The Government of India has publicly
committed to a doubling or trebling of government health
spending by 2012 and launched a major program, the National
Rural Health Mission (NRHM), to help spend the additional
funds and achieve better health outcomes. This paper reviews
recent data on trends in government spending and various
scenarios of central and state funding to assess the
feasibility of achieving these financing goals. The goal of
2 percent of Gross Domestic Product (GDP) for government
health spending is unlikely to be achieved, although there
is clear evidence of program growth. Much larger state-level
spending is needed to accelerate overall government spending
in India's federal system. In addition, there is
evidence of constraints in the ability to spend
significantly increased budgets in a timely way and possible
state substitution of increased central funding for existing
state budgets. Significantly increasing government health
spending in India requires more than simply raising budgets
at the central level. NRHM does show some positive effects,
but the rapid gains envisaged will require greater efforts
to address the shortcomings of government systems and
creative approaches to India complex federal financing system.
Bibliographic Details
Main Authors: |
Berman, Peter,
Ahuja, Rajeev,
Tandon, Ajay,
Sparkes, Susan,
Gottret, Pablo |
Format: | Working Paper
biblioteca
|
Language: | English en_US |
Published: |
World Bank, Washington, DC
2010-12
|
Subjects: | ALLOCATIVE EFFICIENCY,
BASIC HEALTH CARE,
BLOCK GRANTS,
BUDGET ALLOCATION,
CAPITAL EXPENDITURE,
CARE INSTITUTIONS,
CHILD HEALTH,
COMMUNICABLE DISEASES,
DECENTRALIZATION,
DECISION MAKING,
DELIVERY SYSTEM,
DISEASE CONTROL,
ECONOMIC GROWTH,
EMPLOYMENT,
EXPENDITURES,
FAMILIES,
FINANCES,
FINANCIAL PROTECTION,
FORECASTS,
HEALTH BUDGETS,
HEALTH CARE,
HEALTH CARE DELIVERY,
HEALTH CARE FACILITIES,
HEALTH CARE SERVICES,
HEALTH EXPENDITURE,
HEALTH EXPENDITURE SHARE,
HEALTH EXPENDITURES,
HEALTH FACILITIES,
HEALTH FINANCING,
HEALTH FUNDING,
HEALTH INSURANCE,
HEALTH INSURANCE PROGRAM,
HEALTH OUTCOMES,
HEALTH PLANS,
HEALTH PROGRAMS,
HEALTH SECTOR,
HEALTH SERVICE,
HEALTH SERVICE DELIVERY,
HEALTH SYSTEMS,
HEALTH WORKERS,
HORIZONTAL EQUITY,
HUMAN DEVELOPMENT,
HUMAN RESOURCES,
IMMUNIZATION,
INCOME,
INCOME HOUSEHOLDS,
INCOMES,
INFORMATION SYSTEMS,
LOCAL GOVERNMENTS,
LOW-INCOME COUNTRIES,
NUTRITION,
PATIENT,
POCKET PAYMENTS,
POCKET PAYMENTS BY HOUSEHOLDS,
POCKET PAYMENTS FOR HEALTH CARE,
PRICE OF HEALTH CARE,
PRIMARY CARE,
PROVISION OF HEALTH CARE,
PUBLIC HEALTH,
PUBLIC HEALTH SPENDING,
PUBLIC INVESTMENTS,
PUBLIC PROVISION,
PUBLIC SPENDING,
RURAL AREAS,
RURAL POPULATION,
SHARE OF HEALTH SPENDING,
SUSTAINABILITY,
WORKERS, |
Online Access: | http://documents.worldbank.org/curated/en/2010/12/13843166/government-health-financing-india-challenges-achieving-ambitious-goals
http://hdl.handle.net/10986/13597
|
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