MP

At a GlanceArea 302,252KM2

Population 60.4 million (2001 Census)

Rural to urban ratio 73:27.

SC/ST 15.4 & 19.9%

Sex ratio 920/1000

Total Literacy rate 64.1%

female literacy rate 50.3%.

IMR 70 (National- 57)

Population density:

a) Total 196 per KM2

b) Rural 147 per KM2

c) urban 2294 per KM2

Vital StatisticsParticular MP India

Per Capita Income `8228 `20813

Average Health expenditure `235 `503

Number of Government Hospital Beds Available Per 100,000 Population

29 43

Particular Rural Urban

BPL 37.06 38.44

Poverty(Tedulkar Report) 53.6 43.7

Average Size of the Family 3.63 3.27

GDP Growth of MP: 4.89% (CSO)

Average Monthly Per-Capita Expenditure on food

Particulars Rural Urban

Total Food Grains `65.6 `59.6

Total Food `148.8 `216.6

Total Expenditure `241.3 `362.8

Source : Directorate of Economics & Statistics, Govt. of Madhya Pradesh.

Demography-2009

0-14 15-29 30-44 45-59 60-74 75+

Person 30.4 28.8 19.7 13.2 5.9 1.8

Male 30.8 28.9 19.8 13.1 5.7 1.6

Female 29.9 28.8 19.4 13.5 6.2 2.2

2.57.5

12.517.522.527.532.5

2009Pe

rcen

tage

Demographic Projection 2016

0-14 15-29 30-44 45-59 60-74 75+

Persons 28.2 27.6 21.4 14.1 6.8 2

Males 28.5 27.7 21.7 13.6 6.7 1.7

Females 27.7 27.5 20.8 14.6 7 2.4

2.57.5

12.517.522.527.5

2016Pe

rcen

tage

Demography

0-14

15-29

30-44

45-59

60-74

75+

person

30.4 28.8 19.7 13.2 5.9 1.8

Male

30.8 28.9 19.8 13.1 5.7 1.6

Feamle

29.9 28.8 19.4 13.5 6.2 2.2

2.5

12.5

22.5

32.5

2009

Percentage

0-14

15-29

30-44

45-59

60-74

75+

person

28.2 27.6 21.4 14.1 6.8 2

Male

28.5 27.7 21.7 13.6 6.7 1.7

female

27.7 27.5 20.8 14.6 7 2.4

2.5

12.5

22.5

2016

Percentage

Health Financing in MP

Health Budget Vs Total budgetYear Total Budget of

State(` in cores)

Budget of Health sector(` in cores)

Percentage of health outlay to total outlay

2000-01 `22935.96 `683.52 2.98

2001-02 `20011.40 `594.50 2.97

2002-03 `23061.75 `661.69 2.87

2003-04 `27478.04 `664.78 2.24

2004-05 `38858.28 `732.71 1.89

2005-06 `34872.22 `991.67 2.84

2006-07 `36196.13 `1104.61 3.05

2000-01 2001-02 2002-03 2003-04 2004-05 2005-06 2006-07

22935.9620011.4

23061.7527478.07

38858.28

34872.22

36196.13

683.52 594.5 661.69 664.780000000001732.71 991.67000000

0001

1104.61

Total Budget Health Budget

Trend

% Total Health budget out of state budget

1999-00

2000-01

2001-202

2002-03

2003-04

2004-05

2005-06

2006-07

2007-08

2008-09

2009-10

2010-110

0.51

1.52

2.53

3.54

4.5

2.9 2.98 2.97 2.872.42

1.89

2.843.19

3.73 3.82 3.97

3.26

Social Insurance

• Social Insurance : `2049 lac2.66% of total expenditure

• RSBY : No Enrolment• CGHS functions from Bhopal (1 dispensary); and Jabalpur (3 dispensaries).

CGHS periodically empanels private hospital and diagnostic centers for providing health care services to its beneficiaries.

ESI(Infrastructure)

Total No. of Beds Commissionedunder ESIS

No. ofSpecialists

Total no.OfDisp/ISM

Gen Mat TB total S F/T P/T 42

719 2 171 892 75 37 97

No. of Doctors inDisp./Hosp

No. ofIMPs

No. ofDoctorsin EUD

No. ofAmbulances

S P 3 - 6

351 272

Source: Annual Report ESI 2008-09

ESI (Beneficiaries)

No. of Insuredpersonsdeemedexposed torisk ofMedical Care

No. ofcasesAdmittedinHospitals

No. ofcasesreferred to specialist for investigation

2007-08 267758 14200 69004

2008-09 291345 21800 107819

Source: Annual Report ESI 2008-09

Number of employees covered were 1680 (01.06.2008)

Public and private expenditure on health(NHA)

Expenditure (`000) Expenditure(`) In %

Public expenditure

Private expenditure

Total expenditure

Per capita public

Per capita private

Public expenditure as share of GDP

Public Expenditure as share of state Expenditure

2001-02

7,995,14344,532,256

52,527,399

132 733 - 15.2

2004-05

9,375,85841,694,492

51,070,350

145 644 0.87 3.19

Source: NHA 2004-05

Budget 2008-09

Budget 2008-09

Allo

cati

ons

2008

-09

Health Allocation

2009-10 : 3.97%2010-11 : 3.26%

Reduction of OOP

Source: www.mp.gov.in/health/archives/mths.pdf

Challenges and Constraints

High MMR and IMR of the state. Adverse sex ratio. High proportion of marginalized population. Shortage of skilled manpower for Operationalizing EmONC services. Difficult outreach areas. Poor health seeking behavior in community. Unequal distribution of Private and NGOs sector in urban and rural areas.

Strategies ك Public Private Partnership in increasing

number of trained Medical and Paramedical professionals.

ك Attractive honorarium, incentives and difficult area allowances to ensure manpower retention.

ك To improve access of services through infrastructure strengthening and PPP.

ك Focused strategy for vulnerable group. ك Focus on early diagnosisك Increase the investment in System research

Strategies Emphasis on population stabilization through male ك

participation and spacing methods. Fund to population control

activity

Increasing access of services by inter sectoral convergence with ك

WCD and Rural Development Dep't. and other stake holders.

Effective monitoring

.Capacity building of health providers ك

Promotion of Social Business in health sector ك

Implementation of Medical Insurance and coverage of OPD ك

services

Financial strategy

• 10% increase in fund each allocation every year

• RKS should raise fund• Infrastructure development from MP/MLA

fund• Co-ordination of tribal welfare departments,

PWD etc…

By 2020 Madhya Pradesh A Developed State….

Dr. Khyati Tiwari 2009HE009Dr. Lord Wasim Reza 2009HE010