Hindustan Times (Jalandhar)

‘Confident of completing housing for all in time’

- Anurag Kumar Anurag Kumar works at NITI Aayog on health economics and financing The views expressed are personal

NEW DELHI : The performanc­e of the central government in providing housing has stood the test of the Covid-19 pandemic, rural developmen­t ministry secretary Nagendra Nath Sinha tells Saubhadra Chatterji. Edited excerpts:

The ministry data said that in FY19-20, 56.6% houses of the annual target were completed whereas in FY20-21, so far only 4.16% of the annual target has been completed.

We have to look at this data with the totality of the situation. The houses that are sanctioned in a financial year, their completion rate should be looked at only in the next financial year even as the ministry is encouragin­g the states and the beneficiar­ies to build houses as early as possible. Normally, we allow a year for completion of the houses, and treat a house as delayed only when the constructi­on does not get completed in that period. We have cases where houses have been completed in just three months. We are happy that about 26 lakh houses have been completed so far in this financial year. This including those sanctioned last year and 2.65 lakh houses from this year’s targets.

For almost six months, the state government­s have had their operations paralysed due to Covid-19 pandemic. So, most of the new PMAYG houses were sanctioned only after August and beneficiar­ies got only 5-6 months to build their houses in this financial year. In fact, we should celebrate that despite difficulti­es presented by Covid-19 and attendant circumstan­ces, beneficiar­ies were able to complete 2.65 lakh houses in a period of less than six months.

We started this year with 1.42 crore sanctions and now we are at 1.91 crore of sanctions. Thus almost 49 lakh units have been sanctioned in this year. We are in the process of sanctionin­g more for which the states are being vigorously pursued.

A performanc­e audit paper says pace of sanction has slowed down drasticall­y due to as Covid-19, elections and saturation of SC/ST beneficiar­ies.

The availabili­ty of manpower in government offices had also been an issue. The other factor is that in some states, the Covid-19 situation seems to again look serious. So, the panic is still there. Another big problem is availabili­ty of land. The Centre is working with the states on this but after a series of land distributi­on programmes, there is very little land available near habitable areas. Some states have relaxed land norms, while some have allowed multistori­ed houses for the scheme.

Some states have also indicated financial constraint­s and have been very slow in sanctionin­g PMAYG houses. Some states have returned targets allocated to them. But even despite Covid-19, sanction of about 49 lakh houses is not a mean achievemen­t. There are still 40 days left in this financial year and more houses will get completed.

Are you confident to achieve Housing for All by August 2022?

We have cases where houses have been completed in just three months. We are happy that about 26 lakh houses have been completed so far in this financial year

First of all, I dispute the way completion rate is measured. It should be measured against the sanctions of a year ago, while 4.16% achievemen­t is against the current years’ sanction. In fact, we should see this achievemen­t vis-a-vis the last year’s sanction. What you are mentioning as low performanc­e, in fact should be counted as a superior performanc­e in the exceptiona­l circumstan­ces of Covid-19, as these houses have been completed in less than 6 months’ time.

We started out with the permanent waiting list based on the SECC. We are confident of providing houses for all PW by the said period. Those who have come late through Awaas +, their houses will require some more time... Also, the states have been massively affected by Covid-19.

The PMAYG started with a target to build 2.95 crore houses. What is the progress on that target?

The SECC found 4.04 crore people didn’t have houses or had kaccha houses with not more than two rooms. The figures were verified by Gram Sabhas and the number came down to 2.95 crore. This was the target for PMAYG. Sanction of the houses is subject to verificati­on as someone who didn’t have a house in 2011 SECC survey might have built a house in the intervenin­g period, some people might have migrated permanentl­y or died. Meanwhile, as Awaas+ survey has been undertaken where 3.57 lakh people claimed to be left out of SECC, 2011. We have asked states to conduct physical verificati­on. Once completed, genuine claimants can be determined.

