Reproductive and child health accounts: an application to Rajasthan

This paper describes resource flows for reproductive and child health (RCH) in the health care system of Rajasthan, India, using the integrating framework of health accounts. It analyzes sources and uses of RCH funds by provider and expenditure category. The paper provides policy options for redirec...

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Bibliographic Details
Published in:Health policy and planning 2002-09, Vol.17 (3), p.314-321
Main Authors: Sharma, Suneeta, McGreevey, William, Kanjilal, Barun, Hotchkiss, David R
Format: Article
Language:English
Subjects:
Adult
Child
Child health
Child, Preschool
Children
Family Planning Services - economics
Family Planning Services - statistics & numerical data
Female
Financing
Financing, Government
Health
Health administration
Health care
Health Care Rationing
Health Expenditures - classification
Health Expenditures - statistics & numerical data
Health planning
Health policy
Humans
India
Infant
Infant, Newborn
Maternal Health Services - economics
Maternal Health Services - statistics & numerical data
Maternal-Child Health Centers - economics
Maternal-Child Health Centers - statistics & numerical data
Prenatal Care - economics
Prenatal Care - statistics & numerical data
Private Sector - economics
Public expenditure
Public Sector - economics
Rajasthan
Reproductive health
Research reports
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Summary:This paper describes resource flows for reproductive and child health (RCH) in the health care system of Rajasthan, India, using the integrating framework of health accounts. It analyzes sources and uses of RCH funds by provider and expenditure category. The paper provides policy options for redirecting current public and private expenditures to improve RCH indicators. Comparisons of the share of government expenditure in state gross domestic product (31%), of Rajasthan state government spending as a share of total health spending (21%) and of Rajasthan state government spending as a share of reproductive and child health spending (3%) suggest that there are imbalances to correct. Even a very large increase in RCH spending by the Government of Rajasthan, an increase bringing its share of RCH total spending up to the level of its share in health spending, would add only one percentage point to the state budget. The principal result of such an increase in public RCH spending would be a substantial reduction in currently high levels of fertility and of mortality among infants, children and women of reproductive age.
ISSN:0268-1080
1460-2237
1460-2237
DOI:10.1093/heapol/17.3.314