Journal of Rural Development

Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Public Healthcare Expenditure Needs in North-Eastern States of India


Affiliations
1 Assistant Professor, Department of Economics, Lilong Haoreibi College, Lilong, Manipur, India
2 Professor, Department of Migration & Urban Studies, International Institute for Population Sciences, Deonar, Mumbai – 400088, India
     

   Subscribe/Renew Journal


The present paper assesses the public healthcare expenditure required to provide sufficient primary healthcare facilities as per the Indian Public Health Status (IPHS) norm in the rural areas of north-east India. The analysis is based on the data from Rural Health Statistics (RHS) 2015, National Health Mission framework for implementation and other macroeconomic sources. The present study has found that healthcare facilities (sub-centres, PHCs and CHCs) in the rural areas of north-east India are in a poor condition which is evidenced by shortages of infrastructure, lack of sufficient manpower, drugs and medicines, equipment and other necessary provisions. It is imperative that the north-eastern States should increase their spending on rural public health to provide universal primary healthcare facilities as per the IPHS in the rural areas. An estimated additional amount of about Rs. 68 lakh thousand (equivalent to more than 7 per cent of total public health expenditure or 0.23 per cent of the North-East region’s gross domestic product) at current prices will be required to be spent across the north-eastern States.

Keywords

Universal Primary Healthcare Facilities, Public Healthcare Expenditure Needs, Rural Areas, North-Eastern States.
User
Subscription Login to verify subscription
Notifications
Font Size

  • Arora, G. K., & Gumber, A. (2008). Globalization and Health Care Financing in India: Some Emerging Issues. Public Finance Management, 5(4), 567–596. Retrieved from http://web.a.ebscohost.com/t?direct=true&profile=ehost&scope=site&authtype=crawler&jrnl=15239721&AN=19763464&h=2IsSxC0PUlIvn99k3PuaHET per cent2BTe8RATm0ShY8IOKGFPcHX95 per cent2ByTyId9id06K7at per cent2BYFngvGlper cent2F744VfdB1G2B4D7g per cent3D per cent3D&crl=f&resultNs=AdminWebAuth&resultLo

  • Chillimuntha, A. K., Thakor, K. R., & Mulpuri, J. S. (2013). Review Article Disadvantaged Rural Health – Issues and Challenges : a Review. National Journal of Medical Research, 3(1), 80–82.

  • Draft North Eastern Council Regional Plan. (2019).

  • Gupte, M. D., Ramachandran, V., & Mutatkar, R. K. (2001). Epidemiological profile of India: historical and contemporary perspectives. Journal of Biosciences, 26(4), 437–464.

  • Jayakrishnan, T., Jeeja, M., & Paramasivam, S. (2015). Increasing Out-Of-Pocket Health Care Expenditure in India-Due to Supply or Demand? PharmacoEconomics:Open Access, 1(1), 1–6. https://doi.org/10.4172/pe.1000105

  • Lakshminarayanan, S. (2011). Role of government in public health: Current scenario in India and future scope. Journal of Family and Community Medicine, 18(1), 26–30. https://doi.org/10.4103/1319

  • LYNGDOH, L. M. (2015). Inter-State Variations in Rural Healthcare Infrastructure in North-East India. The NEHU Journal, 13(2), 31–48.

  • Mazumdar, S. (2015). Murky Waters of Medical Practice in India: Ethics, Economics and Politics of Healthcare. Economic and Political Weekly, 50(29), 40–54.

  • MoHFW. (2011). National Rural Health Mission - Framework for Implementation2005-2012.

  • North Eastern Council. (2012). Health Workforce Development Plan for NER. Retrieved from http://www.rcssindia.org/main/online/files/journals/1/articles/298/public/298-587-1-PB.pdf

  • O’Hare, B., Makuta, I., Chiwaula, L., & Bar-Zeev, N. (2013). Income and child mortality in developing countries: a systematic review and meta-analysis. Journal of the Royal Society of Medicine, 106(10), 408–414. https://doi.org/10.1177/0141076813489680

  • Patil, A. V., Somasundaram, K. V., & Goyal, R. C. (2002). Current health scenario in rural India. Australian Journal of Rural Health, 10(2), 129–135. https://doi.org/10.1046/j.1440-1584.2002.00458.x

  • Rao, M. G., & Choudhury, M. (2012). Health Care Financing Reforms in India. PricewaterhouseCoopers Private Limited. Retrieved from http://www.nipfp.org.in/media/medialibrary/2013/04/wp_2012_100.pdf

  • RGI. (2011). Census of India.

  • Roy, K., & Hill, H. (2007). Equity in Out of Pocket Payments for Hospital Care: Evidence from India. Health Policy, 80(2), 297–307.

  • Saikia, D. (2015). Health Care Infrastructure in the Rural Areas of North-East India : Current Status and Future Challenges HEALTH CARE INFRASTRUCTURE IN THE RURAL AREAS OF NORTH-EAST INDIA : CURRENT STATUS, 784001(November).

  • Sparks, P. J., & Sparks, C. S. (2012). Socioeconomic Position, Rural Residence, and Marginality Influences on Obesity Status in the Adult Mexican Population. International Journal of Population Research, 2012, 1–13. https://doi.org/10.1155/2012/757538

  • UNDP. (2016). Human Development Report 2016 Human Development for Everyone.

  • Wagstaff, A., & van Doorslaer, E. (2001). Paying for Health Care. Quantifying Fairness, Catastrophe, and Impoverishment, with Applications to Vietnam, 1993-98. Policy Research Working Paper 2715, 11(July 2001), 1–50. https://doi.org/10.1136/jme.17.3.117

  • WHO. (2004). The impact of health expenditure on households and options for alternative financing. EM/RC51/4. 6(a). Retrieved from http://www.who.int/health_financing/documents/emrc51-4-healthexpenditureimpact.pdf


Abstract Views: 382

PDF Views: 1




  • Public Healthcare Expenditure Needs in North-Eastern States of India

Abstract Views: 382  |  PDF Views: 1

Authors

Sapana Ngangbam
Assistant Professor, Department of Economics, Lilong Haoreibi College, Lilong, Manipur, India
Archana K. Roy
Professor, Department of Migration & Urban Studies, International Institute for Population Sciences, Deonar, Mumbai – 400088, India

Abstract


The present paper assesses the public healthcare expenditure required to provide sufficient primary healthcare facilities as per the Indian Public Health Status (IPHS) norm in the rural areas of north-east India. The analysis is based on the data from Rural Health Statistics (RHS) 2015, National Health Mission framework for implementation and other macroeconomic sources. The present study has found that healthcare facilities (sub-centres, PHCs and CHCs) in the rural areas of north-east India are in a poor condition which is evidenced by shortages of infrastructure, lack of sufficient manpower, drugs and medicines, equipment and other necessary provisions. It is imperative that the north-eastern States should increase their spending on rural public health to provide universal primary healthcare facilities as per the IPHS in the rural areas. An estimated additional amount of about Rs. 68 lakh thousand (equivalent to more than 7 per cent of total public health expenditure or 0.23 per cent of the North-East region’s gross domestic product) at current prices will be required to be spent across the north-eastern States.

Keywords


Universal Primary Healthcare Facilities, Public Healthcare Expenditure Needs, Rural Areas, North-Eastern States.

References





DOI: https://doi.org/10.25175/jrd%2F2020%2Fv39%2Fi3%2F140850