Explanation:

According to the context of the passage, it is implied that the public health expenditure in the country is only 1 percent of the total GDP of the country though the budgetary allocations have also been increased recently by the Union Government.
Among the given options, it is clear that Option A is the correct choice as we are talking about budgetary allocations in the statement. Other words are not relevant in the given context and can be ruled out very easily without much consideration. Ramifications refer to consequences of some action.
The complete statement would be:
The public health expenditure in India, despite recent increases in allocations, has been little over 1% of the gross domestic product (GDP).
This makes option A the correct choice among the given options.