Dr KK Aggarwal
The budget for the
year 2019-20 was presented by the Government yesterday. We had great
expectations from the budget with respect to an increase in healthcare
expenditure. But once again, health did not seem to be of priority as there was
no mention of health directly. Although indirectly, the government has
emphasized on the Swachh Bharat Mission with an aim to make India 100% open
defecation free by 2nd October, 2019. Housing for all, power for all by 2020
and tap water for all ‘Har Ghar Jal’ by 2024.
The budget allocated
for national programs such as National Mental Health Programme, National
Programme for prevention and control of Cancer, Diabetes, Cardiovascular
Disease and Stroke, National Programme for Health Care for the Elderly and
National Programme for Control of Blindness remain the same as they were last
year. Though, the Tobacco Control Programme and Drug Deaddiction Programme did
see an increase from 64 Cr in 2018-19 to 65Cr in 2019-20.
Issues of public
health importance such as zoootic diseases, antimicrobial resistance have been
left out.
As was expected,
Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana (PMJAY) has been allocated a
sum of 6400.00 Cr, an increase from 2400.00 Cr allocated in 2018-19.
Here are the budget
allocations for health for the year 2019-20.
|
MINISTRY
OF HEALTH AND FAMILY WELFARE
|
||||||
|
DEMAND
NO. 42
|
||||||
|
Department
of Health and Family Welfare
|
||||||
|
(In
crores)
|
||||||
|
|
|
|||||
|
Total
|
||||||
|
|
|
Gross
|
93035.45
|
|||
|
|
|
Recoveries
|
-30376.33
|
|||
|
|
|
Receipts
|
...
|
|||
|
|
|
Net
|
62659.12
|
|||
|
A. The Budget
allocations, net of recoveries, are given below:
|
|
|||||
|
CENTRE'S EXPENDITURE
|
|
|||||
|
Establishment
Expenditure of the Centre
|
|
|||||
|
1.
|
Secretariat
|
192.97
|
||||
|
2.
|
Direction and Administration
|
64.71
|
||||
|
3.
|
Central Government
Health Scheme
|
1350.00
|
||||
|
4.
|
Safdarjung Hospital
and Vardhman Mahavir Medical College, New Delhi
|
1211.50
|
||||
|
5.
|
Dr. Ram Manohar
Lohia Hospital and Dr. RML PGIMER, New Delhi
|
750.00
|
||||
|
6.
|
Lady Hardinge
Medical College and Smt. S.K. Hospitals
|
475.10
|
||||
|
7.
|
Kalawati Saran
Children's Hospital, New Delhi
|
124.90
|
||||
|
8.
|
Other Hospitals /
Institutions
|
958.75
|
||||
|
Total-Establishment
Expenditure of the Centre
|
5127.93
|
|||||
|
Central Sector
Schemes/Projects
|
|
|||||
|
9.
|
Pradhan Mantri
Swasthya Suraksha Yojana
|
|
||||
|
|
9.01
|
Support from Gross Budgetary Support (GBS)
|
...
|
|||
|
|
9.02
|
Support from
National Investment Fund (NIF)
|
...
|
|||
|
|
9.03
|
Central Roads &
Infrastructure Fund (CRIF)
|
3370.00
|
|||
|
|
9.04
|
Repayment of
Principal from HEFA Loan
|
550.00
|
|||
|
|
9.05
|
Payment of Interest
on HEFA Loan
|
80.00
|
|||
|
|
Total- Pradhan
Mantri Swasthya Suraksha Yojana
|
4000.00
|
||||
|
10.
|
National AIDS and
STD Control Programme
|
2500.00
|
||||
|
11.
|
Family Welfare
Schemes
|
700.00
|
||||
|
|
|
|
|
|
|
|
|
12.
|
Establishment and
strengthening of NCDC Branches and Health Initiatives Inter Sectoral co
ordination for preparation and control of Zoonotic Diseases and other
neglected tropical diseases surveillance of Viral Hepatitis Anti Microbial
Resistance
|
|
49.00
|
|||
|
13.
|
Strengthening
Intersectoral Coordination of Prevention and Control of Zoonotic Diseases
|
|
...
|
|||
|
14.
|
Viral Hepatitis
|
|
...
|
|||
|
15.
|
Anti Microbial
Resistance
|
|
...
|
|||
|
16.
