National Project Implementation Plan - NVBDCP
National Project Implementation Plan - NVBDCP
National Project Implementation Plan - NVBDCP
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Table 3: Estimated Incremental Costs and Benefits of Phased Transition to New Protocol, 2008 to 2012<br />
(i) Estimated incremental costs of phased transition Mil. Rs. 37.4 37.1 296.8 146.9 42.8 561.0<br />
(ii) Number of severe cases averted Cases 5,500 11000 16500 19250 13750 66,000<br />
(iii) Number of deaths averted Deaths 1100 2200 3300 3850 2750 13,200<br />
(iv) Economic benefits from averted severe cases Mil. Rs. 16.5 33.0 49.5 57.8 41.3 198.0<br />
(Assuming that about Rs. 3,000 is spent on<br />
treating a severe case of malaria)<br />
(v) Economic benefits from averted deaths Mil. Rs. 396.0 792.0 1188.0 1386.0 990.0 4,752.0<br />
(Assuming each averted death results in 15 years<br />
of additional life, valued at Rs. 24,000 per year)<br />
(vi) Total incremental economic benefits Mil. Rs. 412.5 825.0 1237.5 1443.8 1031.3 4,950.0<br />
[ = (iv) + (v) ]<br />
(vii) Net Incremental Economic Benefits Mil. Rs. 375.1 787.9 940.7 1296.9 988.4 4,389.0<br />
[ = (vi) - (i) ]<br />
14.2 Financial Analysis<br />
Expenditure on <strong>NVBDCP</strong> has increased at the rate of 51% over 8-year (period<br />
1997-98 to 2004-05), but in the last three years alone (2005-08) the<br />
expenditure has gone up by 77%. Looking at the past years data on budget<br />
allocations and utilization it is clear that both Domestic Budgetary Support<br />
(DBS) and Externally Aided Component (EAC) are important funding sources<br />
for the program.27 Cumulatively 51% of total budget allocations came from<br />
DBS whereas EAC contributed 49% between 1997-98 and 2007-08. On the<br />
utilization side, 61% of expenditure was done under DBS and only 39% was<br />
under EAC. Looking at the gap between total budget allocations and actual<br />
utilization of funds, it turns out that allocations have been higher than the<br />
actual expenditure for all the years (refer the table below). The cumulative<br />
shortfall in utilization has been around 20%. This shortfall is only 3.3% in case<br />
of Domestic Budgetary Support (DBS) while as high as 36.8% for the<br />
Externally Aided Component (EAC). The reason for such high shortfall in<br />
utilization of EAC allocations has been due to the inability to complete the<br />
planned procurement of commodities on account of certain procurementrelated<br />
issues. As for DBS, in certain years, the expenditure has in fact been<br />
higher than the allocations (refer the table 3 below), implying that MOH can<br />
enhance resources on its own account even beyond the budgeted amounts if<br />
the program so demands.<br />
27 The Bank support has been the most important support under Externally Aided Component. In<br />
the last 2-3 years, GFATM has also been funding on control of malaria in India.<br />
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