The Economic Implications of Non-Communicable Disease for India

This report contributes to the literature on the economic implications of non-communicable disease (NCDs) in developing countries by focusing on the case of India. First, the authors examine available evidence on the economic impact of NCDs in India. Second, the authors present new estimates of impact of NCDs, both on household economic well being as well as on aggregate economic outcomes in India. India is a worthwhile case to study for many reasons, beginning with the large numbers involved. In the year 2004, an estimated 8.1 million Indians died from all causes. Based on WHO data on the distribution of deaths by cause, estimated deaths from non-communicable conditions (including injuries) amounted roughly to 4.8 million, or about 59.4 percent of all deaths in the year. Moreover, about 24 percent of these deaths from non-communicable conditions occurred in the 35-64 age groups as per data from medically certified deaths from hospitals located in urban areas of India. Available data also indicate that 34 percent of all injury-related deaths occurred among individuals in the 35-64 year age group. India's population is also ageing over time, an issue of concern given the higher incidence of NCDs in older age groups. All of these developments are occurring in a setting where health expenditures are growing rapidly led by an unregulated private sector and where health insurance and pension coverage are still limited. These financial concerns are further exacerbated by the emerging evidence that the India's poor are at heightened risk of acquiring NCDs owing to high rates of smoking and tobacco use, occupational risks, and residential living conditions.

Bibliographic Details

Main Authors:	Mahal, Ajay, Karan, Anup, Engelgau, Michael
Format:	Working Paper biblioteca
Language:	English en_US
Published:	World Bank, Washington, DC 2010-01
Subjects:	AGE GROUPS, AGED, AGING, AIDS EPIDEMIC, AILMENTS, ALCOHOL CONSUMPTION, AMBULANCE, AMBULANCE SERVICES, ARTHRITIS, ASTHMA, BIRTHS, BRONCHITIS, BURDEN OF DISEASE, CANCER, CANCER PATIENT, CANCERS, CARDIOVASCULAR DISEASE, CARDIOVASCULAR DISEASES, CAUSES OF DEATH, CERTIFICATION, CHEMOTHERAPY, CHRONIC CONDITIONS, CHRONIC DISEASE, CHRONIC DISEASES, CITIES, COMMUNICABLE DISEASE, COMMUNICABLE DISEASES, CRIME, DEATH RATES, DEATHS, DEBT, DEPRESSION, DEVELOPING COUNTRIES, DIABETES, DIET, DIGESTIVE SYSTEMS, DISABILITIES, DISABILITY, DISEASE BURDEN, DISEASE CONTROL, DISEASE PREVALENCE, DRUGS, DYING, EARLY ONSET, ECONOMIC GROWTH, ECONOMIC IMPLICATIONS, ECONOMIC OPPORTUNITIES, EMERGENCY CARE, EMPHYSEMA, EPILEPSY, EQUILIBRIUM, EXPENDITURES, FAMILIES, FAMILY HEALTH, FERTILITY, FINANCIAL RISK, FORECASTS, GENDER, GLOBAL HEALTH, GROSS DOMESTIC PRODUCT, HEALTH CARE, HEALTH CARE COSTS, HEALTH CARE DELIVERY, HEALTH CARE EXPENDITURES, HEALTH CARE PROVIDER, HEALTH CARE PROVIDERS, HEALTH CARE PROVISION, HEALTH CARE SECTOR, HEALTH CARE SPENDING, HEALTH CARE SYSTEM, HEALTH CARE UTILIZATION, HEALTH CONDITIONS, HEALTH EXPENDITURE, HEALTH EXPENDITURES, HEALTH FACILITIES, HEALTH INSURANCE, HEALTH MESSAGES, HEALTH ORGANIZATION, HEALTH OUTCOMES, HEALTH PROBLEMS, HEALTH SERVICES, HEART DISEASE, HIV, HIV/AIDS, HOSPITAL, HOSPITALIZATION, HOSPITALS, HOUSEHOLD DYNAMICS, HOUSEHOLD INCOME, HOUSEHOLD SURVEYS, HUMAN CAPITAL, HUMAN DEVELOPMENT, HUMAN IMMUNODEFICIENCY VIRUS, HYPERTENSION, ILL-HEALTH, IMMUNODEFICIENCY, IMPACT OF MALARIA, IMPORTANT POLICY, INCOME, INDOOR AIR POLLUTION, INFECTIOUS DISEASE, INFORMATION ON POPULATION, INJURIES, INJURY, INPATIENT CARE, LABOR FORCE, LABOR MARKET, LABOR SUPPLY, LARGE POPULATIONS, LAWS, LIFE EXPECTANCY, LIFESTYLES, LIVING CONDITIONS, MALARIA, MARITAL STATUS, MATERNAL & CHILD HEALTH, MATERNAL AND CHILD HEALTH, MEDICAL CARE, MEDICAL RESEARCH, MEDICAL SCHOOLS, MEDICINE, MEDICINES, MENTAL, MENTAL DISORDERS, MENTAL HEALTH, MENTAL ILL HEALTH, MENTAL ILLNESS, MORBIDITY, MORBIDITY AND MORTALITY, MORTALITY, MORTALITY RISK, NATIONAL COUNCIL, NATIONAL LEVEL, NCD, NEUROLOGICAL DISORDERS, NEWBORNS, NONCOMMUNICABLE DISEASES, NUMBER OF HOUSEHOLDS, NUTRITION, OBESITY, OLD AGE, OLDER AGE GROUPS, OUTPATIENT CARE, OUTPATIENT SERVICES, PATIENT, PATIENTS, PENSIONS, POLICY IMPLICATIONS, POLLUTION, POOR FAMILIES, POOR HEALTH, POPULATION PROJECTIONS, PREMATURE DEATH, PREVALENCE, PREVENTION EFFORTS, PREVENTION METHODS, PROBABILITY, PROSTATE, PROVISION OF CARE, PSYCHIATRIC CARE, PSYCHIATRIC DISORDERS, PUBLIC HEALTH, PUBLIC HEALTH CARE, PUBLIC HEALTH CARE SERVICES, PUBLIC HEALTH SERVICES, PUBLIC HOSPITALS, PUBLIC SERVICES, QUALITY OF CARE, RATES OF GROWTH, RISK FACTORS, RURAL AREAS, RURAL POPULATIONS, RURAL RESIDENTS, SAFETY NETS, SEX, SEX WORKERS, SKIN DISEASES, SMOKING, SOCIAL NORMS, SOCIAL PROTECTION MECHANISMS, SOCIOECONOMIC INEQUALITIES, SOCIOECONOMIC STATUS, SUICIDES, SURGERY, SYNDROME, TECHNOLOGICAL INNOVATIONS, TRAUMA, TRAUMA CENTERS, TREATMENT, TUBERCULOSIS, ULCER, UNEMPLOYMENT, URBAN AREAS, URBAN POPULATION, URBAN POPULATIONS, URBANIZATION, VIOLENCE, VIOLENCE AGAINST WOMEN, VULNERABILITY, WALKING, WORK FORCE, WORKERS, WORKPLACE, WORLD HEALTH ORGANIZATION, YOUNG ADULTS,
Online Access:	http://documents.worldbank.org/curated/en/2010/01/11718322/economic-implications-non-communicable-disease-india http://hdl.handle.net/10986/13649
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