title: Estimating financial resources for universal access to sexual reproductive health care: Evidence from two states in India.
abstract: India has made insignificant progress towards achieving universal access to sexual and reproductive health (SRH). One of the key inputs for achieving universal access to SRH is financial resources. Given this, many international agencies including the UN are emphasising on monitoring the financial progress towards achieving SRH.
  
  
  OBJECTIVE
  To generate evidence on spending on SRH from various sources - (government, household, international donors and NGOs) to improve the accountability of the government towards SRH goal.
  
  
  METHODS
  Adapting a sub account framework of the NHA, this paper investigated the SRH expenditure of the two divergent states of India. The data were collected from government, households (NSSO), and foreign donors and were classified as per the International Classification of Health Accounts (ICHA).
  
  
  CONCLUSIONS
  Total SRH expenditure is less than one percent of SGDP from all sources in each state. Among the sources, government's spending on SRH is more than household. A large part of household spending is on curative care which has implications for accessing services by the poor. In spite of data constraints, this paper presents a comprehensive analysis on SRH spending, which is critical for monitoring the commitment towards universal access to SRH. This evidence can be used for further improving data quality for RCH account in LMICs.
authors.affiliation: Indian Institute of Public Health-PHFI, 2nd and 3rd floor, JSS Software Technology Park, E1/1, Infocity Road Patia, Bhubaneswar, Odisha 751024, India. Electronic address: sarit.kumar@phfi.org.
authors.forename: Sarit Kumar
authors.initials: SK
authors.lastname: Rout
authors.affiliation: Department of Humanities and Social Sciences, National Institute of Technology, Rourkela 769008, Orissa, India.
authors.forename: Jalandhar
authors.initials: J
authors.lastname: Pradhan
authors.affiliation: Institute of Public Finance and Policy, M 71, Madhusudan Nagar, Bhubaneswar, Odisha, India.
authors.forename: Sarmistha
authors.initials: S
authors.lastname: Choudhury
mesh_terms: D005191:Family Characteristics; D005260:Female; D006076:Government; D005102:Health Expenditures; D006295:Health Resources; D006297:Health Services Accessibility / Q000191:economics*; D006801:Humans; D007194:India; D007391:International Cooperation; D011203:Poverty; D011247:Pregnancy; D060728:Reproductive Health; D034121:Reproductive Health Services / Q000191:economics*; D012941:Social Responsibility
keywords: Household expenditure; National health accounts; Reproductive health accounts; Universal access to sexual and reproductive health