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Sapna 000
This page shows major health indicators for India.
Click on any indicator on this page to see a time series of that indicator, along with options for graphing, downloading and
validating the underlying data.
For any indicator, click on the vs World icon to see the value of that indicator across 200+ countries.
Indicators are grouped by theme.
Demography and Society
Indicator

Level

Units

Population
1,224,614.00 1000s
Annual Population
1.40%
%
Growth
Population Median Age 25.00
years

As
1Y
~25Y
vs
~5Y Ago
~10Y Ago
Of Chg
Ago World
2010 1.40% 1,157,039.00 1,071,374.00 n.a.
2010 n.a.

n.a.

n.a.

n.a.

2010 n.a.

n.a.

n.a.

n.a.

Population Under 15

31.00%

%

2010 n.a.

n.a.

n.a.

n.a.

Population over 60
Gross National Income
per Capita
Civil Registration
Coverage of Births
Civil Registration
Coverage of Deaths
Population Using
Improved Sanitation
Facilities
Population Using
Improved Drinkingwater Sources
Population Living in
Urban Areas

8.00%

%

2010 n.a.

n.a.

n.a.

n.a.

3,400.00

PPP int. $ 2010 7.94% 2,440.00

1,590.00

n.a.

41.00%

%

2006 n.a.

n.a.

n.a.

n.a.

25.00%

%

2001 n.a.

n.a.

n.a.

n.a.

31.00%

%

2008 n.a.

n.a.

n.a.

n.a.

88.00%

%

2008 n.a.

n.a.

n.a.

n.a.

30.00%

%

2010 n.a.

n.a.

n.a.

n.a.

n.a.

n.a.

n.a.

n.a.

n.a.

n.a.

Alcohol Consumption
Among Adults

0.60

Adult Literacy Rate

62.80%

litres per
person per 2005 n.a.
year
%
2006 n.a.

Mortality Overview
Indicator
Adult Mortality Rate
Under-Five Mortality Rate
Infant Mortality Rate
Neonatal Mortality Rate
Stillbirth Rate

Level

212.00 per 1000
per 1000 live
63.00
births
per 1000 live
48.00
births
per 1000 live
32.00
births
22.00 per 1000 births

Life Expectancy at Birth
65.00 years
Healthy Life Expectancy at
56.00 years
Birth
Death By Cause

Units

1Y
~5Y
~10Y
Chg
Ago
Ago
2009 n.a.
n.a.
256.00

~25Y
Ago
n.a.

2010 n.a.

n.a.

n.a.

n.a.

2010 n.a.

n.a.

n.a.

n.a.

2010 n.a.

n.a.

n.a.

n.a.

2009 n.a.

n.a.

n.a.

n.a.

2009 n.a.

n.a.

61.00

n.a.

2007 n.a.

n.a.

n.a.

n.a.

As Of

vs
World
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Indicator
Communicable

Level
Units
As Of 1Y Chg ~5Y Ago ~10Y Ago ~25Y Ago vs World
363.00 per 100,000 2008 n.a.
n.a.
n.a.
n.a.

Noncommunicable 685.00 per 100,000 2008 n.a.

n.a.

n.a.

n.a.

Injuries

99.00 per 100,000 2008 n.a.

n.a.

n.a.

n.a.

Malaria

1.90

n.a.

n.a.

n.a.

Tuberculosis

26.00 per 100,000 2010 -10.34% 35.00

38.00

n.a.

HIV-AIDS

14.00 per 100,000 2009 n.a.

n.a.

n.a.

per 100,000 2008 n.a.

n.a.

Distribution of Death Among Children Aged Under 5

Malaria

Indicator

Level Units As Of 1Y Chg ~5Y Ago ~10Y Ago ~25Y Ago vs World
0.00% %
2010 0.00% 0.00% 0.00%
n.a.

Pneumonia

24.00% %

2010 1.00% 23.00% 23.00%

n.a.

Injuries

3.00% %

2010 0.00% 3.00%

n.a.

Birth Asphyxia

11.00% %

2010 1.00% 10.00% 10.00%

n.a.

Diarrhoea

13.00% %

2010 0.00% 13.00% 14.00%

n.a.

Measles

3.00% %

2010 -1.00% 5.00%

4.00%

n.a.

HIV-AIDS

0.00% %

2010 0.00% 1.00%

0.00%

n.a.

Prematurity

20.00% %

2010 0.00% 19.00% 18.00%

n.a.

Neonatal Sepsis

8.00% %

2010 0.00% 8.00%

8.00%

n.a.

Congenital Abnormalities 7.00% %

2010 1.00% 6.00%

5.00%

n.a.

Other Diseases

2010 0.00% 11.00% 13.00%

11.00% %

3.00%

n.a.

Child Care
Indicator

As
~5Y
1Y Chg
Of
Ago

Level Units

Children Sleeping Under Insecticidetreated Nets
Children With Fever Who Received
Antimalarial Treatment
Children Who Received Vitamin A
Supplementation
Children With ARI Symptoms Taken to a
Health Facility
Children With Diarrhoea Receiving ORT

n.a.

%

n.a.

~10Y
Ago

n.a.

n.a.

n.a.

n.a.

8.00% %

2006 n.a.

n.a.

n.a.

n.a.

18.20% %

2006 2.60% n.a.

n.a.

n.a.

67.30% %

2006 0.00% n.a.

n.a.

n.a.

38.50% %

2006 12.50% n.a.

n.a.

n.a.

Infant Immunization Rates
Indicator Level Units As Of 1Y Chg ~5Y Ago ~10Y Ago ~25Y Ago vs World
PAB
87.00% %
2010 1.00% 86.00% 83.00% n.a.
Hib3

n.a.

BCG

87.00% %

2010 0.00% 87.00% 74.00%

n.a.

Pol3

70.00% %

2010 0.00% 67.00% 61.00%

n.a.

MCV

74.00% %

2010 0.00% 70.00% 55.00%

n.a.

HepB3

37.00% %

2010 8.00% 6.00%

n.a.

DTP3

72.00% %

2010 0.00% 66.00% 60.00%

Disease Reports

%

n.a.

n.a.

~25Y
Ago

n.a.

n.a.

n.a.

n.a.

n.a.

vs
World
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185.00

per 100,000

1Y
~10Y
~5Y Ago
Chg
Ago
2010 -2.63% 205.00 216.00

Prevalence of Tuberculosis 256.00
Prevalence of HIV Among
0.30%
Adults

per 100,000

2010 -6.91% 335.00

466.00

n.a.

%

2009 0.00% 0.40%

0.40%

n.a.

2010 n.a.

n.a.

n.a.

n.a.

n.a.

n.a.

n.a.

n.a.

n.a.

2010 n.a.

n.a.

n.a.

n.a.

2010 n.a.

n.a.

n.a.

n.a.

n.a.

n.a.

n.a.

n.a.

n.a.

2010 n.a.

n.a.

n.a.

n.a.

2010 n.a.

n.a.

n.a.

n.a.

2010 n.a.

n.a.

n.a.

n.a.

2010 -5.17% 139,252 n.a.

n.a.

2010 n.a.

Indicator
Incidence of Tuberculosis

Cholera

Level

Units

Reported
Cases
Reported
n.a.
Cases
Reported
29,808
Cases
Reported
373
Cases
Reported
n.a.
Cases
Reported
3,123
Cases
Reported
5,171
Cases
Reported
38,493
Cases
Reported
126,800
Cases
Reported
1,574
Cases
Reported
1,599,986
Cases
Reported
n.a.
Cases
Reported
n.a.
Cases
Reported
n.a.
Cases
Reported
615,977
Cases
5,155

Rubella
Measles
Neonatal Tetanus
Congenital Rubella
Syndrome
Diphtheria
Japanese Encephalitis
Pertussis
Leprosy
Total Tetanus
Malaria
Yellow Fever
H5N1 Influenza
Mumps
Tuberculosis

As Of

~25Y
Ago
n.a.

n.a.

n.a.

n.a.

