Even though State allocates less than five per cent of its total plan outlay, health has been a major area of allocation in the budget in the State in the past years. The healthcare expenditure has been showing a steady increase in recent years. During the first year of Twelfth Plan (2012-13) an amount of 47,000 lakh had been allotted for the sector, of which 82 per cent was expended. During the second year of the Twelfth Plan (2013-14) an amount of 54100 lakh was allocated for Health Sector, a 15 per cent increase over 2012-13 outlay and the expenditure was 94.72 per cent of the outlay. In the third year (2014-15), an amount of 62940 lakhs was allocated and 87.76 per cent expended. The outlay earmarked for 2015-16 was 66537 lakhs and the corresponding expenditure percentage was 79.65. Department wise plan outlay and Expenditure during the Twelfth Plan and total outlay and expenditure up to October 2016 (2016-17) is given in Table 4.9.
Department | Annual plan 2012-13 | Annual plan 2013-14 | Annual Plan 2014-15 | Annual Plan 2014-15 | Annual Plan 2016-17 | |||||
Outlay | Per cent Exp. | Outlay | Per cent Exp. | Outlay | Per cent Exp. | Outlay | Per cent Exp. | Outlay | Per cent Exp.* | |
Directorate of Health Services | 20564 | 90.15 | 24530 | 97.67 | 29693 | 78.90 | 32216 | 67.86 | 52174 | 42.32 |
Directorate of Medical Education | 20220 | 81.15 | 22665 | 93.85 | 25750 | 97.40 | 26699 | 89.69 | 39388 | 5.55 |
Indian Systems of Medicine | 1665 | 101.38 | 2330 | 95.11 | 2545 | 78.15 | 2670 | 93.85 | 3412 | 14.78 |
Directorate of Ayurveda Medical Education | 1760 | 59.16 | 2300 | 94.04 | 2567 | 84.10 | 2567 | 94.60 | 3364 | 7.23 |
Directorate of Homoeopathy | 1721 | 40.66 | 1475 | 61.80 | 1440 | 88.76 | 1440 | 91.26 | 1983 | 9.20 |
Homoeo Medical Education | 1070 | 32.01 | 800 | 90.50 | 945 | 97.60 | 945 | 93.78 | 990 | 6.26 |
Total | 47000 | 82.38 | 54100 | 94.72 | 62940 | 87.76 | 66537 | 79.65 | 101311 | 24.84 |
Source : Plan Space
*Exp.upto October 2016
The State Planning Board constituted separate Working Groups for Medical and Public Health and Ayush for 13th Five year Plan Period. The Working Group on Medical and Public Health was constituted with Sri. Rajeev Sadanandan IAS, Additional Chief Secretary to Government, Health and Family Welfare Department and Dr. K.R. Thankappan, Professor and Head, Achutha Menon Centre for Health Sciences Studies, Sree Chitra Thirunal Institute for Medical Sciences and Technology, Thiruvananthapuram as Co-Chairpersons and 13 Members. The Working Group on Ayush was constituted with Dr. B Ashok IAS, Secretary to Government, Ayush Department and Dr. Ravi M Nair as Co-Chairpersons and 16 Members. The Working groups deliberated on the various challenges faced by the State’s Health System and the strategies to be adopted during the Thirteenth Five Year Plan period. The Working Group identified priority areas in Health Sector for the 13th Five Year Plan and will submit its report shortly. The recommendations of the Committee will be incorporated in the schemes of the health sector.