health white paper 2012
DESCRIPTION
Know the Health Status of Mumbai.TRANSCRIPT
Report onThe STATE of HEALTH of MUMBAI
Supported by
FORD FOUNDATION MADHU MEHTA FOUNDATION1
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Part 1
Data from (160) Municipal Dispensaries, (24) Municipal Hospitals and (4) State Hospitals
Sensitive Diseases/Ailments2008-09 2009-10 2010-11 2011-12
Malaria 23,317 39,898 78,448 39,828Diarrhoea 81,321 116,295 125,999 99,839
Hypertension 28,337 32,469 38,388 25,518Tuberculosis 31,510 29,692 32,383 29,878
Diabetes 23,777 23,838 22,493 21,264Typhoid 8,288 4,220 6,557 7,561
Hepatitis B 990 444 547 931Dengue 682 866 1,403 1,879Cholera 96 124 236 178
% Increase from 2008-09 as base year for total cases2008-09 2009-10 2010-11 2011-12
Malaria 100 171 336 171Diarrhoea 100 143 155 123
Hypertension 100 115 135 90Tuberculosis 100 94 103 95
Diabetes 100 100 95 89Typhoid 100 51 79 91
Hepatitis B 100 45 55 94Dengue 100 127 206 276Cholera 100 129 246 185
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Part 2
Data based on Household survey of 15,191 respondents across the city of Mumbai
Provisional Population 2011
Estimated citizens using private facilities (in %)
Estimated citizens using private facilities (in numbers)
Total 1,24,32,830 75.51% 93,88,030
Estimated Citizens using private dispensaries/hospitals
More than 75% of citizens in Mumbai use private health care facilities.
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In % Amount spent from total income (in %)
4.26 More than 30%
7.15 21% to 30 %
18.97 11% to 20%
38.92 6% to 10%
30.7 Less than 5%
100 Total
Estimated percentage of Annual Family Income spent on hospital/medical costs
• Hospitalised Indians spend more than 58% of annual income on medical costs.
• Over 25% hospitalised Indians fall below poverty lines because of medical costs
(Source: NRHM Website)
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More than 30% of households spend 11% or more of their annual income on hospital/medical costs.
In %
Respondents having medical insurance 20.45
Respondents not having medical insurance 79.55
Total 100
Medical Insurance Coverage
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Only 10% Indians have medical insurance and it covers only hospitalisation costs (mainly for
chronic diseases) and not expenses incurred for OPD (Out Patient) or drugs (Source: NRHM
Website)
Diseases/Ailments Total Estimated Cases
Estimated Households suffering from the
disease/ailment (in %)
Diabetes 274,957 10.4 %
Malaria 392,378 14.8 %
Tuberculosis 63,227 2.4 %
Hypertension 78,635 3 %
Cancer 39,583 1.5 %
Estimated Occurrence of Diseases/Ailments for the year 2011-12
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Red Flags
Over 3.8 Lakh Mumbaikars suffered from Malaria last year
Over 2.7 Lakh Mumbaikars suffered from Diabetes
63,227 citizens of Mumbai were prone to the life threatening Tuberculosis
80% Mumbaikars do not have health insurance
30% of Mumbaikars spend more than 11% of annual income on medical costs
Public Health Surveillance (Health Information System) is inadequate
Government focus is more on tertiary healthcare & not on primary healthcare