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National
Government asked to raise the investment to 2-3 p.c. of the GDP Rise in allocations is 18-20 p.c., as against commitment of 30 p.c. NEW DELHI: The Centre for Budget and Governance Accountability (CBGA), an organisation that analyses budget from the perspective of the poor and the marginalised, has presented a case for increasing investment in public healthcare in India. “Disappointingly, none of the recent policy documents, be it the National Health Policy [2002], or the National Rural Health Mission (NRHM), lays out concrete plans to step up public investment in healthcare, though they recognise the problem, and talk about greater investment,” the CBGA has said while impressing upon the government to take serious measures to fulfil its commitment of raising public investment on health to 2-3 per cent of the Gross Domestic Product (GDP). Pointing out that the United Progressive Alliance government projected the NRHM as its flagship programme, with the aim of providing quality health infrastructure to the rural people, the CBGA said that in practice it ended up becoming an umbrella programme of many existing schemes with hardly any new initiative except for the Accredited Social Health Activist scheme. “Deeply neglected”Moreover, the financing of NRHM so far revealed that it was focussed more on selective interventions, and the aspect of universalisation of public health was deeply neglected. “Commitment violated”“Even the commitment of increasing allocations by 30 per cent every year has been violated with the increase being between 18 and 20 per cent in nominal terms whereas the real increase is much less. Around 80 per cent of the increase in allocation was in HIV/AIDS programme, Reproductive and Child Health, medical education and alternative medicines, while strengthening of primary health care infrastructure remains grossly neglected,” the CBGA said.
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