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Global Health Economics and
            Sustainability
                                                                                             A comparative analysis



            Table 2. Fiscal marksmanship for India and selected states
            States                       Pre‑COVID‑19                               COVID‑19
                           *AE/BE    Theil’s   Theil’s Stat   Theil’s Stat   *AE/BE  Theil’s   Theil’s Stat   Theil’s Stat
                                   Stat Total   Capital   Revenue             Stat Total   Capital   Revenue
                                   Expenditure  Expenditure  Expenditure     Expenditure   Expenditure  Expenditure
            India           1.04      0.04      0.02        0.01      1.03      0.02        0.35       0.00
            Andhra Pradesh  0.87      0.02      0.23        0.02      0.92      0.05        0.66       0.10
            Arunachal       1.75      0.03      0.73        0.51      0.99      0.05        0.37       0.03
            Pradesh
            Assam           0.88      0.07      0.08        0.02      1.07      0.09        0.12       0.00
            Bihar           0.92      0.04      0.02        0.01      1.10      0.05        0.34       0.05
            Chhattisgarh    0.82      0.06      0.11        0.03      1.12      0.07        0.17       0.03
            Delhi           0.18      0.91      0.39        0.04      0.96      0.04        0.32       0.04
            Goa             0.96      0.02      0.14        0.04      0.81      0.12        0.22       0.03
            Gujarat          1        0.03      0.00        0.00      1.07      0.04        0.08       0.01
            Haryana         0.84      0.06      0.16        0.04      1.09      0.04        0.07       0.01
            Himachal Pradesh  0.94    0.03      0.15        0.04      0.95      0.02        0.17       0.01
            Jharkhand       0.89      0.03      0.04        0.02      0.98      0.03        0.24       0.02
            Karnataka       1.05      0.05      0.02        0.02      1.08      0.06        0.24       0.01
            Kerala          1.01      0.04      0.02        0.01      1.24      0.11        0.18       0.01
            Madhya Pradesh  0.92      0.01      0.00        0.01      0.97      0.05        0.07       0.01
            Maharashtra      1        0.04      0.04        0.00      1.04      0.03        0.27       0.01
            Meghalaya       1.04      0.14      0.01        0.00      1.19      0.09        0.33       0.00
            Mizoram         1.24      0.11      0.22        0.05      1.01      0.00        0.81       0.03
            Nagaland        0.92      0.02      0.25        0.04      0.76      0.14        0.56       0.05
            Odisha          0.90      0.02      0.03        0.02      1.12      0.08        0.22       0.03
            Punjab          0.81      0.04      0.45        0.03      1.02      0.01        0.55       0.03
            Rajasthan       0.97      0.02      0.20        0.03      0.92      0.07        0.28       0.01
            Sikkim          1.31      0.16      0.05        0.10      1.27      0.12        0.47       0.01
            Tamil Nadu      1.07      0.06      0.05        0.00      1.08      0.05        0.65       0.01
            Telangana       0.77      0.10      0.01        0.01      1.08      0.07        0.08       0.00
            Tripura         0.99      0.12      0.04        0.03      1.10      0.05        0.35       0.02
            Uttar Pradesh   0.86      0.05      0.00        0.00      1.04      0.03        0.13       0.01
            Uttarakhand     0.83      0.14      0.05        0.01      0.88      0.07        0.12       0.01
            West Bengal     1.12      0.06      0.01        0.01      1.22      0.10        0.24       0.02
            Note: * AE/BE: Actual-to-budget estimated expenditure ratio figures are in INR crores.
            Data source: Union and state budget documents.

            states. Mizoram, Punjab, Himachal Pradesh, Jharkhand,   In  contrast,  during  the COVID-19  period, Telangana,
            and Maharashtra were the best performers during the   Meghalaya, and Assam performed best regarding revenue
            pandemic. Nagaland, Goa, Sikkim, Kerala, and West   expenditure.
            Bengal performed the worst during the pandemic. In
            contrast, Gujarat, Madhya Pradesh, and Uttar Pradesh   The best-performing states were fiscally very disciplined,
            outperformed  other  states  regarding  capital  health   and the worst performers found it challenging to forecast
            expenditure-related fiscal marksmanship during the pre-  health expenditure. Most states deviated from fiscal
            COVID-19 and COVID-19 periods. Gujarat, Maharashtra,   discipline in the capital component during COVID-19,
            Meghalaya,  Tamil  Nadu,  and  Uttar  Pradesh  have  the   as depicted in  Figures  3-5. Mizoram deviated the most
            highest fiscal discipline in revenue and health expenditure.   in capital expenditure, with the largest gap between the


            Volume 3 Issue 3 (2025)                        140                       https://doi.org/10.36922/ghes.2920
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