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MEDICAL TOURISM IN : Progress, Opportunities and Challenges

K.R. Shanmugam

Madras School of Economics

Presented at International Forum on Service Sector Advancement, Seoul, Korea, September 19, 2011 India Today

™ A major Democratic nation

™ Fourth largest economy in purchasing power

™ Among the fastest-growing in the world (8.5% growth during 2005-06 to 2009-10)

™ It made great advances in many fields particularly IT

™ With a large pool educated English speaking citizens, India emerged as an important outsourcing destination for many MNCs

™ India launched its own satellites and sent a spacecraft to moon

Tuesday, September 20, 2011 2 Services: Main Driver of Growth

™ Its share is now about 65% (55% excluding construction)

1990- 1995- 2001- 2002- 2003- 2004- 2005- 2006- 2007- 2008- 2009- Year 91 96 2000-01 02 03 04 05 06 07 08 09 10* Services 48.8 51.4 56.1 56.7 58.7 58.9 60.2 61.1 62.0 63.0 64.4 64.9

™ It8. gr ow s 10% annuall y. Fo r the last 12 yea rs , it g re w highe r than GDP 12.0 6.0 10.0 4.0 0

2.0

0.0 1990- 91 1991- 92 931992- 941993- 951994- 961995- 971996- 981997- 991998- 1999-00 012000- 022001- 032002- 042003- 052004- 062005- 072006- 082007- 092008- 2009-10 Services GDP

™ One third share in total employment and total exports ™ Accounting for a high share in foreign direct investment (FDI) inflows

Tuesday, September 20, 2011 3 Tourism

™ One of the major components of India’s services and engines of growth, contributing around 6 .11% of GDP and 10% of employment

™ Hotels and restaurants sector is an important sub-component of tour ism sec tor. Goo d qua lity an d aff or da ble h ot el rooms pl ays an important role in boosting the growth of tourism in the country (still a gap of 1.5 lakh rooms). This sector grew at 8.5% during last 5 years.

™ Government promotes hotel industry with financial and fiscal incentives like tax holidays , relaxation of external commercial borrowings for new projects, allowing FDI up to 100%, voluntary scheme of granting approval to tour operators/agents

Tuesday, September 20, 2011 4 Government Promoting Tourism

™ Government has sanctioned 23 mega projects to develop quality tourism infrastructure at tourist destinations.

™ Government has adopted the Code of Conduct for ‘Safe and Honourable Tourism’ on July 2010.

™ Along with Incredible India campaign, the Government introduced the Visa-on-Arrival scheme for tourists from Singapore, Finland, New Zealand,,g,pp Luxembourg, and Japan on a pilot basis with effect from January 2010. It was extended to other 6 countries in 2011

™ Foreign exchange earnings from Tourism reached US $ 14193 million in 2010 .

™ Still India’s share in World Tourism receipts is low at 1.54%

Tuesday, September 20, 2011 5 International Tourist Arrivals and Foreign EhExchange E arni ngs i iIdin India

Year 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 Avg. Growth FTA (in million) 1.68 1.87 1.76 1.89 2.12 2.29 2.37 2.36 2.48 2.65 5.35 FEE (Rs.crore) 4318 5951 6611 7129 8430 10046 10511 12150 12951 15626 15.74 Year 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 Avg. Growth FTA (in million) 2.54 2.38 2.73 3.46 3.92 4.45 5.08 5.28 5.17 5.58 9.55 FEE (Rs.crore) 15083 15064 20729 27944 33123 39025 44360 50730 54960 64889 18.12

60,000 5

50,000 4

40,000 3 30,000

2 20,000

1 10,000

0 0 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000

Foreign Tourist A rrivals (in million) Tuesday, September Foreign E xc hange E arnings (R s.c rore) 20, 2011 6 World Tourism Receipp(ts (US $ billion) and Indi’s Share (%)

Year 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 Avg. GR(%)

RitReceipts 276.9 9315.4 4321.9 9354.9 9405.3 3438.7442 7.8 8444.8 8458 475.3 3 6316.31

Year 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010P Avg. GR(%)

