The Challenges Confronting Public Hospitals in India, Their Origins, and Possible Solutions
Table 14
Health expenditure by ICHA functions, National Health Accounts, 2004-05.
Health care function
Proportion of budget spent
Center*
State
Total
HC.1
Curative care
22.16%
46.92%
42.67%
HC.2 and 3
Rehabilitative and long term nursing care
1.02%
0.13%
0.28%
HC.4
Ancillary services related to medical care
1.46%
2.50%
2.33%
HC.5
Medical goods dispensed to outpatients
2.01%
0.69%
0.92%
Subtotal
Curative health care services
26.65%
50.24%
46.2%
HC.6
Prevention and public health services
RCH and family welfare
24.23%
9.55%
12.07%
Control of communicable diseases
14.64%
5.20%
6.82%
Control of noncommunicable diseases
01.63%
0.76%
0.91%
Other public health activities
1.24%
0.93%
20.78%
Subtotal
Preventive health care services
41.74%
16.44%
20.78%
HC.7
Health administration and insurance; health and related functions (medical education and training of health personnel, research and development, capital formation, and food adulteration control); functions from other sources; and functions not specified.
31.61%
33.21%
31.86%
Nutrition program
—
0.10%
0.08%
Subtotal
Health functions other than curative and preventive
31.61%
33.31%
31.94%
Total
100
100
100
Source: GOI, 2004-05 [13]. Note: *is related to Ministry of Health and Family Welfare only. (1) Services of curative care include expenditure on teaching hospitals, specialty hospitals, ESI dispensaries, homeopathic hospitals and dispensaries, ayurvedic hospitals and dispensaries, and primary health centers, community health centers, and expenditure on dental care. (2) Rehabilitative care includes expenditure on rehabilitative centers for TB and leprosy patients, institute for rehabilitation of physically handicapped, and drug deaddiction programs. (3) Ancillary services related medical care includes expenditure on blood banks, blood transfusion council, regional diagnostic centers, ambulance related expenditure, and medical store depot. (4) RCH and family welfare covers expenditure on RCH and family welfare programs.
