With the state’s public health spend declining from one per cent of GSDP in 1985-86 to just 0.49 per cent in 2017-18, will Arogya Maharashtra become a reality?
Despite Maharashtra being one of the affluent states in the country with the highest Gross State Domestic Product (GSDP), contributing 14.42 per cent of India’s GDP and ranking highest in industrialisation, yearover-year the state’s expenditure on public health has dipped as a proportion of the GSDP, declining from one per cent in 1985-86 to a dismal 0.49 per cent for 2017-18. The low levels of public health spending reflect the shortfalls in the public health system, be it health facilities, shortages of specialists and deteriorating health infrastructure.
The state’s annual budget allocated for 2017-18 was Ì€ 8,195 crore in public health sector, which was 5.4 per cent less than what was spent by the state last fiscal year, raising eyebrows over the state government’s commitment towards Arogya Maharashtra.
Crippling health budget a pitfall?
Stepping up investment in public healthcare is pivotal for sustainable economic growth. Though Maharashtra health indicators are better than the national average, they are certainly not equivalent to its economic development, according to experts. A study by New Delhi-based International Institute of Health Management Research (IIHMR) stated that the state needs to increase its health spending to over ̀ 7,400 crore by 2018.
“Maharashtra health budget needs to be a little more ambitious to overcome the lack of public health and medical facilities and fill in skill gaps of huge vacancies in rural hospitals, primary health centres (PHCs) and other centres as well. The annual budget allocated for the health sector has to be increased to address the rising cost of medical care, especially in view of the growing rate of urbanisation,” the study stated.
According to World Health Organisation (WHO), every state government should spend five per cent of the GSDP on healthcare.
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