Health / Health sector development and reform

The purpose of the PPTA is to design a Project that will further extend and improve the health, nutrition and population status of the urban poor, particularly women and children, by ensuring that they have access to high-quality PHC services. The PPTA will also plan to strengthen and sustain such improvements, as well as the capacity and linkages of LGD, MHFW, CCs, municipalities, and related institutions.

The PPTA will consist of a situation analysis of the urban health sector, and preparation of a project proposal following a bottom-up participatory approach. The situation analysis will include (i) a review of UPHCP and other health projects, (ii) the policy, governance and financing environment, and (iii) urban developments that affect health. This will include the following: (i) policy, institutional capacity of CCs and municipalities, and governance issues for sustainable health sector development, (iii) programs and projects and their impact on the poor and others to determine project scope, ESP, and preferred implementation arrangements, (iii) urban PHC financing, in particular appropriateness of cost recovery and contributions of CCs and municipalities, and cost estimates of services and supervision to ensure proper quality of care, (iv) social analysis to increase benefits for the very poor; and (v) physical planning to review options for providing space for PHC and improve environmental conditions.