|
National
Pharmacovigilance Programme
|
|
12.00
|
|||
|
17.
|
Development of
Nursing Services
|
|
15.00
|
|||
|
18.
|
Health Sector
Disaster Preparedness and Response and Human Resources Development for
Emergency Medical Services
|
|
130.00
|
|||
|
19.
|
National Organ
Transplant Programme
|
|
41.00
|
|||
|
20.
|
Impacting Research
Innovation and Technology (IMPRINT) Scheme
|
|
3.00
|
|||
|
21.
|
Swachhata Action
Plan (SAP)
|
|
...
|
|||
|
Total-Central Sector
Schemes/Projects
|
|
7450.00
|
||||
|
Other Central Sector
Expenditure
|
|
|
||||
|
Statutory and
Regulatory Bodies
|
|
|
||||
|
22.
|
Food Safety and
Standards Authority of India
|
|
360.00
|
|||
|
23.
|
Indian Pharmacopeia
Commission
|
|
32.10
|
|||
|
24.
|
Medical Council of
India
|
|
1.00
|
|||
|
25.
|
Dental Council of
India
|
|
0.40
|
|||
|
26.
|
Pharmacy Council of
India
|
|
0.20
|
|||
|
27.
|
Indian Nursing
Council
|
|
0.22
|
|||
|
28.
|
National Academy of
Medical Sciences
|
|
1.80
|
|||
|
29.
|
National Board of
Examinations
|
|
0.01
|
|||
|
Total-Statutory and
Regulatory Bodies
|
|
395.73
|
||||
|
Autonomous Bodies
|
|
|
||||
|
30.
|
All Indian Institute
of Medical Science
|
|
|
|||
|
|
30.01
|
Support from Gross
Budgetary Support (GBS)
|
|
3211.66
|
||
|
|
30.02
|
Support from
National Investment Fund (NIF)
|
|
290.89
|
||
|
|
30.03
|
Payment of Interest
on HEFA Loan
|
|
44.60
|
||
|
|
30.04
|
Repayment of
Principal from HEFA Loan
|
|
52.50
|
||
|
|
Total- All Indian
Institute of Medical Science
|
|
3599.65
|
|||
|
31.
|
Post Graduate
Institute of Medical Education and Research, Chandigarh
|
|
|
|||
|
|
|
|||||
|
|
31.01
|
Support from Gross
Budgetary Support
(GBS) |
0.01
|
|||
|
|
31.02
|
Support from
National Investment Fund (NIF)
|
1499.99
|
|||
|
|
Total- Post Graduate
Institute of Medical Education and Research, Chandigarh
|
1500.00
|
||||
|
32.
|
Jawaharlal Institute
of Post Graduate Medical Education and Research, Puducherry
|
|
||||
|
|
32.01
|
Support from Gross
Budgetary Support (GBS)
|
0.01
|
|||
|
|
32.02
|
Support from
National Investment Fund (NIF)
|
1099.99
|
|||
|
|
Total- Jawaharlal
Institute of Post Graduate Medical Education and Research, Puducherry
|
1100.00
|
||||
|
33.
|
National Institute
of Mental Health and Neuro- Sciences, Bengaluru
|
450.00
|
||||
|
34.
|
North Eastern Indira
Gandhi Regional Institute of Health and Medical Sciences, Shillong
|
350.00
|
||||
|
35.
|
Regional Institue of
Medical Sciences, Imphal
|
450.00
|
||||
|
36.
|
Regional Institute
of Paramedical and Nursing Sciences, Aizawl
|
35.18
|
||||
|
37.
|
Lokpriya Gopinath
Bordoloi Regional Institute of Mental Health, Tezpur
|
60.00
|
||||
|
38.
|
Other Autonomous
Bodies
|
|
||||
|
|
38.01
|
Support from Gross
Budgetary Support (GBS)
|
0.01
|
|||
|
|
38.02
|
Support from
National Investment Fund (NIF)
|
760.15
|
|||
|
|
Total- Other
Autonomous Bodies
|
760.16
|
||||
|
Total-Autonomous
Bodies
|
8304.99
|
|||||
|
Others
|
|
|
|
|||
|
39.
|
Medical Treatment of
CGHS Pensioners (PORB)
|
1500.00
|
||||
|
40.
