India’s Health Budget 2019: The budgetary allocation for health is Rs. 60,908.22 crore and for Ayushman Bharat- Pradhan Mantri Jan Arogya Yojna (AB-PMJAY) it is Rs. 6,400 crore.
Highlights
- The budgetary allocation for health sector is Rs. 60,908.22 crore, a 19 percent increase from the previous year
- Rs. 6,400 crore has been allocated for Ayushman Bharat- Pradhan Mantri Jan Arogya Yojna (AB-PMJAY)
- AB-PMJAY will provide annual health cover of up to Rs. 5 lakh per family for secondary and tertiary care hospitalization
To set up Ayushman Bharat Health and Wellness Centers under the National Urban Health Mission, Rs. 249.96 crore has been allocated and Rs. 1,349.97 crore has been allocated for setting up health and wellness centers under the National Rural Health Mission.
By 2022, over 1.5 lakh sub-centers and primary health centers will be transformed as health and wellness centers. These centers will be equipped to provide treatment for chronic diseases such as hypertension, diabetes, cancer and old age-related illness.
The government has allocated about Rs.2,500 crore to its National AIDS and STD Control Program. There has been an increase of Rs. 400 crore from last budget's allocation, which was about Rs. 2,100 crore.
The budgetary allocation for AIIMS has been increased from Rs. 3,018 crore in the 2018-2019 fiscal to Rs. 3,599.65 crore.
- The National Mental Health Program, where the budget has been reduced from Rs. 50 crore to Rs. 40 crore
- The National Program for prevention and control of Cancer, Diabetes, Cardio-vascular Disease and Stroke had a deduction of about Rs. 175 crore from Rs. 295 crore
- Also, the total budgetary allocation for the tertiary care programs had a Rs. 200 crore dip, i.e., from Rs. 750 crore in 2018-19 to Rs. 550 crore in 2019-2020
- Rs. 2,000 crore for converting district hospitals into new medical colleges
- Rs. 1,361 crore for strengthening government medical colleges (undergraduate) and central government health institutions and
- Rs. 20 crore for setting up State Institutions of Paramedical Sciences in the states and for setting up colleges of para-medical education
He further added, “However the two flagship programs of the government Telemedicine and Organ Transplantation received only Rs.45 and Rs.41 crores respectively. Telemedicine has the capacity to transform rural healthcare in India and organ transplantation can not only save lives but also help improve services of the public sector hospitals. Currently, these hospitals hardly do any transplant procedures.”
MINISTRY OF HEALTH AND FAMILY WELFARE | |||||
DEMAND NO. 42 | |||||
Department of Health and Family Welfare | |||||
(In ` crores) | |||||
Total | |||||
Gross | 93035.45 | ||||
Recoveries | -30376.33 | ||||
Receipts | ... | ||||
Net | 62659.12 | ||||
A. The Budget allocations, net of recoveries, are given below: | |||||
CENTRE'S EXPENDITURE | |||||
Establishment Expenditure of the Centre | |||||
1. | Secretariat | 192.97 | |||
2. | Direction and Administration | 64.71 | |||
3. | Central Government Health Scheme | 1350.00 | |||
4. | Safdarjung Hospital and Vardhman Mahavir Medical College, New Delhi | 1211.50 | |||
5. | Dr. Ram Manohar Lohia Hospital and Dr. RML PGIMER, New Delhi | 750.00 | |||
6. | Lady Hardinge Medical College and Smt. S.K. Hospitals | 475.10 | |||
7. | Kalawati Saran Children's Hospital, New Delhi | 124.90 | |||
8. | Other Hospitals / Institutions | 958.75 | |||
Total-Establishment Expenditure of the Centre | 5127.93 | ||||
Central Sector Schemes/Projects | |||||
9. | Pardhan Mantri Swasthya Suraksha Yojana | ||||
9.01 | Support from Gross Budgetary Support (GBS) | ... | |||
