International Journal For Multidisciplinary Research

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Utilization of Health Cess from Local Self-governance to Support Community Health Initiatives in Rural Areas: An Explorative Study from Karnataka

Author(s) Jyoti Koujageri, Raghavendra Thaleja, Elizabeth Joy, Liyakhat Peerjade, Vrinda Manocha, Chiteisri Devi, Manoj Kumar Pati, Rajaram Potty, Arin Kar, Mallika Tharakan, Mohan HL
Country India
Abstract Background: In India, the Panchayat Raj system is a local self-government system responsible for the economic, educational, and social development of villages. It represents weaker sections of society, including Scheduled Tribes, Scheduled Castes, Other Backward Classes, and Women. Karnataka is the first state in India to implement the Panchayat Raj Act and make Gram Panchayats (GPs) address local grassroots needs through decentralized governance. Under Section 4A of the Karnataka Health Cess Act, 1962, GPs collect 15% health cess to finance healthcare development. Methodology: The Karnataka Health Promotion Trust (KHPT) and the Department of Rural Development and Panchayat Raj (RDPR), Government of Karnataka (GoK), collaborated to explore the collection and utilization of health cess across GPs for the financial period 2022-2023. This study adopts a purposive sampling approach. Results: The study found that approximately 68 PDOs from an equal number of Gram Panchayats participated in the discussion across Karnataka, India. Twenty-one PDOs from the Mysuru Division participated in the study. All PDOs who participated in the study informed that their respective GPs collected land and built taxes from households annually. The study revealed that for the fiscal year 2022-2023, 48.53% of the GPs collected health cess tax of less than ₹0.5lakh. Most respondents (60.29%) believed that health cess had been utilized. More than half of the PDOs (54.41%) mentioned that guidelines for utilizing health cess are available. Discussion: The study recommends utilizing health cess in critical areas such as non-communicable disease management, maternal and child health, mental health awareness, and improving healthcare infrastructure. Health cess is a prime example of how fiscal policies can improve healthcare equality and accessibility by empowering GPs to lead community-based solutions and showcasing the transformative potential of localized governance in improving public health outcomes.
Keywords Keywords: Gram Panchayats, Health Cess, Community Health, Decentralized Governance, Healthcare access
Published In Volume 7, Issue 1, January-February 2025
Published On 2025-02-02
Cite This Utilization of Health Cess from Local Self-governance to Support Community Health Initiatives in Rural Areas: An Explorative Study from Karnataka - Jyoti Koujageri, Raghavendra Thaleja, Elizabeth Joy, Liyakhat Peerjade, Vrinda Manocha, Chiteisri Devi, Manoj Kumar Pati, Rajaram Potty, Arin Kar, Mallika Tharakan, Mohan HL - IJFMR Volume 7, Issue 1, January-February 2025. DOI 10.36948/ijfmr.2025.v07i01.36219
DOI https://doi.org/10.36948/ijfmr.2025.v07i01.36219
Short DOI https://doi.org/g83xxk

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