India : Supporting National Urban Health Mission

Sovereign Project | 47354-003

ADB is reinforcing the efforts of Government of India to improve the health of people who live in cities, especially the poor. The project is strengthening broadly-defined urban health systems across cities and towns to deliver quality essential health services for all, with a particular focus on the poor and vulnerable. The project is improving the networks of primary health facilities in urban areas and introducing a quality assurance mechanism for them. It is also helping to improve planning, management, and innovation, in order to bring best practices to city clinics and health centers. The financing for the project is being disbursed based on the achievement of results, including more births in health facilities and higher childhood immunization rates.

Project Details

Related Projects

Project Name
Supporting National Urban Health Mission
Project Number
47354-003
Country / Economy
  • India
Project Status
Closed
Project Type / Modality of Assistance
  • Loan
  • Technical Assistance
Source of Funding / Amount
Loan 3257-IND: Supporting National Urban Health Mission
Source Amount
Ordinary capital resources US$ 300.00 million
TA 8899-IND: Strengthening Capacity of the National Urban Health Mission
Source Amount
Japan Fund for Prosperous and Resilient Asia and the Pacific US$ 2.00 million
TA 8899-IND: Strengthening Capacity of the National Urban Health Mission (Supplementary)
Source Amount
Technical Assistance Special Fund US$ 500,000.00
TA 8899-IND: Strengthening Capacity of the National Urban Health Mission (Supplementary)
Source Amount
Technical Assistance Special Fund US$ 375,000.00
TA 8899-IND: Strengthening Capacity of the National Urban Health Mission (Supplementary)
Source Amount
Technical Assistance Special Fund US$ 1.00 million
Strategic Agendas
  • Inclusive economic growth
Drivers of Change
  • Gender Equity and Mainstreaming
  • Governance and capacity development
  • Knowledge solutions
  • Partnerships
  • Private sector development
Sector / Subsector
  • Health / Health system development

Gender
Gender equity theme
Description
ADB is reinforcing the efforts of Government of India to improve the health of people who live in cities, especially the poor. The project is strengthening broadly-defined urban health systems across cities and towns to deliver quality essential health services for all, with a particular focus on the poor and vulnerable. The project is improving the networks of primary health facilities in urban areas and introducing a quality assurance mechanism for them. It is also helping to improve planning, management, and innovation, in order to bring best practices to city clinics and health centers. The financing for the project is being disbursed based on the achievement of results, including more births in health facilities and higher childhood immunization rates.
Project Rationale and Linkage to Country/Regional Strategy
India has made significant progress toward improving health services but more than 77 million poor and vulnerable people in cities still have limited access to basic health services such as child immunization. India''s rapid urbanization has accompanied massive growth in the number of urban poor and large health disparities. For example, studies have found poor city children under the age of 5 are almost twice as likely to die as children in more prosperous situations. This is due to adverse living conditions and limited access to health services, despite the fact that these children may often live close to many hospitals. This vulnerable segment of the population cannot afford the private health providers that dominate urban areas and often incur out-of-pocket health expenses that drive them even deeper into poverty. There is also limited health promotion services.
Impact

Improved health status of the urban population, particularly the poor and vulnerable, across India

Project Outcome

Description of Outcome

Increased access to equitable and quality urban health system

Progress Toward Outcome
Outcome for DLI 1 (Increased institutional deliveries in Urban areas) and DLI2 (Increased complete immunization) for 2016 and 2017 is achieved. The data obtained from the HMIS of the Statistics Division of MoHFW shows an achievement of 72.1% & 64.7% for the period 1 October 2016 - 30 September 2017 compared to the previous year achievement of 62.9% and 60% indicating an increase of 9.2% & 4.7% points registered from FY 2016 achievement.

Implementation Progress

Description of Project Outputs

3. Capacity for planning, management, and innovation and knowledge sharing strengthened

2. Quality of urban health services improved

1. Urban primary health care delivery system strengthened

Status of Implementation Progress (Outputs, Activities, and Issues)

Output 1:

The Guideline for vulnerability mapping shared with states in July 2017.

Workshops have been organized initially in 6 states (UP, MP, Odisha, Haryana, Assam, Maharashtra) and thereafter in 4 other States (Jharkhand, Karnataka, Tripura and Bihar) to provide hand holding support to states in Vulnerability mapping.

The states have completed vulnerability exercises as observed during field visits and mentioned in meetings. Documentation being prepared accordingly.

