New Delhi, June 22, 2025 — A recent study has revealed that public health spending in India has not translated into significant pro-poor healthcare services, raising concerns about the effectiveness and equity of current government initiatives.

The report, which analyzed national-level data, highlights a "patchy distribution of equality" in public healthcare expenditure between urban and rural populations. While government spending on health has increased over the years, the benefits remain disproportionately skewed toward urban areas and wealthier populations.

“Despite policy intentions, the outcomes indicate that the most vulnerable communities—especially in rural and marginalized regions—are still not receiving their fair share of healthcare services,” said one of the study’s lead researchers.

According to the findings, rural residents often face poor infrastructure, shortage of medical personnel, and long travel distances to access even basic healthcare. Meanwhile, urban centers continue to attract a lion’s share of public health resources.

Public health experts argue that the issue stems from systemic inefficiencies and a lack of targeted policy implementation. “Allocating funds is not enough—ensuring they reach the right people is crucial,” said Dr. Asha Menon, a health policy analyst.

The study calls for a major reassessment of public health strategies, urging the government to implement region-specific interventions, strengthen rural health systems, and improve accountability mechanisms to ensure that increased spending translates into equitable outcomes.

As India strives to achieve universal health coverage, the report serves as a stark reminder that equity—not just expenditure—must be at the heart of public health planning.