Nimeshkumar Patel Reviewer
Approved
Relevance and Originality
The study addresses an important issue in health financing and provides a useful Assam specific perspective over a long period. The combination of total, public, private, and per capita expenditure is relevant. However, the manuscript should clarify more precisely what new insight it contributes beyond documenting expenditure growth.
Methodology
The use of secondary data, descriptive analysis, percentage analysis, trend analysis, and CAGR is appropriate for the stated purpose. However, the authors should explain data harmonization, inflation treatment, source selection, and the exact calculation procedures more clearly to improve reproducibility.
Validity and Reliability
The government sources provide a useful basis, but individual observations are not sufficiently traceable to specific sources. The reported CAGR values should also be carefully recalculated and verified. Increasing expenditure should not automatically be interpreted as improved healthcare access or outcomes because these were not directly measured.
Clarity and Structure
The overall structure is understandable, but considerable repetition occurs across the analysis, findings, and conclusion. The language also requires academic editing for grammar, precision, and formal presentation. The CAGR formula and table formatting should be checked carefully.
Results and Analysis
The results show substantial growth in total, public, private, and per capita expenditure. The discussion would be stronger if it distinguished nominal growth from real growth and considered population, inflation, and policy changes. Claims about improved access and quality should be presented more cautiously unless supported by additional evidence.
Nimeshkumar Patel Reviewer