Expenditure on health as a proportion of GDP continues to be among the world's lowest
India’s health indicators do not match our recent economic performance. Public expenditure on health as a proportion of GDP continues to be among the world’s lowest. The crib deaths in West Bengal, the misuse of NRHM funds in Uttar Pradesh, the poor state of maternity homes in the country’s capital, rightly raise a public outcry. The state of the public system, subjected to unprecedented neglect for decades, is truly shocking in many parts of the country. Nor does the conduct of some government health workers generate confidence that the public system will ever deliver basic health services of decent quality. The despair is so overwhelming that critics often miss out on some of the emerging positive trends in many hitherto backward states, on account of the attention given to the public system with the advent of the NRHM. Though NRHM is a Centrally-sponsored programme, health is a state subject and it is the leadership at the state level that makes all the difference.
Let us look at hard evidence. The just published Sample Registration System data from the Census office places India’s infant mortality rate (IMR) for 2010 at 47, a three-point decline for the second consecutive year. IMR declined by a bare three points, from 60 to 57 between 2003 and 2006. Between 2007 and 2010, the decline is of 10 points. More interestingly, the rate of decline in rural areas is almost double that in urban areas during this period. The IMR decline in hitherto backward states like Bihar, Rajasthan, Madhya Pradesh, Chhattisgarh, Orissa, has been 3-5 points per year, a rate never achieved previously in consecutive years. States like Tamil Nadu and Gujarat have also made significant gains during this period. Read more
Source : business-standard.com
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