The ASHA functionality information based on agreed protocol (minimum incentive package) was found to be 93% for 35 States and UTs/ULBs

Output 2:

(i) Baseline assessments in states including patient Satisfaction undertaken . As against a target of 50% of UPHCs, 980 UPHCs (78.7%) out of the approved and functional 1245 UPHCs (as per 2016 -17 approvals) have so far undertaken baseline assessment in those 15 states where organizational arrangements for quality assurance have been established.

(ii) Baseline QA assessments including patient Satisfaction undertaken for 20 states. As against a target of 80% of UPHCs, 80.1% out of the approved and functional 2,157 UPHCs (as per 2016 -17 approvals) have so far undertaken baseline assessments.

Output 3:

(i) With reference to the Capacity Building Framework State wise approvals accorded for training /Capacity building activities being tabulated and will be shared thereafter. Information on the type of training, training completed/held etc. obtained from states/UTs/ULBs being compiled. In addition, information on the trainings/capacity building conducted at the National Level also being compiled.

(ii) The innovations and partnerships approved in the ROPs and implemented by the States/UTs/ULBs is being compiled.

Geographical Location
Nation-wide

Safeguard Categories

Environment
B
Involuntary Resettlement
C
Indigenous Peoples
C

Summary of Environmental and Social Aspects

Environmental Aspects

An assessment is expected to ensure that the upgrading of urban primary health centers do not result in any adverse environmental impact.

[Potential environmental impacts of the program will not be significant or irreversible during the site specific activities, including construction and operations of the PHCs. The mitigation measures can be built into the program safeguard system. The program's initial categorization of environmental impacts is Category B.]

Involuntary Resettlement

An assessment is expected to ensure that the upgrading of urban primary health centers do not result in any adverse impact on involuntary resettlement or indigenous people.

[The program's initial categorization of social impacts is Category C. No adverse social impacts are expected or will be supported under the program.]

Indigenous Peoples

An assessment is expected to ensure that the upgrading of urban primary health centers do not result in any adverse impact on involuntary resettlement or indigenous people.

[The program's initial categorization of social impacts is Category C. No adverse social impacts are expected or will be supported under the program.]

Stakeholder Communication, Participation, and Consultation

During Project Design
The development of National Urban Health Mission (NUHM) and Framework for Implementation by the Ministry of Health and Family Welfare involved extensive consultations across all levels of Government and civil society. The NUHM Technical Resource Group (TRG) further guided on key issues of reaching vulnerable sections of the society, main strategies and institutional design of NUHM, and organization of urban health service delivery and governance based on series of consultations with experts and a range of vulnerable urban poor groups and field visits to 30 cities. The ADB team also conducted stakeholder consultations and detailed field assessment of NUHM implementation in West Bengal, Madya Pradesh, and Tamil Nadu, which gave important insights into NUHM implementation challenges and capacity building requirements.
During Project Implementation
For stakeholder participation, the NUHM emphasizes community participation and processes, reaching of vulnerable groups, and capacity building of stakeholders (urban local bodies, health workers, private providers, community structures, and functionaries of other related departments) in managerial, technical, and public health competencies

Business Opportunities

Consulting Services
A total of 113 person-months of consulting inputs, comprising (i) individual consultants, totaling 20 person-months inputs (10 person-months of international, and 10 person-months of national inputs); and (ii) a firm, totaling 93 person-months inputs (41 person-months international and 52 person-months national inputs). are provided under the CDTA. The firm's contract is ongoing. Four national consultants have been recruited (M&E, Financial Management, Program Management, and Program Planning and Monitoring Specialists), and 2 are underway (Field Implementation Support Coordinator and Capacity Development Implementation Specialist).
Procurement
The procurement scope under the NUHM will include renovation of existing public health centers, construction of new public health centers, procurement of medicines, consumables, medical equipment, and ICT equipment and other office and laboratory facilities, engagement of consulting services for project and financial management, medical consultants, community workers, and NGOs. Procurement will be undertaken following the country procurement systems as spelt out in the General Financial Rules, 2005 (GFR) of the GOI and its amendments and the State Financial Rules/ Procurement Law/ Procurement Policy developed by the States within the frame work of the national GFR.

