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Health Budget 2019-20: Unfulfilled expectations

  2365 Views

Dr KK Aggarwal    06 July 2019

The budget for the year 2019-20 was presented by the Government yesterday. We had great expectations from the budget with respect to an increase in healthcare expenditure. But once again, health did not seem to be of priority as there was no mention of health directly. Although indirectly, the government has emphasized on the Swachh Bharat Mission with an aim to make India 100% open defecation free by 2nd October, 2019. Housing for all, power for all by 2020 and tap water for all ‘Har Ghar Jal’ by 2024.

The budget allocated for national programs such as National Mental Health Programme, National Programme for prevention and control of Cancer, Diabetes, Cardiovascular Disease and Stroke, National Programme for Health Care for the Elderly and National Programme for Control of Blindness remain the same as they were last year. Though, the Tobacco Control Programme and Drug Deaddiction Programme did see an increase from 64 Cr in 2018-19 to 65Cr in 2019-20.

Issues of public health importance such as zoootic diseases, antimicrobial resistance have been left out.

As was expected, Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana (PMJAY) has been allocated a sum of 6400.00 Cr, an increase from 2400.00 Cr allocated in 2018-19.

Here are the budget allocations for health for the year 2019-20.

MINISTRY OF HEALTH AND FAMILY WELFARE
DEMAND NO. 42
Department of Health and Family Welfare
(In crores)
  
Total
  Gross93035.45
  Recoveries-30376.33
  Receipts...
  Net62659.12
A. The Budget allocations, net of recoveries, are given below: 
CENTRES EXPENDITURE 
Establishment Expenditure of the Centre 
1.Secretariat192.97
2.Direction and Administration64.71
3.Central Government Health Scheme1350.00
4.Safdarjung Hospital and Vardhman Mahavir Medical College, New Delhi1211.50
5.Dr. Ram Manohar Lohia Hospital and Dr. RML PGIMER, New Delhi750.00
6.Lady Hardinge Medical College and Smt. S.K. Hospitals475.10
7.Kalawati Saran Childrens Hospital, New Delhi124.90
8.Other Hospitals / Institutions958.75
Total-Establishment Expenditure of the Centre5127.93
Central Sector Schemes/Projects 
9.Pradhan Mantri Swasthya Suraksha Yojana 
 9.01Support from Gross Budgetary Support (GBS)...
 9.02Support from National Investment Fund (NIF)...
 9.03Central Roads & Infrastructure Fund (CRIF)3370.00
 9.04Repayment of Principal from HEFA Loan550.00
 9.05Payment of Interest on HEFA Loan80.00
 Total- Pradhan Mantri Swasthya Suraksha Yojana4000.00
10.National AIDS and STD Control Programme2500.00
11.Family Welfare Schemes700.00
      
12.Establishment and strengthening of NCDC Branches and Health Initiatives Inter Sectoral co ordination for preparation and control of Zoonotic Diseases and other neglected tropical diseases surveillance of Viral Hepatitis Anti Microbial Resistance 49.00
13.Strengthening Intersectoral Coordination of Prevention and Control of Zoonotic Diseases ...
14.Viral Hepatitis ...
15.Anti Microbial Resistance ...
16.National Pharmacovigilance Programme 12.00
17.Development of Nursing Services 15.00
18.Health Sector Disaster Preparedness and Response and Human Resources Development for Emergency Medical Services 130.00
19.National Organ Transplant Programme 41.00
20.Impacting Research Innovation and Technology (IMPRINT) Scheme 3.00
21.Swachhata Action Plan (SAP) ...
Total-Central Sector Schemes/Projects 7450.00
Other Central Sector Expenditure  
Statutory and Regulatory Bodies  
22.Food Safety and Standards Authority of India 360.00
23.Indian Pharmacopeia Commission 32.10
24.Medical Council of India 1.00
25.Dental Council of India 0.40
26.Pharmacy Council of India 0.20
27.Indian Nursing Council 0.22
28.National Academy of Medical Sciences 1.80
29.National Board of Examinations 0.01
Total-Statutory and Regulatory Bodies 395.73
Autonomous Bodies  
30.All Indian Institute of Medical Science  
 30.01Support from Gross Budgetary Support (GBS) 3211.66
 30.02Support from National Investment Fund (NIF) 290.89
 30.03Payment of Interest on HEFA Loan 44.60
 30.04Repayment of Principal from HEFA Loan 52.50
 Total- All Indian Institute of Medical Science 3599.65
31.Post Graduate Institute of Medical Education and Research, Chandigarh  
  
 31.01Support from Gross Budgetary Support (GBS)0.01
 31.02Support from National Investment Fund (NIF)1499.99
 Total- Post Graduate Institute of Medical Education and Research, Chandigarh1500.00
32.Jawaharlal Institute of Post Graduate Medical Education and Research, Puducherry 
 32.01Support from Gross Budgetary Support (GBS)0.01
 32.02Support from National Investment Fund (NIF)1099.99
 Total- Jawaharlal Institute of Post Graduate Medical Education and Research, Puducherry1100.00
33.National Institute of Mental Health and Neuro- Sciences, Bengaluru450.00
34.North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences, Shillong350.00
35.Regional Institue of Medical Sciences, Imphal450.00
36.Regional Institute of Paramedical and Nursing Sciences, Aizawl35.18
37.Lokpriya Gopinath Bordoloi Regional Institute of Mental Health, Tezpur60.00
38.Other Autonomous Bodies 
 38.01Support from Gross Budgetary Support (GBS)0.01
 38.02Support from National Investment Fund (NIF)760.15
 Total- Other Autonomous Bodies760.16
Total-Autonomous Bodies8304.99
Others   
39.Medical Treatment of CGHS Pensioners (PORB)1500.00
40.Purchase of Material in India and Abroad 
 40.01Gross Budgetary Support310.00
 40.02Less Recoveries-310.00
  Net...
41.International Cooperation72.60
42.Other Miscellaneous Expenditure 
 42.01Gross Budgetary Support259.06
 42.02Less Recoveries-2.19
  Net256.87
43.Support from National Investment Fund (NIF)20649.55
44.Amount met from National Investment Fund (NIF)-20649.55
45.Support from Central Roads & Infrastructure Fund (CRIF)4000.00
46.Amount met from Central Roads & Infrastructure Fund (CRIF)-4000.00
 
