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Union Budget 2024: Health Sector Sees Marginal Increase, NHM Allocation Rises Amid Infrastructure Cuts

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News on Health 9 ArdorComm Media Group Union Budget 2024: Health Sector Sees Marginal Increase, NHM Allocation Rises Amid Infrastructure Cuts

The Union Budget 2024, presented by Finance Minister Nirmala Sitharaman, revealed a modest 1.7% increase in the health sector allocation, bringing the total outlay to Rs 87,656 crore for the fiscal year 2024-25. Despite the increase, major announcements for the health sector were noticeably absent. One of the significant allocations was for the Ayushman Bharat health insurance scheme, which provides a Rs 5 lakh cover to the poorest 40% of the population. The allocation for this scheme increased slightly from Rs 7,200 crore last year to Rs 7,300 crore this year. The National Health Mission (NHM) received a substantial boost, with its allocation rising to Rs 36,000 crore from Rs 29,000 crore last year. The NHM focuses on reproductive, maternal, newborn, child, and adolescent health services, non-communicable diseases control, and enhancing access to comprehensive primary health care. However, the PM-Ayushman Bharat Health Infrastructure Mission (PM-ABHIM) saw a reduction in its budget from Rs 4,200 crore last year to Rs 3,200 crore this year. The revised estimate for this mission was even lower at Rs 2,100 crore. PM-ABHIM was launched to improve health infrastructure, including health centers, labs, and critical care hospital blocks, especially during the pandemic. Another infrastructure mission, the PM Swasthya Suraksha Yojana, also faced budget cuts, with its allocation dropping from Rs 3,365 crore last year to Rs 2,200 crore this year. This scheme supports the establishment of new AIIMS and the upgradation of district hospitals. The Ayushman Bharat Digital Health Mission (ABDM), which aims to create a digital health record platform for every citizen, saw its budget reduced from Rs 341 crore last year to Rs 200 crore this year. Despite this, the government plans to roll out its U-Win vaccine management portal as part of a 100-day plan, linking it to ABHA accounts for seamless health records. The tele-mental health program’s allocation decreased from Rs 133.7 crore to Rs 90 crore. This program was launched in the 2022 Budget to address mental health issues post-Covid-19 through a network of 23 mental health centers of excellence under NIMHANS. In contrast to the interim Budget’s significant health sector announcements, such as expanding the Ayushman Bharat insurance scheme and promoting HPV vaccination, the current Budget made only minor mentions. The Finance Minister’s speech included a reduction in custom duty on three cancer drugs and components for manufacturing X-ray machines.

Budget 2024: Healthcare Sector Urges Government to Boost Public Health Spending

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News on Health 5 ArdorComm Media Group Budget 2024: Healthcare Sector Urges Government to Boost Public Health Spending

The healthcare sector in India is advocating for increased public health spending in the upcoming Budget 2024, urging the government to raise public health expenditure above 2.5 percent of the GDP. The industry is also calling for an Ayushman Bharat-like scheme specifically for the middle class to address healthcare needs more comprehensively. Key Recommendations: Increase Public Health Expenditure: The Healthcare Federation of India (NATHEALTH) has emphasized the need for the government to boost healthcare spending to over 2.5 percent of GDP. This increase is seen as crucial for enhancing infrastructure, addressing demand and supply challenges, and improving overall social insurance. Expand Healthcare Facilities: Abhay Soi, president of NATHEALTH and chairman of Max Healthcare Institute, highlighted the necessity for two billion square feet of advanced healthcare facilities. Expanding healthcare infrastructure in smaller cities and advancing digital healthcare services are also top priorities. Comparison with Other Countries: According to the Economic Survey 2022-23, healthcare expenditure by the Centre and state governments reached 2.1 percent of GDP in FY23. In comparison, OECD data shows that the US had the highest health expenditure to GDP ratio at 16.6 percent in 2022, while India’s was at 2.9 percent. Middle-Class Healthcare Scheme: Industry leaders, including PD Hinduja Hospital CEO Gautam Khanna, suggested implementing a healthcare scheme similar to PM-JAY for the middle class. This would require allocating 2.5-3.5 percent of GDP to healthcare to ensure broader coverage and affordability. Policy Reforms and Innovations: Suneeta Reddy, Managing Director of Apollo Hospitals, emphasized the need for the government to prioritize the healthcare sector to spur growth and productivity. The industry is also advocating for easing compliance burdens, promoting medtech innovation, rationalizing the goods and services tax (GST), and reviewing the health cess on medtech products. As the first Budget of Modi 3.0 approaches, the healthcare sector’s recommendations highlight the critical need for increased investment and policy support to enhance India’s healthcare infrastructure, improve access to quality healthcare, and ensure affordability for all citizens. Boosting public health spending is seen as a vital

