Policy Briefs & Reports

Budget Brief 2015-16: National Health Mission

Avani Kapur, Vikram Srinivas

Centre for Policy Research

February 28, 2015

Total public health expenditure (GOI and states) more than doubled between FY 2008-09 and FY 2014- 15. However, as a percentage of GDP, expenditures in FY 2014-15 remained at 1.2% of GDP.
GOI allocations for NHM stand at 18,875 crore in FY 2015-16, an increase of 1% over FY 2014-15. However, the NHM website reports that allocations to the NRHM have fallen 8% from 18,229 crore to 16,809 crore from FY 2013-14 to FY 2014-15. In 2013, GOI launched the National Urban Health Mission(NUHM). However, allocations for NUHM are low at 5% of total NHM approvals in FY 2014-15. There are state-wise differences in expenditure of funds across various components of NRHM. In FY 2013- 14, while Tamil Nadu was able to spend 96% of approved funds under the Mission Flexi Pool, Uttar Pradesh spent only 38%.
There have been marginal improvements in health infrastructure. Between March
2013 and March 2014, shortfall in Primary Health Centres (PHCs) and Community Health Centres (CHCs) dropped by 1 percentage point each.
The number of medical professionals fell between FY 2013- 14 and FY 2014-15. The number of doctors at PHCs reduced by 7%, while the number of specialists at CHCs reduced sharply by 30%.
India has made some progress in health outcomes. Infant mortality rates fell to 40 deaths per 1,000 births in 2013, as compared to 57 in 2006.