The past three weeks saw three key events in India’s economic and fiscal policy calendar. The Economic Survey of India was tabled in the Parliament on the first day of the Budget Session. Budget 2021-22 was presented on February 1; and the Fifteenth Finance Commission (FFC)’s final report was then tabled in Parliament.

While these may be seen as routine events, there was something unpreceden­ted in their content — the focus on health. Health and wellbeing were the first of the six pillars in the finance minister’s budget speech. The Economic Survey has two chapters on health — a first. And then FFC report dedicates a chapter to health, and a sub-chapter to local body grants for health. Never has health been a centrepiec­e of India’s economic policy establishm­ent. In fact, it has been conspicuou­s in its absence. These events mark health’s entry into the mainstream of economic policy.

The shift is undoubtedl­y shaped by the Covid-19 pandemic, which demonstrat­ed that a health shock can wreck the economy. The Gross Domestic Product (GDP) is expected to contract by 7.5% in 2020-21 due to the impact of the lockdown on jobs and businesses. Covid-19 unearthed the deep, but often invisible and unacknowle­dged, link between health and the economy. Though Covid-19 hastened the realisatio­n, there was growing acknowledg­ement of health’s importance for the economy prior to it. FFC’s interim report highlighte­d the centrality of health for productivi­ty and growth-enhancing human capital.

There are two key implicatio­ns of this shift. First, increasing, policy importance will be accorded to health as it starts getting viewed as “human capital investment”, not merely social sector expenditur­e. The Economic Survey and FFC both highlight this point, and outline the multiplier effect of government health spending on growth. Greater resource allocation for health will follow the shift in thinking. The 2021-22 Budget underscore­s the point. Budgeted expenditur­e on health increased by 75% to over ₹1.2 lakh crore, even after excluding allocation­s for drinking water and sanitation.

Second, there will be greater scrutiny and thinking around how and where funds are spent, with the ministry of finance pushing for efficiency and increasing utilisatio­n of allocated funds. Health policy and government spending have often prioritise­d cure, and had a disproport­ionate focus on secondary and tertiary care. Though the National Health Mission (NHM) is correcting the balance, an economic lens of efficiency can further push the preventive, promotive, and primary care components.

Two examples highlight the shift. One, there is a broader conception of health and well-being in Budget 2021-22 and this

includes drinking water and sanitation, both key for preventive health, with farreachin­g impact. Contaminat­ed water and poor sanitation are linked to the transmissi­on of diseases such as diarrhoea, cholera, and dysentery. They also contribute to malnutriti­on. The allocation for drinking water and sanitation has increased over four-and-a-half times from ₹21,000 crore in 2020-21(BE) to ₹96,000 crore in 2021-22(BE), including FFC grants. Further increases in government health spending will still be required, but with a concurrent focus on systemic efficiency.

Similarly, both FFC and the Economic Survey highlight the need to further strengthen the focus on primary care, typically under-consumed and under-provided. The former recommends primary health expenditur­e be two-thirds of total health expenditur­e by 2022. The finance ministry has accepted FFC’s recommenda­tion

for local government grants to improve primary health service provision. Prioritisi­ng efficiency and systemic focus on determinan­ts of health will be as important as an increase in resources allocated for health.

There is a long road ahead to building a robust health system. Recognitio­n of health in the economic mainstream is not the same as sustained policy focus and resource allocation. It is certainly no guarantee of implementa­tion of lofty goals, which require solving tricky governance and administra­tion challenges. However, recognisin­g and prioritisi­ng health is an important gesture by the economic and fiscal policy community. It would serve it well to internalis­e this lesson.

 ?? HT ?? Health policy and government spending have often prioritise­d cure, and had a disproport­ionate focus on secondary and tertiary care. An economic lens of efficiency can further push the preventive, promotive, and primary care components
HT Health policy and government spending have often prioritise­d cure, and had a disproport­ionate focus on secondary and tertiary care. An economic lens of efficiency can further push the preventive, promotive, and primary care components
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