ISSN (Print) - 0012-9976 | ISSN (Online) - 2349-8846

Articles by T R DilipSubscribe to T R Dilip

India’s Government Health Expenditure as the Ratio to GDP

The appropriateness of the criterion that pegs the ratio of public health expenditure to the gross domestic product—which is volatile—needs a re-examination. The targets for allocation and expenditure of financial resources for health need to be based on indicators that can be monitored.

 

National Health Accounts Estimates

The National Health Accounts is a global tool that provides a snapshot of the flow of funds in a country’s health system by financing sources, providers of healthcare and healthcare functions. The Indian government’s Ministry of Health and Family Welfare released the NHA estimates for 2013–14 in August 2016 providing details of these expenditures by health financing schemes, providers and functions. This article comments on some of the major advances and gaps in the latest NHA estimation methodology and in the presentation of results.

Why Use Consumer Expenditure Surveys for Analysis of the RSBY?

This is relating to the recent debate on the so-called “rigorous evaluation-based robust findings” based on the National Sample Survey Office (NSSO) consumer expenditure survey (CES) data available for 2004-05 and 2009-10 (Selvaraj and Karan 2012a), on the inability of publicly-financed health in

On Publicly-Financed Health Insurance Schemes

It is a methodological fl aw to conclude from data which shows a rise in the incidence of out-of-pocket medical expenses that the Rashtriya Swasthya Bima Yojana is ineffective. A response to Sakthivel Selvaraj, Anup K Karan, "Why Publicly- Financed Health Insurance Schemes Are Ineffective in Providing Financial Risk Protection" (EPW, 17 March 2012).

Reflections on Wealth Quintile Distribution and Health Outcomes

This study focuses on the method the National Family Health Survey-3 adopts to compute national wealth quintiles using the wealth index score of households as a basis. It argues that the survey's national wealth quintile classification does not account for interstate variations in wealth possession as well as rural-urban differences within states, which could lead to biased outcomes when applied to health indicators. It suggests that working out state-specific wealth quintiles that allow for the differentials would be more appropriate.

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