9.02 | Support from National Investment Fund (NIF) | ... | |||
9.03 | Central Roads & Infrastructure Fund (CRIF) | 3370.00 | |||
9.04 | Repayment of Principal from HEFA Loan | 550.00 | |||
9.05 | Payment of Interest on HEFA Loan | 80.00 | |||
Total- Pardhan Mantri Swasthya Suraksha Yojana | 4000.00 | ||||
10. | National AIDS and STD Control Programme | 2500.00 | |||
11. | Family Welfare Schemes | 700.00 | |||
12. | Establishment and strengthening of NCDC Branches and Health Initiatives Inter Sectoral co ordination for preparation and control of Zoonotic Diseases and | 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 | ||||
30.01 | Support from Gross Budgetary Support (GBS) | 3211.66 | |||
30.02 | Support from National Investment Fund (NIF) | 290.89 | |||
30.03 | Payment of Interest on HEFA Loan | 44.60 | |||
30.04 | Repayment 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 | ||||
31.01 | Support from Gross Budgetary Support | 0.01 | |||
31.02 | Support from National Investment Fund (NIF) | 1499.99 | |||
Total- Post Graduate Institute of Medical Education and Research, Chandigarh | 1500.00 | ||||
32. | Jawaharlal Institute of Post Graduate Medical Education and Research, Puducherry | ||||
32.01 | Support from Gross Budgetary Support (GBS) | 0.01 | |||
32.02 | Support from National Investment Fund (NIF) | 1099.99 | |||
Total- Jawaharlal Institute of Post Graduate Medical Education and Research, Puducherry | 1100.00 | ||||
33. | National Institute of Mental Health and Neuro- Sciences, Bengaluru | 450.00 | |||
34. | North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences, Shillong | 350.00 | |||
35. | Regional Institue of Medical Sciences, Imphal | 450.00 | |||
36. | Regional Institute of Paramedical and Nursing Sciences, Aizawl | 35.18 | |||
37. | Lokpriya Gopinath Bordoloi Regional Institute of Mental Health, Tezpur | 60.00 | |||
38. | Other Autonomous Bodies | ||||
38.01 | Support from Gross Budgetary Support (GBS) | 0.01 | |||
38.02 | Support from National Investment Fund (NIF) | 760.15 | |||
Total- Other Autonomous Bodies | 760.16 | ||||
Total-Autonomous Bodies | 8304.99 | ||||
Others | |||||
39. | Medical Treatment of CGHS Pensioners (PORB) | 1500.00 | |||
40. | Purchase of Material in India and Abroad | ||||
40.01 | Gross Budgetary Support | 310.00 | |||
40.02 | Less Recoveries | -310.00 | |||
Net | ... | ||||
41. | International Cooperation | 72.60 | |||
42. | Other Miscellaneous Expenditure | ||||
42.01 | Gross Budgetary Support | 259.06 | |||
42.02 | Less Recoveries | -2.19 | |||
Net | 256.87 | ||||
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 Expenditure | 10530.19 | ||||
TRANSFERS TO STATES/UTs | |||||
Centrally Sponsored Schemes | |||||
National Health Mission | |||||
47. | National Rural Health Mission | ||||
47.01 | RCH 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 | |||||
Net | 5253.46 | ||||
47.02 | RCH Flexible Pool including Routine Immunization Programme, Pulse Polio Immunization Programme, National Iodine Deficiency Disorders Control Progrmme etc. | 450.06 | |||
47.03 | Health System Strengthening under NRHM (Support from National Investment Funds) | 9445.18 | |||
47.04 | Health System Strengthening under NRHM | 1087.02 | |||
47.05 | Ayushman Bharat - Health and Wellness Centres (NIF) | 1349.97 | |||
47.06 | Ayushman Bharat - Health and Wellness Centres (GBS) | 0.04 | |||
47.07 | Flexible Pool for Communicable Diseases | 5003.00 | |||
-2825.00 | |||||
Net | 2178.00 | ||||
47.08 | Flexible Pool for Non-Communicable Diseases, Injury and Trauma | 717.00 | |||
47.09 | Infrastructure Maintenance | 6343.41 | |||