2010 2.34% n.a.

n.a.

n.a.

n.a.

n.a.

n.a.

n.a.

n.a.

n.a.

n.a.

n.a.

n.a.

n.a.

n.a.

n.a.

n.a.

n.a.

n.a.

2008 n.a.

n.a.

n.a.

vs
World

n.a.

Maternity
Indicator

Level

Units
per woman

As
~5Y ~10Y ~25Y
1Y Chg
Of
Ago Ago
Ago
2010 n.a.
n.a. n.a.
n.a.

Total Fertility Rate

2.60%

Adolescent Fertility Rate

45.20% per 1000 girls 2006 n.a.

n.a.

n.a.

n.a.

Low-birth-weight Newborns

28.00% %

2006 n.a.

n.a.

n.a.

n.a.

Contraceptive Prevalence
Adolescent Contraceptive
Prevalence
Unmet Need for Family Planning
Unmet Family Planning Needs for
Adolescents
Births Attended By Skilled Health
Personnel
Adolescent Births Attended By
Skilled Health Personnel
Antenatal Care Coverage - At
Least One Visit

56.30% %

2006 n.a.

n.a.

n.a.

n.a.

13.00% %

2006 n.a.

n.a.

n.a.

n.a.

12.60% %

2006 n.a.

n.a.

n.a.

n.a.

27.10% %

2006 n.a.

n.a.

n.a.

n.a.

57.70% %

2009 10.80% n.a.

n.a.

n.a.

47.20% %

2006 n.a.

n.a.

n.a.

n.a.

75.10% %

2008 n.a.

n.a.

n.a.

n.a.

vs
World
Sapna 000
Indicator
Adolescent Antenatal Care
Coverage - At Least One Visit
Antenatal Care Coverage - At
Least Four Visits
Maternal Mortality Rate Interagency Estimates
Maternal Mortality Rate - Country
Reported Estimates
Births By Caesarean Section
Infants Exclusively Breastfed for
the First Six Months of Life

Level

Units

As
~5Y
1Y Chg
Of
Ago

~10Y
Ago

~25Y
Ago

80.00% %

2006 n.a.

n.a.

n.a.

n.a.

49.70% %

2008 n.a.

n.a.

n.a.

n.a.

2010 n.a.

n.a.

n.a.

n.a.

2005 n.a.

n.a.

n.a.

n.a.

2009 0.00% n.a.

n.a.

n.a.

2006 n.a.

n.a.

vs
World

n.a.

per 100,000
live births
per 100,000
254.00%
live births
8.80% %
200.00%

46.00% %

n.a.

-The table above defines adolescents as women between the ages of 15 and 19.
Availability of Health Personnel and Treatment
Indicator

Level

Physicians

6.49

Nursing and Midwifery Personnel

9.96

Dentistry Personnel

0.81

Pharmaceutical Personnel

5.16

Environment and Public Health
Workers

0.50

Hospital Beds

9.00

Antiretroviral Therapy Coverage

n.a.

Radiotherapy Units

0.40

Units
per
10,000
per
10,000
per
10,000
per
10,000
per
10,000
per
10,000
%
per
million

As Of

1Y
Chg

~5Y
Ago

~10Y
Ago

~25Y
Ago

2009 n.a.

5.99

n.a.

n.a.

2008 n.a.

n.a.

n.a.

n.a.

2008 n.a.

n.a.

n.a.

n.a.

2006 n.a.

n.a.

n.a.

n.a.

1991 n.a.

n.a.

n.a.

n.a.

2005 n.a.

n.a.

n.a.

n.a.

n.a.

n.a.

n.a.

n.a.

n.a.

2010 n.a.

n.a.

n.a.

vs World

n.a.

Health Spending
Indicator

Level Units As Of 1Y Chg ~5Y Ago

Total Health Spending as a
4.10%
Percentage of GDP
Per Capita Health Spending
54.00
Government Health Spending as a
3.60%
percentage of Total Spending
Government Health Spending as a
29.20%
percentage of Total Health Spending
External Health Resources as a
1.20%
percentage of Total Health Spending
Private Health Spending as a
70.80%
percentage of Total Health Spending
Private Prepaid Plans as a percentage
4.60%
of Private Health Spending
Out-of-pocket Spending as a
percentage of Private Health
86.40%
Spending

%

2010 -0.10% 4.00%

~10Y
Ago

~25Y
Ago

4.60%

n.a.

USD 2010 22.73% 33.00

21.00

n.a.

%

2010 -0.10% 3.40%

3.40%

n.a.

%

2010 -1.10% 24.80% 23.90%

n.a.

%

2010 0.10%

1.30%

n.a.

%

2010 1.10%

75.20% 76.10%

n.a.

%

2010 0.00%

2.50%

n.a.

%

2010 0.00%

88.90% 92.40%

2.30%

1.00%

n.a.