Contact

Responsible ADB Officer
Sonalini Khetrapal
Responsible ADB Department
South Asia Department
Responsible ADB Division
India Resident Mission (INRM)
Executing Agencies
Ministry of Health and Family Welfare

Timetable

Concept Clearance
25 Aug 2014
Fact Finding
18 Sep 2014 to 24 Sep 2014
MRM
11 Dec 2014
Approval
28 May 2015
Last Review Mission
-
Last PDS Update
29 Jun 2021

Funding

Loan 3257-IND

Milestones
Approval Signing Date Effectivity Date Closing
Original Revised Actual
28 May 2015 28 Jul 2015 01 Sep 2015 30 Sep 2018 30 Sep 2019 06 Feb 2020
Financing Plan
  Total (Amount in US$ million)
Project Cost 1,954.90
ADB 300.00
Counterpart 1,654.90
Cofinancing 0.00
Loan Utilization
  Date ADB Others Net Percentage
Cumulative Contract Awards 27 Oct 2022 300.00 0.00 100%
Cumulative Disbursements 27 Oct 2022 300.00 0.00 100%
Status of Covenants
Category Sector Safeguards Social Financial Economic Others
Rating Satisfactory - Satisfactory Satisfactory - -

TA 8899-IND

Milestones
Approval Signing Date Effectivity Date Closing
Original Revised Actual
28 May 2015 30 Jul 2015 30 Jul 2015 30 Jun 2018 27 Nov 2021 21 Oct 2022
Financing Plan/TA Utilization
ADB Cofinancing Counterpart Total
Gov Beneficiaries Project Sponsor Others
1,875,000.00 2,000,000.00 0.00 0.00 0.00 0.00 3,875,000.00
Cumulative Disbursements
Date Amount
27 Oct 2022 3,695,730.79
Status of Covenants
Category Sector Safeguards Social Financial Economic Others
Rating Unsatisfactory - Unsatisfactory Unsatisfactory - -

Project Data Sheets (PDS) contain summary information on the project or program. Because the PDS is a work in progress, some information may not be included in its initial version but will be added as it becomes available. Information about proposed projects is tentative and indicative.

The Access to Information Policy (AIP) recognizes that transparency and accountability are essential to development effectiveness. It establishes the disclosure requirements for documents and information ADB produces or requires to be produced.

The Accountability Mechanism provides a forum where people adversely affected by ADB-assisted projects can voice and seek solutions to their problems and report alleged noncompliance of ADB's operational policies and procedures.

In preparing any country program or strategy, financing any project, or by making any designation of, or reference to, a particular territory or geographic area in this document, the Asian Development Bank does not intend to make any judgments as to the legal or other status of any territory or area.

Title Document Type Document Date
Strengthening Capacity of the National Urban Health Mission: Technical Assistance Completion Report TA Completion Reports Aug 2022
Supporting National Urban Health Mission: Program Completion Report Project/Program Completion Reports Dec 2021
Supporting National Urban Health Mission: Audited Project Financial Statements (April 2019-March 2020) Audited Project Financial Statements Apr 2021
Supporting National Urban Health Mission: Audited Project Financial Statements (April 2018-March 2019) Audited Project Financial Statements Apr 2020
Supporting National Urban Health Mission: Audited Project Financial Statements (April 2017-March 2018) Audited Project Financial Statements Jun 2019
Supporting National Urban Health Mission: Audited Project Financial Statements (April 2016-March 2017) Audited Project Financial Statements Jul 2018
Supporting National Urban Health Mission: Audited Project Financial Statements (April 2015-March 2016) Audited Project Financial Statements Oct 2017
Supporting National Urban Health Mission : Project Data Sheet (हिन्दी) Translated PDS Sep 2015
Loan Agreement for Supporting National Urban Health Mission - Results-Based Lending Loan Agreement (Ordinary Resources) Jul 2015
Program Agreement for Supporting National Urban Health Mission - Results-Based Lending Project/Program Agreements Jul 2015
Supporting National Urban Health Mission: Report and Recommendation of the President Reports and Recommendations of the President Apr 2015
Supporting National Urban Health Mission Initial Poverty and Social Analysis Aug 2014

Safeguard Documents See also: Safeguards
Safeguard documents provided at the time of project/facility approval may also be found in the list of linked documents provided with the Report and Recommendation of the President.


Evaluation Documents See also: Independent Evaluation

Title Document Type Document Date
India: Supporting National Urban Health Mission Validations of Project Completion Reports Sep 2022

Related Publications

Title Document Type Document Date
An Assessment of the Maharashtra State Health System Papers and Briefs Mar 2022
Addressing Nutrition Security in Urban India through Multisectoral Action Papers and Briefs Feb 2022
Quality in Urban Health Care Services in India Papers and Briefs Jul 2020

The Access to Information Policy (AIP) establishes the disclosure requirements for documents and information ADB produces or requires to be produced in its operations to facilitate stakeholder participation in ADB's decision-making. For more information, refer to the Safeguard Policy Statement, Operations Manual F1, and Operations Manual L3.

