Page 20 - OKHCoffieeTableBook_Neat

In India, budget for health care is 1.2% of the GDP. for instance, a State Health Purchasing Authority
In Thailand 6% to 7% of GDP is contributed to which buys from schemes of government such as
health. Tax to GDP ratio is very low in India. Rashtriya Swasthya Bima Yojana (RSBY) and builds
electronic health records.
He suggested that other resources could be added
to the tax base for more resource allocation. As far as human resources in the health system
Countries like Turkey, Thailand and Philippines are concerned, he opined that specialization is
have devised unique solutions for their own health not the way. The idea is to build the capacity of
sector financing. Only by ‘mixed finances’ can different level functionaries. Thailand has built the
financing of health care be augmented. However, system of ‘Technical Nurse’, which is similar to ANM
health care service delivery is equally vital as (Auxiliary Nurse Midwife) of India, but has more
only then would people move away from using scope and career development opportunities.
their personal savings for health and do growth He suggested that at the secondary health level,
enhancing investments. So over dependence on MBBS doctors could become specialists through
only taxes will not help.
on job experience and certification. More than
He suggested that ground level operation classroom training, practical exposure is necessary
systems, which should have the autonomy to for nurses and midwives. Rather than using data to
figure out how to use money and run the health monitor, it could be used to help front line workers.
system according to ground realities, is the need Technology usage to remove drudgery in filling
of the hour. For example, Thailand created the registers has to be explored and implemented. Self
National Health Security Organization which takes Help Groups (SHGs) are a very useful platform for
tax money as well money from the non poor, and health messages.
pays the public sector from that pool on the basis
of outcomes. This is the dominant model and the On public health, treatment and management, full
line item budgeting model has been abandoned vaccination, vector control, eradication of diseases
by Russia and China. Only Cuba today successfully such as filaria and spacing between births are the
runs the line item health budget system. Another subjects and area which require strong policy
alternative is to set up an Authority in the state; and practice.