vs
World
Sapna 000
http://www.quandl.com/health/india-all-health-indicators
Health
Maternal Health in India
India continues to contribute about a quarter of all global maternal deaths. WHO defines maternal mortality as the death of a woman during
pregnancy or in the first 42 days after the birth of the child due to causes directly or indirectly linked with pregnancy.
Fast Facts
Globally, every year over 500,000 women die of pregnancy related causes and 99 percent of these occur in developing countries.
• The Maternal Mortality Ratio (MMR) in India is 254 per 100,000 live births according to Sample Registration System (SRS) Report for 20042006. This is a decline from the earlier ratio of 301 during 2001-2003.
• In the region, the MMR in China stands at 45, Sri Lanka at 58, Bangladesh at 570, Nepal at 830 and Pakistan at 320 in 2006.
• Wide disparities exist across states in India. The MMR ranges from 95 in Kerala to 480 in Assam.
• MMR has a direct impact on infant mortality Babies whose mothers die during the first 6 weeks of their lives are far more likely to die in the
first two years of life than babies whose mothers survive.
• Only 47 per cent of women likely in India have an institutional delivery and 53 percent had their births assisted by a skilled birth attendant. As
many as 49 percent of pregnant women still do not have three antenatal visits during pregnancy. Only 46.6 percent of mothers receive iron and
folic acid for at least 100 days during pregnancy.
Key Issues
• About half of the total maternal deaths occur because of hemorrhage and sepsis. A large number of deaths are preventable through safe
deliveries and adequate maternal care.
• More than half of all married women are anaemic and one-third of them are malnourished (have a body index below normal).
UNICEF in Action
• Building on the achievements of the Government of India’s National Rural Health Mission (NRHM), UNICEF continues to support health
programs such as the Village Health and Nutrition Days (VHND), to reach out to pregnant women in underserved areas, ensuring that they
receive the three essential antenatal check-ups and sensitizing them about the importance of institutional deliveries.
• UNICEF is working closely with National Rural Health Mission programs such as Janani Suraksha Yojna to encourage women to have
institutional deliveries.
• UNICEF follows the continuum of care approach to ensure that both mother and newborn receive necessary services.
This involves a chain of interventions that begin with complete and comprehensive antenatal care, increasing skilled attendance at birth, ensuring
that first referral units are equipped to deal with emergency obstetric care and ensuring that both the mother and newborn are followed up post
partum.
Neonatal Health In India
Introduction
Child mortality is a sensitive indicator of a country’s development. In India, the Infant Mortality Rate (IMR) (under one year) has shown a
modest decline in recent years.
The average decline of IMR per year between the years 2004 to 2008 has been about 1 per cent per year.
In 2008, the IMR was 53/1,000 live births. Eight states contribute to 75 per cent of infant mortality: Uttar Pradesh, Bihar, Madhya Pradesh,
Sapna 000
Rajasthan, Andhra Pradesh, Orissa, Gujarat and Assam.
At the current rate of decline, India will miss the XI plan goal of reduction in IMR and the Millennium Development Goal-4 on child survival.
About 70 per cent of the childhood under-five is caused by perinatal conditions (33.1 per cent), respiratory infections (22 per cent) and diarrhea
(13.8 per cent). Malnutrition is an underlying cause responsible for about one third of all deaths in childhood.
Fast Facts
• Averting neonatal deaths is pivotal to reducing child mortality. The Newborn period is the period starting from birth and continues throughout
28 days of life.
• Neonatal mortality rate (mortality in the newborn period) stands at 35/1000 lives births, and contributes to 65 per cent of all deaths in the first
year of life.
• Between 2004-2008, neonatal mortality has moved from 37/1000 live births to 35/1000 only.
• 56 per cent of all newborn deaths occur in five states: UP, Rajasthan, Orissa, MP and Andhra Pradesh.
• Three major causes contribute to about 60 per cent of all deaths in the newborn period: pre-maturity and low birth weight, birth asphyxia and
infections.
Key Issues
• Most of the causes of deaths in the newborn period can be prevented or managed by households, communities and health facilities. But they
often are unable to provide the required care.
• Inappropriate practices such as delayed initiation of breastfeeding, delayed clothing and early bathing, not seeking care when newborns are sick
and applying harmful material on cord-stump increase the risk of newborn deaths.
• Health facilities are often ill equipped to provide essential newborn care to all newborn and special newborn care to sick newborns.
UNICEF in Action
UNICEF partners with the Government of India, state governments and communities, promote simple interventions which can significantly
improve newborn survival:
• UNICEF encourages home-based care of all newborns through its support to the Integrated Management of Newborn and Childhood Illnesses
(IMNCI) program.
The program equips frontline workers with the required skills and supplies. Following training on IMNCI, frontline workers (ASHAs and
AWWs) visit newborns at their households three times in the first week of life. During the visits, the workers assess the newborns, promote
healthy practices, manage simple problems and refer those with serious illnesses.
• UNICEF supports intensive behavior change communication efforts through all channels to promote key practices that improve survival of
newborns.
• UNICEF raises awareness of media and elected representatives on issues related to newborn and child survival.
• UNICEF supports setting up and managing of Special Care Newborn Units (SCNUs) that provide state-of-the-art care for newborns in some of
the least developed districts of the country.
Measles in India
Introduction
The respiratory disease measles remains a leading cause of death among young children, despite the fact that a safe and effective vaccine has
been available for 40 years. Measles is an acute illness caused by a virus of the paramyxovirus family.
Sapna 000
It is one of the most contagious diseases and many children who do not have sufficient immunity contract measles if exposed. During the first
few weeks after contracting measles, a child’s immune system becomes weakened, and a normal cold or diarrhoea can become a life threatening
illness.
Fast Facts
•
Globally, an estimated 450 people, mostly children, die every day from measles despite the fact that an effective and
safe vaccine is available at low cost.
•
It costs less than $1 to vaccinate a child against measles.
•
A global goal to reduce measles deaths by 90 per cent by 2010 was set at the World Health Assembly in May 2005.
•
Despite global successes in reducing measles deaths, an estimated 164,000 people died from measles in 2008, the
latest year for which figures are available.
•
In November 2010, the Government of India introduced a second dose of measles vaccination drive in 14 high-risk
states, targeting 134 million children, to prevent an estimated 60,000 to 100,000 child deaths annually.
UNICEF / WHO Action
The global reduction in death from measles reflects support and commitment by the Measles Initiative to boosting immunization coverage and by
national governments to following the World Health Organization (WHO ) / UNICEF comprehensive strategy for reducing measles mortality.
This strategy consists of four key components:
• Providing at least one dose of measles vaccine at routine vaccination coverage of at least 90 per cent of children, administered at nine months of
age or shortly after
• Giving all children a second opportunity for measles vaccination
• Establishing effective surveillance
• Improving clinical management of complicated cases – including vitamin A supplementation
For more information and interviews, please contact:
Caroline den Dulk Chief of Communication, UNICEF India
Tel: +91-98-1810-6093; E-mail: cdendulk@unicef.org
Geetanjali Master, Communication Specialist, UNICEF India
Tel: +91-98-1810-5861; E-mail: gmaster@unicef.org
Sonia Sarkar, Communication Officer- Media, UNICEF India
Tel: +91-98-101-70289; E-mail: ssarkar@unicef.org
http://www.unicef.org/india/health.html

