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Estimating Public Spending on Health by Levels of Care for National Health Accounts: An Illustration of Use of Data on Withdrawals by Drawing and Disbursing Officers (DDOs) in India

Author

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  • Choudhury, Mita

    (National Institute of Public Finance and Policy)

  • Dubey, Jay Dev

    (National Institute of Public Finance and Policy)

Abstract

This paper illustrates the use of information on withdrawals by Drawing and Disbursing Officers (DDOs) for improving estimates of public spending for National Health Accounts (NHAs) in India. Using information from two selected States (Karnataka and Rajasthan), the study highlights the advantages of combining DDO-level information with budgetary data for two purposes (i) mapping public spending to different provider classes of the international System of Health Accounts 2011 (SHA 2011) and (ii) mapping public spending to different types of healthcare providers in India. The benefits of using DDO-level information are found to be higher while mapping expenditure to healthcare providers in India than mapping to international categories of the SHA 2011. In particular, while mapping public spending to different types of healthcare providers in India, the improvement in precision of estimates brought about by DDO-level information was found to be significant in the two States.

Suggested Citation

  • Choudhury, Mita & Dubey, Jay Dev, 2017. "Estimating Public Spending on Health by Levels of Care for National Health Accounts: An Illustration of Use of Data on Withdrawals by Drawing and Disbursing Officers (DDOs) in India," Working Papers 17/199, National Institute of Public Finance and Policy.
    • Handle: RePEc:npf:wpaper:17/199
    Note: Working Paper 199, 2017
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    File URL: http://www.nipfp.org.in/media/medialibrary/2017/07/WP_2017_199.pdf
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    Cited by:

    1. Datta, Pritam & Dubey, Jay Dev & Choudhury, Mita, 2022. "Progressivity of Public Spending on Health care at the Sub-state Level in India: An Empirical Investigation in Tamil Nadu and Bihar," Working Papers 22/375, National Institute of Public Finance and Policy.

    More about this item

    Keywords

    National Health Accounts (NHA) ; Health Expenditure Estimates ; Public Health Spending ; Health Provider Spending ; Drawing and Disbursing Officers (DDOs) ; Indian States;
    All these keywords.

    JEL classification:

    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • H72 - Public Economics - - State and Local Government; Intergovernmental Relations - - - State and Local Budget and Expenditures

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