47.10 | Forward Linkages to NRHM | ... | |||
47.11 | Strengthening of State Drug Regulatory System | ... | |||
47.12 | Pilot Schemes (Sports Medicine, Deafness, Leptospirosis Control, Control of Human Rabies, Medical Rehabilitation, Oral Health, | 25.00 | |||
47.13 | Prime Minister's Development Plan for Jammu and Kashmir | 63.36 | |||
47.14 | Strengthening National Programme Management of the NRHM | 115.00 | |||
47.15 | Janasankhya Sthirtha Kosh (JSK) | 11.50 | |||
Total- National Rural Health Mission | 27039.00 | ||||
48. | National Urban Health Mission | ||||
48.01 | Other Health System for activities covered under NUHM (NIF) | 699.96 | |||
48.02 | Other Health System for activities covered under NUHM (GBS) | 0.04 | |||
48.03 | Ayushman Bharat - Health and Wellness Centres (NIF) | 249.96 | |||
48.04 | Ayushman Bharat - Health and Wellness Centres (GBS) | 0.04 | |||
Total- National Urban Health Mission | 950.00 | ||||
49. | Strengthening of State Drug Regulatory System | 206.00 | |||
50. | Tertiary Care Programs | ||||
50.01 | National Mental Health Programme | 40.00 | |||
50.02 | Capacity Building for Trauma Centres | 100.00 | |||
50.03 | National Programme for prevention and control of Cancer, Diabetes, Cardio-vascular Disease and Stroke | 175.00 | |||
50.04 | National Programme for Health Care for the Elderly | 105.00 | |||
50.05 | National Programme for Control of Blindness | 20.00 | |||
50.06 | Telemedicine | 45.00 | |||
50.07 | Tobacco Control Programme and Drug De- addiction Programme | 65.00 | |||
Total- Tertiary Care Programs | 550.00 | ||||
51. | Human Resources for Health and Medical Education | ||||
51.01 | Upgradation/Strengthening of Nursing Services (ANM/GNM) | 64.00 | |||
51.02 | Strengthening/Upgradation of Pharmacy School/College | 5.00 | |||
51.03 | District Hospital - Upgradation of State Government Medical Colleges (PG Seats) | 800.00 | |||
51.04 | Strengthening Government Medical Colleges (UG Seats) and Central Government Health Institutions | 1361.00 | |||
51.05 | Establishing New Medical Colleges | 2000.00 | |||
51.06 | Setting up of State Institutions of Para- medical Sciences in States and Setting up of College of Para-medical Education | 20.00 | |||
Total- Human Resources for Health and Medical Education | 4250.00 | ||||
Total-National Health Mission | 32995.00 | ||||
52. | Rashtriya Swasthya Bima Yojna (RSBY) | ||||
52.01 | Support from Gross Budgetary Support (GBS) | 156.00 | |||
52.02 | Support from National Investment Fund (NIF) | ... | |||
Total- Rashtriya Swasthya Bima Yojna (RSBY) | 156.00 | ||||
53. | Ayushman Bharat - Pradhan Mantri Jan Arogya | 6400.00 | |||
54. | Actual Recoveries | ... | |||
Total-Centrally Sponsored Schemes | 39551.00 | ||||
Grand Total | 62659.12 | ||||
B. Developmental Heads | |||||
General Services | |||||
1. | Council of Ministers | 6.00 | |||
2. | Pensions and other Retirement Benefits | 1500.00 | |||
Total-General Services | 1506.00 | ||||
Social Services | |||||
3. | Medical and Public Health | 23754.04 | |||
4. | Family Welfare | 1172.26 | |||
5. | Secretariat-Social Services | 192.97 | |||
6. | Capital Outlay on Medical and Public Health | 1675.90 | |||
7. | Capital Outlay on Family Welfare | 10.25 | |||
8. | Capital Outlay on Housing | 14.75 | |||
Total-Social Services | 26820.17 | ||||
Others | |||||
9. | North Eastern Areas | 4700.10 | |||
10. | Grants-in-aid to State Governments | 29379.26 | |||
11. | Grants-in-aid to Union Territory Governments | 203.59 | |||
12. | Aid Materials and Equipment | ... | |||
13. | Capital Outlay on North Eastern Areas | 50.00 | |||
Total-Others | 34332.95 | ||||
Grand Total | 62659.12 |
Source-Medindia