Home News Investment World Markets Industry Economy Opinion Companies Money Wise Blogs WealthCheck
Editorial Columns Letters
Why are women's health outcomes in India so poor?
C.P.CHANDRASEKHAR/JAYATI GHOSH
Public expenditure on health service delivery is especially important for women and girl children.
www.idfcmf.com
Women's health outcomes in India are generally much worse than in comparator countries, despite two decades of very rapid growth in India.
C. P. Chandrasekhar and Jayati Ghosh examine India's performance in relation to some other countries in Asia, and consider the reason for
the relatively poor performance.
Sapna 000
There are several senses in which the health of women and girls can be considered as the basic indicators for the health of a society. Precisely
because of gender discrimination, the health conditions of females generally tend to lag behind those of males, and therefore absolute
improvement in these conditions is a reasonable indicator that the overall health conditions of that society are also getting better.
In the past two decades, India had the third fastest growing economy in the Asian region (after China and Vietnam) and it is generally
perceived, even in a period of continuing global crisis, as an emerging economic powerhouse.
Table 1 presents India's growth performance in the past two decades in relation to three other Asian countries. Vietnam grew slightly faster
than India but still has slightly lower per capita income.
Sri Lanka is richer on average but has growth more slowly, while Bangladesh is still clearly a low income country, where per capita income
has increased, though more slowly than these other countries.
To what extent was this period of economic expansion in India reflected in better health outcomes for women and girls? To examine this, we
consider two crucial health indicators: the female Infant Mortality Rate (IMR or number of deaths per 1,000 children below one year) and the
Maternal Mortality Ratio (MMR or number of childbirth-related deaths per 1,00,000 live births).
Poor showing on female IMR
Chart 1 shows that in terms of female infant mortality rates, India is, by far, the worst performer in this group, with the slowest rate of
decline.
Even Bangladesh, which is much poorer and has slower national income growth, managed to bring the female IMR down faster. And the
Indian rate is more than two-and-a-half times that of Vietnam, which has a lower per capita income.
The evidence on maternal mortality is equally disturbing. India and Bangladesh both have very high rates, many multiples of those in Sri
Lanka and Vietnam. But even here, the rate of reduction of this ratio has been marginally faster in Bangladesh.
Of course, India is also very regionally diverse, with some states, such as Kerala, showing excellent health outcomes for women, similar to
those in Vietnam. And three states have also shown much improved health indicators in the past two decades: Tamil Nadu, West Bengal and
Maharashtra.
But the bulk of the country still shows generally appalling levels of female IMR and MMR. One important reason for high infant and child
mortality is under-nutrition, which has actually worsened in recent times, according to indicators such as calorie consumption. Rising prices
of food are making this problem worse as women and girls in poor households take the brunt of food scarcity.
Chart 3 shows how closely the rate of child mortality tracks the proportion of underweight children across Indian states.
Public spending, immunisation
Nutrition is important, but it is not the only concern. To deliver better health outcomes, public expenditure on health service delivery is
absolutely essential, and this is especially important for women and girl children. Here again, India fares badly.
Public spending on health (Chart 4) is a minuscule amount in relation to GDP, and around two-third of health expenditure is out-of-pocket
payment by households. This is indeed an important reason for families falling into poverty or remaining destitute, and gender biases
reinforce the relative denial of health to women and girls in such conditions.
Even in absolute per capita terms, public health spending in India is around half that in Vietnam, which is a country with lower per capita
income. And it is just above one-third of the level in Sri Lanka. It is true that Bangladesh shows a much lower level, but then Bangladesh
also has a much lower per capita income.
So it is no wonder that other indicators of health service delivery also appear quite inadequate with respect to the other countries.
Chart 6 shows that less than half of births are attended by skilled personnel, whereas in Vietnam it is near universal and it is close to that in
Sri Lanka. The low proportion here suggests one important reason for the high maternal mortality ratios in India and Bangladesh.
Similarly, immunisation coverage is a necessary element in ensuring child health. Full measles coverage within the first year of life is often
taken as a proxy for the extent of immunisation in general, and in this case India fares worst among this set of four countries.
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Even Bangladesh has much higher immunisation rates. In some parts of the country, immunisation rates have barely improved. Small
wonder, then, that infant mortality rates have come down more slowly in India than in these other countries.
No urgency on sanitation
Another major aspect of ensuring adequate health conditions is the provision of improved sanitation for everyone. This is one of the weakest
aspects, along with nutrition: around 70 per cent of the population does not have access to improved toilets.
Remarkably, this does not even appear as a major policy goal for the government, which does not appear to see the urgency in this matter, or
the wider health effects, quite apart from the loss of dignity to citizens that comes from forced open defaecation.
All of these factors are crucially determined by government policy. Despite much publicly expressed concern on all these issues, the
Government of India has simply not put its money where its mouth is. Public spending as a share of GDP has not increased, and per capita
spending on some essential activities such as immunisation and primary health centres has actually gone down.
Instead, the government has sought to provide essential health services on the cheap, using the underpaid labour of local women working for
much less than the minimum wage, not properly trained regular public employees with adequate facilities.
positive synergy
The apparently growing divide between economic growth and women's health outcomes in countries such as India is not inevitable: the
experience of other Asian countries shows that a more positive synergy can be created, with health spending not just valued for its own sake,
but as an essential element in an overall macroeconomic and growth framework oriented to better conditions of human life rather than just
GDP expansion.
http://www.thehindubusinessline.com/opinion/columns/c-p-chandrasekhar/why-are-womens-health-outcomes-in-india-sopoor/article2668662.ece
Home/India/ Healthcare sector in India – Another economy booster
Healthcare sector in India – Another economy booster
By Ramandeep Kaur
August 12, 2013
As the buying and expenditure power of middle-class strata is increasing in India so is the growth of all the related industries and sectors in
India. Healthcare is one of the sectors in our country that has seen a tremendous growth in the past few decades and expected to grow further.
In the year 2012, the total value of healthcare sector in India that includes medical infrastructure and devices, outsourcing, clinical trial,
telemedicine, medical equipment and health insurance was US$ 79 billion and it is expected to reach US $ 160 billion by 2017. Between
2000-2009, the healthcare sector of India has registered a growth of 9.3%. With such an immense growth, healthcare industry in India is
competing with the IT as well as pharmaceutical industries.
Increasing demand for high level medical services, increased awareness, growth in infrastructure, increase in income, reimbursement
schemes, insurance policies, etc are leading to the growth of healthcare sector in India. Moreover, there is a shift from infectious to lifestyle
related diseases in India that need more expenditure for the treatment.
Also, the healthcare sector in India is the largest industry in terms of revenue and it is the second largest in terms of employment. Both
private as well as public sectors operate Indian healthcare industry but private sector being the major provider of healthcare services in India.
With this, medical tourism is also getting the required boost and it is expected that this industry will touch US$ 2 billion by 2015. Patients are
coming from Africa, Gulf and SAARC nations, Myanmar, Pakistan mainly for organ transplant, cardiac and orthopedic problems. The
biggest strength for the growth of medical tourism in India is the skilled doctors and English speaking manpower. As per the study conducted
by the Confederation of Indian Industries (CII), Chennai is the most favorite spot for medical tourism in India.
Private players are making significant investments in this sector by setting up private hospitals. Share of private sector in the healthcare
delivery industry is 80% whereas government sector is 20%. The Government of India has also decided to raise the health expenditure and
by the end of the Twelfth Five Year Plan (2012-17) this will be 2.5 per cent of gross domestic product (GDP). Among all the developing
Sapna 000
countries, Indian Government Expenditure on healthcare is the highest. All India Institute of Medical Sciences (AIIMS) in New Delhi,
Armed Forces Medical College (AFMC) Pune, Madras Medical College Chennai, Maulana Azad Medical College (MAMC) Delhi, Grant
Medical College Mumbai are some of the major government institutions in healthcare sector. In private sector Apollo Hospitals, Fortis
Healthcare, Max Healthcare, Aravind Hospitals are among the major players.
Healthcare sector is also one of the most leading sectors to provide employment. Approximately 4 million people are employed in healthcare
and its related sectors. Moreover, career in healthcare is considered as one of the noblest profession. By looking at the growth, many foreign
companies are now interested in investing in this industry. According to the Department of Industrial Policy and Promotion (DIPP), FDI
worth US$ 1.70 billion has been attracted by the drugs and pharmaceuticals sector between from the year 2000 to the year 2010, whereas
FDI worth US$ 786.14 million in the same period has been attracted by the hospitals and diagnostic centres.
With an aim of providing quality healthcare for all, Government in 2005 has launched National Rural Health Mission (NRHM). For good
institutional deliveries, more than 50 lakh women have been brought under the Janani Suraksha Yojana (JSY). Number of doctors, nurses
and para medical staff has been increased in number.
But apart from all this growth and development, 50% of the population in India still does not have direct access to healthcare facilities. India
has the highest infant mortality rate. Specialized services are available in only 2% of the hospitals. If we talk about good healthcare facilities,
then these are available only in metros. Lack of infrastructure, mismanaged public hospitals and lack of commitment in certain cases are
other issues of concern in the healthcare sector of India.
There is a growing demand for better healthcare facilities in India but certainly absence of matching the quality expectations is a great
challenge as well as opportunity. Other key opportunities in healthcare sector of India are hospital services, medical tourism, pathology
services, medical devices manufacturing, telemedicine and health insurance. If all the hidden and untapped opportunities are tapped then
healthcare industry in India can surely become the major economy booster of our developing natio
http://www.mapsofindia.com/my-india/india/healthcare-sector-in-india-another-economy-booster

Healthcare Industry in India ,Last Updated: September 2013
Brief Overview
The Indian healthcare industry, which comprises hospitals, medical infrastructure,
medical devices, clinical trials, outsourcing, telemedicine, health insurance and medical
equipment, is expected to reach US$ 160 billion by 2017.
On the back of continuously rising demand, the hospital services industry is expected to
be worth US$ 81.2 billion by 2015. The Indian hospital services sector generated revenue
of over US$ 45 billion in 2012. This revenue is expected to increase at a compound
annual growth rate (CAGR) of 20 per cent during 2012-2017, according to a RNCOS
report titled, ‘Indian Medical Device Market Outlook to 2017’.
Market Size
The healthcare industry in India is experiencing gradual transition from paper files to
electronic mediums. The Indian healthcare assisted by IT market has been growing
tremendously over the past few years. It is expected to grow at a CAGR of around 22.7
per cent during the period 2013-2015.
The hospital and diagnostics centre in India received foreign direct investment (FDI)
worth US$ 1,914.28 million, while drugs & pharmaceutical and medical & surgical
appliances industry registered FDI worth US$ 11,318.32 million and US$ 653.45 million,
respectively during April 2000 to June 2013, according to data provided by Department
of Industrial Policy and Promotion (DIPP).

