The document summarizes key aspects of India's 2012-2013 health budget. It allocates increased funding to programs like the National Rural Health Mission and introduces new initiatives like the National Urban Health Mission. Specific funding increases are provided for rural sanitation and vaccination programs. The budget also aims to strengthen existing healthcare infrastructure through programs like the Pradhan Mantri Swasthya Suraksha Yojana.

1. Analysis of health budget
2012-2013

2. WHAT IS BUDGET ?
• It is the detailed plan expressed in quantitative terms, that specifies
how resources will be acquired & used during a specified period of
time.
• WHAT IS UNION BUDGET ?
• The union budget of India, referred to as annual Financial
Statement in Article 112 of constitution of India, is the annual
budget of the Republic of India, presented each year on the last
working day of February by the Finance Minister of India in
Parliament.
• The budget has to be passed by the parliament house before it
come into effect on April 1, the start of India's financial year. The
Union Budget 2012-13 presented by Mr.Pranab Mukherjee on
March 16, the Financial Minister of India on16th March 2012.
• The budget implemented on 1st April 2012.

3. HEALTH BUDGET
• Allocation for National Rural Health Mission (NRHM)
proposed to be increased from ` 181.15 bn in FY12 to
` 208.22 bn in FY13.
• Scope of Accredited Social Health Activist– ‘ASHA’
• National Urban Health Mission is being launched.
• Pradhan Mantri Swasthya Suraksha Yojana
• New integrated vaccine unit to be set up in Chennai.
• Budgetary allocation for rural drinking water and
sanitation increased from ` 110 bn to ` 140 bn,
representing an increase of over 27%.

4. • Preventive health checkup deduction up to 5000 Rs. allowed
• 5 year extension to the 200 percent R&D tax deduction up to
2017
• Fund allocation for the health sector recorded a paltry 14%
increase in 2012-13 to Rs 30,477 from Rs 26,760 crore
• duty of 6% on iodine
• Basic customs duty on probiotics will be reduced from 10% to
5%.

5. HEALTH BUDGET FINANCIALS
2010-2011 2011-2012 2011-2012 2012-
2013
Actuals Budget estimates Revised Budget
estimates estimate
s
Ministry of health and 20726 26760 24315 30477
family welfare
Department of health and 19362 23560 21577 27127
family welfare
Department of AYUSH 849 900 650 990
Department of health 515 600 588 660
research
Department of AIDS ---- 1700 1500 1700
control

6. NRHM

7. NATIONAL RURAL HEALTH
MISSION
• Inaugurated on April 12,2005
• Correct the deficiencies of the health system.
• Focus on 18 states- northern and eastern(Arunachal
Pradesh, Assam, Bihar, Chhattisgarh, Himachal Pradesh,
Jharkhand, J&K, Manipur, Mizoram, Meghalaya, MP,
Nagaland, Odisha, Rajasthan, Sikkim, Tripura, Uttaranchal,
UP)
• Intended for 2005-2012 now extended to 2017.

8. AIM
• ASHA(Accredited Social Health Activist)
To provide accessible, affordable, accountable, effective and
reliable primary health care through creation of ASHA.
Reduction in Infant mortality rate(IMR)
Reduction in maternal mortality rate(MMR)
Universal access to public health services like women’s health ,
child health, water , immunization, sanitation and hygiene and
nutrition.
Prevention and control of communicable and non-
communicable diseases.
Revitalise local health conditions and main stream AYUSH.

9. MMR & IMR

10. INFANT MORTALITY RATE

11. Components of NRHM
ASHA
• Resident of the village
• One ASHA per one thousand population
• Chosen by Panchayat
• Bridge between ANM & village
• Receiving performance based compensation.

12. Responsibilities of ASHA
• To create awareness
• Counselling
• Encouragement
• Accompany the pregnant women
requiring treatment and admission to
the nearest PHCs
• Primary medical care
• Providers of DOTS

13. STRENGTHENING SUB-CENTRES
• Each sub-centre will have an Untied Fund for local action @ Rs.
10,000 per annum.
• Supply of essential drugs, both allopathic and AYUSH, to the Sub-
centers.
STRENGTHENING PRIMARY HEALTH CENTRES
• Adequate and regular supply of essential quality drugs.
. • Provision of 24 hour service in 50% PHCs by addressing shortage
of doctor.

14. STRENGTHENING CHCs FOR FIRST REFERRAL CARE
• Operationalizing 3222 existing Community Health Centers (30-50
beds) as 24 Hour First Referral Units.
• It includes medicine doctors, surgeon, gynaecologist, anaesthetist.
• Developing standards of services and costs in hospital care.
DISTRICT HEALTH PLAN
• Health Plans would form the core unit of action proposed in areas
like water supply, sanitation, hygiene and nutrition.
• District becomes core unit of planning, budgeting and
implementation.
• District Health Mission.

