Académique Documents
Professionnel Documents
Culture Documents
Your use of the JSTOR archive indicates your acceptance of the Terms & Conditions of Use, available at
http://www.jstor.org/page/info/about/policies/terms.jsp
JSTOR is a not-for-profit service that helps scholars, researchers, and students discover, use, and build upon a wide range of content
in a trusted digital archive. We use information technology and tools to increase productivity and facilitate new forms of scholarship.
For more information about JSTOR, please contact support@jstor.org.
Economic and Political Weekly is collaborating with JSTOR to digitize, preserve and extend access to Economic and Political
Weekly.
http://www.jstor.org
This content downloaded from 14.139.237.34 on Wed, 18 Mar 2015 10:49:15 UTC
All use subject to JSTOR Terms and Conditions
on
of Economic Reforms
Impact
in India
Sector
Expenditure
Social
The economic crisis of 1990s was precipitated mainly by the growth of public expenditurein
the 1980s. An attempt was made to resolve this crisis through the introductionof stabilisation
and structural adjustmentprogrammes. One of the importantplanks of the stabilisation
measures was the compression of public expenditure.This has brought to the forefront the
issue of "transitionalsocial costs" of stabilisation. This paper attempts to analyse the social
sector outlays of the central and the state governmentsin the pre-reform and post-reform
period and assesses the impact these had on the social sector in India.
SEEMA
JOSHI
Introduction
358Economic
This content downloaded from 14.139.237.34 on Wed, 18 Mar 2015 10:49:15 UTC
All use subject to JSTOR Terms and Conditions
II
ReformsandSocialSector:IndianExperience
The stabilisation-cum-structural
adjustmentprogrammewas
introducedby thegovernmentof Indiain July 1991at the behest
of IMFandWorldBank to correctimbalancesat both macrolevel andmicro-levelsandputthe Indianeconomyon to a higher
Afterovera decadeof implementingthereform
growthtrajectory.
an
assessment
of thesereformmeasuresis veryrelevant
package,
andusefulfor having"structural
adjustmentwitha humanface"
in our country.
In this context,an attempthas been made in this section to
addressthe followingquestions:(i) have the budgetaryallocationsor theexpendituresincurredon the socialsectoras a whole
beenaffectedduringreformperiod?(ii) Is thereany increasein
expenditureincurredon educationandhealthwhicharethe subsectorsof social sector duringthe reformperiodor not?
Theseaspects(reflectedin the above-mentioned
questions)of
the socialimpactof reformsin Indiahavebeendealtwithbelow.
Pre-Reform
(1981-82 to
13.16 53.96
1990-91)
Post-Reform
(1991-92 to
14.02 63.78
2000-01)
10.80
9.87 20.67
21.1
20.36
Central
State
Combined
Government Governments
54.7
45.8
70.2
63.2
61.8
53.3
Actuals
14035.0
(14.4)
31545.0
(17.5)
15917.0
(14.5)
34959.7
(16.0)
79011.0
(18.2)
183273.0
(21.3)
88806.7
(18.3)
175214.8
(22.9)**
This content downloaded from 14.139.237.34 on Wed, 18 Mar 2015 10:49:15 UTC
All use subject to JSTOR Terms and Conditions
359
360
Pre-Reform
During
Period
Reform
(1987-88 to Period(1991-92
to 2001-02)
1990-91)
1 Promotionalsocial sector
(i) Education,art,culture
(ii) Medical,publichealth,
watersupplyand sanitation
(iii) Familywelfare
(iv) Housing
(v) Urbandevelopment
(vi) Labourand employment
(vii) Social securityand welfare
(viii) Others*
(ix) Food subsidy**
(x) Ruraldevelopment***
2 Protectivesocial sectors
(xi) Reliefon accountof naturalcalamities
Social sector (1+2)
25.47
10.97
26.04
11.32
4.36
0.60
0.53
0.48
0.49
1.05
1.61
1.80
3.56
.006
.006
25.48
4.37
0.74
0.70
0.63
0.42
1.16
1.40
1.86
3.44
0.05
0.05
26.09
Pre-ReformPeriod Post-ReformPeriod
(1986-87 to 1990-91) (1991-92 to 2002-03)
Plan Non- Total Plan Non- Total
Plan
Plan
1 Promotional
social sector (1 to 10)
i) Education,sports
and youthservices,
artand culture
ii) Medical,publichealth,
familywelfare
iii) Watersupplyand
sanitation
iv) Housingand urban
development
v) Welfareof SCs to
STs and OBCs
vi) Labourwelfare
vii) Labourand
employment
viii) Social security
and welfare
ix) Others**
x) Foodsubsidy
xi) Ruraldevelopment
2 Protectivesocial sectors
xii) Naturalcalamities
Social sector (1+2)
6.58
1.07
0.64
1.71
1.49
0.70
2.19
1.07
0.23
1.29
1.25
0.26
1.51
0.52
0.52
0.61
0.61
0.10
0.05
0.15
1.33
0.09
1.42
0.36
-
0.28
0.36
0.28
0.36
-
0.24
0.36
0.24
0.04
0.04
0.05
0.05
0.37
0.44
2.61
0.21
0.34
2.26
-
0.58 0.66
0.78 0.48
2.26
2.61 2.34
-.