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  • 1. Sapna 000 This page shows major health indicators for India. Click on any indicator on this page to see a time series of that indicator, along with options for graphing, downloading and validating the underlying data. For any indicator, click on the vs World icon to see the value of that indicator across 200+ countries. Indicators are grouped by theme. Demography and Society Indicator Level Units Population 1,224,614.00 1000s Annual Population 1.40% % Growth Population Median Age 25.00 years As 1Y ~25Y vs ~5Y Ago ~10Y Ago Of Chg Ago World 2010 1.40% 1,157,039.00 1,071,374.00 n.a. 2010 n.a. n.a. n.a. n.a. 2010 n.a. n.a. n.a. n.a. Population Under 15 31.00% % 2010 n.a. n.a. n.a. n.a. Population over 60 Gross National Income per Capita Civil Registration Coverage of Births Civil Registration Coverage of Deaths Population Using Improved Sanitation Facilities Population Using Improved Drinkingwater Sources Population Living in Urban Areas 8.00% % 2010 n.a. n.a. n.a. n.a. 3,400.00 PPP int. $ 2010 7.94% 2,440.00 1,590.00 n.a. 41.00% % 2006 n.a. n.a. n.a. n.a. 25.00% % 2001 n.a. n.a. n.a. n.a. 31.00% % 2008 n.a. n.a. n.a. n.a. 88.00% % 2008 n.a. n.a. n.a. n.a. 30.00% % 2010 n.a. n.a. n.a. n.a. n.a. n.a. n.a. n.a. n.a. n.a. Alcohol Consumption Among Adults 0.60 Adult Literacy Rate 62.80% litres per person per 2005 n.a. year % 2006 n.a. Mortality Overview Indicator Adult Mortality Rate Under-Five Mortality Rate Infant Mortality Rate Neonatal Mortality Rate Stillbirth Rate Level 212.00 per 1000 per 1000 live 63.00 births per 1000 live 48.00 births per 1000 live 32.00 births 22.00 per 1000 births Life Expectancy at Birth 65.00 years Healthy Life Expectancy at 56.00 years Birth Death By Cause Units 1Y ~5Y ~10Y Chg Ago Ago 2009 n.a. n.a. 256.00 ~25Y Ago n.a. 2010 n.a. n.a. n.a. n.a. 2010 n.a. n.a. n.a. n.a. 2010 n.a. n.a. n.a. n.a. 2009 n.a. n.a. n.a. n.a. 2009 n.a. n.a. 61.00 n.a. 2007 n.a. n.a. n.a. n.a. As Of vs World
  • 2. Sapna 000 Indicator Communicable Level Units As Of 1Y Chg ~5Y Ago ~10Y Ago ~25Y Ago vs World 363.00 per 100,000 2008 n.a. n.a. n.a. n.a. Noncommunicable 685.00 per 100,000 2008 n.a. n.a. n.a. n.a. Injuries 99.00 per 100,000 2008 n.a. n.a. n.a. n.a. Malaria 1.90 n.a. n.a. n.a. Tuberculosis 26.00 per 100,000 2010 -10.34% 35.00 38.00 n.a. HIV-AIDS 14.00 per 100,000 2009 n.a. n.a. n.a. per 100,000 2008 n.a. n.a. Distribution of Death Among Children Aged Under 5 Malaria Indicator Level Units As Of 1Y Chg ~5Y Ago ~10Y Ago ~25Y Ago vs World 0.00% % 2010 0.00% 0.00% 0.00% n.a. Pneumonia 24.00% % 2010 1.00% 23.00% 23.00% n.a. Injuries 3.00% % 2010 0.00% 3.00% n.a. Birth Asphyxia 11.00% % 2010 1.00% 10.00% 10.00% n.a. Diarrhoea 13.00% % 2010 0.00% 13.00% 14.00% n.a. Measles 3.00% % 2010 -1.00% 5.00% 4.00% n.a. HIV-AIDS 0.00% % 2010 0.00% 1.00% 0.00% n.a. Prematurity 20.00% % 2010 0.00% 19.00% 18.00% n.a. Neonatal Sepsis 8.00% % 2010 0.00% 8.00% 8.00% n.a. Congenital Abnormalities 7.00% % 2010 1.00% 6.00% 5.00% n.a. Other Diseases 2010 0.00% 11.00% 13.00% 11.00% % 3.00% n.a. Child Care Indicator As ~5Y 1Y Chg Of Ago Level Units Children Sleeping Under Insecticidetreated Nets Children With Fever Who Received Antimalarial Treatment Children Who Received Vitamin A Supplementation Children With ARI Symptoms Taken to a Health Facility Children With Diarrhoea Receiving ORT n.a. % n.a. ~10Y Ago n.a. n.a. n.a. n.a. 8.00% % 2006 n.a. n.a. n.a. n.a. 18.20% % 2006 2.60% n.a. n.a. n.a. 67.30% % 2006 0.00% n.a. n.a. n.a. 38.50% % 2006 12.50% n.a. n.a. n.a. Infant Immunization Rates Indicator Level Units As Of 1Y Chg ~5Y Ago ~10Y Ago ~25Y Ago vs World PAB 87.00% % 2010 1.00% 86.00% 83.00% n.a. Hib3 n.a. BCG 87.00% % 2010 0.00% 87.00% 74.00% n.a. Pol3 70.00% % 2010 0.00% 67.00% 61.00% n.a. MCV 74.00% % 2010 0.00% 70.00% 55.00% n.a. HepB3 37.00% % 2010 8.00% 6.00% n.a. DTP3 72.00% % 2010 0.00% 66.00% 60.00% Disease Reports % n.a. n.a. ~25Y Ago n.a. n.a. n.a. n.a. n.a. vs World
  • 3. Sapna 000 185.00 per 100,000 1Y ~10Y ~5Y Ago Chg Ago 2010 -2.63% 205.00 216.00 Prevalence of Tuberculosis 256.00 Prevalence of HIV Among 0.30% Adults per 100,000 2010 -6.91% 335.00 466.00 n.a. % 2009 0.00% 0.40% 0.40% n.a. 2010 n.a. n.a. n.a. n.a. n.a. n.a. n.a. n.a. n.a. 2010 n.a. n.a. n.a. n.a. 2010 n.a. n.a. n.a. n.a. n.a. n.a. n.a. n.a. n.a. 2010 n.a. n.a. n.a. n.a. 2010 n.a. n.a. n.a. n.a. 2010 n.a. n.a. n.a. n.a. 2010 -5.17% 139,252 n.a. n.a. 2010 n.a. Indicator Incidence of Tuberculosis Cholera Level Units Reported Cases Reported n.a. Cases Reported 29,808 Cases Reported 373 Cases Reported n.a. Cases Reported 3,123 Cases Reported 5,171 Cases Reported 38,493 Cases Reported 126,800 Cases Reported 1,574 Cases Reported 1,599,986 Cases Reported n.a. Cases Reported n.a. Cases Reported n.a. Cases Reported 615,977 Cases 5,155 Rubella Measles Neonatal Tetanus Congenital Rubella Syndrome Diphtheria Japanese Encephalitis Pertussis Leprosy Total Tetanus Malaria Yellow Fever H5N1 Influenza Mumps Tuberculosis As Of ~25Y Ago n.a. n.a. n.a. n.a. 2010 2.34% n.a. n.a. n.a. n.a. n.a. n.a. n.a. n.a. n.a. n.a. n.a. n.a. n.a. n.a. n.a. n.a. n.a. n.a. 2008 n.a. n.a. n.a. vs World n.a. Maternity Indicator Level Units per woman As ~5Y ~10Y ~25Y 1Y Chg Of Ago Ago Ago 2010 n.a. n.a. n.a. n.a. Total Fertility Rate 2.60% Adolescent Fertility Rate 45.20% per 1000 girls 2006 n.a. n.a. n.a. n.a. Low-birth-weight Newborns 28.00% % 2006 n.a. n.a. n.a. n.a. Contraceptive Prevalence Adolescent Contraceptive Prevalence Unmet Need for Family Planning Unmet Family Planning Needs for Adolescents Births Attended By Skilled Health Personnel Adolescent Births Attended By Skilled Health Personnel Antenatal Care Coverage - At Least One Visit 56.30% % 2006 n.a. n.a. n.a. n.a. 13.00% % 2006 n.a. n.a. n.a. n.a. 12.60% % 2006 n.a. n.a. n.a. n.a. 27.10% % 2006 n.a. n.a. n.a. n.a. 57.70% % 2009 10.80% n.a. n.a. n.a. 47.20% % 2006 n.a. n.a. n.a. n.a. 75.10% % 2008 n.a. n.a. n.a. n.a. vs World
  • 4. Sapna 000 Indicator Adolescent Antenatal Care Coverage - At Least One Visit Antenatal Care Coverage - At Least Four Visits Maternal Mortality Rate Interagency Estimates Maternal Mortality Rate - Country Reported Estimates Births By Caesarean Section Infants Exclusively Breastfed for the First Six Months of Life Level Units As ~5Y 1Y Chg Of Ago ~10Y Ago ~25Y Ago 80.00% % 2006 n.a. n.a. n.a. n.a. 49.70% % 2008 n.a. n.a. n.a. n.a. 2010 n.a. n.a. n.a. n.a. 2005 n.a. n.a. n.a. n.a. 2009 0.00% n.a. n.a. n.a. 2006 n.a. n.a. vs World n.a. per 100,000 live births per 100,000 254.00% live births 8.80% % 200.00% 46.00% % n.a. -The table above defines adolescents as women between the ages of 15 and 19. Availability of Health Personnel and Treatment Indicator Level Physicians 6.49 Nursing and Midwifery Personnel 9.96 Dentistry Personnel 0.81 Pharmaceutical Personnel 5.16 Environment and Public Health Workers 0.50 Hospital Beds 9.00 Antiretroviral Therapy Coverage n.a. Radiotherapy Units 0.40 Units per 10,000 per 10,000 per 10,000 per 10,000 per 10,000 per 10,000 % per million As Of 1Y Chg ~5Y Ago ~10Y Ago ~25Y Ago 2009 n.a. 5.99 n.a. n.a. 2008 n.a. n.a. n.a. n.a. 2008 n.a. n.a. n.a. n.a. 2006 n.a. n.a. n.a. n.a. 1991 n.a. n.a. n.a. n.a. 2005 n.a. n.a. n.a. n.a. n.a. n.a. n.a. n.a. n.a. 2010 n.a. n.a. n.a. vs World n.a. Health Spending Indicator Level Units As Of 1Y Chg ~5Y Ago Total Health Spending as a 4.10% Percentage of GDP Per Capita Health Spending 54.00 Government Health Spending as a 3.60% percentage of Total Spending Government Health Spending as a 29.20% percentage of Total Health Spending External Health Resources as a 1.20% percentage of Total Health Spending Private Health Spending as a 70.80% percentage of Total Health Spending Private Prepaid Plans as a percentage 4.60% of Private Health Spending Out-of-pocket Spending as a percentage of Private Health 86.40% Spending % 2010 -0.10% 4.00% ~10Y Ago ~25Y Ago 4.60% n.a. USD 2010 22.73% 33.00 21.00 n.a. % 2010 -0.10% 3.40% 3.40% n.a. % 2010 -1.10% 24.80% 23.90% n.a. % 2010 0.10% 1.30% n.a. % 2010 1.10% 75.20% 76.10% n.a. % 2010 0.00% 2.50% n.a. % 2010 0.00% 88.90% 92.40% 2.30% 1.00% n.a. vs World