Requests for information may also be directed to the InfoUnit.

Tenders

Tender Title Type Status Posting Date Deadline
Supporting National Urban Health Mission (Digital health expert/Health information technology expert) Individual - Consulting Closed
Supporting National Urban Health Mission (Epidemiologist) Individual - Consulting Closed
Supporting National Urban Health Mission (Digital health expert/Health information technology expert) Individual - Consulting Closed
Supporting National Urban Health Mission (Senior public health/health system expert) Individual - Consulting Closed
Supporting National Urban Health Mission (Digital health expert/Health information technology expert) Individual - Consulting Closed
Supporting National Urban Health Mission (Epidemiologist) Individual - Consulting Closed
Supporting National Urban Health Mission (Senior Public Health/Health System Expert) Individual - Consulting Closed
Supporting National Urban Health Mission - Monitoring and Evaluation Specialist (Research Manager) Individual - Consulting Closed
Supporting National Urban Health Mission - Monitoring and Evaluation Specialist (Research Expert) Individual - Consulting Closed
Supporting National Urban Health Mission (Monitoring and Evaluation Specialist (Senior Research Expert)) Individual - Consulting Closed
Supporting National Urban Health Mission (Risk Communication and Response: Health System and Communicable Diseases) Individual - Consulting Closed
Supporting National Urban Health Mission - Legal Expert Individual - Consulting Closed
Supporting National Urban Health Mission - Urban Health System Expert Individual - Consulting Closed
Supporting National Urban Health Mission - Supporting Comprehensive Primary Health Care Firm - Consulting Closed
Supporting National Urban Health Mission - Knowledge Management Expert and Technical Writer Individual - Consulting Closed
Supporting National Urban Health Mission - Senior Urban Health Governance and Convergence Expert Individual - Consulting Closed
Supporting National Urban Health Mission - Public-Private Partnership Expert Individual - Consulting Closed
Supporting National Urban Health Mission - Senior Public Health Expert Individual - Consulting Closed
Supporting National Urban Health Mission - Quality Assurance Expert Individual - Consulting Closed
Supporting National Urban Health Mission - Monitoring and Evaluation Expert Individual - Consulting Closed
Supporting National Urban Health Mission - Senior Financial Management Expert Individual - Consulting Closed
Supporting National Urban Health Mission - Senior Capacity Development Expert Individual - Consulting Closed