Total-Others 1829.47
Total-Other Central Sector Expenditure10530.19
TRANSFERS TO STATES/UTs 
Centrally Sponsored Schemes 
National Health Mission 
47.National Rural Health Mission 
 47.01RCH Flexible Pool including Routine Immunization Programme, Pulse Polio Immunization Programme, National Iodine Deficiency Disorders Control Progrmme etc. (Support from National Investment Funds)7843.05
   -2589.59
  Net5253.46
 47.02RCH Flexible Pool including Routine Immunization Programme, Pulse Polio Immunization Programme, National Iodine Deficiency Disorders Control Progrmme etc. (Gross Budgetary Support))450.06
 47.03Health System Strengthening under NRHM (Support from National Investment Funds)9445.18
 47.04Health System Strengthening under NRHM (Gross Budgetary Support)1087.02
 47.05Ayushman Bharat - Health and Wellness Centres (NIF)1349.97
 47.06Ayushman Bharat - Health and Wellness Centres (GBS)0.04
 47.07Flexible Pool for Communicable Diseases5003.00
   -2825.00
  Net2178.00
 47.08Flexible Pool for Non-Communicable Diseases, Injury and Trauma717.00
 47.09Infrastructure Maintenance6343.41
 47.10Forward Linkages to NRHM...
 47.11Strengthening of State Drug Regulatory System...
 47.12Pilot Schemes (Sports Medicine, Deafness, Leptospirosis Control, Control of Human Rabies, Medical Rehabilitation, Oral Health, Fluorosis)25.00
 47.13Prime Ministers Development Plan for Jammu and Kashmir63.36
 47.14Strengthening National Programme Management of the NRHM115.00
 47.15Janasankhya Sthirtha Kosh (JSK)11.50
  
 Total- National Rural Health Mission27039.00
48.National Urban Health Mission 
 48.01Other Health System for activities covered under NUHM (NIF)699.96
 48.02Other Health System for activities covered under NUHM (GBS)0.04
 48.03Ayushman Bharat - Health and Wellness Centres (NIF)249.96
 48.04Ayushman Bharat - Health and Wellness Centres (GBS)0.04
 Total- National Urban Health Mission950.00
49.Strengthening of State Drug Regulatory System206.00
50.Tertiary Care Programs 
 50.01National Mental Health Programme40.00
 50.02Capacity Building for Trauma Centres100.00
 50.03National Programme for prevention and control of Cancer, Diabetes, Cardio-vascular Disease and Stroke175.00
 50.04National Programme for Health Care for the Elderly105.00
 50.05National Programme for Control of Blindness20.00
 50.06Telemedicine45.00
 50.07Tobacco Control Programme and Drug De- addiction Programme65.00
 Total- Tertiary Care Programs550.00
51.Human Resources for Health and Medical Education 
 51.01Upgradation/Strengthening of Nursing Services (ANM/GNM)64.00
 51.02Strengthening/Upgradation of Pharmacy School/College5.00
 51.03District Hospital - Upgradation of State Government Medical Colleges (PG Seats)800.00
 51.04Strengthening Government Medical Colleges (UG Seats) and Central Government Health Institutions1361.00
 51.05Establishing New Medical Colleges (upgrading District Hospitals)2000.00
 51.06Setting up of State Institutions of Para- medical Sciences in States and Setting up of College of Para-medical Education20.00
 Total- Human Resources for Health and Medical Education4250.00
Total-National Health Mission32995.00
52.Rashtriya Swasthya Bima Yojna (RSBY) 
 52.01Support from Gross Budgetary Support (GBS)156.00
 52.02Support from National Investment Fund (NIF)...
 Total- Rashtriya Swasthya Bima Yojna (RSBY)156.00
  
53.Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana (PMJAY)6400.00
54.Actual Recoveries...
Total-Centrally Sponsored Schemes39551.00
Grand Total62659.12
B. Developmental Heads 
General Services 
1.Council of Ministers6.00
2.Pensions and other Retirement Benefits1500.00
Total-General Services1506.00
Social Services 
3.Medical and Public Health23754.04
4.Family Welfare1172.26
5.Secretariat-Social Services192.97
6.Capital Outlay on Medical and Public Health1675.90
7.Capital Outlay on Family Welfare10.25
8.Capital Outlay on Housing14.75
Total-Social Services26820.17
Others  
9.North Eastern Areas4700.10
10.Grants-in-aid to State Governments29379.26
11.Grants-in-aid to Union Territory Governments203.59
12.Aid Materials and Equipment...
13.Capital Outlay on North Eastern Areas50.00
Total-Others34332.95
Grand Total62659.12

 

Dr KK Aggarwal

Padma Shri Awardee

President Elect Confederation of Medical Associations in Asia and Oceania   (CMAAO)

Group Editor-in-Chief IJCP Publications

President Heart Care Foundation of India

Past National President IMA

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