  • 5. Sapna 000 http://www.quandl.com/health/india-all-health-indicators Health Maternal Health in India India continues to contribute about a quarter of all global maternal deaths. WHO defines maternal mortality as the death of a woman during pregnancy or in the first 42 days after the birth of the child due to causes directly or indirectly linked with pregnancy. Fast Facts Globally, every year over 500,000 women die of pregnancy related causes and 99 percent of these occur in developing countries. • The Maternal Mortality Ratio (MMR) in India is 254 per 100,000 live births according to Sample Registration System (SRS) Report for 20042006. This is a decline from the earlier ratio of 301 during 2001-2003. • In the region, the MMR in China stands at 45, Sri Lanka at 58, Bangladesh at 570, Nepal at 830 and Pakistan at 320 in 2006. • Wide disparities exist across states in India. The MMR ranges from 95 in Kerala to 480 in Assam. • MMR has a direct impact on infant mortality Babies whose mothers die during the first 6 weeks of their lives are far more likely to die in the first two years of life than babies whose mothers survive. • Only 47 per cent of women likely in India have an institutional delivery and 53 percent had their births assisted by a skilled birth attendant. As many as 49 percent of pregnant women still do not have three antenatal visits during pregnancy. Only 46.6 percent of mothers receive iron and folic acid for at least 100 days during pregnancy. Key Issues • About half of the total maternal deaths occur because of hemorrhage and sepsis. A large number of deaths are preventable through safe deliveries and adequate maternal care. • More than half of all married women are anaemic and one-third of them are malnourished (have a body index below normal). UNICEF in Action • Building on the achievements of the Government of India’s National Rural Health Mission (NRHM), UNICEF continues to support health programs such as the Village Health and Nutrition Days (VHND), to reach out to pregnant women in underserved areas, ensuring that they receive the three essential antenatal check-ups and sensitizing them about the importance of institutional deliveries. • UNICEF is working closely with National Rural Health Mission programs such as Janani Suraksha Yojna to encourage women to have institutional deliveries. • UNICEF follows the continuum of care approach to ensure that both mother and newborn receive necessary services. This involves a chain of interventions that begin with complete and comprehensive antenatal care, increasing skilled attendance at birth, ensuring that first referral units are equipped to deal with emergency obstetric care and ensuring that both the mother and newborn are followed up post partum. Neonatal Health In India Introduction Child mortality is a sensitive indicator of a country’s development. In India, the Infant Mortality Rate (IMR) (under one year) has shown a modest decline in recent years. The average decline of IMR per year between the years 2004 to 2008 has been about 1 per cent per year. In 2008, the IMR was 53/1,000 live births. Eight states contribute to 75 per cent of infant mortality: Uttar Pradesh, Bihar, Madhya Pradesh,
  • 6. Sapna 000 Rajasthan, Andhra Pradesh, Orissa, Gujarat and Assam. At the current rate of decline, India will miss the XI plan goal of reduction in IMR and the Millennium Development Goal-4 on child survival. About 70 per cent of the childhood under-five is caused by perinatal conditions (33.1 per cent), respiratory infections (22 per cent) and diarrhea (13.8 per cent). Malnutrition is an underlying cause responsible for about one third of all deaths in childhood. Fast Facts • Averting neonatal deaths is pivotal to reducing child mortality. The Newborn period is the period starting from birth and continues throughout 28 days of life. • Neonatal mortality rate (mortality in the newborn period) stands at 35/1000 lives births, and contributes to 65 per cent of all deaths in the first year of life. • Between 2004-2008, neonatal mortality has moved from 37/1000 live births to 35/1000 only. • 56 per cent of all newborn deaths occur in five states: UP, Rajasthan, Orissa, MP and Andhra Pradesh. • Three major causes contribute to about 60 per cent of all deaths in the newborn period: pre-maturity and low birth weight, birth asphyxia and infections. Key Issues • Most of the causes of deaths in the newborn period can be prevented or managed by households, communities and health facilities. But they often are unable to provide the required care. • Inappropriate practices such as delayed initiation of breastfeeding, delayed clothing and early bathing, not seeking care when newborns are sick and applying harmful material on cord-stump increase the risk of newborn deaths. • Health facilities are often ill equipped to provide essential newborn care to all newborn and special newborn care to sick newborns. UNICEF in Action UNICEF partners with the Government of India, state governments and communities, promote simple interventions which can significantly improve newborn survival: • UNICEF encourages home-based care of all newborns through its support to the Integrated Management of Newborn and Childhood Illnesses (IMNCI) program. The program equips frontline workers with the required skills and supplies. Following training on IMNCI, frontline workers (ASHAs and AWWs) visit newborns at their households three times in the first week of life. During the visits, the workers assess the newborns, promote healthy practices, manage simple problems and refer those with serious illnesses. • UNICEF supports intensive behavior change communication efforts through all channels to promote key practices that improve survival of newborns. • UNICEF raises awareness of media and elected representatives on issues related to newborn and child survival. • UNICEF supports setting up and managing of Special Care Newborn Units (SCNUs) that provide state-of-the-art care for newborns in some of the least developed districts of the country. Measles in India Introduction The respiratory disease measles remains a leading cause of death among young children, despite the fact that a safe and effective vaccine has been available for 40 years. Measles is an acute illness caused by a virus of the paramyxovirus family.