15. CONVERGING SANITATION AND HYGIENE UNDER NRHM-
• Total Sanitation Campaign.
STRENGTHENING DISEASE CONTROL PROGRAMMES-
• National Disease Control Program.
• New Initiatives would be launched for control of Non
Communicable Diseases.
• Supply of generic drugs.
• Provision of a mobile medical unit

16. REORIENTING HEALTH/MEDICAL EDUCATION
TO SUPPORT RURAL HEALTH ISSUES-
• While district and tertiary hospitals are
necessarily located in urban centres, they
form an integral part of the referral care chain
serving the needs of the rural people.
• Medical and Para-medical education.
• National Institution for Public Health
Management etc.

17. HIGH FOCUSED STATES

18. • So, NRHM is the way to provide better healthcare to rural
village system.
• It helps to connect sub-centres to PHC’S to CHC’S to District
hospital.

19. NUHM
(NATIONAL URBAN HEALTH
MISSION)

20. The Central government has planned to develop a
new scheme of National Urban Health Mission
(NUHM) in order to highlight the health challenges
in towns and cities
Provisional Census 2011 data showed that for the
first time since Independence, the absolute
increase in population was more in urban areas
that in rural areas.
At present, rural population in India is 68.84 per
cent (down from 72.19 per cent in 2001 Census) as
against 31.16 per cent urban population.
Of the 370 million urban dwellers, over 100 million
are estimated to live in slums and face multiple
health challenges on the fronts of sanitation,
communicable and non communicable diseases.

21. As per sensus 2011 ,37.7 crore people
live in urban areas.
Urbanization in India 1951 - 2026
Percentage to total population
Urban Population (in million)
India has been urbanizing rapidly in recent decades. It is estimated that the
urban population will nearly double to reach 534 million by 2026.

22. Health challenges in urban India
Smaller the city –
bigger the problem
NFHS 3(05-06)

23. Health challenges in urban India (Cont..)
Poor supply of Funds: 77% Public Subsidy for Curative Care Goes to
Richest 3 Quintiles
Research and knowledge/information gaps
Poor community awareness and weak community capacity to
demand and access health care
Poor family support system
Poor Environmental Conditions

24. GOAL
Improving the efficiency of public health system in the cities by
strengthening, revamping and rationalizing urban primary health
structure.
• Provision for a need based contractual human resource, equipment
and drugs.
• Partnership with non-government providers for filling up of the
health delivery gaps.
• Promotion of access to improved health care at household level
through community based groups : Mahila Arogya Samitis.

25. • Strengthening public health through preventive and promotive
action.
• Increased access to health care through risk pooling and community
health insurance models.
• All the services delivered under the urban health delivery system
are based on identification of the target groups (slum dweller and
other vulnerable groups); preferably through distribution of Family/
Individual Health Suraksha Cards.

26. Scope, Coverage and Duration
of the Mission
• The Mission would be covering 430 cities, i.e. all cities
with population one lakh and above.
• The duration of the Mission would be for the remaining
period of the 11th Plan (2008-2012).
• The initial focus would be on the urban slums then it will
be extended to the whole urban population .

27. INSTITUTIONAL FRAMEWORK

28. Community Level Urban Social Health Activist (USHA)
USHA would remain in charge of each area and serve
as an effective and demand–generating link between
the health facility and the urban slum populations.
 The USHA would preferably be a woman resident of
the slum
Mahila Arogya Samiti (MAS)
 Act as community based peer education group,
involved in community monitoring and referral. The
MAS may consist of 20-100 households (HH) with an
elected Chairperson and a Treasurer, supported by
an USHA

29. Budgetary Provisions
• The NUHM would commence as a 100% centrally sponsored
Scheme in the first year of its implementation during the XIth Plan
period.

30. PRADHAN MANTRI
SWASTHYA SURAKSHA YOJNA
 6 New AIIMS started by government.
S. NO. AIIMS
PHASE 1
1. PATNA, BIHAR
2. RAIPUR, CHATTISGARH
3. BHOPAL, MADHYA PRADESH
4. BHUBANESHWAR, ODISHA
5. JODHPUR, RAJASTHAN
6. RISHIKESH, UTTRANCHAL
S. N AIIMS
1. LOCATION NOT SELECTED, U.P
PHASE 2
2. RAIGANJ, WEST BENGAL

31. decided to strengthen 13 existing Medical College-
• An outlay of Rs. 120 crore has been approved for
upgradation of each medical college institution.
• the Government of India is investing Rs. 100
crore for each institution and the State
Government’s share is Rs. 20 crore.
• The estimated cost for setting up each institute is
Rs. 332 crore.

