressing the session, Dr V K Paul, Member (Health), NITI Aayog said that “the methodology taken for these NHA estimates has improved over the last 9 years and has resulted in a more robust and accurate account of the government’s expenditure on Health”. He said, “the decline in Out-of-Pocket expenditure out of Total Health Expenditure from 64.2% in 2013-14 to 39.4% in 2021-22 reflects a very positive indicator.”
Dr Paul highlighted that “more than Rs 1 lakh crore savings have accrued from the Ayushman Bharat PMJAY and this has had a positive impact on the recent NHA estimates. He also stated that other schemes like the Free Dialysis scheme, launched in 2015-16 has benefited 25 lakh people.” Speaking on the occasion, Union Health Secretary Shri Apurva Chandra said that “a substantial increase has been noticed in the health expenditure of the government while the out-of-pocket expenditure has come down which is a good sign.” He highlighted that the total health expenditure has also made a significant increase which reflects the emphasis of the government towards health.
The NHA estimates are based on the globally accepted framework of ‘A System of Health Accounts (SHA), 2011’ which facilitates inter-country comparisons. This report provides a systematic description of the financial flows in India’s health system by different sources, how the money is spent, how healthcare is provided, and the nature of healthcare services that are used. The NHA estimates for 2021-22 show that Government expenditure for healthcare continues to increase in the country, highlighting the efforts of the Government to increase public investments in the health sector. The share of Government Health Expenditure (GHE) in the overall GDP of the country has increased from 1.13% in 2014-15 to 1.84% in 2021-22. In terms of share in the General Government Expenditure (GGE), it has increased from 3.94% in 2014-15 to 6.12% in 2021-22.