Receipts 463.8 8 481529.3 3633.2 2679.6 6744857 939 851 919 8178.17

India’s Share

Year 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 Share (%) 0.67 0.67 0.66 0.64 0.64 0.65 0.65 0.66 0.66 73 Rank ------34th 35th 36th

Year 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 Share (%) 0.69 0.64 0.84 0.97 1.1 1.16 1.25 1.26 1.34 1.54 Rank 36th 37th 37th 26th 22n d 22nd 22th 22nd 22nd 16th

Tuesday, September 20, 2011 7 Foreign Tourist Arrivals by Countries , 2010

USA 16.4%

Others 38.4% UK 13.5%

Bangaladesh 6.8% M alaysia Canada Australia Japan Sri Lanka Germany 2.9% France 4.3% 2.9% 3.0% 3.9% 3.9% 4.0%

Tuesday, September 20, 2011 8

Foreign Exchange Exchange Earning Earning per Tourist per (US Tourist $) in 2009 (US $) in 2009

2500 2207

2000 1675 1710

1500 1434 1196 1253 1075 1128 973 976 1019 907 908 931 1000

500

0 l i a d pt n n A a a Ity e ain a ay da S g p s In gy Kon UK erl S Australi rm U E Greec e tz Austri Thailand G wi S Hong Netherland

Tuesday, September 20, 2011 9 Typypes of ( niche) Tourism Offered

™ Adventure Tourism ™ Forts and Palaces

™ Sun Sand ™ The Deserts

™ Coastal Tourism ™ The Jungle

™ Backwater Tourism ™ Island Attractions

™ Eco Tourism ™ Pilgrimage

™ Architectural ™ North Eastern Treasures Regions

™ Hill Delights ™ Medical/healthcare Travel Tourism

Tuesday, September 20, 2011 10 Medical Tourism

™ Tourism coupled with a visit for medical treatment ™ Outsourcing of medical services primarily expensive surgeries to low cost countries ™ It mixes leisure, fun and relaxation together with wellness and healthcare ™ RidilhihiiReasons: soaring medical costs, high insurance premium, expensive medical malpractice insurance, more number of uninsured or under insured, long waiting period in home country, availability of quality services elsewhere , tourism aspects, availing services that are illegal in one's own country etc. ™ It is based on ch eaper ai r f are, and i nt ernet and communication channels in developing countries and cheaper hi-tech super-specialty medical services.

Tuesday, September 20, 2011 11 Drivers of Medical Tourism in India

™ India holds competitive (low-cost) advantage, ™ Availability of high quality healthcare professionals and nurses, ™ High success rat es ™ Reputation for treatment in advanced healthcare segments such as cardio-vascular surgery, organ transplants, and eye surgery, ™ Increasing popularity of India’s traditional wellness systems, ™ Diversity of tourist destinations ™ Strengths in information technology ™ India is unique as it offers holistic medicinal services ™ With yoga, medit ati on, ayurved a, all opath y, and oth er systems of medicines, India offers a unique basket of services

Tuesday, September 20, 2011 12 Promoting Medical Tourism

™ Industry initiatives

™ Government initiatives

Tuesday, September 20, 2011 13 Cost Competitiveness (Us $)

Thailaga Sin Mala South Mexic Costa

Procedure USApore India ysia nd Korea o Rica UAE Heart B ypass 133000 7000 22000 16300 12000 31700 27000 24100 40900

Heart valve replacement with bypass 140000 9500 25000 22000 13400 42000 30000 30000 50600

Hip Replacement 57000 7020 12700 1200 7500 10600 13900 11400 46000 Knee Replacement 53000 9200 11500 9600 12000 11800 14900 10700 40200

Face Lift 16000 4800 5000 7500 6400 6600 11300 4900 n/a Lap. Gastric Bypass 52000 9300 13000 16500 12700 9300 11000 n/a n/a

Tuesday, September 20, 2011 14 JCI Accredited Hospitals in Selective Countries

18 16 16 15 14 13 12 12 1 0 10 8 6 5 4 3 2 2 1 1 s aa ee dd yy aa aa nn nn ee 0 nn Indi Chin Japa Pakista Thailan German Russian Singapor Federatio Phillippin South Kore South