4.01 10.59 8.59
0.12
0.34
3.53
-
0.79
0.82
3.53
2.34
6.58
5.28 13.87
5.28 13.87
This content downloaded from 14.139.237.34 on Wed, 18 Mar 2015 10:49:15 UTC
All use subject to JSTOR Terms and Conditions
Pre-reformperiod
1986-87
1987-88
1988-89
1989-90
1990-91
Average
Post-reformperiod
1991-92
1992-93
1993-94
1994-95
1995-96
1996-97
1997-98**
1998-99
1999-2000
2000-01**
2001-02
6.13
7.16
6.76
6.90
6.10
6.58
5.13
4.66
4.70
4.71
3.89
4.54
11.26
11.82
11.47
11.61
9.99
11.12
1.43
1.58
1.44
1.53
1.26
1.43
1.19
1.03
1.00
1.05
0.80
0.99
2.62
2.61
2.44
2.58
2.06
2.42
6.12
6.31
7.82
8.35
9.52
8.22
9.29
7.87
8.30
8.39
8.99
4.31
3.77
5.45
4.12
4.96
4.68
4.72
5.08
4.48
4.22
6.57
10.43
10.08
13.27
12.47
14.48
12.90
14.01
12.95
12.78
12.61
15.56
1.17
1.23
1.44
1.42
1.58
1.29
1.55
1.38
1.43
1.48
1.56
0.83
0.73
1.00
0.70
0.82
0.74
0.79
0.88
0.77
0.74
1.14
2.00
1.96
2.44
2.12
2.41
2.03
2.34
2.26
2.20
2.22
2.70
2002-03
2003-04**
10.22
9.09
7.64
7.89
17.86
16.98
Average
8.65
5.63
14.28
1 Promotionalsocial sector
i) Education,art,culture
ii) Medical,publichealth,watersupply,sanitation
iii) Familywelfare
iv) Housingand urbandevelopment
v) Labouremployment
vi) 'Socialsecurityand welfare
vii) Others*
viii) Food subsidy (NP)
ix) Ruraldevelopment
2 Protectivesocial sectors
x) Reliefon accountof naturalcalamities
Social sector expenditureas per cent of aggregate
expenditureof states (1+2)
Social sector expenditureas per cent of GDP
99.99
50.72
19.57
2.88
4.44
1.43
4.91
1.42
0.14
14.48
.00
.0008
99.99
51.29
19.78
2.58
3.86
1.41
4.40
1.42
0.21
15.05
.00
.008
99.99
50.67
19.99
2.88
3.74
1.32
4.56
1.22
0.00
15.61
0.01
0.01
99.72
51.51
20.65
2.84
4.06
1.33
5.09
1.41
0.00
12.83
0.27
0.27
99.56
52.10
20.08
3.02
4.53
1.33
5.38
1.42
0.60
11.09
0.44
0.44
99.26
52.12
20.11
2.48
4.74
1.27
5.42
1.51
0.55
11.07
0.74
0.74
99.67
52.01
21.01
2.50
4.95
1.43
5.09
1.53
0.56
10.59
0.33
0.33
99.74
52.70
20.88
2.17
4.90
1.23
4.71
1.51
0.35
11.28
0.26
0.26
99.95
53.50
19.53
2.20
5.70
1.25
5.19
1.53
0.49
10.56
0.05
0.05
99.78
51.8
20.44
2.42
5.65
1.29
5.69
1.66
0.41
10.41
0.22
0.22
35.39
5.82
35.17
6.02
35.72
5.58
33.75
5.21
34.21
5.22
35.06
5.02
34.55
5.21
35.52
5.51
35.94
6.24
33.96
5.77
Economic
This content downloaded from 14.139.237.34 on Wed, 18 Mar 2015 10:49:15 UTC
All use subject to JSTOR Terms and Conditions
361
resolve of the National Policy on Education 1986. The seventh 0.89 per cent in 1992-93 and settled down at 0.76 per cent of
plan document laid stress on the implementation of the goals GDP in 1997-98. The government is contributing just 0.9 per
of this policy. Subsequently, the National Literacy Mission was cent of GDP to the health sector at present. In the New Health
launched in 1988. Further, in the ninth plan the national goals Policy, 2001, there is a proposal to raise it to 2 per cent of GDP
have been reiterated.But these goals cannot be achieved without by 2010. The currentannual per capita public health expenditure