Health Ministry Suspends Mandatory Linking of CGHS and ABHA IDs

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News on Health 4 ArdorComm Media Group Health Ministry Suspends Mandatory Linking of CGHS and ABHA IDs

The Ministry of Health and Family Welfare has announced the suspension of the compulsory linking of Central Government Health Services (CGHS) beneficiary IDs with Ayushman Bharat Health Account (ABHA) IDs until further notice. This decision, stated in an office memorandum signed by Satheesh YH, director of CGHS, follows a review of previous orders that had made the linkage mandatory. The mandatory linkage, originally set to be enforced from April 1 and later extended to June 30, aimed to integrate various government health schemes under the Ayushman Bharat Digital Mission (ABDM). However, practical issues, including data privacy concerns and the current state of technology infrastructure, appear to have influenced the decision to make the linkage optional for the time being. The CGHS provides comprehensive healthcare services to central government employees, pensioners, and their dependent family members, covering over 4.5 million people across 75 cities. In contrast, the ABHA ID is a unique 14-digit number identifying beneficiaries within India’s digital healthcare ecosystem. Despite the previous mandate, only 231,134 CGHS IDs had been linked with ABHA IDs by June 26, according to the CGHS dashboard. Experts have pointed out several issues with the mandatory linking of CGHS and ABHA IDs. Sunil Rao, COO of Sahyadri Group of Hospitals, highlighted data privacy concerns and the inadequacies in current technology infrastructure as potential reasons for the decision. An anonymous expert further noted that the government had not clearly outlined how digital records would be protected, despite assurances that records under ABHA ID would be encrypted and safeguarded under the Digital Protection of Data and Privacy Act. Rao welcomed the move, describing it as a balanced approach that allows time to address data security and system integration issues. He emphasized that making the linkage voluntary would enable the government to ensure infrastructural readiness and gain public acceptance before full implementation. The Health Ministry’s decision reflects a cautious approach, ensuring that when the policy is ultimately enforced, it will be with comprehensive preparedness and widespread support.

India to Showcase Ayushman Bharat Digital Mission at World Health Assembly

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New on Health ArdorComm Media Group India to Showcase Ayushman Bharat Digital Mission at World Health Assembly

India will highlight its universal health coverage through Ayushman Bharat, public health emergency preparedness, and digital health transformations at the World Health Assembly (WHA) in Geneva from May 27 to June 1. Official sources confirmed on Wednesday that India will also present the Arogya Maitri Disaster Management Cube, an indigenous portable hospital equipped with innovative tools designed to enhance disaster response and medical support. The 77th session of the WHA, organized by the World Health Organization (WHO), will feature representatives from 194 countries aiming to structure the global health ecosystem. This year’s theme is “All for Health, Health for All.” The Indian delegation, led by Union Health Secretary Apurva Chandra, will participate in various sessions and discussions. The WHA includes sessions in three main committees: Plenary, Committee A, and Committee B. The plenary session, attended by health ministers and heads of delegations from 194 nations, will open the Health Assembly. India will chair Committee A, which will facilitate discussions on universal health coverage, public health emergency preparedness and response, antimicrobial resistance, climate change, and sustainable financing for WHO. Committee B will focus on internal and external audit, budget, and financing matters concerning the WHO secretariat. In addition to the main sessions, at least 14 side events and multiple strategic roundtables will take place on the sidelines of the WHA, focusing on diverse health topics. These events will provide a platform for participants to share their thoughts on the future of the global health architecture. India’s presence at the WHA also includes leading and supporting the Regional One Voice initiative for the Southeast Asia region. This initiative advocates for well-being and health promotion, addressing social determinants of health, improving maternal, infant, and young child nutrition, and promoting the economics of health for all. India’s contributions to the WHA, including the showcase of the Ayushman Bharat Digital Mission and the Arogya Maitri Disaster Management Cube, emphasize the country’s commitment to enhancing global health and disaster response capabilities. The participation aims to foster international collaboration and share India’s innovative health solutions with the global community.