Tuesday, September 20, 2011 15 List of JCI Accredited Hospitals in India (2011) A ccre dit Sl. Hospitals, City State Year 1 Apollo Hospital, Hyderabad Andra Pradesh 2006 2 Fortis Escorts Escorts Heart Heart Institute Institute New, New Delhi Delhi 2010 3 Indraprastha Apollo Hospital, New Delhi Delhi 2005 4 Moolchand Hospital, New Delhi Delhi 2009 5 Apollo Hospitals, Bangalore Karnataka 2008 6 Fortis Hospital, Bangalore Karnataka 2008 7 Narayana Hrudayalaya, Bangalore Karnataka 2011 8 Ahalia Foundation Eye Hospital, Palakkad Kerala 2010 9 Asian Heart Heart Institute Institute Mumbai, Mumbai Maharastra 2006 10 Fortis Hospital, Mumbai Maharastra 2005 11 Shroff Eye Hospital, Mumbai Maharastra 2006 jab 12 Fortis Hospital, Mohali Pun 2007 13 Satguru Partap Singh Apollo Hospital Punjab 2007 14 Apollo Hospital, Chennai Tamil Nadu 2006 15 Sri Ramachandra Medical Centre, Chennai Tamil Nadu 2009 16 Apollo Gleneagles Gleneagles Hospitals Hospitals Kolkata, Kolkata West Bengal Bengal 2009 Tuesday, September 20, 2011 16 Approved Hotels (and Rooms)

No. of Hotels No. of Rooms Category of Hotels 2003 2009 % Change 2003 2009 % Change One Star 201 118 -41.3 6606 2834 -57.1 Two Star 533 287 -46.2 17629 8494 -51.8

Three Star Star 551 683 242607130577 17.3 3 Four Star 122 121 -0.8 8655 9299 7.4 Five Star 85 94 10.6 10416 11387 9.3

Five Star Deluxe 74 105 41.9 16885 22254 31.8 Apartment Hotels Time Share Resorts -6 -514

Heritage Hotels Hotels Unclassified Unclassified 77 64 -16.9 9 2124 1921 -969.6 Classification Awaited 79 115 45.6 3334 7807 134.2 Total 1722 1593 -7.5 91720 95087 3.7

Tuesday, September 20, 2011 17 Recoggpnized Tour Operators in Top States (as on 1.1.2010)

700 600 600

500

400

300

200 172 112 100 60 59 67 29 29 26 25 21 19 19 15 0 oa oa jab tra gal esh elhi rala aka ana han han esh arat thers adu GG nn hh tt nn tt jj dd ee

yy dd DD OO NN

K Pu Gu Har Rajas Karna Tamil West Be Maharas Uttar Pra Andhra Pra Andhra

Tuesday, September 20, 2011 18 FTAs in India byyp Purpose of Visit (2009)

Number of Purpose of of Visit Visit FTAs % Business and Professional 780323 15.1 Lei isure,R Recreation ti and Ho dlid Hay lid 2971427 57.5 5 Visiting Friends and Relatives 909515 17.6 Medical lTreatment 113689 2.2 Others 392745 7.6 Total 5167699 100

Tuesday, September 20, 2011 19

FTA's in India for Medical Treatment (2009)

40000 35312 35000

30000 26568 25000

20000 17764

15000 2132 1

10000 98 409

5000 4860 75 662 44 22 3853 00 3399 1 1 3157 1 0 an pal pal SA esh esh nka AE eria eria stan ives UK ysia thers ee mm aa dd gg O UU UU O

N Ni Mala Sri L Sri Mald Afghani Bangla

Tuesday, September 20, 2011 20 Foreign Tourists to Top 10 States/UTs in India (2010)

Maharastra 3% 10% Tamil Nadu 2% 4% 27% Delhi 4% Uttar Pradesh Rajasthan West Bengal 7% KlKerala 7% Bihar 16% Himchal Pradesh 9% 11% Go a Others

Tuesday, September 20, 2011 21 Number of Domestic and Foreign Visits to State/UTs in India (million)