|
Purchase of Material
in India and Abroad
|
|
||||
|
|
40.01
|
Gross Budgetary
Support
|
310.00
|
|||
|
|
40.02
|
Less Recoveries
|
-310.00
|
|||
|
|
|
Net
|
...
|
|||
|
41.
|
International
Cooperation
|
72.60
|
||||
|
42.
|
Other Miscellaneous Expenditure
|
|
||||
|
|
42.01
|
Gross Budgetary
Support
|
259.06
|
|||
|
|
42.02
|
Less Recoveries
|
-2.19
|
|||
|
|
|
Net
|
256.87
|
|||
|
43.
|
Support from
National Investment Fund (NIF)
|
20649.55
|
||||
|
44.
|
Amount met from
National Investment Fund (NIF)
|
-20649.55
|
||||
|
45.
|
Support from Central
Roads & Infrastructure Fund (CRIF)
|
4000.00
|
||||
|
46.
|
Amount met from
Central Roads & Infrastructure Fund (CRIF)
|
-4000.00
|
||||
|
|
||||||
|
Total-Others
|
|
1829.47
|
||||
|
Total-Other Central
Sector Expenditure
|
10530.19
|
|||||
|
TRANSFERS TO
STATES/UTs
|
|
|||||
|
Centrally Sponsored
Schemes
|
|
|||||
|
National Health
Mission
|
|
|||||
|
47.
|
National Rural
Health Mission
|
|
||||
|
|
47.01
|
RCH Flexible Pool
including Routine Immunization Programme, Pulse Polio Immunization Programme,
National Iodine Deficiency Disorders Control Progrmme etc. (Support from
National Investment Funds)
|
7843.05
|
|||
|
|
|
|
-2589.59
|
|||
|
|
|
Net
|
5253.46
|
|||
|
|
47.02
|
RCH Flexible Pool
including Routine Immunization Programme, Pulse Polio Immunization Programme,
National Iodine Deficiency Disorders Control Progrmme etc.
(Gross Budgetary Support)) |
450.06
|
|||
|
|
47.03
|
Health System
Strengthening under NRHM (Support from National Investment Funds)
|
9445.18
|
|||
|
|
47.04
|
Health System
Strengthening under NRHM
(Gross Budgetary Support) |
1087.02
|
|||
|
|
47.05
|
Ayushman Bharat -
Health and Wellness Centres (NIF)
|
1349.97
|
|||
|
|
47.06
|
Ayushman Bharat -
Health and Wellness Centres (GBS)
|
0.04
|
|||
|
|
47.07
|
Flexible Pool for
Communicable Diseases
|
5003.00
|
|||
|
|
|
|
-2825.00
|
|||
|
|
|
Net
|
2178.00
|
|||
|
|
47.08
|
Flexible Pool for
Non-Communicable Diseases, Injury and Trauma
|
717.00
|
|||
|
|
47.09
|
Infrastructure
Maintenance
|
6343.41
|
|||
|
|
47.10
|
Forward Linkages to
NRHM
|
...
|
|||
|
|
47.11
|
Strengthening of
State Drug Regulatory System
|
...
|
|||
|
|
47.12
|
Pilot Schemes
(Sports Medicine, Deafness, Leptospirosis Control, Control of Human Rabies,
Medical Rehabilitation, Oral Health,
Fluorosis) |
25.00
|
|||
|
|
47.13
|
Prime Minister's
Development Plan for Jammu and Kashmir
|
63.36
|
|||
|
|
47.14
|
Strengthening
National Programme Management of the NRHM
|
115.00
|
|||
|
|
47.15
|
Janasankhya Sthirtha
Kosh (JSK)
|
11.50
|
|||
|
|
|
|||||
|
|
Total- National
Rural Health Mission
|
27039.00
|
||||
|
48.
|
National Urban
Health Mission
|
|
||||
|
|
48.01
|
Other Health System
for activities covered under NUHM (NIF)
|
699.96
|
|||
|
|
48.02
|
Other Health System
for activities covered under NUHM (GBS)
|
0.04
|
|||
|
|
48.03
|
Ayushman Bharat -
Health and Wellness Centres (NIF)
|
249.96
|
|||
|
|
48.04
|
Ayushman Bharat -
Health and Wellness Centres (GBS)
|
0.04
|
|||
|
|
Total- National
Urban Health Mission
|
950.00
|
||||
|
49.
