Abstract

The report reviews public health expenditure patterns in Rajasthan from 2012 to 2018, focusing on the alignment of spending with the state’s healthcare needs. Rajasthan, home to approximately 5.6% of India’s population, faces significant health challenges, including high maternal and child mortality rates and a dual burden of communicable and non-communicable diseases. The study gathers data from state budget documents, National Health Mission (NHM) budgets, and fieldwork across three districts.

Key findings indicate that while health expenditure increased from ₹3,951 crores in 2012-13 to ₹10,883 crores in 2017-18, it remains below recommended levels. Maternal and child health indicators show improvement; however, disparities persist across districts. The report highlights a trust deficit in public health facilities, with many preferring private care despite higher costs.

The analysis reveals that the share of expenditures on non-communicable diseases is low, even as these conditions become more prevalent. Allocations for child health increase but are underutilised, particularly in immunization efforts. Tribal health expenditures rise but do not adequately reflect the population’s proportion.

The report concludes that while Rajasthan makes strides in health financing, significant gaps remain in addressing the needs of vulnerable populations and ensuring effective resource utilisation. Recommendations include enhancing accountability in spending and prioritizing health infrastructure improvements to better serve both urban and rural populations. This comprehensive review aims to inform policymakers about the effectiveness of current health expenditure strategies and guide future investments in Rajasthan’s healthcare system.

CBPS. (2019). Public expenditure on health in Rajasthan. Bengaluru: Centre for Budget and Policy Studies.