Year 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000Avg. GR(%) Domestic 66.67 81.46 105.81 127.12 136.64 140.12 159.88 168.20 190.67 220.11 14.48 Foreign 3.15 3.10 3.54 4.03 4.64 5.03 5.50 5.54 5.83 5.89 7.39 Year 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010Avg. GR(%) Domestic 236.47 269.60 309.04 366.27 391.95 462.31 526.56 563.03 668.80 740.21 13.60 Foreign 5.44 5.16 6.71 8.36 9.95 11.75 13.27 14.38 14.37 17.85 14.68

800 16

12 600

8 400

4 200

0

0 1992 1994 1996 1998 2000 2002 2004 2006 2008 2010

DOM ESTIC FOREIGN Tuesday, September 20, 2011 22 Number of Medical Tourists in India in 2006 and 2009

2006 2009

Avg. Exp. FEE (US $ Avg. Exp. FEE (US Details Millions (US $ ) million) Millions (US $ ) $ million)

IFI. ForeignT our iistA rr Tivals(FTA) i Ai l(FTA)4504.50 5175.17

II. Medical Tourists (2.2% of FTA) 0.10 2000 200 0.11 2200 200

III. Number of NRI visitors 2.00 3.00 IV. 10% NRIs with HC objectives 0.20 1200 240 0.30 1200 360

V. 5% of I use wellness system like0.23 Yoga, Ayurveda 667 150 0.26 733 190

VI. Total Number of Medical Tourists0.52 (II+IV+V) 590 0.67 750

Tuesday, September 20, 2011 23 Medical Tourists up to 2015 in

India: Projected Medical Tourists (in million)

3.50

3.23 Details 2009 2010 20113.00 2012 2013 2014 2015

2.50 2.49 Scenario 1 (10 percent 1 growth) (10 percent growth) 2.00 2.00 1.9 1

1.6 7 1.50 1.4 7 Medical Tourists (million) 0.67 0.74 0.81 0.891.3 9 0.98 1.08 1.19

1.19 Revenues 1.13 1.16 1.0 8 1.00 0.96 0.98 0.87 0.89 0.80 0.81 (($US$ million ) 750 ) 825 908 998 10980740 .74 1208 1329 0.50 0.67

0.00 Scenario2009 2010 2011 2 2012 (20 2013 percent 2014 2015 growth) Medical Tourists (million) 0.67 0.80 0.96 1.16 1.39 1.67 2.00 Revenues in US$ m illion Revenues (US $ million) 750 9004000 1080 1296 1555 1866 2239 Scenario3500 3 ( 30 percent growth) 3000

2500

Medical Tourists (million) 0.67 0.872000 1.13 1.47 1.91 2.49 3.23 Revenues (US $ million) 750 9751500 1268 1648 2142 2785 3620 1000

500

0 2009 2010 2011 2012 2013 2014 2015 Tuesday, September 20, 2011 24 Economics of Medical Tourism: a case study for India and South Korea

Unit Cost Max Output Autarky South South South Korea IndiaKorea IndiaKorea Total Procedure India Capacity 70000 66000 Bypass 700030000102516 Hi ppp Replacement 7020 10500 10 6538 Total 20 2 10 4 14

OtitCtfHiRliIdiOpportunity Cost of Hip Repl. in India : -1.002 Opportunity Cost of Hip Repl. in SK : -0.35

Tuesday, September 20, 2011 25 Economics of Medical Tourism: Gain from Trade and Specialization

India South Korea

Hip Re Details Bypass pppHi ReplacementypassB placement Total

Production 7 3 0 6 16

TdTradegi2ive2 get3t 3 t2t 2 ge gi3ive3

Consumption 5623 16

Total Gain 2

Tuesday, September 20, 2011 26 Opportunities

™ More demand for healthcare services from countries with aging population (like U .S and U .K) ™ Modern life style increases demand for wellness tourism and alternative cures ™ Shortage of supply in National Health Systems in countries like U.K, Canada ™ Reduced/competitive cost of international travel ™ Increased demand from countries with less healthcare facilities ™ Demand for retirement homes for elderly people esppypecially Japanese