adequate allocation for the education sector. The Kothari Com- in the country is just about Rs 200. Besides the reach and quality
mission (1966) suggested initially and the National Policy on of public health services has been below the desirable levels.
Education (1986) and Ramamurthy Committee (1991) stressed
It is clear from Table 10 that in spite of the fact that human
subsequentlythat6 per cent of GDP should be spent on this sector. development is at the core of our planning and reforms, yet
The analysis of expenditure incurred on education at an all- allocations made to the social sector as a whole and particularly
India level reveals that the education expenditure rose from to education and health have not only been low duringthe reform
3.2 per cent of GDP in 1980-81 to a peak of 4.1 per cent period but these have also been declining also due to lack of
in 1989-90. It has followed a continuous declining trend since political commitment on the partof governments which is crucial
then. Despite the suggestions of Kothari Commission (1966) and for achieveing the goal of human development.
the New Policy on Education (1986) that at least 6 per cent of
GDP should be devoted to education, the goal remains distant
III
even aftermore then 10 years of reforms, as the government spent
A Decadeof Reforms
just 3.5 per cent of GDP on education in 1997-98.
As has already been observed6 that reduction in social sector
Intra-sectoral allocation of education expenditure in Table 9
shows that both the centre and the states combined together outlays would have its effects on the final outcomes of different
allocated more than 40 per cent of their budgetary resources to social sectorcomponents,thoughthe responseof outcome variables
elementaryeducation and ever 30 per cent to secondary education to fall in social sector outlay may vary for each subsector. In
in 1991-92 to 1998-99 period. As a consequence, expenditures
Table 8: Expenditure Incurred on Education
incurred on other subsectors, viz, adult, higher and technical
Education
education were relatively low. Allocation to elementary educa- Year
(in Rs crore)
tion were increased following the New Policy on Education
(1986) and it can also be attributedto the introductionof nutrition Pre-reformperiod
1980-81
3859 (3.2)
programme and district primary education programmes in the
1989-90
16905 (4.1)
mid-1990s.5 Higher priority is assigned to the objectives of
1990-91
19791 (3.87)
universal elementary education (under Sarva Shiksha Abhiyan Post-reformperiod
1991-92
21914(3.72)
also) and on secondary education which has resulted in larger
1992-93
24722 (3.68)
allocations for these subsectors.
1993-94
27530 (3.52)
1994-95
32107 (3.51)
Fromtheforegoing it is quiteobvious thatnot only theeducational
1995-96
37097 (3.48)
sector but some of its subsectors too have suffered during the
1996-97
43035 (3.48)
reformperiod so far as financial allocations to them are concerned.
