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Context:

• Out-of-pocket expenditure (OOPE) as a share of total health expenditure and foreign aid for health has both come down.

Findings:

• As a share of total health expenditure, OOPE has come down to 48.8% in 2017-18 from 64.2% in 2013-14.
• Even in case of per capita OOPE, there has been decline from ₹2,336 to ₹2,097 between 2013-14 to 2017-18.
• Government expenditure on health has increased from 1.15% in 2013-14 to 1.35% in 2017-18.
• Additionally, the share of Government Health Expenditure in total health expenditure has also increased over time. In 2017-18, the share of Government expenditure was 40.8%, which is much higher than 28.6% in 2013-14,”.
• in per capita terms, the Government health expenditure has increased from ₹1,042 to ₹1,753 between 2013-14 to 2017-18.
• Also the share of social security expenditure on health, which includes the social health insurance programme, Government financed health insurance schemes, and medical reimbursements made to Government employees, has increased.

Reasons for Decline:

• increase in utilisation and reduction in cost of services in Government health facilities. 

About National Health Accounts Estimates:

• This is the fifth consecutive NHA report produced by National Health Systems Resource Centre, designated as National Health Accounts Technical Secretariat in 2014 by the Health Ministry.
• The NHA estimates are prepared by using an accounting framework based on internationally accepted System of Health Accounts 2011, provided by the World Health Organization.

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