Document Type

Working Paper

Publication Date



In view of the importance of public financing in influencing health outcomes and the paucity of studies that have explored patterns of resource allocation on reproductive and child health services, a study was undertaken in Orissa, India to examine the pattern of and trends in public expenditure on health care with a special focus on expenditure on reproductive and child health services. The study was part of the Population Council, India’s Health and Population Innovation Fellowship program. Findings indicate that major policy issues such as the transfer of power to panchayati raj institutions and those involving health administration and management, and human resource–related subjects, particularly promotion and transfer policies and leadership issues, have adversely affected service delivery in the state. Concerted efforts need to be initiated in these areas in order to better plan, monitor, and utilize funds in order to improve maternal and child health services in Orissa.