Public health care “Swasth Bharat - Samriddha Bharat” was an apt slogan in the FM’s speech. A recent report from WHO and the World Bank on Tracking Universal Health Coverage (UHC) indicates that 100 million people are pushed yearly into extreme poverty due to catastrophic health expenditures. At an UHC index of 56, India is behind the global average of 64, and far behind developed countries with indices of 70 or above.
The National Health Protection Scheme, originally announced in 2016-17, has moved beyond the drawing board. It aims to provide an annual cover of Rs 500,000 to 100 million vulnerable families, a significant jump from 35 million families currently covered by the Rashtriya Swasthya Bima Yojna. This laudable initiative has been allocated Rs 20 billion, which is four times that of 2017-18.
Another notable announcement under the Ayushman Bharat Programme is the allocation of Rs 12 billion for creating 150,000 Health and Wellness Centers (HWCs) by 2022 to provide comprehensive primary health care services. While the financial allocation is adequate, the task seems daunting, with a huge jump over the 2017-18 target of 3,871 HWCs.
Despite these announcements, the overall allocation to the ministry increases by only two per cent over the 2017-18 revised estimates.
The implementation of health care programmes has suffered owing to lack of skilled human capital. The upgradation of select district hospitals to 24 new medical colleges is a welcome move. However, the budgetary allocation for this has been reduced to Rs 28.87 billion, compared to the 2017-18 revised estimate of Rs 33 billion.
Livelihoods Mahatma Gandhi National Rural Employment Guarantee Scheme
The overall allocation for rural employment schemes along with the earmarked extra-budgetary resources is impressive. However, the target of achieving 3.21 billion employment person-days is a daunting task, considering past trends and the current achievement of only 1.88 billion person-days.
While the 2018-19 allocation for MGNREGS remains stagnant at Rs 550 billion, it must be noted that the 2017-18 budget was revised by 15 per cent over the original allocation of Rs 480 billion. This could be attributed to the accrued payment of wages and pending liabilities.
At the policy level, the government’s consistent focus on convergence and productive asset creation for farmers through the MGNREGS will yield positive results in the medium and long term.
National Rural Livelihoods Mission (NRLM) The allocation for NRLM has increased by 32 per cent over the 2017-18 revised estimate. While laying thrust on rural entrepreneurship and women’s empowerment, the Budget rightly addressed the critical issue of credit linkages for SHGs. It promised a quantum jump from the current Rs 5.61 billion bank-linked credit accessed by SHGs to an ambitious Rs 400 billion in 2018-19.
Tribal welfare Another notable feature of this Budget is the increased focus on mainstreaming tribal development. An allocation of Rs 18 billion as grant under Article 275(1) of the Constitution will help finance the establishment of Eklavya Model Residential Schools across tribal-dominated blocks. Further, the allocation for tribal education programmes has been increased by 18 per cent over the 2017-18 revised estimate.
The marginal allocation (Rs 4.2 billion) to the Vanbandhu Kalyan Yojana seems to suggest a shift in approach towards main-streaming the tribal population from holistic livelihood development to a specific focus on education.
Textiles Livelihood and employment in textile and apparel
The textile and apparel sector is estimated to account for about 23 per cent of employment in the country. The significance of the sector is reflected in the doubling of the allocations for the Integrated Skill Development Scheme from the revised estimate for 2017-18 (Rs 1 billion).
While there is continued support for the traditional sectors, with allocations of Rs 3.96 billion for handlooms, Rs 1.98 billion for handicrafts and Rs 12.15 billion for khadi, the allocations have declined when compared to the 2017-18 revised estimate. The government’s focus seems to have shifted towards much-needed technological upgradation, with an 18 per cent increase in financial outlay for the Amended Technology Upgradation Fund Scheme. This move will promote value addition and further enhance competitiveness in the sector.
Education The Budget has tried to perform a balancing act between access and quality. The allocation of Rs 850 billion to education marks an increase of four per cent over the 2017-18 revised estimate. The allocation for school education and literacy has been increased by six per cent; however, the major schemes (Sarva Shiksha Abhiyan, Mid Day Meals, Rashtriya Madhyamik Shikha Abhiyan) have not seen any significant increase.
An increase is noted in the budget for higher education (12 per cent) and for the Rashtriya Uchhatar Shiksha Abhiyan (eight per cent) on a year-on-year basis. The allocation for the Higher Education Financing Agency has increased to Rs 27.5 billion, a significant jump of over 11 times towards upgrading the infrastructure and research facilities at some of the premier institutions of the country.
The PM’s fellowship to encourage 1,000 promising students to take up research in premier Indian institutions is proposed. Special attention has been given to ICT initiatives in both schools and higher education through schemes such as digitisation of classrooms, the Diksha programme and the Digital E-Learning Platform created to benefit both students and teachers.
Vocational education, skill development and entrepreneurship The 44 per cent increase in the skills budget allocation for the ministry of skill development and entrepreneurship reaffirms the government’s commitment to vocational education and skill development. The Pradhan Mantri Kaushal Vikas Yojna has targeted to skill 10 million youth between 2016 and 2020. With only 1.18 million youth trained so far, the odds against achieving this target seem overwhelming. The modest target of three million considered for 2018-19 may not be sufficient.
The Budget announcements indicate an increase in the number of centres under Pradhan Mantri Kaushal Kendras (PMKK) and a focus on apprenticeships. However, the PMKK allocation has been reduced by 58 per cent and that for apprenticeships by 32 per cent.
The allocation of Rs 1.9 billion for the development of polytechnics is a positive move. It is proposed to boost long-term vocational education and support the Make in India campaign. The two external-aided programmes — Skill Strengthening for Industrial Value Enhancement with an allocation of Rs 22 billion focusing on ITIs, and Skill Acquisition and Knowledge Awareness for Livelihood Promotion with an allocation of Rs 40 billion — will be a big boost to the skilling infrastructure and capacity in the country. The focus on market-relevant skills and improving the quality of training, including a streamlined assessment and certification framework, will be key to enhancing skill and employability.
Ashok Varma, Partner-Social Sector, PwC India