Eleventh Five Year Plan

Health and Family Welfare and AYUSH 107Source: NCMH (2005).FIGURE 3.1.16: Growth of per capita Health Expenditure by Centre and States—Nominal and Real Termsnorms and indicators for outputs and outcomes willbe developed to enable government and other agenciesto measure the efficiency of health spending bythe Centre and the States and allocations adjusted accordingly.The practice of gender budgeting by theStates will be necessary.BLOCK BUDGETING3.1.201 Data from available surveys and studies revealthat there are major inequities in access to healthcare between the rich and the poor, between urban andrural areas, and between various regions of the country.Presently allocation of public funds is also quiteiniquitous, with urban areas often receiving muchlarger per capita public health resources than ruralareas, and certain States (Bihar, UP, MP, Orissa,Chhattisgarh, Jharkhand) having per capita publichealth expenditure less than half of other States(Himachal Pradesh, Punjab, Goa, Delhi, Mizoram).3.1.202 One approach to address this situation is tofollow the equity principles of ‘equal resources forequal need’ and ‘greater resources for greater need’.With this approach, it is possible to work out a systemof block budgeting wherein people in either urban orrural areas, whether in developed or less developedStates anywhere in the country would receive the samebaseline level of public health resources eliminatingexisting inequities in public health resource allocation.Added to this, there would need to be recognition ofspecial needs (for women, children, adivasis, and otherdisadvantaged groups) that would merit additionalresources being allocated for services for these groups.During the Plan, block budgeting will be piloted inselected districts.SCHEMES AND OUTLAYS FOR ELEVENTH FIVE YEAR PLAN3.1.203 To achieve the desired outcomes in thehealth sector, a substantially enhanced outlay for theDepartment of Health and Family Welfare has beenearmarked during the Eleventh Five Year Plan (2007–2012). The total projected GBS for the EleventhPlan is Rs 120374.00 crore (at 2006–07 prices) andRs 136147.00 crore (at current prices). This enhancedoutlay is about four times the initial outlay for theTenth Plan (Rs 36378.00 crore). A large proportion ofthis amount, i.e., Rs 89478.00 crore (65.72 %) isfor NRHM, the flagship of the GoI. Another Rs 625crore is to be contributed by the Department ofAYUSH to make a total of Rs 90103 crore for NRHMduring the Eleventh Five Year Plan. For the other ongoingschemes, a total of Rs 23995.05 crore has beenearmarked. For the new initiatives it is Rs 20846.95crore. Rs 1827.00 crore has also been earmarked forOSC.3.1.204 Annexure 3.1.8 indicates the number ofschemes that were in operation during 2006–07 and