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