Finance Minister Unveils Ambitious Economic Reforms in Interim Budget for 2024-25

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Article on Government ArdorComm Media Group Finance Minister Unveils Ambitious Economic Reforms in Interim Budget for 2024-25

Finance Minister Nirmala Sitharaman outlined a comprehensive set of economic reforms aimed at driving growth in India, presenting the interim budget for 2024-25. This budget is deemed as an economic manifesto for the Bharatiya Janata Party (BJP) and is expected to provide crucial insights into the government’s plans for fiscal consolidation, borrowings, and future taxation policies in the run-up to the 2024 Lok Sabha elections. Finance Minister Nirmala Sitharaman announced a series of major initiatives aimed at driving economic growth and addressing societal challenges. Here are the key initiatives highlighted in the budget: Capital Spending Boost: The capital spending for the fiscal year 2024-25 sees a substantial 11% increase, reaching ₹11.11 lakh crore, equivalent to 3.4% of the GDP. This boost is expected to have a multiplier effect on economic growth and employment. Aviation Sector: Indian air carriers have placed orders for 1,000 new aircraft, signaling a significant move to strengthen the aviation industry. Deep Tech for Defense: A new scheme is set to be launched to strengthen deep tech capabilities in the defense sector, showcasing the government’s commitment to technological advancements in national security. Agricultural Investments: The government plans to promote both public and private investments in post-harvesting agriculture activities. Additionally, the application of nano Di-Ammonium Phosphate (DAP) on various crops will be expanded across different agri-climatic zones. Railway Infrastructure: Three major railway corridors, including one dedicated to cement transportation, will be constructed. Additionally, 40,000 normal railway bogies will undergo conversion to meet the Vande Bharat standard. GDP Redefined: Minister Sitharaman introduced a new definition for GDP, focusing on governance, development, and performance as the key components. Skill India Mission: Over 1.4 crore youth were trained and upskilled under the Skill India Mission, highlighting the government’s commitment to enhancing employability through skill development programs. Macroeconomic Stability: Sitharaman emphasized macroeconomic stability, assuring that the country’s economy is on a positive trajectory. Inclusive Focus: The budget reiterated the government’s commitment to addressing systemic inequalities, with a specific emphasis on outcomes for the poor, women, youth, and farmers. Sitharaman emphasized a focus on outcomes rather than outlays. Foreign Investment Encouragement: Measures were proposed to encourage sustained foreign investment, including negotiating bilateral investment treaties. Rs. 75,000 crores will be provided as interest-free loans to support milestone-linked reforms by state governments. Societal Changes: A high-powered committee will be formed to comprehensively address challenges arising from population growth and demographic changes, providing recommendations for comprehensive solutions. Tax Proposals: In a move aimed at the upcoming elections, Sitharaman proposed the withdrawal of all pending tax demands up to ₹25,000 until 2009-10 and ₹10,000 until 2014-15, benefiting 10 million taxpayers. The income tax rates remained unchanged, reflecting confidence in the overall economic scenario. Fiscal Deficit: The budget showcased a better-than-expected fiscal deficit of 5.8%, with a target of 5.1% in 2024-25, a development welcomed by experts. Transformative Initiatives: The budget outlined transformative initiatives spanning various sectors, including rooftop solarisation, electric vehicle charging, post-harvest activities, housing for the middle class, expansion of medical colleges, vaccination for girls, comprehensive maternal and child healthcare program, and extension of Ayushman Bharat coverage. The comprehensive set of initiatives unveiled in the interim budget reflects the government’s commitment to steering the economy towards a robust and resilient future.