Tuesday, September 20, 2011 27 Problems and Challenges

™ No strong government support/initiative to promote medical tourism ™ Lack of coordination among various players in the industry– airline operators, hotels and hospitals ™ Custome r Per ception as an u nhygienic co unt ry ™ No proper accreditation and regulation system for hospitals ™ Lack of uniform ppgpricing policies across hosp itals ™ Strong competition from other countries (like Thailand, Malaysia, Singapore) ™ Low investment in health infrastructure ™ Lack of proper insurance policies for this sector

Tuesday, September 20, 2011 28 To India

THANK YOU

UK, USA, Canada, Middle East, South East Asia Medical Tourists 29 Back Ground Slides

Tuesday, September 20, 2011 30 Growth of International Standard Hospitals

Forti s H ospit al , D elhi Apollo Hospital Max Hospital Delhi Hyderabad

Jaslok Hospital, Mumbai Breach Candy Hospital Wokhardt Hospital BlBangalore Tuesday, September 20, 2011 31 Statewise Major Tourist Places: INDIA States/UTs Major Tourist Places Cellular Jail, Andaman Water Sports Complex, Gandhi Park, Cobboyn's Cove Complex, Andaman & Anthropological Museum, Ross Islands, MG Marine National Park, Cinque Islands, Havelock Nicobar Island Islands . Charminar, Jama Masjid, Thousand Pillar Temple, Raja Mahal, Chandragiri, Gopuram of Andhra Veerabhadra Swami Temple, Mecca Masjid, Khush Mahal,,Ramappa Temple, Rama Temple, Famous Rocks at Jubilee Hills, Warangal Fort, Tirupathi, Kanaka Durga Temple, Salarjung Pradesh Museum, Buddha Stupa at Nagarjunakunda, etc Arunachal Tawang, Dirang, Bomdila, Tipi, Itanagar, Malinithan, Likabali, Pasighat, Along, Tezu, Miao, Roing, Pradesh Daporijo, Namdapha, Bhismaknagar, Parashuram Kund and Khonsa. Kamakhya Temple, Umananda, Navagraha, Basisth Ashram, Dolgobinda, Gandhi Mandap, State Assam Zoo, State Museum, Sukreswar Temple, etc. in Guwahati, Kaziranga National Park, Manas, Orang, Sibasagar, Tezpur, Bhalukpung, Hajo, Batadrava, etc. Bihar Rajgir, Bodh Gaya, Gaya, Nalanda, Topchachi, Patna etc. Rock Garden, Zakir Rose Garden, Fragrance Garden, Shanti kunj, Sukhna Lake, City Museum, Art CCadgah a n d i ga rh GllG a ll ery, Li L e iVllsure V ta ll ey e t c. Amarkantak, Banjari Baba, Bhoramdev, Champaranya, Chitrakoot, Dhudhadhari Math, Guru Ghasidas Memorial Museum, Govt. H.S. School, Gurudwara Station Road, Jagannath Dev Temple, Jaistambh Chowk, Shwetamber Jain Temple, Kapildhara, Kaisar-E-Hind, Maa Bamleshwari Devi, Chhatisgarh Mahamaya Devi, Mahakaushal Kala Vithika, Maitri Garden, Nagar Ghadi, Rajim, Ratanpur, Sahkari Bank, Vivekanand Sarover (Budha Talab), Shadani Darbar, Sikaser, Sirpur, St. Joseph Church, Tala Town Hall, Vivekanand Ashram Dadra & Nagar Tadkeshwar Shiva Mandir, Vanganga Lake, Dudhani, Deer Park at Khanvel etc. Devka beach, Jampore beach, SatyasagarUdyan, Light House and Summer House at Daman, Daman & Diu Nagoa Beach etc. Delhi Red Fort, Jama Masjid, Qutab Minar, India Gate, Lotus temple, Laxmi Narayan Mandir etc. Colva, Calangute, Vagator, Baga, Harmal, Anjuna and Miramar beaches; Basilica of Bom Jesus and Se Cathedral churches at Old Goa;Kavlem, Mardol, Mangueshi, Bandora temples; Aguada, Goa Terekhol, Chapora and Cabode Rama Forts; Dudhsagar and Harvalem Waterfalls and Mayem Lake Resort, wildlife sanctuaries, viz., Bondla, Cotigao, Molem and Dr Salim Ali Bird Sanctuary at Chorao., etc. Dwarka , Somnath ,,,g,j,,j,g Palitana , Pava g adh , Amba j i , Bhadreshwar , Shamla ;j i , Taran g a and Girnar ; Gujarat Porbandar, birth place of Mahatma Gandhi, Patan, Siddhpur Ghumli, Dabhoi, Vadnagar, Modhera, Lothal and Ahmedabad; Ahmedpur-Mandvi, Chorwad, Ubharat and Tithal; Saputra; Gir Forest Blue Jay (Samalkha), Skylark (), Chakarvarty Lake and Oasis (Uchana), Parakeet (Pipli), Kingfisher (Ambala), Magpie (), Dabchick (Hodel), Shama (), Jungle Babbler Harayana (Dharuhera), Gauriyye (), Myna (), Blue Bird (), RedBhishop () and Pin jj(j)jore Gardens ( Pin j ore ) . Sura j kund and ,py(p, , Sultan p ur bird sanctuar y ( Sultan p ur , Gurgaon) and Damdama in Gurgaon, Hills, The Crafts Mela Tuesday, September 20, 2011 32 State wise Tourist Places: India