1997-98
49200 (3.55)
1999-2001
Health
The first formal health care policy for India was laid out by
the Bhore Committee Report (1946). Despite the fact that it was
adopted by the government of India, but its recommendations
could not be implemented fully due to financial stringency of
the centralgovernmemt. In the formulation of the National Health
Policy, the state governments are also involved as the bulk of
expenditure on health sector is incurred by them.
The importance of development of health services and health
infrastructurehas been duly recognised in the various five year
plans in India. A new policy Health for all by 2000 AD (1977)
announced a long-term objective of population stabilisation by
bringing down net reproduction rate to one by 1995. Since this
goal could not be achieved, the National Health Policy (1983)
outlined in the Eighth Five-Year Plan reiterated the same goal.
Despite two decades of governmental emphasis on access to
health services by all and India also being a signatory to the Alma
Ata declaration (1978), we are nowhere near this goal. The
reiteration of the above-mentioned goal in New Health Policy
(1983) and consequent larger allocations for health account one
can observe the rise in health expenditure from 0.8 per cent of
GDP in 1980-81 to 0.92 per cent in 1989-90 (i e, duringpre-reform
period). During the post-reform period, the expenditure incurred
on health sector rose from 0.83 per cent of GDP in 1991-92 to
362
4.1
of TotalBudgetAllocated
for
Percentage
Elemen-Second- Adult University
Technical Other Total
taryEdu-aryEdu- Educat-Educat- Educat- Educatcation cation ion
ion
ion
ional
Programmes
1991-92
1992-93
1993-94
1994-95
1995-96
1996-97
1997-98(RE)
1998-99(BE)
46.3
45.2
46.2
46.4
48.3
49.1
49.7
48.7
33.1
34.3
33.1
33.2
32.8
32.3
30.9
30.1
1.2
1.0
1.2
1.2
0.8
0.6
0.6
0.5
13.0
12.9
13.3
1.0
12.3
11.8
11.9
13.5
4.3
4.3
4.4
4.4
4.1
4.0
4.0
4.2
2.1
2.3
1.8
1.8
1.7
2.2
2.9
3.0
100.0
100.0
100.0
100.0
100.0
100.0
100.0
100.0
Note:
This content downloaded from 14.139.237.34 on Wed, 18 Mar 2015 10:49:15 UTC
All use subject to JSTOR Terms and Conditions
case of some subsectorsthis becomesvisible duringthe short to fee hikes which would act as a deterring factor for parents
period.In this sub-section,outcome-effectsof reformson se- of these first generation learner families.7
lectedcomponentsof socialsector,viz, education,health,water
supplyand sanitationduringthe reformperiodhave been disHealth
cussed.Thisdiscussionalso bringsto light the challengeposed
Since the 1980s, in India notable improvements have taken
bytherisingcasesof HIV/AIDSduringthereformperiodinIndia.
place on some of the health indicators like life expectancy (63.7
years in 2002) and infant mortality rate (67 per thousand live
Education
births in 2002), mainly as a result of large-scale government
Afterovera decadeof reformswe find thatalthoughwe have programmes. But the health status of vast majorityof population
madeprogressin the sphereof education,our performanceis continues to remain poor despite morp than a decade of reforms.
farfromsatisfactoryandcomparespoorlywith performanceof As per Human Development Report 2004, 21 per cent population
countrieslike Sri Lanka,Indonesia,Malaysia,Koreaand the of India was undernourishedin 1999/2000 as against Indonesia's
Philippines.No doubtliteracyratehas increasedfrom43.57 per 6 per cent and China's 11 per cent. Between 1998-2002, the
cent in 1981 to 65.38 per cent in 2001. Yet with a literacyrate proportion of low birth weight babies was 30 per cent in India.
of 65 per cent, we have 296 million illiteratesin the age group The maternalmortalityrateper 1,00,000 live births,between 1990
of sevenyearsandabove.Grossenrolmentratiowas 55 percent and 1998, was estimated to be around 410 as against 65 per
in 1999 in India,but the high dropoutrateswhich stoodat 38.7 1,00,000 live births in China. In 1998-99 (which covers eight
percent for boys and2.3 per cent for girls at the primarylevel years of reforms), 58 per cent of population (in the age group
in 1999-2000(CSO 2000) make a mockeryof the high "gross of 12-23 years) was not immunised. Besides, 51 percent of India's
enrolmentratios"reported.
