BMI View: Many states in India - the second biggest country in the world by population - are lagging behind their more industrialised counterparts in terms of healthcare provision, with low per capita expenditure on healthcare, poor infant mortality, reduced literacy and geographical barriers such as flooding. Even whe re there are signs of increasing overall investment, these often d o not trickle down to healthcare. A lthough the industrialised regions contain better healthcare facilities as well as a greater number of healthcare professionals, hospitals and better training opportunities for doctors, inequalities remain even in these states . People living outside main cities can find it difficult to access healthcare. Variability across the country is also found in terms of disease burdens, with poorer areas more likely to have a high burden of communicable diseases, and areas with a higher GDP encountering more lifestyle - and pollution-related diseases.
Key Forecasts B y Region
Centre: Uttar Pradesh is the largest of the three states in the vast area that comprises Central India, and as such it has the most hospitals. Nevertheless, Madhya Pradesh is starting to catch up and will see the largest gains in hospital and doctor numbers over our five-year forecast period. Strike action in Uttar Pradesh in early 2014 led to limited healthcare provision in an area where healthcare spending per capita is already lower than any other state or union territory with available data.
East: Plentiful natural resources characterise eastern India, which attracts investment, although this has not been focused on healthcare, leading to a low per capita expenditure. Overall, there are large health inequalities across east India, although in Bihar state health workers are attempting to improve the quality of healthcare services in rural areas using mobile technology.
North: There is considerable variety of GDP across the large area that makes up the northern region...