National Health Accounts Estimates for India (2019-20)


    In News

    • Recently, the National Health Accounts Estimates for India (2019-20) are being released.

    Major Highlights

    • Share of Out-of-Pocket Expenditure (OOPE) in Total Health Expenditure declines from 62.6% in 2014-15 to 47.1% in 2019-20


    • Government Health Expenditure’s share in country’s total GDP increases from 1.13% (2014-15) to 1.35% (2019-20)


    • Additionally, in General Government Expenditure (GGE), the share of health sector spending has steadily increased from 3.94% to 5.02% between 2014-15 and 2019-20.


    • Private health insurance share is also going up which is a sign of maturity for a country in terms of the insurance arena. It complements the government system of primary, secondary and tertiary care.


    • The share of primary healthcare in Current Government Health Expenditure (CGHE) has increased from 51.3% in 2014-15 to 55.9% in 2019-20.  


    • The share of Social Security Expenditure (SSE) on health, which includes government-funded health insurance, medical reimbursement to government employees, and social health insurance programs, in THE (Total Health Expenditure) has increased from 5.7% in 2014-15 to 9.3% in 2019-20.


    • In per capita terms, Government health expenditure has doubled from Rs. 1,108 to Rs. 2,014 between 2014-15 to 2019-20


    About National Health Account (NHA) estimates

    • The National Health Account (NHA) estimates for India 2019-20 is the seventh consecutive NHA estimates report prepared by NHSRC, designated as National Health Accounts Technical Secretariat (NHATS) in 2014 by the Union Health Ministry.

    Related terms

    Out-of-Pocket Expenditure (OOPE) in health: 

    • Out-of-pocket expenditure is the money paid directly by households, at the point of receiving health care.
    • This occurs when services are neither provided free of cost through a government health facility, nor is the individual covered under any public or private insurance or social protection scheme

    General Government Expenditure (GGE):

    • GGE involves all types of expenditure, current and capital. It includes all types of revenue. GGE includes funds that are provided by donors, and channeled through the government.
    • It is not the same as the General Government Final Consumption, which comprises only current spending.

    Source: PIB