India: Supporting National Urban Health Mission

Sovereign Project | 47354-003 Status: Active

The Asian Development Bank is working with India to improve health services in urban areas for poor and vulnerable groups. The project is upgrading primary health care facilities and strengthening planning and management of city clinics and health centers. Tens of millions of poor and vulnerable urban dwellers have limited access to basic health services.

Project Details

Project Officer
Win, Hayman Kyaw South Asia Department Request for information
Country
  • India
Modality
  • Loan
Sector
  • Health
 
Project Name Supporting National Urban Health Mission
Project Number 47354-003
Country India
Project Status Active
Project Type / Modality of Assistance Loan
Source of Funding / Amount
Loan 3257-IND: Supporting National Urban Health Mission
Ordinary capital resources US$ 300.00 million
Strategic Agendas Inclusive economic growth
Drivers of Change Governance and capacity development
Knowledge solutions
Partnerships
Private sector development
Sector / Subsector

Health - Health system development

Gender Equity and Mainstreaming Gender equity
Description
Project Rationale and Linkage to Country/Regional Strategy
Impact

Project Outcome

Description of Outcome
Progress Toward Outcome

Increased institutional deliveries in urban areas (from 2015 baseline)

Increased complete immunization among children below 12 months of age in urban areas (from 2015 baseline)

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

1. (i) At least 280 cities (about 31% of cities with approved PIPs in FY 2014-15) have completed mapping of slums and health facilities on GIS platform. (ii) Urban ASHA training module developed and translated into at least ten local languages for use in training of urban ASHAs; over 50,000 urban ASHAs have been recruited under NUHM and nearly 30,000 trained in the induction module.

2. (i) QA guidelines for UPHCs finalized in October 2015 and uploaded on NHM website. 31 states have SQACs place that include NUHM nodal officers. So far 584 facilities assessed to establish QA baseline and identifying issues for gap closure. (ii) Capacity development framework finalized for publication and it is under implementation. (iii) HMIS is able to provide urban-disaggregated data and to identify facilities serving slum populations. (iv) 69% of sanctioned positions for SPMUs, DPMUs and CPMUs were filled as of September 2016. (v) Draft innovation framework and PPP menu options/ models developed by consultants; National healthcare innovations portal and annual best practice forums being strengthened for guiding and sharing innovations in urban health.

Geographical Location

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.

Responsible Staff

Responsible ADB Officer Win, Hayman Kyaw
Responsible ADB Department South Asia Department
Responsible ADB Division Human and Social Development Division, SARD
Executing Agencies
Ministry of Health and Family Welfare
150 A Nirman Bhawan
New Delhi - 110 011
India

Timetable

Concept Clearance -
Fact Finding -
MRM -
Approval -
Last Review Mission -
Last PDS Update 20 Mar 2017

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 - -
Financing Plan Loan Utilization
Total (Amount in US$ million) Date ADB Others Net Percentage
Project Cost 1,954.90 Cumulative Contract Awards
ADB 300.00 28 May 2015 115.00 0.00 38%
Counterpart 1,654.90 Cumulative Disbursements
Cofinancing 0.00 28 May 2015 115.00 0.00 38%

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 31 Dec 2018 -
Financing Plan/TA Utilization Cumulative Disbursements
ADB Cofinancing Counterpart Total Date Amount
Gov Beneficiaries Project Sponsor Others
0.00 0.00 0.00 0.00 0.00 0.00 0.00 28 May 2015 258,756.25

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 Public Communications Policy (PCP) 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.

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

None currently available.

Related Publications

Title Document Type Document Date
ADB Health Investor Brief Brochures and Flyers Apr 2017

The Public Communications Policy (PCP) 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

No tenders for this project were found.

Contracts Awarded

No contracts awarded for this project were found

Procurement Plan

None currently available.