population was not having sustainable access to affordable
With globalisationwe requirebettereducationand a more essential drugs in 1999 and 16 per cent of the population was
skilled labourforce but contraryto the needs of the hour the not using improved water sources in 2000 (IGIDR, 2000, UNDP
overalllevels of educationand skill formationcontinuedto be various issues).
low in Indiaduring1995-99.Forinstance48 percentof children
Although social sector services are the responsibility of the
in Indiadid not reachgrade5. The percentageincreasedfrom states, yet in 1998 substantial proportion of population in India
38 per cent during1990-95to 48 per cent during1995-99 (i e, was not able to access health services. As is evident from the
anincreaseof 10percentin five years).However,thisproportion fact that medical professional assistance at the time of child birth
was as low as 3 percent in Sri Lanka[Mahbubul Haq Human was not available to 57.5 per cent of population in 1998-99. The
data about percentage distribution of deaths by type of medical
DevelopmentCentre2001].
In India,thebulkof publicexpenditure
on education(morethan attention received before death is also disturbing. It reveals that
90 percent)is incurredby the statesandthattoo undernon-plan during the period of reforms this percentage increased from 12.4
heads. Severalmicro-levelstudies show that due to reduction per cent in 1991 to 16.7 per cent in 1996 in rural areas, so far
in non-planexpenditureon educationsmanyschools could not as institutional attention was concerned. In urban areas. it inrecruitteachersand fill up the vacancies.Consequently,pupil- creased from 31.3 per cent in 1991 to 35.7 per cent in 1996.
teacherratioincreased[Panchamukhi
2000].In 1994,pupil-teacher It is important to point out here that at 16.7 per cent in rural
ratioin Indiawas 63.5 per cent for primaryschools compared areas and 35.7 per cent in urban areas, more or less 83 per cent
to 13 in Cuba,19.8 in Thiland,20 in Malaysia,22 in China,39 of rural population and 64 per cent of urban population did not
in Nepal and 50 per cent in Pakistanespecially[IGIDR2002]. have access to institutional assistance before death [CSO 2000].
is poor
The qualityand maintenanceof school infrastructure
There has been an increase in HIV/AIDS cases in India during
andbecomingworse in recentyearsbecauseof declinein non- the reform period. This poses a challenge for the health planners
planexpendituremeantforthemaintenanceof theexistingassets as well as service providers. The seriousness of this epidemic
andschemes.In 1993,only6.5 percentof all schoolshad'pucca' can be judged from the fact that in 1997, out of total AIDS cases
Health
(in Rs crore)
943 (0.8)
3767 (0.92)
4508 (0.88)
4888 (0.83)
5621 (0.89)
6218(0.79)
6920(0.73)
7880 (0.73)
9231 (0.72)
10544 (0.76)
0.9
This content downloaded from 14.139.237.34 on Wed, 18 Mar 2015 10:49:15 UTC
All use subject to JSTOR Terms and Conditions
363
is bleakandunsatisfactory
as approxi2000,India'sperformance
mately70 per cent of populationhas not been broughtunder
sanitationcoverageas yet. In sharpcontrast,in Sri Lankaand
Chinapercentagecoverage was 94 per cent and 40 per cent
respectively.Even some Africancountrieswhose HDI ranking
is below India,have bettersanitationcoveragethanIndia.For
example,in Tanzaniathe sanitationcoverageis 90 per cent, in
Uganda79 per cent, in Zambia78 per cent, in Malawi76 per
cent and in Mali 69 per cent [UNDP 2004].
V
Conclusions
Green
Left
Weekly
I*
LA
Subscription rates:
* 6 months (22 issues) $A82.50
($A148.50 outside Asia-Pacific)
Notes
[This is a substantiallyrevised version of the paper presentedearlier at a
workshop on 'Social Sector Development: Present Status and Future
Challenges'held at ISEC- BangalorefromFebruary19-21, 2003. The author
is grateful to V ChandrasekaraNaidu, MIDS, Chennai for his insightful
commentson earlierdraftof this paperand to L R Sharmafor his guidance.]
