Advances in Public Health / 2014 / Article / Tab 14

Review Article

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 functionProportion of budget spent

HC.1Curative care22.16%46.92%42.67%
HC.2 and 3Rehabilitative and long term nursing care1.02%0.13%0.28%
HC.4Ancillary services related to medical care1.46%2.50%2.33%
HC.5Medical goods dispensed to outpatients2.01%0.69%0.92%
SubtotalCurative health care services26.65%50.24%46.2%

HC.6Prevention and public health services
RCH and family welfare24.23%9.55%12.07%
Control of communicable diseases14.64%5.20%6.82%
Control of noncommunicable diseases01.63%0.76%0.91%
Other public health activities1.24%0.93%20.78%
SubtotalPreventive health care services41.74%16.44%20.78%

HC.7Health 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 program0.10%0.08%
SubtotalHealth functions other than curative and preventive31.61%33.31%31.94%


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.

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