India’s Budgetary Allocation for Health
The total allocation of Rs 69,000 crore for the health sector in Union Budget 2020-21 was about 10 per cent higher from the year ago. National Rural Health Mission (NRHM), the biggest component of the health budget, was allocated Rs 27,039 crore.
The Ministry of Health and Family Welfare has two departments: (i) the Department of Health and Family Welfare, and (ii) the Department of Health Research. The Department of Health and Family Welfare is responsible for functions including: (i) implementing health schemes, and (ii) regulating medical education and training. The Department of Health Research is broadly responsible for conducting medical research.
Ministry of Health and Family Welfare, Union Budget 2020-21:
• The National Health Mission (NHM) receives about 50% of the Ministry’s allocation.
• Other items under NHM include funds for health and medical education amounting to Rs 4,686 crore in 2020-21.
• Allocation to autonomous institutes like the AIIMS and the Indian Council of Medical Research saw a decrease of 5% at Rs 9,616 crore from the revised estimates of 2019-20.
• Pradhan Mantri Jan Arogya Yojana has seen the highest increase in allocation at 100% (Rs 6,400 crore) over the revised estimates of 2019-20 (Rs 3,200 crore). The scheme provides a cover of Rs five lakh per family per year to about 10.7 crore families belonging to the poor and vulnerable population.
• Higher allocation has been made for Pradhan Mantri Swasthya Suraksha Yojana at Rs 6,020 crore (27% increase). It focuses on correcting regional imbalances in the availability of affordable tertiary healthcare services.
Is Health budgetary allocation sufficient to prepare for an unpredictable epidemic?
It is an incontrovertible truth that the material resources are finite. Demand in the most sectors will continue to exceed supply in times of a pandemic. With the number of SARS-CoV-2 positive cases on the rise, and the number of deaths going up as well, the question is whether national and state health systems will be able to cope with ever-rising demands — for testing kits, hospital beds, ventilators, masks and hand sanitizers.
This extraordinary demand is unable to match the supply. Health-care resources, limited to begin with, are even more so when under stress. At a time when the disease did not have a name, and much less by way of character, in mainland China, the rapidly climbing numbers went far beyond the capacity of the country’s renowned industry (where a hospital was built in record time), and the health systems struggled to cope.
India and Côte d’lvoire for cooperation in the field of Health
Recently, the Union Cabinet has approved a Memorandum of Understanding (MoU) between Ministry of Health and Family Welfare of the Republic of India and the Ministry of Health and Public Hygiene of the Republic of Cote d'lvoire on Cooperation in the field of Health.
The Memorandum of Cooperation covers the following areas of cooperation:-
• Exchange & training of medical doctors, officials, other health professionals and experts in the field of advanced medical technology, nuclear medicine, renal transplantation, cardiac surgery, nephrology, hemodialysis and medical research;
• Regulation of drugs and pharmaceutical products;
• Assistance in development of human resources and setting up of health care facilities;
• Medical and health research development;
• Management of healthcare sector and public health services including medical evacuations;
• Procurement of generic and essential drugs and assistance in sourcing of drug supplies;
• Collaboration and research in the field of HIV/AIDS;
• Development and improving the techniques and strategies for epidemiological surveillance;
• Exchange of best practices in the field of primary health care;
• Sharing of know-how on management of hospitals and community healthcare centers;
• The promotion of public health and sharing of experiences in medical waste
• Health promotion and disease prevention;
• Non-Communicable Diseases;
• Occupational and Environmental Health;
• Medical Research; and
• Any other area of cooperation as may be mutually decided upon.
The Government’s impetus on boosting domestic manufacturing of medical devices will reinforce the commitment towards raising awareness for early detection in India. Apart from this, the announcement to boost Artificial Intelligence is a great step to strengthen the usage of technology in the field of healthcare. We believe that the Government has put forward a progressive Budget with a strong vision to take India’s social, economic and overall well-being to greater heights
PEPPER IT WITH
NRHM, Pradhan Mantri Jan Arogya Yojana, Mantri Swasthya Suraksha Yojana, PMSSY
Concept of One Health
One Health is a collaborative, multi-sectoral, and transdisciplinary approach—working at the local, regional, national, and global levels—with the goal of achieving optimal health outcomes recognizing the interconnection between people, animals, plants, and their shared environment. CDC’s One Health Office leads the agency’s One Health efforts in the United States and abroad.
For the years, India’s health expenditure as a percentage of GDP has been abysmal at about 1%. As per the National Health Profile, 2019, collated by the Central Bureau of Health Intelligence unit of the Directorate General of Health Services, there has been no significant change in health-care expenditure since 2009-2010. The highest it has been in the decade is 1.28 % of the GDP, and hit the nadir at 0.98 % in 2014-2015.
What is sepsis?
Sepsis is the body’s extreme response to an infection. It is a life-threatening medical emergency.
Sepsis happens when an infection you already have —in your skin, lungs, urinary tract, or somewhere else—triggers a chain reaction throughout your body.
Without timely treatment, sepsis can rapidly lead to tissue damage, organ failure, and death.