India’s currentHealth care access and the Out of Pocket Expenditure on Health spending-2018 under an Universal coverage.

Abstract

Universal Health Coverage (UHC) is gaining in importance across the world. UHC enables everyone to  access the servicesto high quality health care substantially improves many health outcomes, including infectious  diseases and many non – communicable diseases.                 Out-of-pocket payments are those made by people at the time of getting any type of service (preventive, curative, rehabilitative, palliative or long-term care) provided by any type of provider.Key findings  : India’s healthcare access and quality (HAQ) index has increased by 14.1, up from 30.7 in 1990 to 44.8 in 2015. In 2018 the UHC service coverage index of India (SDG 3.8.1.) is 56. In India the proportion of population with house hold out-pocket health expenditure greater than 25%of total household expenditure or income is 3.9% and the proportion of population with house hold out-pocket health expenditure greater than 10 % of total household expenditure or income is 17.3%. According to NFHS IV . About 44.5% people utilized public sector and 51.4% widely following private health care sectors for their health needs.Conclusion: However, despite improvements, enormous challenges in the health care sector mainly as the out of pocket expenditure are  need to be addressed and the lacunae has to be fulfilled to attain Universal health coverage. Recommendation: In India to improving access to healthcare lies in expanding the network of public sector facilities at all levels. The Out of pocket expenditure of the each person should be reduced by increasing the health spending expenditure by the government to attain the general policy of Universal Health coverage.