|
Strengthening of
State Drug Regulatory System
|
206.00
|
||||
|
50.
|
Tertiary Care
Programs
|
|
||||
|
|
50.01
|
National Mental
Health Programme
|
40.00
|
|||
|
|
50.02
|
Capacity Building
for Trauma Centres
|
100.00
|
|||
|
|
50.03
|
National Programme
for prevention and control of Cancer, Diabetes, Cardio-vascular Disease and
Stroke
|
175.00
|
|||
|
|
50.04
|
National Programme
for Health Care for the Elderly
|
105.00
|
|||
|
|
50.05
|
National Programme
for Control of Blindness
|
20.00
|
|||
|
|
50.06
|
Telemedicine
|
45.00
|
|||
|
|
50.07
|
Tobacco Control
Programme and Drug De- addiction Programme
|
65.00
|
|||
|
|
Total- Tertiary Care
Programs
|
550.00
|
||||
|
51.
|
Human Resources for
Health and Medical Education
|
|
||||
|
|
51.01
|
Upgradation/Strengthening
of Nursing Services (ANM/GNM)
|
64.00
|
|||
|
|
51.02
|
Strengthening/Upgradation
of Pharmacy School/College
|
5.00
|
|||
|
|
51.03
|
District Hospital -
Upgradation of State Government Medical Colleges (PG Seats)
|
800.00
|
|||
|
|
51.04
|
Strengthening
Government Medical Colleges (UG Seats) and Central Government Health
Institutions
|
1361.00
|
|||
|
|
51.05
|
Establishing New
Medical Colleges
(upgrading District Hospitals) |
2000.00
|
|||
|
|
51.06
|
Setting up of State
Institutions of Para- medical Sciences in States and Setting up of College of
Para-medical Education
|
20.00
|
|||
|
|
Total- Human
Resources for Health and Medical Education
|
4250.00
|
||||
|
Total-National
Health Mission
|
32995.00
|
|||||
|
52.
|
Rashtriya Swasthya
Bima Yojna (RSBY)
|
|
||||
|
|
52.01
|
Support from Gross
Budgetary Support (GBS)
|
156.00
|
|||
|
|
52.02
|
Support from
National Investment Fund (NIF)
|
...
|
|||
|
|
Total- Rashtriya
Swasthya Bima Yojna (RSBY)
|
156.00
|
||||
|
|
|
|||||
|
53.
|
Ayushman Bharat -
Pradhan Mantri Jan Arogya
Yojana (PMJAY) |
6400.00
|
||||
|
54.
|
Actual Recoveries
|
...
|
||||
|
Total-Centrally
Sponsored Schemes
|
39551.00
|
|||||
|
Grand Total
|
62659.12
|
|||||
|
B. Developmental
Heads
|
|
|||||
|
General Services
|
|
|||||
|
1.
|
Council of Ministers
|
6.00
|
||||
|
2.
|
Pensions and other
Retirement Benefits
|
1500.00
|
||||
|
Total-General
Services
|
1506.00
|
|||||
|
Social Services
|
|
|||||
|
3.
|
Medical and Public
Health
|
23754.04
|
||||
|
4.
|
Family Welfare
|
1172.26
|
||||
|
5.
|
Secretariat-Social
Services
|
192.97
|
||||
|
6.
|
Capital Outlay on
Medical and Public Health
|
1675.90
|
||||
|
7.
|
Capital Outlay on
Family Welfare
|
10.25
|
||||
|
8.
|
Capital Outlay on
Housing
|
14.75
|
||||
|
Total-Social
Services
|
26820.17
|
|||||
|
Others
|
|
|
||||
|
9.
|
North Eastern Areas
|
4700.10
|
||||
|
10.
|
Grants-in-aid to State
Governments
|
29379.26
|
||||
|
11.
|
Grants-in-aid to
Union Territory Governments
|
203.59
|
||||
|
12.
|
Aid Materials and
Equipment
|
...
|
||||
|
13.
|
Capital Outlay on
North Eastern Areas
|
50.00
|
||||
|
Total-Others
|
34332.95
|
|||||
|
Grand Total
|
62659.12
|
|||||
Dr KK Aggarwal
Padma Shri Awardee
President Elect Confederation of
Medical Associations in Asia and Oceania
(CMAAO)
Group Editor-in-Chief IJCP Publications
President Heart Care Foundation of
India
Past National President
IMA
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