Himachal Shimla, Palampur, Dharamsala, Kullu-Manali, Chamba-Dalhousie Pradesh Jammu & Shalimar Bagh, Dal Lake, Gulmarg, Pahalgam, Sonamarg, Vaishno Devi etc. Kashmir Jharkhand Ranchi, Deogarh, Netarhat, Hundru, Johna, Betla, Rajrappa, Hazaribagh Karnataka Bangalore, Mysore, Belur, Shree Rangpattna, Bidar, Bijapur, Mangalore, Gokarna, etc. Wildlife sanctuaries at Thekkady, Parambikulam, Mananthavady, Sulthan Batheri, Wayanad; Kerala Kovalam; Subarimala temple of Lord Ayyappa in Pathanamthitta district; Thiruvananthapuram, the capital city, etc. Lakshadweep Bangaram, Minicoy, Agati islands, Ujra Mosque and the scenic beauty of the entire islands etc. Madhya Panchmari, Dhuandhar Fall, Kanha National Park, Ujjain, Chanderi, Khajuraho complex, Sanchi, Pradesh Vidisha, Gwalior etc. Maharashtra Ajanta, Ellora, Elephanta, Mahabaleshwar, Mumbai, Pune etc. Manipur Imphal, Bishnupur, Loktak Lake, Sirori Hills, Keibul Lamjao National Park, etc. Meghalaya Shillong, Jowai, Cherrapunji, etc. Mizoram Aizawl Champhai, Champhai Tamdil, Tamdil Thenzawl, Thenzawl etc etc . Kohima, Dimapur, Khonoma, Dzukou valley, Dzulekie, Japfu Peak, Tseminyu, Longkhum, Nagaland UngmaVeda Peak, Shilloi LakeMount Tostu etc. Orissa Bhubaneswar, Konark, Puri, Udaygiri-Khandgiri, Gopalpur etc. Sri Aurobindo Ashram, Auroville Museum, Chunnambar resort, botanical garden, Romain Roland Pondicherry library, the coastline and beaches, the government park, several temples churches and mosques in Po ndicherry Karaikal, Karaikal and and Mahe Mahe etc etc . Punjab Golden Temple in Amritsar, Jallianwala Bagh, Anandpur Sahib, Bhakra Dam, Sodal temple etc. Rajasthan Jaipur, Jodhpur, Udaipur, Mount Abu, Ajmer, Alwar, Jaisalmer, Chittorgarh etc. Sikkim Gangtok, Bakhim, Yamthang, Dubdi, Dzongri, Varsey, Tashiding etc. T amil Nadu Chennai ,,p,p,, Mamalla p uram , Kanchee p uram , Madurai , ,y,jRameswaram , Kan y akumari , Than javur etc. Tripura Agartala, Old Agartala. Tripura Sundari Temple etc. Uttaranchal Dehradun, Nainital, Pauri, Bageshwar, Haridwar Tajmahal, Agra Fort, Varanasi, Mathura, Vrindaban, Kedarnath, Badrinath, Gangotri, Yamunotri, Uttar Pradesh Sarnath, Lucknow, Ayodhya, Chitrakoot, Prayag, etc. West Bengal Calcutta , Darjeeling Digha, Digha Sunderban, Sunderban Bishnupur, Bishnupur Shantiniketan, Shantiniketan Ayodhya Hills Jaldapara, Ayodhya Hills , Jaldapara etc .

