Health in India: Where the money comes from and where it goes?

National Health Accounts (NHA) monitors the flow of resources in a country's health system and provides detailed data on health finances. The NHA estimates for India for the financial year 2013-14 were published earlier this week, after a long void of almost a decade. The previous estimates were for the year 2004-05. In 2013-14, the Total Healthcare Expenditure (THE) of India was Rs. 4.5 lakh crores, which amounts to 4 per cent of the Gross Domestic Product (GDP). The Draft National Health Policy 2015 recognises this to be a problem. It says: “Global evidence on health spending shows that unless a country spends at least 5-6 per cent of its GDP on health and the major part of it is from government expenditure, basic health care needs are seldom met.” Of the total amount of Rs. 4.5 lakh crores, Current Health Expenditure (CHE) constituted Rs. 4.2 lakh crores (93 per cent). Rs. 31.9 thousand crore (7 per cent) went to Capital Expenditure. These estimates help us answer key questions pertaining to healthcare finances. Here are they key findings.