October 19, 2025

Current Context : The Union Health Ministry released the National Health Account (NHA) estimates for India 2020-21 and 2021-22.

  • These estimates are the eighth and ninth in the series of reports released annually by the Union Ministry of Health & Family Welfare.
  • The methodology used for these estimates is based on the globally accepted framework of ‘A System of Health Accounts (SHA), 2011’.

RELEVANT DATA :

Decline in Out-of-Pocket Expenditure (OOPE):

  • OOPE decreased from 2% (2013-14)to 39.4% (2021-22), indicating better financial protection.
  • Contributing factors: Schemes like Ayushman Bharat PMJAY and other health initiatives.

Increase in Government Health Expenditure (GHE):

  • GHE share in GDP: 13% (2014-15)to 1.84% (2021-22).
  • GHE share in General Government Expenditure (GGE) rose from 94% to 6.12%.
  • Per capita GHE increased from 1,108 (2014-15) to 3,169 (2021-22).

Impact of Health Schemes:

  • More than 1 lakh crore savings accrued through Ayushman Bharat PMJAY.
  • Free Dialysis Program: Benefited 25 lakh people.
  • Government health spending increased by 37% between 2020-21 and 2021-22, reflecting the proactive measures taken during the COVID-19 pandemic.

Reduction in Financial Hardship:

  • Social Security Expenditure (SSE) on health: 7% (2014-15)to 8.7% (2021-22), reducing out-of-pocket expenses.

Focus on Universal Health Coverage (UHC):

  • Decline in OOPE and increased public investment align with UHC goals for improved health access and financial protection.
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