System of Health Accounts (SHA) 2011

• It is a global standard framework for producing health accounts and facilitates comparison of estimates across countries.
• It provides a standard for classifying health expenditures according to the three axes of consumption, provision and financing.
• It is a result of a joint cooperation among Organization for Economic Cooperation and Development (OECD), World Health Organization (WHO), and Eurostat.

Health Indicator

Trend in 2021-22 (since 2017-18) 

Detail

Total Health Expenditure (THE) as percent of GDP and Per Capita

THE as percent of GDP increased to 3.83% from 3.31%.

THE per capita increased to Rs. 6,602 from Rs. 4,297

• THE constitutes current and capital expenditures incurred by Government and Private Sources including External funds.
• THE as a percentage of GDP indicates health spending relative to country’s economic development. 
• THE per capita indicates health expenditure per person in the country.

Government Health Expenditure (GHE) as percent of THE

Increased to 48% from 40.8%

• GHE constitutes spending under all schemes funded and managed by Union, State and local Governments including quasi-Governmental organisations and donors in case funds are channelled through Government organisations.

Current Health Expenditures (CHE) as percent of THE

Decreased to 87.3% from 88.5%

• CHE constitutes only recurrent expenditures for healthcare purposes net all capital expenditures.
• CHE as percent of THE indicate operational expenditures on healthcare that impact health outcomes of population in that particular year.

Out-of-Pocket Expenditures on Healthcare (OOPE) as percent of THE

Decreased to 48.8% from 64.2%

• OOPE are expenditures directly made by households at the point of receiving healthcare. 
• This indicates extent of financial protection available for households towards healthcare payments.

Social Security Expenditure (SSE) on health as percent of THE

Decreased to 8.7% from 9%

• SSE includes government-funded health insurance schemes (PMJAY, RSBY etc.), social health insurance programs, and medical reimbursements to government employees for healthcare purposes and Social Health Insurance scheme expenditures.

Private Health Insurance Expenditures (PHIE) as percent of THE

Increased to 7.4% from 5.8% 

• PHIE constitute spending through health insurance companies.

External/ Donor Funding for health as percent of THE

Increased to 1.1% from 0.5%

• It constitutes all funding available to the country by assistance from donors.