Tuesday, September 20, 2011 33 Sectoral Share (%)

1990- 1995- 2000- 2001- 2002- 2003- 2004- 2005- 2006- 2007- 2008- 2009- Sectors 91 96 01 02 03 04 05 06 07 08 09 10* AiltfAgriculture,forestry t & &fihi fishing 31.4 27.3 23.9 24.0 21.4 21.7 20.2 19.5 18.5 17.8 15.7 14.6 Mining & quarrying 2.7 2.5 2.3 2.2 2.3 2.2 2.2 2.1 2.1 2.0 2.4 2.4 Manufacturing 14.9 16.2 15.3 14.8 15.2 15.0 15.1 15.1 15.3 15.2 15.6 16.1 Elect. ggppyas & water supply 2.2 2.5 2.4 2.3 2.4 2.3 2.3 2.2 2.1 2.0 2.0 2.0 Services 48.8 51.4 56.1 56.7 58.7 58.9 60.2 61.1 62.0 63.0 64.4 64.9 GDP at factor cost 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 Of Services CttiConstruction 616.1 565.6 585.8 575.7 595.9 616.1 666.6 707.0 727.2 727.2 808.0 828.2 Trade, hotels & restaurant 12.1 13.5 14.3 14.9 15.3 15.5 15.5 15.6 15.7 15.9 16.6 16.3 Hotels & restaurants 0.9 1.0 1.3 1.3 1.3 1.3 1.4 1.4 1.5 1.6 1.5 1.4 Transpp,ort,storag ge & comm. 6.3 7.0 8.0 8.2 9.0 9.5 10.2 10.7 11.4 12.1 9.6 7.8 Financing,ins.,real estate & buss 10.6 12.0 13.0 13.2 13.7 13.4 13.5 13.8 14.3 14.6 16.9 16.7 Banking & insurance 3.9 4.8 5.6 5.7 6.1 5.8 5.9 6.1 6.7 7.1 5.7 5.4 Real estate,ownership of Rea 6.6 7.1 7.5 7.5 7.6 7.6 7.7 7.6 7.6 7.5 10.4 11.4 Other S Servi ices 13.8 13.3 15.0 14.7 14.8 14.3 14.2 13.9 13.4 13.1 13.4 14.4 Tuesday, September 20, 2011 34 Employment Share (%)

Sectors1993-942004-052007-08% point point Change Change

Primary64.5 557 55.9 9 -868.6

Secondary14.3 318.2 2 18.7 7 444.4

Tertiary21.2 224.8 8 25.4 4 424.2

Source: Econom ic S urvey of In dia (2010 -11) Tuesday, September 20, 2011 35 GDP and Sectoral Growth (%)

1990-91 to 2000-01 to 1990-91 to Sectors 1999-00 2009-10 2009-10 Agriculture,forestry & fishin & fishin3.2 2.5 2.8 Mining & quarrying 4.1 5.5 4.9 Manufacturing 575.7 757.5 666.6 Elect. gas & water supply 7.3 4.7 5.9 SiServices 717.1 909.0 808.0 GDP at factor cost 5.7 7.2 6.5

Tuesday, September 20, 2011 36 Performances of Services Growth of Top 12 Countries

Tuesday, September 20, 2011 37 IT and ITES Revenues and Exports (US $ billion)

Tuesday, September 20, 2011 38