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National Health Profile 2018

The number of patients diagnosed and registered for treatment of TB in India has reported as 1,444,175 patients

were registered under RNTCP in 2017.

National Programme for Prevention and Control of NCDs objective is to integrate the non-communicable diseases

(NCDs) interventions in the NRHM framework in a bid to optimise scarce resources and make provisions to ensure

long term sustainability of these interventions. The NCD cell implements and supervises activities connected

to health promotion, early diagnosis, treatment and referral, thereby facilitating partnership with labs for early

diagnosis in the private sector. It also seeks to create and sustain a fortified monitoring and evaluation system for

public health through convergence with the ongoing interventions of National Health Mission (NHM), National

Tobacco Control Programme (NTCP) and National Programme for Health Care of Elderly (NPHCE).

Health Finance:

The cost of treatment has been on rise in India and it has led to inequity in access to health

care services. India spends only 1.02% of its GDP (2015-16) as public expenditure on health. Per capita public

expenditure on health in nominal terms has gone up from Rs 621 in 2009-10 to Rs 1112 in 2015-16. The Centre:

State share in total public expenditure on health was 31:69 in 2015-16. The share of Centre in total public

expenditure on health has been declining steadily over the years except in 2017-18.

Health insurance in India is a growing segment. Yet, it hasn’t taken off fully and several measures are needed to

improve and expand insurance coverage. In the country health insurance pays for only inpatient hospitalization

and for treatment at hospitals in India. In 2000 government of India liberalized insurance and allowed private

players into the insurance sector. The advent of private insurers in India saw the introduction of many innovative

products like family floater plans, top-up plans, critical illness plans, hospital cash and top up policies. Out of

437,457 persons covered under insurance, 79% were covered by public insurance companies, with the remaining

being covered by private insurance companies.

Manpower for health services

has been described as the “heart of the health system in any country”. It is one of

the most important aspects of healthcare systems and a critical component of health policies. In India, there is

no reliable source giving the number of the members of the health workforce as more than half of the healthcare

professionals work in the unorganized private sector. However, NHP has compiled detailed health manpower

availability in public sector. The total number of registered Allopathic Doctors (up to 2017) is 1,041,395. There is

an increasing trend in the availability of Dental Surgeons and Nurses per lakh population over the years. Number

of Dental Surgeons registered with Central/State Dental Councils of India up to 31.12.2017 was 251,207. There is

an increasing trend in number of Dental Surgeons registered with Central/State Dental Council of India from 2007

to 2017. Total number of registered AYUSH Doctors in India as on 01.01.2017 was 773,668.

Health infrastructure

is an important indicator for understanding the health care policy and welfare mechanism in

a country. It signifies the investment priority with regards to the creation of health care facilities. Infrastructure has

been described as the basic support for the delivery of public health activities. Medical education infrastructure in

the country has shown rapid growth during the last 20 years. The country has 476 medical colleges, 313 Colleges

for BDS courses and 249 colleges which conduct MDS courses. There has been a total admission of 52,646 in 476

Medical Colleges & 27060 in BDS and 6233 in MDS during 2017-18.

There are 3215 Institutions for General Nurse Midwives with admission capacity of 129,926 and 777 colleges for

Pharmacy (Diploma) with an intake capacity of 46,795 as on 31st October, 2017. There are 23,582 government

hospitals having 710,761 beds in the country. 19,810 hospitals are in rural area with 279,588 beds and 3,772

hospitals are in urban area with 431,173 beds. 70% of population of India lives in rural area and to cater their

need there are 156,231 Sub Centres, 25,650 Primary Health Centres and 5,624 Community Health Centres in India

as on 31

st

March 2017.

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