India

Bangladesh

Pakistan

Afghanistan

Nepal

Unite

d Ki

ngdo

mUnited States

Germany

IDA

GAVI

0

200

400

600

800

10000200

0

200

0

200

0

0

200

400

0

200

400600 0 200 0

200

400600

0

200

Official Development Assistance for Health to South Asia Countries, 2010

Notes: IDA - International Development Association(World Bank) GAVI - Global Alliance for Vaccines and Immunization Source: WHO Global Health Observatory

Donor Countries

Recipient Countries

Afghanist.. Banglade.. Bhutan India Maldives Nepal Pakistan Sri Lanka0

10

20

30

40

50

60

70

80

90

100

Expe

nditu

re

0

2

4

6

8

10

12

Gov

ernm

ent E

xpen

ditu

re a

s Pe

rcen

tage

of G

DP

(%)

20.80

31.90

73.40

30.50

57.10

39.50 36.90 39.10

79.20

68.10

26.60

69.50

42.90

60.50 63.10 60.90

8.5

3.5 3.63.8

11.4

5.5

2.8

3.1

8.5

3.5 3.63.8

11.4

5.5

2.8

3.1

Health Financing Source by CountriesGovernment, Expenditure

Government, Percentage of GDP

Private, Expenditure

Private, Percentage of GDP

Most countries rely on private financing on health expenditureSource: WHO Global Health Expenditure Database 2012

Diseases ofthe nervoussystem5.21

Other causes 3

Skin diseases 1.58

Blood diseasesand immunesystems 1.21

Stroke 6.97

High bloodpressure -hypertensive

Alzheimer’sdisease

Parkinson’sdisease

Motor neurondisease

Multiplesclerosis

Epilepsy Musculardystrophy

Unknowncauses

Malaiseand fatigueSudden infant

deathsyndrome

Senilitywithout

Tuberculosis5.34

Genitourinarydiseases3.90

Renal failure

Other disorders ofkidney and ureter

Urolithiasis

Kidney and renaltubulo-interstitialdiseases

(-23%)

Digestive systemdisorders0.79

Infections specificto the perinatal period0.05

Preterm birth

Other NeonatalDisease

Complications Oth NW

Neonatal Disease

NN Sepsis

NN Enceph

HIV0.77

Total deaths % in 2013(all causes, all ages)

100%

Chronic ischaemicheart disease

Diseases ofarteries,arterioles andcapillaries

Diseases of veins,lymphatic vesselsand lymph nodes

Other heartdiseases

Diarrhealdiseases 4.36

Congenitaldiseases1.49

Chronic ObstructivePulmonary Disease

7.39

Accidents 2.59

LungBreast

Prostate

Fire, heat and hot substances

Drowning

Interpersonal Violence

Falls

Road Injury

Endocrine, nutritionaland metabolic diseases 2.32

Cystic fibrosis

Amyloidosis

2.32

What Indians die ofThese figures show the primary cause of deathin 2013

Ischemic Heart Disease

15.47

Cerebrovasculardiseases -

brain haemorrhage

Acutemyocardialinfarction -heart attack

Source:: GBD Compare | IHME Viz Hub 2013

5,937(+7%)

India Death Causes Total(%) in 2013

Philippines

Indonesia

India

Malaysia

Thailand

Brazil

UK

USA

China

Russia

Japan

Philippines

Indonesia

India

Malaysia

Thailand

China

Brazil

Japan

USA

UK

Russia

PHYSICIAN PER THOUSAND POPULATION, 2005-2012HOSPITAL BEDS PER THOUSAND POPULATION, 2005-2012

Global Average - 2.9 Beds Global Average - 1 Physicians

13.7

9.7

3.9

3

3

2.3

2.1

1.8

0.9

0.6

0.5

India’s hospital beds per thousand population is below the global average of 2.9 beds

4.3

2.8

2.4

2.1

1.8

1.5

1.3

1.2

0.7

0.2

0.1

India has 0.7 physicians per 1,000 patients,lower than the WHO stipulation of a minimumratio

In India there is an acute shortage of doctors:there would be shortage of around 600,000doctors in the next 10 years.

India’s hospital ratio is 0.9 per 1,000 population and physician ratio is 0.7 per 1,000 population; very low compared to the global average.

Chosen Countries Comparison of Healthcare System

Source: World Health Statistics 2013, WHO, ICMR

7 3 4 3

1 4 1

4

2

4

4

3

7

3

5

2

1

6

7

5

4

2

7

6

1

7

2

3

6

5

1

5

4

2

6

7

1

5

3

2

4

6

Tb prev

alenc

e

Malaria

Tb inc

idenc

e

Tb dea

th rat

e

Tb dete

ction r

ate

Tb trea

tmen

t suc

cess

Afghanistan

Bangladesh

Bhutan

Nepal

Pakistan

India

Sri Lanka

Source: 2014 World Bank Global Health Observatory Data

The color represents the performance on each items. The darker green means worse performance(Note: Malaria is the sum of the reported cases. Tb prevalence, incidence, death rate are expressed as the rate per 100,000 population) .

Malaria, Tuberculosis indicators Rank by Countries in 2014

Shifts in leading causes of DALYs in South Asia, 1990 -2010

% Change in total DALYs, 1990 -2010

CIRRHOSIS

FALLS

HIV/AIDS

SELF-HARM

ROAD INJURY

LOW BACK PAIN

DIABETES

STROKE

FIRE

MIGRAINE

Communicable, newborn, nutritional, and maternalNon communicableInjuries

Note: DALYs = Disability Adjusted Life Years The leading 25 causes of DALYs are ranked from top to bottom in order of the number of DALYs they contribute in 2010. Bars to the right of the vertical line show the percent by which DALYs have increased since 1990. Bars on the left show the percent by which DALYs have decreased.

Source: Global Burden of Disease(GBD) 2010

TB treatment success Birth attended by skilled personnel Antenatal Care Contraceptive prevalence Measles immunization

Utilisation of Health Services in South Asia countries

Source: WHO GHO data, 2010

Maldives

India

Pakistan

Bangladesh

Afghanistan

Sri Lanka