Contracts Awarded

Contract Title Approval Number Contract Date Contractor | Address Executing Agency Total Contract Amount (US$) Contract Amount Financed by ADB (US$)
Capacity Development Technical Assistance 8899 18 Sep 2020 TATA INSTITUTE OF SOCIAL SCIENCES(INDIA) | V N PURAV MARG, DEONAR DEONAR, MUMBAI MAHARASHTRA 400 088 India Ministry of Health and Family Welfare 103,441.00
PCSS ISSUED FOR RELEASE OF ACHIEVEMENT OF DLI 3 (2 016) Loan 3257 29 Jan 2020 VARIOUS | VARIOUS INDIA Ministry of Health and Family Welfare 10,000,000.00 10,000,000.00
Capacity Development Technical Assistance 8899 06 Jan 2020 Pricewaterhousecoopers Pvt. Ltd. (IND)(INDIA) | 8-2-624/A/1, 4th Floor, Road No.10, Banj Hyderabad, Andhra Pradesh 500 034 India Ministry of Health and Family Welfare 409,966.00
PCSS ISSUED FOR RELEASE OF ACHIEVEMENT OF DLI 6 (2 017) Loan 3257 16 Dec 2019 VARIOUS | VARIOUS INDIA Ministry of Health and Family Welfare 10,000,000.00 10,000,000.00
PCSS ISSUED FOR RELEASE OF ACHIEVEMENT OF DLI 7 (2 017) Loan 3257 16 Dec 2019 VARIOUS | VARIOUS INDIA Ministry of Health and Family Welfare 10,000,000.00 10,000,000.00
PCSS ISSUED FOR RELEASE OF ACHIEVEMENT OF DLI 5 (2 017) Loan 3257 16 Dec 2019 VARIOUS | VARIOUS INDIA Ministry of Health and Family Welfare 5,000,000.00 5,000,000.00
PCSS ISSUED FOR RELEASE OF ACHIEVEMENT OF DLI 6 (2 015) Loan 3257 16 Dec 2019 VARIOUS | VARIOUS INDIA Ministry of Health and Family Welfare 5,000,000.00 5,000,000.00
PCSS ISSUED FOR RELEASE OF ACHIEVEMENT OF DLI 6 (2 016) Loan 3257 16 Dec 2019 VARIOUS | VARIOUS INDIA Ministry of Health and Family Welfare 5,000,000.00 5,000,000.00
PCSS FOR RELEASE FOR ACHIEVEMENT OF DLI3(II)2017 Loan 3257 12 Dec 2018 VARIOUS | VARIOUS INDIA Ministry of Health and Family Welfare 20,000,000.00 20,000,000.00
PCSS FOR RELEASE FOR ACHIEVEMENT OF DLI7(2016) Loan 3257 12 Dec 2018 VARIOUS | VARIOUS INDIA Ministry of Health and Family Welfare 10,000,000.00 10,000,000.00
PCSS FOR RELEASE OF ACHIEVEMENT OF DLI4(II)2016 Loan 3257 22 Apr 2019 VARIOUS | VARIOUS INDIA Ministry of Health and Family Welfare 5,000,000.00 5,000,000.00
PCSS FOR RELEASE OF ACHIEVEMENT OF DLI4(II)2017 Loan 3257 22 Apr 2019 VARIOUS | VARIOUS INDIA Ministry of Health and Family Welfare 5,000,000.00 5,000,000.00
PCSS FOR RELEASE OF ACHIEVEMENT OF DLI5 (2016) Loan 3257 24 Sep 2019 VARIOUS | VARIOUS INDIA INDIA Ministry of Health and Family Welfare 5,000,000.00 5,000,000.00
PCSS FOR RELEASE OF ACHIEVEMENT OF DLI6 (2015) Loan 3257 24 Sep 2019 VARIOUS | VARIOUS INDIA INDIA Ministry of Health and Family Welfare 5,000,000.00 5,000,000.00
PCSS FOR RELEASE FOR ACHIEVEMENT OF DLI 3(2015) Loan 3257 25 Sep 2018 VARIOUS | VARIOUS INDIA Ministry of Health and Family Welfare 10,000,000.00 10,000,000.00
PCSS FOR RELEASE FOR ACHIVEMENT OF DLI 1 (2017) Loan 3257 25 Sep 2018 VARIOUS | VARIOUS INDIA Ministry of Health and Family Welfare 15,000,000.00 15,000,000.00
PCSS FOR RELEASE FOR ACHIEVEMENT OF DLI 2 (2017) Loan 3257 25 Sep 2018 VARIOUS | VARIOUS INDIA Ministry of Health and Family Welfare 15,000,000.00 15,000,000.00
PCSS FOR RELEASE FOR ACHIEVEMENT OF DLI 4(I)2016 Loan 3257 20 Mar 2018 VARIOUS | VARIOUS INDIA Ministry of Health and Family Welfare 10,000,000.00 10,000,000.00
PCSS FOR RELEASE FOR ACHIEVEMENT OF DLI 4(I)2017 Loan 3257 20 Mar 2018 VARIOUS | VARIOUS INDIA Ministry of Health and Family Welfare 10,000,000.00 10,000,000.00
PCSS FOR RELEASE FOR ACHIEVEMENT OF DLI6(I)2016 Loan 3257 20 Mar 2018 VARIOUS | VARIOUS INDIA Ministry of Health and Family Welfare 5,000,000.00 5,000,000.00
PCSS FOR ACHIEVEMENT OF DLI6(II) 2015 Loan 3257 30 Nov 2017 VARIOUS | VARIOUS INDIA Ministry of Health and Family Welfare 5,000,000.00 5,000,000.00
PCSS FOR RELEASE FOR ACHIEVEMENT OF DLI5(1) 2016 Loan 3257 30 Nov 2017 VARIOUS | VARIOUS INDIA Ministry of Health and Family Welfare 10,000,000.00 10,000,000.00
PCSS FOR ACHIEVEMENT OF DLI5(I) 2017 Loan 3257 30 Nov 2017 VARIOUS | VARIOUS INDIA Ministry of Health and Family Welfare 10,000,000.00 10,000,000.00
Disbursement for DLI 1 (2016) and DLI 2 (2016) Loan 3257 27 Jun 2017 Various | Various, India Ministry of Health and Family Welfare 30,000,000.00 30,000,000.00
Capacity Development Technical Assistance 8899 07 Jul 2016 Conseil Sante S.A. (France) in Association with Sutra Consulting Private Ltd. (India) | 92-98 BOULEVARD VICTOR HUGO 92110 CLINCHY, FRANCE Ministry of Health and Family Welfare 1,287,266.00

Procurement Plan

None currently available.