Health Sector Economics — Key Changes

Entry	Year	Description	Impact
73rd and 74th Constitutional Amendments	1992	These amendments institutionalized Panchayati Raj Institutions (PRIs) and Urban Local Bodies (ULBs), respectively, as self-governing units. They devolved powers and responsibilities to local bodies, including those related to public health and sanitation.	Economically, these amendments aimed at decentralizing health planning and implementation, allowing for more localized resource allocation and needs-based interventions. While the actual devolution of financial powers for health remains a challenge, they provide a framework for community participation and local accountability in health service delivery, potentially improving efficiency and equity at the grassroots level.