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National Health Accounts (NHA) Estimates (2018-19)

National Health Accounts (NHA) Estimates- Relevance for UPSC Exam

  • GS Paper 2: Governance, Administration and Challenges
    • Government policies and interventions for development in various sectors and issues arising out of their design and implementation.

National Health Accounts (NHA) Estimates (2018-19)_30.1


National Health Accounts (NHA) Estimates in News

  • Recently, NITI Aayog, in presence of Shri Rajesh Bhushan, Secretary, Union Ministry of Health & Family Welfare released findings of the National Health Accounts (NHA) Estimates for India for 2018-19.


NHA Estimates on Health Expenditure

  • The Union government’s healthcare spend dropped to 1.28% of the Gross Domestic Product (GDP) in 2018-19 from the previous year’s figure of 1.35%.
  • The NHA estimates for 2018-19 show that there has been an increase in the share of government health expenditure in the total GDP of the country.
    • It has increased from 1.15% in 2013-14 to 1.28% in 2018-19.
  • Additionally, the share of Government Health Expenditure in Total Health Expenditure has also increased over time.
    • In 2018-19, the share of government expenditure was 40.6%, substantially higher than the share of 28.6% in 2013-14.
  • NHA findings also indicate that Government’s health expenditure as a percentage of Current Health Expenditure has increased from 23.2% in 2013-14 to 34.5% in 2018-19.
  • It has also been observed that per capita government spending on healthcare has increased by 74% since 2013-14, i.e., Rs. 1042 to Rs. 1815 in 2018-19.
  • Primary and secondary care accounts for more than 80% of the current Government Health Expenditure.
    • Between 2013-14 and 2018-19, in government, the share of primary and secondary care has increased from 74% to 86%.
  • In case of the private sector, the share of tertiary care has increased but primary and secondary care show a declining trend.
    • In the private sector, the share of primary and secondary care has declined from 82% to 70% during the same period.


NHA Estimates on Out-Of-Pocket Expenditure (OOPE)

  • Out-of-Pocket Expenditure (OOPE) as percentage of total health expenditure has declined substantially by 16% points, from 64.2% to 48.2%.
  • Out of pocket expenditure as a percentage of current health expenditure has also declined over time from 69.1% in 2013-14 to 53.2% in 2018-19.
  • Per capita out-of-pocket expenditure in the country has decreased by 8% since 2013-14, from Rs. 2,366 to Rs. 2,155 currently.


NHA Estimates 2018-19 Findings on Other Indicators

  • Focusing on social security has resulted in expenditure on health as a percentage of total health expenditure growing from 6% to 9.6% now.
  • The NHA also reveals that the government-financed health insurance expenditure has increased by 167% since 2013-14.


NHA Estimates- Trends in the Health Sector

Indicators 2017-18

(in Rs Crores)


(in Rs Crores)

Percentage change
Gross Domestic Product (GDP) 1,70,90,042 1,88,99,668 11%
General Government Expenditure (GGE) 45,15,946 50,40,707 12%
Total Health Expenditure (THE) 5,66,644 5,96,440 5%
Government Health Expenditure (GHE) 2,31,104 2,42,219 5%


National Health Account (NHA) Estimates

  • About: The National Health Account (NHA) estimates for India 2018-19 is the sixth consecutive NHA estimates report prepared by NHSRC.
    • NHSRC designated as National Health Accounts Technical Secretariat (NHATS) in 2014 by the Union Health Ministry.
  • Preparation: The NHA estimates are prepared by using an accounting framework based on the internationally accepted standard of System of Health Accounts, 2011, developed by the World Health Organization (WHO).
  • Significance: With the present estimate of NHA, India now has a continuous series of NHA estimates for the country, from 2013-14 to 2018-19.
    • These estimates are not only comparable internationally, but also enable the policymakers to monitor the progress in different health financing indicators of the country.

National Family Health Survey: Population Slowdown

National Family Health Survey: Population Slowdown

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