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Allocation Is Not Expenditure — Where India's Health Money Leaks

Foreign health aid is drying up and debt is eating national budgets, so the useful question stops being how much India spends on health and becomes how well. The numbers are uncomfortable: two-thirds of the flagship health infrastructure budget spent, 26% of NHM disease programme funds used, under a quarter of public health money going to prevention. Three stages, three leakages — allocation is not expenditure, and expenditure is not outcome. With six model answers across budget credibility, the epidemiological transition, public goods, primary care and decentralisation.