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Report on
The STATE of HEALTH of MUMBAI




               Supported by




    FORD FOUNDATION       MADHU MEHTA FOUNDATION
                                                   1
Part 1

Data from (160) Municipal Dispensaries, (24) Municipal
           Hospitals and (4) State Hospitals




                                                         2
Sensitive Diseases/Ailments
                         2008-09          2009-10      2010-11    2011-12
   Malaria                23,317           39,898       78,448     39,828
  Diarrhoea               81,321          116,295      125,999     99,839
 Hypertension             28,337           32,469       38,388     25,518
 Tuberculosis             31,510           29,692       32,383     29,878
   Diabetes               23,777           23,838       22,493     21,264
   Typhoid                8,288            4,220        6,557       7,561
  Hepatitis B              990              444          547         931
   Dengue                  682              866         1,403       1,879
   Cholera                  96              124          236         178
           % Increase from 2008-09 as base year for total cases
                        2008-09        2009-10        2010-11     2011-12
  Malaria                 100            171             336        171
 Diarrhoea                100            143             155        123
Hypertension              100            115             135         90
Tuberculosis              100             94             103         95
  Diabetes                100            100              95         89
  Typhoid                 100             51              79         91
 Hepatitis B              100             45              55         94
  Dengue                  100            127             206        276
  Cholera                 100            129             246        185     3
Part 2

Data based on Household survey of 15,191 respondents across the city
                           of Mumbai




                                                                4
Estimated Citizens using private dispensaries/hospitals



               Provisional Population   Estimated citizens using        Estimated citizens using
                        2011             private facilities (in %)   private facilities (in numbers)




    Total           1,24,32,830                  75.51%                        93,88,030




More than 75% of citizens in Mumbai use private health care facilities.




                                                                                                 5
Estimated percentage of Annual Family Income spent on
                 hospital/medical costs
                 Amount spent from total income
    In %
                            (in %)
    4.26                 More than 30%                      More than 30% of
    7.15                   21% to 30 %
                                                            households spend 11% or
                                                            more of their annual
   18.97                   11% to 20%                       income                  on
   38.92                    6% to 10%                       hospital/medical costs.
    30.7                   Less than 5%
    100                       Total



• Hospitalised Indians spend more than 58% of annual income on medical costs.
• Over 25% hospitalised Indians fall below poverty lines because of medical costs
                            (Source: NRHM Website)



                                                                                    6
Medical Insurance Coverage

                                                                    In %


                     Respondents having medical insurance          20.45

                   Respondents not having medical insurance        79.55


                                      Total                         100



Only 10% Indians have medical insurance and it covers only hospitalisation costs (mainly for
chronic diseases) and not expenses incurred for OPD (Out Patient) or drugs (Source: NRHM
Website)



                                                                                      5
Estimated Occurrence of Diseases/Ailments for the year 2011-12



                                           Estimated Households
                         Total Estimated
 Diseases/Ailments                           suffering from the
                              Cases
                                           disease/ailment (in %)


     Diabetes               274,957               10.4 %

      Malaria               392,378               14.8 %

    Tuberculosis             63,227                2.4 %

   Hypertension              78,635                 3%

      Cancer                 39,583                1.5 %




                                                                    8
Red Flags

Over 3.8 Lakh Mumbaikars suffered from Malaria last year

Over 2.7 Lakh Mumbaikars suffered from Diabetes

63,227 citizens of Mumbai were prone to the life threatening Tuberculosis

80% Mumbaikars do not have health insurance

30% of Mumbaikars spend more than 11% of annual income on medical costs

Public Health Surveillance (Health Information System) is inadequate

Government focus is more on tertiary healthcare & not on primary healthcare



                                                                               9

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Health White Paper 2012

  • 1. Report on The STATE of HEALTH of MUMBAI Supported by FORD FOUNDATION MADHU MEHTA FOUNDATION 1
  • 2. Part 1 Data from (160) Municipal Dispensaries, (24) Municipal Hospitals and (4) State Hospitals 2
  • 3. Sensitive Diseases/Ailments 2008-09 2009-10 2010-11 2011-12 Malaria 23,317 39,898 78,448 39,828 Diarrhoea 81,321 116,295 125,999 99,839 Hypertension 28,337 32,469 38,388 25,518 Tuberculosis 31,510 29,692 32,383 29,878 Diabetes 23,777 23,838 22,493 21,264 Typhoid 8,288 4,220 6,557 7,561 Hepatitis B 990 444 547 931 Dengue 682 866 1,403 1,879 Cholera 96 124 236 178 % Increase from 2008-09 as base year for total cases 2008-09 2009-10 2010-11 2011-12 Malaria 100 171 336 171 Diarrhoea 100 143 155 123 Hypertension 100 115 135 90 Tuberculosis 100 94 103 95 Diabetes 100 100 95 89 Typhoid 100 51 79 91 Hepatitis B 100 45 55 94 Dengue 100 127 206 276 Cholera 100 129 246 185 3
  • 4. Part 2 Data based on Household survey of 15,191 respondents across the city of Mumbai 4
  • 5. Estimated Citizens using private dispensaries/hospitals Provisional Population Estimated citizens using Estimated citizens using 2011 private facilities (in %) private facilities (in numbers) Total 1,24,32,830 75.51% 93,88,030 More than 75% of citizens in Mumbai use private health care facilities. 5
  • 6. Estimated percentage of Annual Family Income spent on hospital/medical costs Amount spent from total income In % (in %) 4.26 More than 30% More than 30% of 7.15 21% to 30 % households spend 11% or more of their annual 18.97 11% to 20% income on 38.92 6% to 10% hospital/medical costs. 30.7 Less than 5% 100 Total • Hospitalised Indians spend more than 58% of annual income on medical costs. • Over 25% hospitalised Indians fall below poverty lines because of medical costs (Source: NRHM Website) 6
  • 7. Medical Insurance Coverage In % Respondents having medical insurance 20.45 Respondents not having medical insurance 79.55 Total 100 Only 10% Indians have medical insurance and it covers only hospitalisation costs (mainly for chronic diseases) and not expenses incurred for OPD (Out Patient) or drugs (Source: NRHM Website) 5
  • 8. Estimated Occurrence of Diseases/Ailments for the year 2011-12 Estimated Households Total Estimated Diseases/Ailments suffering from the Cases disease/ailment (in %) Diabetes 274,957 10.4 % Malaria 392,378 14.8 % Tuberculosis 63,227 2.4 % Hypertension 78,635 3% Cancer 39,583 1.5 % 8
  • 9. Red Flags Over 3.8 Lakh Mumbaikars suffered from Malaria last year Over 2.7 Lakh Mumbaikars suffered from Diabetes 63,227 citizens of Mumbai were prone to the life threatening Tuberculosis 80% Mumbaikars do not have health insurance 30% of Mumbaikars spend more than 11% of annual income on medical costs Public Health Surveillance (Health Information System) is inadequate Government focus is more on tertiary healthcare & not on primary healthcare 9