1 In some of the previous studies [Prabhu1997] only revenueexpenditure
has been included.
2 A similardeclining trendhas been observedby Panchamukhiin his study
(2000) covering comparativelyshorterperiod of time.
3 See Bourguignon and Morrisson (1992). In Chile, per capita social
expenditurein case of education, health and housing fell 20 per cent
between 1981 and 1983-86, despite a low rate of populationgrowthand
in percentageterms share of social sector in budget declined from 30
per cent before adjustmentto 23 per cent. In Morocco, social expenditure
droppedfrom 8.3 per cent of GDP in 1983 to 7.2 per cent in 1986. During
the same period,per capitaexpenditurefor educationand healthdeclined
by 11 per cent and 5 per cent respectively.
4 See also Dev and Mooij, forthcoming, Sarma, 2001.
5 Dev and Mooij (2002).
6 See Panchmukhi,2000.
7 See Panchmukhi,2000.
8. Dev and Mooij forthcoming.
References
Bourguinon, F and C Morrisson (1992): Adjustment and Equity in
Developing Countries: A New Approach, Development Centre
Studies, Organisation for Economic Cooperation and Development,
Paris.
Chelliah,R J andR Sudarshan(1998): Income,Povertyand Beyond:Human
Development in India, Social Science Press, New Delhi.
Dev, S Mahendraand Jos Mooij (2002a): 'Social Sector Expendituresin
the 1990s: Analysis of Central and State Budgets', Economic and
Political Weekly,37(9), pp 853-66.
- (Forthcoming):'The Politics of Social SectorExpenditure:An Exploratory
Analysis of the Budget - Making Process', IDS WorkingPress, Sussex
and Institute of Development Studies.
Governmentof India (1946): Report of the Committeeon Health Survey
and Development (Bhore Committee),New Delhi.
- (1966): Reportofthe Education(Kothari)Commission,
1964-1966,New Delhi.
- (1986): National Policy on Education, New Delhi.
- (1989). National Health Policy, New Delhi.
- (2001): Approach Paper to the Tenth Five-Year Plan (2002-2007),
Planning Commission, Governmentof India, New Delhi.
-: Economic Survey, various years, Ministry of Finance, New Delhi.
Griffin, Charles C (1992): 'Health Care in Asia: A ComparativeStudy of
Cost and Financing:World Bank Regional and Sectoral Studies', The
World Bank, Washington DC.
Gupta,S P and A K Sarkar(1994): 'Fiscal Correctionand HumanResource
Development', Economic and Political Weekly, March 26.
IndiraGandhiInstituteforDevelopmentResearch(1999):IndiaDevelopment
Report, 1999-2000. Oxford University Press, New Delhi.
-(2002): IndiaDevelopmentReport2002, OxfordUniversityPress,New Delhi.
Joshi, Seema (2003): 'Social Sector: Need for Reprioritisation',Southern
Economist, September 15.
Mahbubul Haq HumanDevelopmentCentre(2001): HumanDevelopment
in South Asia, Oxford University Press, Oxford.
Panchamukhi,P (2000): 'Social Impact of Economic Reforms in India: A
Critical Appraisal', Economic and Political Weekly, March 4: 839.
Prabhu,S (1994): 'The Budget and StructuralAdjustmentwith a Human
Face', Economic and Political Weekly, April 16-23.
- (1997): Social Sector Expendituresin Ihdia: Trends and Implications,
BackgroundPaper for UNDP.
-(2001): EconomicReformandSocialSectorDevelopment,SagePublications,
New Delhi.
Tan Jee-Ping and MingatAlain (1992): Educationin Asia: A Comparative
Studyof Costand Financing,WorldBankRegionalandSectoralStudies,
Bank, The World Bank, Washington DC.
UNDP (1991): Human Development Report, Oxford University Press,
New York.
- (2004): HumanDevelopmentReport,OxfordUniversityPress, New York.
This content downloaded from 14.139.237.34 on Wed, 18 Mar 2015 10:49:15 UTC
All use subject to JSTOR Terms and Conditions
365