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

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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.

ADB Approves $170 Million Loan to Strengthen Health Sector in India

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The Asian Development Bank (ADB) has approved a $170 million policy-based loan to enhance India’s readiness and capability in the health sector to address future pandemics. This funding, under the Strengthened and Measurable Actions for Resilient and Transformative Health Systems (Subprogramme 1), will support the implementation of the government’s National Health Policy 2017. The policy aims to ensure universal access to high-quality healthcare services across the country. Sonalini Khetrapal, a senior health specialist at ADB, stated, “The Covid-19 pandemic has taught us valuable lessons and the adoption of several innovative practices that would significantly strengthen pandemic preparedness and response capacities if consolidated, sustained, and institutionalised. ADB has been working with the Government of India to strengthen its health system and adopt transformative solutions.” This loan will address deficiencies in governance, legislation, and institutional structures, advancing India’s objective of achieving universal access to quality and affordable healthcare services, Khetrapal added. Work Towards Disease Surveillance Systems The programme aims to enhance disease surveillance systems to promptly address public health threats. It will establish laboratory networks for monitoring infectious diseases across states, union territories, and metropolitan areas. Additionally, it will assist in developing reliable data systems to oversee and align national health initiatives targeting disadvantaged populations such as the poor and women. “The programme will improve the governance and coordination of India’s One Health approach, its multisector response to emerging infectious diseases,” the press release stated. Efforts to Implement Policy Reforms ADB will assist in implementing policy reforms aimed at ensuring sufficient and skilled healthcare professionals. This effort includes legislation to oversee and uphold educational standards, service quality, and professional ethics among nurses, midwives, allied healthcare workers, and doctors. “The programme will help public health and health management teams deployed in some states to support public health functions and improve service delivery,” the release said. The programme aims to oversee integrated public health laboratories in five states and district critical care hospital units to enhance services for infectious diseases and critical illnesses. It will aid the intersectoral governing body and multisector task force in establishing environmentally sustainable and climate-resilient healthcare facilities. Furthermore, it will promote innovative approaches to service delivery.

Delhi Allocates ₹8,600 Crore for Health Sector in 2024-25 Budget, Striving for “Ram Rajya”

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Delhi’s finance minister, Atishi, unveiled the 2024-25 budget with a focus on healthcare, allocating ₹8,685 crore for the health sector. The budget, with an overall outlay of ₹76,000 crore, reflects the government’s commitment to transforming Delhi’s healthcare system and realizing the vision of “Ram Rajya.” Atishi emphasized the significant progress made in healthcare under the Arvind Kejriwal-led administration over the past nine years, describing the transition from helplessness to strength. She highlighted the dire state of Delhi’s hospitals before 2014, emphasizing the government’s efforts to improve conditions and provide quality healthcare services to all residents. Quoting from Tulsidas’ Ramcharitmanas, Atishi underscored the importance of ensuring the good health of every individual, aligning with the principles of “Ram Rajya.” She lamented the distance between this vision and the current reality but expressed determination to bridge the gap through robust healthcare initiatives. The allocated budget for the health sector marks a strategic investment in improving medical infrastructure, enhancing services, and ensuring accessibility for all citizens. Atishi outlined plans to address various challenges faced by Delhi’s healthcare system, including the provision of adequate funds for essential medical services and facilities. Despite challenges posed by disputes with the lieutenant governor and the Union government, the Delhi government remains committed to advancing healthcare initiatives and overcoming obstacles to deliver quality care to residents. Atishi’s budget presentation reflects a comprehensive approach to healthcare governance, aiming to create a healthier and more resilient Delhi for all its inhabitants.  

Delhi Budget 2024-25: Atishi Boosts Education, Women’s Welfare with Rs 16,400 Cr Allocation

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Delhi’s Finance Minister, Atishi, unveiled the Budget 2024-25 in the state Assembly, emphasizing significant allocations for education and women’s welfare. With an outlay of Rs 76,000 crore, Atishi allocated Rs 16,396 crore for the education sector, aiming to enhance educational infrastructure and accessibility. A key highlight of the budget was the introduction of the ‘Mukhyamantri Mahila Samman Yojana,’ offering Rs 1,000 monthly aid to women above 18 years old, effective from the fiscal year 2024-25. This initiative aims to empower women economically and address gender disparities. Under the health sector, Atishi proposed a budget of Rs 8,685 crore, focusing on improving healthcare facilities, including funding for hospitals, mohalla clinics, and essential medicines. Additionally, the budget allocated Rs 6,216 crore for various social welfare schemes, emphasizing support for marginalized communities. The education budget prioritizes teacher training, school construction, and maintenance, with allocations of Rs 100 crore for teacher training, Rs 150 crore for school construction, and Rs 45 crore for classroom maintenance. Furthermore, Rs 42 crore was proposed for Schools of Specialised Excellence, enhancing educational opportunities for students. In addressing infrastructure needs, the budget allocated Rs 3,353 crore for the power sector, Rs 7,195 crore for the Delhi Jal Board, and Rs 1,768 crore for road and flyover projects. The housing and urban development sector received Rs 9,800 crores, while public transportation was allotted Rs 5,702 crore. Notably, Atishi emphasized the Delhi government’s commitment to local governance, allocating Rs 8,423 crore to the local body, prioritizing education, healthcare, and sanitation. This holistic approach aims to foster community development and ensure equitable access to essential services. Reflecting on Delhi’s progress, Atishi highlighted the significant growth in Gross State Domestic Product (GSDP) and per capita income over the past decade. The budget underscores the government’s vision for inclusive growth and transformative change, aligning with the AAP’s principles of transparency and accountability. The budget presentation marks a milestone in Delhi’s journey towards socio-economic development, guided by a commitment to empowerment, education, and holistic welfare.