  • 7. Sapna 000 It is one of the most contagious diseases and many children who do not have sufficient immunity contract measles if exposed. During the first few weeks after contracting measles, a child’s immune system becomes weakened, and a normal cold or diarrhoea can become a life threatening illness. Fast Facts • Globally, an estimated 450 people, mostly children, die every day from measles despite the fact that an effective and safe vaccine is available at low cost. • It costs less than $1 to vaccinate a child against measles. • A global goal to reduce measles deaths by 90 per cent by 2010 was set at the World Health Assembly in May 2005. • Despite global successes in reducing measles deaths, an estimated 164,000 people died from measles in 2008, the latest year for which figures are available. • In November 2010, the Government of India introduced a second dose of measles vaccination drive in 14 high-risk states, targeting 134 million children, to prevent an estimated 60,000 to 100,000 child deaths annually. UNICEF / WHO Action The global reduction in death from measles reflects support and commitment by the Measles Initiative to boosting immunization coverage and by national governments to following the World Health Organization (WHO ) / UNICEF comprehensive strategy for reducing measles mortality. This strategy consists of four key components: • Providing at least one dose of measles vaccine at routine vaccination coverage of at least 90 per cent of children, administered at nine months of age or shortly after • Giving all children a second opportunity for measles vaccination • Establishing effective surveillance • Improving clinical management of complicated cases – including vitamin A supplementation For more information and interviews, please contact: Caroline den Dulk Chief of Communication, UNICEF India Tel: +91-98-1810-6093; E-mail: cdendulk@unicef.org Geetanjali Master, Communication Specialist, UNICEF India Tel: +91-98-1810-5861; E-mail: gmaster@unicef.org Sonia Sarkar, Communication Officer- Media, UNICEF India Tel: +91-98-101-70289; E-mail: ssarkar@unicef.org http://www.unicef.org/india/health.html Home News Investment World Markets Industry Economy Opinion Companies Money Wise Blogs WealthCheck Editorial Columns Letters Why are women's health outcomes in India so poor? C.P.CHANDRASEKHAR/JAYATI GHOSH Public expenditure on health service delivery is especially important for women and girl children. www.idfcmf.com Women's health outcomes in India are generally much worse than in comparator countries, despite two decades of very rapid growth in India. C. P. Chandrasekhar and Jayati Ghosh examine India's performance in relation to some other countries in Asia, and consider the reason for the relatively poor performance.
  • 8. Sapna 000 There are several senses in which the health of women and girls can be considered as the basic indicators for the health of a society. Precisely because of gender discrimination, the health conditions of females generally tend to lag behind those of males, and therefore absolute improvement in these conditions is a reasonable indicator that the overall health conditions of that society are also getting better. In the past two decades, India had the third fastest growing economy in the Asian region (after China and Vietnam) and it is generally perceived, even in a period of continuing global crisis, as an emerging economic powerhouse. Table 1 presents India's growth performance in the past two decades in relation to three other Asian countries. Vietnam grew slightly faster than India but still has slightly lower per capita income. Sri Lanka is richer on average but has growth more slowly, while Bangladesh is still clearly a low income country, where per capita income has increased, though more slowly than these other countries. To what extent was this period of economic expansion in India reflected in better health outcomes for women and girls? To examine this, we consider two crucial health indicators: the female Infant Mortality Rate (IMR or number of deaths per 1,000 children below one year) and the Maternal Mortality Ratio (MMR or number of childbirth-related deaths per 1,00,000 live births). Poor showing on female IMR Chart 1 shows that in terms of female infant mortality rates, India is, by far, the worst performer in this group, with the slowest rate of decline. Even Bangladesh, which is much poorer and has slower national income growth, managed to bring the female IMR down faster. And the Indian rate is more than two-and-a-half times that of Vietnam, which has a lower per capita income. The evidence on maternal mortality is equally disturbing. India and Bangladesh both have very high rates, many multiples of those in Sri Lanka and Vietnam. But even here, the rate of reduction of this ratio has been marginally faster in Bangladesh. Of course, India is also very regionally diverse, with some states, such as Kerala, showing excellent health outcomes for women, similar to those in Vietnam. And three states have also shown much improved health indicators in the past two decades: Tamil Nadu, West Bengal and Maharashtra. But the bulk of the country still shows generally appalling levels of female IMR and MMR. One important reason for high infant and child mortality is under-nutrition, which has actually worsened in recent times, according to indicators such as calorie consumption. Rising prices of food are making this problem worse as women and girls in poor households take the brunt of food scarcity. Chart 3 shows how closely the rate of child mortality tracks the proportion of underweight children across Indian states. Public spending, immunisation Nutrition is important, but it is not the only concern. To deliver better health outcomes, public expenditure on health service delivery is absolutely essential, and this is especially important for women and girl children. Here again, India fares badly. Public spending on health (Chart 4) is a minuscule amount in relation to GDP, and around two-third of health expenditure is out-of-pocket payment by households. This is indeed an important reason for families falling into poverty or remaining destitute, and gender biases reinforce the relative denial of health to women and girls in such conditions. Even in absolute per capita terms, public health spending in India is around half that in Vietnam, which is a country with lower per capita income. And it is just above one-third of the level in Sri Lanka. It is true that Bangladesh shows a much lower level, but then Bangladesh also has a much lower per capita income. So it is no wonder that other indicators of health service delivery also appear quite inadequate with respect to the other countries. Chart 6 shows that less than half of births are attended by skilled personnel, whereas in Vietnam it is near universal and it is close to that in Sri Lanka. The low proportion here suggests one important reason for the high maternal mortality ratios in India and Bangladesh. Similarly, immunisation coverage is a necessary element in ensuring child health. Full measles coverage within the first year of life is often taken as a proxy for the extent of immunisation in general, and in this case India fares worst among this set of four countries.
