Download Indian Health Care System Indian Health Care System Indian Health

Indian Health Care
System
Problems with Current System
1. Failure to integrate health services with wider economic and
social development
2. Lack of sanitation and nutritional support
3. Poor participatory involvement at the local level
The State of Health Care in India
4. Basic health care is almost non-existent in rural areas
5. No comprehensive surveys on health/health care services exist
Presented by: Preetesh Bengali
Indian Health Care
System
Indian Health Care
System
Basic Facts
Health Care-Related Facts
United States
GDP: $10.082 Trillion
Birth Rate: 24.79 per 1000
United States
Birth Rate: 13.9 per 1000
GDP - per capita: $2540
GDP - per capita: $36,300
Infant Mortality: 64.9 per 1000
Infant Mortality: 6.9 per 1000
Pop Below Poverty Line: 25%
Pop Below Poverty Line: 13%
Life Expectancy: 62.5 years
Life Expectancy: 77.4 years
Unemployment Rate: 8.8%
Unemployment Rate: 5%
HIV/AIDS, living: 3.7 million
HIV/AIDS, living: 850,000
HIV/Aids, deaths: 310,000
Cost, Tooth Filling: $10
Cost, Cardiac Surgery: $4500
HIV/Aids, deaths: 20,000
Cost, Tooth Filling: $300
Cost, Cardiac Surgery: $17,000
India
GDP: $2.66 Trillion
Indian Health Care
System
“Supply” of Medical Care
• 128 medical colleges, combined annual class of 14,166 students
India
Indian Health Care
System
“Supply” of Medical Care (cont’d)
Uttar Pradesh
• 320,000 registered practitioners, 219,300 registered nurses
• Population: 150 million
• 8 hospital beds per 10,000 Æ 811,000 beds for +1 billion citizens
• Number of hospitals: 735
• 11,200 public hospitals
• 22,400 primary health centers
Average distance: 43 miles
Average distance: 9 miles
Has hostile perception because their beliefs of family
planning clash with that of the local population
Kerala
• Population: 29 million (land area is 13% the size of UP)
• Number of Hospitals: 2053
1
Indian Health Care
System
Indian Health Care
System
“Supply” of Medical Care (cont’d)
Absenteeism is very high in public facilities
Government Spending
Current Trends
• 40% of personnel in subcenters and 30% at PHC at any time
• Gates of subcenters are closed 54% of the time
• Health spending amounts to 6% of GDP, one of the highest
levels among developing nations
• Spending as a percentage of GNP remains fairly constant
• Proper employees cannot be located 38% of the time
• Spending as a share of total government spending decreased
Citizens face a tradeoff: Accessibility vs Absenteeism
Indian Health Care
System
Indian Health Care
System
Government Spending (cont’d)
Price of
Health Care
Services (Rs)
Government Spending (cont’d)
Price of
Health Care
Services (Rs)
India
S
S
US
P
P
India
India
D
Q
Q
Quantity of Health Care
Services Provided
Indian Health Care
System
Quantity of Health Care
Services Provided
Indian Health Care
System
Government Spending (cont’d)
Price of
Health Care
Services (Rs)
D
Sources of Input - Per Capita Spending
India
S
S
Private
US
State
P
Central
Insurance +
Employers
Misc
India
D
Q
Quantity of Health Care
Services Provided
Rs320 per
year
2
Indian Health Care
System
Policy Proposal
1. Increase percentage of government spending on health care
2. Tax concessions and incentives for private investment
2. Give more autonomy to hospitals
3. Work with NGOs and contracted health workers
4. Send panel of private doctors to rural villages at regular intervals
Any
Questions?
3