Abstract: This focus of the paper is to give a more comprehensive picture on health spending in the State of Karnataka for the period of ten years 1999-2000 to 2008-09. The analysis shows that health spending is still low in the state (less than 1%) and there is an increased dependence on the central government for improving health spending. The analysis also reveals that the state spends more than 85% of funds on recurring expenditures, of which program costs and expenditure on human resource make up around 80% of the total. The rest is in the form of transfers, whose point of expenditure is not fully known. The per capita expenditures of the state is only Rs 225 (USD 4.5 approximately), and if other departments spending on health were included, it would increase to Rs 390 (USD 6.8 approximately). The NRHM spending of the Union Government, pushes these expenditure to Rs 468 (USD 9 approximately). The second part of the analysis looks at how health care spending by programs takes place across different levels. The analysis reveals that public health and primary care spending are taken up largely by the local levels of government, but they are severely constrained for funds. The analysis is supported by the fact that close to 99% of the funds to local governments are for salaries alone. At the state government level, secondary and tertiary care becomes focus areas for investments. The analysis found that the central government plays an important role in funding primary and public health within the state, while the state’s role is present but minimal. The paper also assesses the programme wise expenditure of the state with and without the union funds by comparing programmes with the same objectives.
Title: THE TREND AND GROWTH PATTERN OF HEALTH EXPENDITURE IN KARNATAKA: An Empirical Analysis
Author: PROF. MANJAPPA D. HOSAMANE, JAYASHRI M
International Journal of Healthcare Sciences
ISSN 2348-5728 (Online)
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