How Serious Is The Government About Social Sectors

How Serious is the Government about Social Sectors? Centre for Budget and Governance Accountability and Oxfam India Feb 17, 2010

Focus Areas
Resources for Health
Resources for Development of Scheduled Castes and Scheduled Tribes

Combined Expenditure of Centre and States on Health and Family Welfare 0.39 22641.33 2009-10 BE 1.04 0.35 36961* 18476 2008-09 RE 0.97 0.31 31567* 14410.37 2007-08 0.90 0.28 25375 11757.74 2006-07 0.88 0.27 22031 9649.24 2005-06 0.85 0.26 18771 8085.95 2004-05 0.90 0.26 17529 7249.14 2003-04 Total Exp. (Centre + States) as % of GDP Centre’s Exp. as % of GDP States’ Exp. (in Rs. Crore) Centre's Exp. (in Rs. Crore)

Share of Health and Family Welfare in Union Budget (in %)

Expenditure on Health & Family Welfare from Budgets of All States 0.7 4.1 2008-09 BE 0.7 4.0 2007-08 RE 0.6 3.9 2006-07 0.6 3.9 2005-06 0.6 3.4 2004-05 0.6 3.4 2003-04 as % of GDP as % of Aggregate Disbursements from Budgets of All States Expenditure on Health & Family Welfare from Budgets of All States

Outlays Recommended for 11 th Plan vs. Union Budget allocations Programme / Scheme 18.2 817 417 311 89 4495 Health Insurance based National Urban Health Mission 3.0 118 62 56 NIL 4000 Human Resources for Health 3.7 104 36 68 NIL 2780 District Hospitals 40.8 36529 13930 11930 10669 89478 NRHM 2009-10 (BE) 2008-09 (RE) 2007-08 (RE) % of Allocation till now Total Union Budget allocation made in the first 3 years of 11th Plan (in Rs. Crore) Union Budget Allocation (in Rs. Crore) Outlay Recommended for 11th Plan (in Rs. Crore) [at current prices]

Fund Utilization in NRHM Expenditure as % of Total Funds Available in a Year in NRHM 83.8 36.7 14.3 Assam 69.3 67.1 46.0 West Bengal 50.6 62.3 48.4 Tamil Nadu 88.1 52.7 45.2 Punjab 59.0 28.1 40.3 Maharashtra 59.9 45.2 35.8 Kerala 105.1 39.2 45.2 Karnataka 67.1 50.7 46.3 Haryana 82.7 52.8 34.5 Gujarat 67.1 65.6 64.6 Andhra Pradesh 75.3 30.8 26.2 Uttarakhand 55.0 43.9 44.6 Uttar Pradesh 74.1 48.3 41.3 Rajasthan 59.0 56.9 42.1 Orissa 102.6 64.5 35.7 Madhya Pradesh 62.5 50.4 28.5 Jharkhand 104.2 47.6 39.2 Himachal Pradesh 73.7 70.7 55.4 Chhattisgarh 86.3 42.1 48.1 Bihar 2007-08 2006-07 2005-06 State

Promises Made in the 2009 Election Manifesto of the Indian National Congress
Commitment in 2009 Election Manifesto: every district headquarters hospital would be upgraded to provide quality health facilities to all
A benchmark for public spending on district hospitals (developed by CEHAT in Maharashtra) suggests an annual recurring cost of Rs. 2,50,000 per bed in such a hospital,
It translates into an annual recurring cost of around Rs. 3000 crore for the whole country (assuming 200 beds per hospital for the 600 districts in the country)
The amount of funds allocated in Union Budget 2009-10 for strengthening of district hospitals was nowhere close to this figure

Promises Made in the 2009 Election Manifesto of the Indian National Congress
Union Budget allocation for a new scheme, called District Hospitals , had been only Rs. 68 crore in 2008-09, which was reduced to Rs. 36 crore in 2009-10 (BE)
In the financial year 2008-09, under the National Rural Health Mission ,
(a) Rs. 42.3 crore was spent on Upgradation of District Hospitals
(b) Rs. 61 crore was spent on ‘Strengthening of District and Sub-divisional Hospitals’ and
(c) Rs. 12.4 crore was spent on ‘Corpus grants to Hospital Management Societies / Rogi Kalyan Samitis’ for District Hospitals.

Union Govt. Ministries/Departments Reporting Plan Allocations Earmarked for SCs/STs in 2009-10 Ministry of Panchayati Raj Ministry of Culture Dept. of Biotechnology Ministry of Textiles Dept. of Small Scale Industries Dept. of Health & Family Welfare Dept. of Information Technology Ministry of Agriculture Ministry of Youth Affairs and Sports Ministry of HRD Ministry of Women & Child Development Ministry of Labour & Employment Dept. of Rural Development Ministry of Social Justice & Empowerment Ministry of Tribal Affairs Ministry of Finance Dept. of Science & Technology

Plan Allocation Earmarked for SCs from the Union Budget 6.49 7.07 8.12 6.53 5.99 4.25 Proportion of total Plan Allocation earmarked for SCs (in %) 243893 208252 152313 129804 109900 85061 Total Plan Exp. of Union Govt. Ministries (excluding Central Assistance to State & UT Plans) (Rs. Crore) 15831.6 14727.0 12367.8 8473.9 6578.6 3611.2 Total Plan Exp. from Union Budget Earmarked for SCs (Rs. Crore) 2009-10 BE 2008-09 RE 2007-08 RE 2006-07 RE 2005-06 RE 2004-05 RE

Plan Allocation Earmarked for STs from the Union Budget 4.10 4.21 4.89 4.29 3.80 2.80 Proportion of total Plan Allocation earmarked for STs (in %) 243893 208252 152313 129804 109900 85061 Total Plan Exp. of Union Govt. Ministries (excluding Central Assistance to State & UT Plans) (Rs. Crore) 9995 8771 7447 5564.9 4175.5 2382 Total Plan Exp. from Union Budget Earmarked for STs (Rs. Crore) 2009-10 BE 2008-09 RE 2007-08 RE 2006-07 RE 2005-06 RE 2004-05 RE

Low Emphasis on Long Term Development and Empowerment of the SCs and STs
Of the funds shown as earmarked for SCP and TSP, a large chunk is meant for basic social services and employment generation programmes, with no emphasis on providing funds for long term development and empowerment of the SCs and STs
Only the following Ministries of the Union Govt. have reported sizeable magnitude of funds earmarked for SCs / STs
- Ministry of Tribal Affairs
- Ministry of Social Justice & Empowerment
- Dept. of Rural Development (Min. of RD)
- Ministry of Women & Child Development
- Ministry of HRD
- Min. of Health & Family Welfare

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How Serious Is The Government About Social Sectors

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