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Consider the following statements about the healthcare system of India:
1. Most of the deaths in India are caused by communicable diseases.
2. The hospitalisation rate in India is among the lowest in the world.
3. India's infant and maternal mortality rates both are higher than that of China.
4. Recently, inequities in healthcare have been decreasing in India.
Which of the statements given above are correct?
1 and 4 only
1, 2 and 3 only
2, 3 and 4 only
1, 2, 3 and 4
Explanation: 71 percent of global deaths and about 65 percent of deaths in India are caused by non-communicable diseases (NCDs). Between 1990 and 2016, the contribution of NCDs increased 37 percent to 61 percent of all deaths (National Health Portal, n.d.). So, statement (1) is not correct.
At 3-4 percent, India's hospitalisation rates are among the lowest in the world; the average for middle income countries is 8-9 percent and 13-17 percent for OECD countries (OECD Statistics). So, statement (2) is correct.
As of 2019, China's IMR was 6.8 (out of 1000 live births) as compared to India's 32. In the case of MMR (out of 100000 live births), China's rate is much lower at 29 than India's 145. So, statement (3) is correct.
In recent times, the percentage of the poorest utilising prenatal care through public facilities has increased from 19.9 percent to 24.7 percent from 2004 to 2018. There is a similar increase in the percentage of the poor accessing institutional delivery. The poorest utilising inpatient care and outpatient care has increased from 12.7 percent to 18.5 percent and from 15.6 percent to 18.3 percent. At the same time, both inpatient and outpatient utilisation among the richest dropped from 29.2 percent to 26.4 percent and 30.1 percent to 26.9 percent, respectively. So, statement (4) is correct. Therefore, the correct answer is c.
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