Deepti Gaur Mukerjee Takes the Helm as CEO of National Health Authority

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The National Health Authority (NHA) has officially appointed Deepti Gaur Mukerjee as its new Chief Executive Officer (CEO). The announcement was made on Wednesday, marking the beginning of a new era for the apex body responsible for overseeing the implementation of the government’s flagship health initiatives. Deepti Gaur Mukerjee, a 1993 batch Indian Administrative Service (IAS) officer from the Madhya Pradesh cadre, brings a wealth of experience and expertise to her new role. The NHA took to social media, particularly Twitter, to share the news with the public. The official NHA Twitter account posted, “We are delighted to extend the warmest welcome to Smt. Deepti Gaur Mukerjee, IAS as CEO, [MP:93], NHA,” NHA tweeted.” We are delighted to extend the warmest welcome to Smt. Deepti Gaur Mukerjee, IAS [MP:93] as CEO, NHA. — National Health Authority (NHA) (@AyushmanNHA) December 13, 2023 Mukerjee takes over the reins from Dr. Ram Sewak Sharma, who stepped down earlier this year after completing his tenure on January 31, 2023. Dr. Sharma had been appointed as the CEO of the NHA in February 2021. During his tenure, the NHA played a crucial role in implementing key healthcare initiatives, including the Ayushman Bharat Pradhan Mantri Yojana (AB PM-JAY), a flagship health insurance scheme, and the Ayushman Bharat Digital Mission (ABDM), aimed at integrating digital health infrastructure across India. The appointment of Deepti Gaur Mukerjee is expected to bring fresh perspectives and strategic leadership to the NHA as it continues its mission to enhance healthcare accessibility and affordability for all citizens. As the nation grapples with ongoing healthcare challenges, Mukerjee’s role becomes pivotal in steering the NHA towards achieving its objectives and contributing to the overall improvement of India’s healthcare landscape. The healthcare community and the public eagerly await the impact of Mukerjee’s leadership on the nation’s health policies and initiatives.

U-Win Portal Revolutionizes Routine Immunization Records

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News on Health 5th Sept 2023 ArdorComm Media Group U-Win Portal Revolutionizes Routine Immunization Records

The government is gearing up to introduce the ‘U-Win’ portal, modelled after the successful Co-Win COVID-19 vaccine management system. This new platform is aimed at maintaining a digital registry of routine immunizations as part of the Universal Immunization Programme (UIP). Currently, the U-Win initiative is undergoing a pilot phase in two districts of each state and Union Territory. The U-Win portal, similar to Co-Win, was initially launched on January 11 in 65 districts nationwide. At present, UIP vaccination records are managed manually, but U-Win will eliminate the need for physical records. It will facilitate the digitization of session planning and provide real-time updates on vaccination statuses. This will address challenges posed by multiple vaccines and doses, as well as the absence of an individual tracking mechanism. Furthermore, it aims to raise awareness among beneficiaries regarding session details, locations, and dates, especially in urban areas, while also addressing disparities in immunization coverage among states and Union Territories. A significant issue to tackle is the lack of record-keeping for immunizations administered at private health facilities. U-Win seeks to become the centralized repository for immunization service information, encompassing pregnancy details, newborn registrations, and vaccinations at birth. The system will also maintain live updates on vaccination statuses, delivery outcomes, and the planning of routine immunization sessions. It aims to provide personalized tracking for pregnant women and newborns, sending reminders for upcoming doses and following up on dropouts. The U-Win platform will empower healthcare workers and program managers with real-time data on routine immunization sessions and vaccine coverage, facilitating better planning and distribution. Additionally, it will offer information on upcoming sessions in specific areas for the following month and a list of beneficiaries due for vaccination. Pregnant women and children will receive vaccine acknowledgments and immunization cards linked to their Ayushman Bharat Health Account (ABHA ID). States and districts will have access to a common database for efficient tracking and vaccination of beneficiaries. Citizens can also check nearby routine immunization sessions and book appointments through the platform. Lastly, all electronic vaccination certificates, similar to COVID vaccination certificates, will include pictures of Prime Minister Narendra Modi. As of August 28, U-Win has registered over 6.8 million beneficiaries and digitally tracked more than 13 million vaccine doses. This includes registrations for 33,58,770 infants aged 0-1 years, 20,98,338 children aged 1-5 years, and 14,20,708 pregnant women, with 1,32,60,903 doses being tracked digitally.