India : Supporting National Urban Health Mission
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
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Project Officer
Sonalini Khetrapal
South Asia Department
Request for information -
Country/Economy
India -
Sector
- Health
Related Projects
| Project Name | Supporting National Urban Health Mission | ||||||||||||||||||||
| Project Number | 47354-003 | ||||||||||||||||||||
| Country / Economy | India |
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| Project Status | Closed | ||||||||||||||||||||
| Project Type / Modality of Assistance | Loan Technical Assistance |
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| Source of Funding / Amount |
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| Strategic Agendas | Inclusive economic growth |
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| Drivers of Change | Gender Equity and Mainstreaming Governance and capacity development Knowledge solutions Partnerships Private sector development |
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| Sector / Subsector | Health / Health system development |
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| 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 |
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| 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. |
| 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 |
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 | Loan Utilization | ||||
|---|---|---|---|---|---|
| Total (Amount in US$ million) | Date | ADB | Others | Net Percentage | |
| Project Cost | 1,954.90 | Cumulative Contract Awards | |||
| ADB | 300.00 | 27 Oct 2022 | 300.00 | 0.00 | 100% |
| Counterpart | 1,654.90 | Cumulative Disbursements | |||
| Cofinancing | 0.00 | 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 | Cumulative Disbursements | |||||||
|---|---|---|---|---|---|---|---|---|
| ADB | Cofinancing | Counterpart | Total | Date | Amount | |||
| 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 | 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.
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.
| Title | Document Type | Document Date |
|---|---|---|
| Supporting National Urban Health Mission: Program Initial Environmental Examination and Environmental Management Plan | Program Safeguard Systems Assessments | May 2015 |
| Supporting National Urban Health Mission: Program Safeguard Systems Assessment (Draft) | Program Safeguard Systems Assessments | Dec 2014 |
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.
$300 Million Loan Signed to Support India’s National Urban Health Program
The Asian Development Bank and the Government of India have signed a $300 million loan to support the government’s flagship program, the National Urban Health Mission.ADB Loan Supports Program to Improve Urban Health in India
ADB has approved a $300 million loan to support India’s National Urban Health Mission, the government program launched in May 2013 to strengthen health service delivery in urban areas of the country.
Tenders
Contracts Awarded
| Contract Title | Approval Number | Contract Date | Contractor | Address | Executing Agency | Total Contract Amount (US$) | 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 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 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 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)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 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 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 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 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 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 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 |
| 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 |
| 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.