32. Upgradation of 13 medical institutes under PMSSY
S. No. State Name Of Institution
1st Phase
1. Andhra Pradesh (1) Nizam Institute Of Medical Sciences,hyderabad.
(2) Sri Venkatshwara Institute Of Medical Sciences,tirupati
2. Gujrat B .J.Medical College, Ahmedabad
3. Jammu –Kashmir (1) Govt. Medical College, Jammu
(2) Govt. Medical College,srinagar
4. Jharakhand (1) Rajendra Institute Of Medical Sciences,ranchi
5 Karnataka (1) Govt. Medical College ,Banglore
6. Kerala Govt. Medical College,thiruvananthpuram
7. Maharashtra Grants Medical College,mumbai
8. Tamil Nadu Govt. Mohan Kumarmangalam Medical College,salem
9. Uttar Pradesh (1) Sanjay Gandhi Postgraduate Institue Of Medical Science, Lucknow
(2) Institute Of Medical Sciences, Banaras Hindu University, Varanasi
10. West Bengal Kolkata Medical College,kolkata

33. 2ND
PHASE
1 HARYANA PANDIT B.D. SHARMA POST GRADUATE INSTITUTE OF MEDICAL ,
ROHTAK
2 HIMACHAL DR. RAJENDRA PRASAD GOVT. MEDICAL COLLEGE, TANDA
PRADESH
3 MAHARASHTRA GOVT. MEDICAL COLLEGE,NAGPUR
4 PUNJAB GOVT. MEDICAL COLLEGE,AMRITSAR
5 TAMIL Nadu GOVT. MEDICAL COLLEGE,AMRITSAR
6 Uttar pardesh JAWAHARLAL NEHRUGOVT. MEDICAL COLLEGE OF AMU,ALIGARH.

34. NEW INTEGRATED VACCINE
UNIT
• India will up a state-owned unit to
build a 5.9 billion rupees integrated
vaccine complex project in the
southern state of Tamil Nadu.
• HLL Biotech Limited.
• build in the Kanchipuram district.
• produce vaccines for DPT, hepatitis B,
BCG, measles, Rabies, Japanese
encephalitis and haemophilus
influenza B, known as Hib.

35. IMPACTS OF HEALTH BUDGET
• The Budget has focused towards improving healthcare services at the
rural as well as urban region.
• The increased NRHM outlay is expected to further improve access to
healthcare in the rural areas.
• Under the PMSSY scheme, the Government aims at setting up eight
AIIMS-like institutions and up gradation of existing Government medical
colleges.

36. • Drug prices may rise due to excise duty hike
• Undergoing a preventive health check-up will help a consumer save tax
up to Rs 5,000
• Boost for probiotics product industry
• The healthcare service in the urban region is also expected to increase
with the launch of NUHM. Enhanced rate of deduction linked to capital
expenditure is expected to increase investments in hospitals in the
coming years.
• These measures are expected to have a marginally positive impact on
the healthcare sector.

37. Current status of schemes

39. RELATED ARTICLES
•NAGPUR: Though there was a delay in work in the initial phase,
the GMCand Hospital (GMCH), which is being upgraded as the
state-of-the-art medical college under the PMSSY, now seems to
be moving at the right pace. The project is about to enter the
second phase.(rajaram powar, TIMES 7sep2012)
•National Vaccine Policy: For industry, not people's health
The new National Vaccine Policy Draft 2011openly favours
industry. It provides for advance market commitments for new
vaccines.
(Jacob Puliye is a member of the National Technical Advisory
Group on Immunisation and of the Working Group on Food and
Drug Regulation in the 12th Five-Year Plan. inEPW November 5,
2011)

40. REFRENCES
• BUDGET-
 indiabudget.nic.in/
 health.india.com › Diseases & Conditions
 articles.economictimes.indiatimes.com
 indiabudget.nic.in/ub2012-13/bh/bh1.pdf
 www.grantthornton.in/.../budget/2012-13/.../Budget_2012-13
 india.blogs.nytimes.com/.../budget-2012-13-populist-measures
• NRHM- www.mohfw.nic.in/NRHM.htm
• NUHM-
 www.uhrc.in/downloads/Reports/NUHM-Draft.pdf
 mohfw.nic.in/NRHM/Documents/.../UH_Framework_Final.pdf
 http://articles.economictimes.indiatimes.com/2012-06-
30/news/32484215_1_health-sector-nrhm-public-health-systems

41. • PMSSY-
mohfw.nic.in/index4.php?lang=1&level=0&linkid=96&lid.
india.gov.in/citizen/health/health.php?id=41
• INTEGRATED VACCINES COMPLEX-
articles.timesofindia.indiatimes.com › Collections › Hib
pib.nic.in/newsite/erelease.aspx?relid=82683
http://www.upiasia.com/Health/2012/05/03/New-Indian-
unit-to-build-113m-vaccine-project/CVB-1336017818537/

42. Presented by :-
PRIYA KALE
SATYAM KUMAR SINGH
SUSHREE SUNITA KAMILA