Despite growing economic prowess, India figures among the bottom 5 nations with the lowest expenditure on public health. A report by Accenture points out that the Indian healthcare system suffers from under-funding and poor governance, which has created inequities in basic healthcare facilities. The system, evolved over 50-60 years has coverage and service levels which are inadequate. Moreover, the country has invested less in public health than most countries, though healthcare expenditure has increased considerably.
Substantial gaps in infrastructure, low health insurance coverage and inadequate manpower are the major challenges plaguing the sector. Private expenditure on health is quite high at 80 % and it seems to be unsustainable.