  • 9. Sapna 000 Even Bangladesh has much higher immunisation rates. In some parts of the country, immunisation rates have barely improved. Small wonder, then, that infant mortality rates have come down more slowly in India than in these other countries. No urgency on sanitation Another major aspect of ensuring adequate health conditions is the provision of improved sanitation for everyone. This is one of the weakest aspects, along with nutrition: around 70 per cent of the population does not have access to improved toilets. Remarkably, this does not even appear as a major policy goal for the government, which does not appear to see the urgency in this matter, or the wider health effects, quite apart from the loss of dignity to citizens that comes from forced open defaecation. All of these factors are crucially determined by government policy. Despite much publicly expressed concern on all these issues, the Government of India has simply not put its money where its mouth is. Public spending as a share of GDP has not increased, and per capita spending on some essential activities such as immunisation and primary health centres has actually gone down. Instead, the government has sought to provide essential health services on the cheap, using the underpaid labour of local women working for much less than the minimum wage, not properly trained regular public employees with adequate facilities. positive synergy The apparently growing divide between economic growth and women's health outcomes in countries such as India is not inevitable: the experience of other Asian countries shows that a more positive synergy can be created, with health spending not just valued for its own sake, but as an essential element in an overall macroeconomic and growth framework oriented to better conditions of human life rather than just GDP expansion. http://www.thehindubusinessline.com/opinion/columns/c-p-chandrasekhar/why-are-womens-health-outcomes-in-india-sopoor/article2668662.ece Home/India/ Healthcare sector in India – Another economy booster Healthcare sector in India – Another economy booster By Ramandeep Kaur August 12, 2013 As the buying and expenditure power of middle-class strata is increasing in India so is the growth of all the related industries and sectors in India. Healthcare is one of the sectors in our country that has seen a tremendous growth in the past few decades and expected to grow further. In the year 2012, the total value of healthcare sector in India that includes medical infrastructure and devices, outsourcing, clinical trial, telemedicine, medical equipment and health insurance was US$ 79 billion and it is expected to reach US $ 160 billion by 2017. Between 2000-2009, the healthcare sector of India has registered a growth of 9.3%. With such an immense growth, healthcare industry in India is competing with the IT as well as pharmaceutical industries. Increasing demand for high level medical services, increased awareness, growth in infrastructure, increase in income, reimbursement schemes, insurance policies, etc are leading to the growth of healthcare sector in India. Moreover, there is a shift from infectious to lifestyle related diseases in India that need more expenditure for the treatment. Also, the healthcare sector in India is the largest industry in terms of revenue and it is the second largest in terms of employment. Both private as well as public sectors operate Indian healthcare industry but private sector being the major provider of healthcare services in India. With this, medical tourism is also getting the required boost and it is expected that this industry will touch US$ 2 billion by 2015. Patients are coming from Africa, Gulf and SAARC nations, Myanmar, Pakistan mainly for organ transplant, cardiac and orthopedic problems. The biggest strength for the growth of medical tourism in India is the skilled doctors and English speaking manpower. As per the study conducted by the Confederation of Indian Industries (CII), Chennai is the most favorite spot for medical tourism in India. Private players are making significant investments in this sector by setting up private hospitals. Share of private sector in the healthcare delivery industry is 80% whereas government sector is 20%. The Government of India has also decided to raise the health expenditure and by the end of the Twelfth Five Year Plan (2012-17) this will be 2.5 per cent of gross domestic product (GDP). Among all the developing
  • 10. Sapna 000 countries, Indian Government Expenditure on healthcare is the highest. All India Institute of Medical Sciences (AIIMS) in New Delhi, Armed Forces Medical College (AFMC) Pune, Madras Medical College Chennai, Maulana Azad Medical College (MAMC) Delhi, Grant Medical College Mumbai are some of the major government institutions in healthcare sector. In private sector Apollo Hospitals, Fortis Healthcare, Max Healthcare, Aravind Hospitals are among the major players. Healthcare sector is also one of the most leading sectors to provide employment. Approximately 4 million people are employed in healthcare and its related sectors. Moreover, career in healthcare is considered as one of the noblest profession. By looking at the growth, many foreign companies are now interested in investing in this industry. According to the Department of Industrial Policy and Promotion (DIPP), FDI worth US$ 1.70 billion has been attracted by the drugs and pharmaceuticals sector between from the year 2000 to the year 2010, whereas FDI worth US$ 786.14 million in the same period has been attracted by the hospitals and diagnostic centres. With an aim of providing quality healthcare for all, Government in 2005 has launched National Rural Health Mission (NRHM). For good institutional deliveries, more than 50 lakh women have been brought under the Janani Suraksha Yojana (JSY). Number of doctors, nurses and para medical staff has been increased in number. But apart from all this growth and development, 50% of the population in India still does not have direct access to healthcare facilities. India has the highest infant mortality rate. Specialized services are available in only 2% of the hospitals. If we talk about good healthcare facilities, then these are available only in metros. Lack of infrastructure, mismanaged public hospitals and lack of commitment in certain cases are other issues of concern in the healthcare sector of India. There is a growing demand for better healthcare facilities in India but certainly absence of matching the quality expectations is a great challenge as well as opportunity. Other key opportunities in healthcare sector of India are hospital services, medical tourism, pathology services, medical devices manufacturing, telemedicine and health insurance. If all the hidden and untapped opportunities are tapped then healthcare industry in India can surely become the major economy booster of our developing natio http://www.mapsofindia.com/my-india/india/healthcare-sector-in-india-another-economy-booster Healthcare Industry in India ,Last Updated: September 2013 Brief Overview The Indian healthcare industry, which comprises hospitals, medical infrastructure, medical devices, clinical trials, outsourcing, telemedicine, health insurance and medical equipment, is expected to reach US$ 160 billion by 2017. On the back of continuously rising demand, the hospital services industry is expected to be worth US$ 81.2 billion by 2015. The Indian hospital services sector generated revenue of over US$ 45 billion in 2012. This revenue is expected to increase at a compound annual growth rate (CAGR) of 20 per cent during 2012-2017, according to a RNCOS report titled, ‘Indian Medical Device Market Outlook to 2017’. Market Size The healthcare industry in India is experiencing gradual transition from paper files to electronic mediums. The Indian healthcare assisted by IT market has been growing tremendously over the past few years. It is expected to grow at a CAGR of around 22.7 per cent during the period 2013-2015. The hospital and diagnostics centre in India received foreign direct investment (FDI) worth US$ 1,914.28 million, while drugs & pharmaceutical and medical & surgical appliances industry registered FDI worth US$ 11,318.32 million and US$ 653.45 million, respectively during April 2000 to June 2013, according to data provided by Department of Industrial Policy and Promotion (DIPP).