fbpx 53285-001: Supporting National Health Authority | Asian Development Bank

India: Supporting National Health Authority

Sovereign (Public) Project | 53285-001 Status: Active

2. Almost 62.5% of the population in India does not have access to any form of health protection. The government is unable to cover the full spectrum of health-care needs because of low public investment in health, limited human resources, and inadequate health infrastructure, which increase the out-of-pocket (OOP) expenditure and the financial burden of care. The proportion of households experiencing catastrophic health expenditure in India increased over the past two decades. A recent study estimated that 55 million Indians, or about 4.6% of the population, were pushed below the poverty line in 2011 12 because of catastrophic OOP expenditures on health care. Of this, approximately 38 million became poor only because they had to purchase medicines through OOP payments. Around 68% of the Indian population have limited or no access to essential medicines. Another study estimated that 8% of the Indian population had been pushed below the poverty line by high OOP payments for health care in 2014 -15.

Project Details

Project Officer
Kumar, Utsav South Asia Department Request for information
Country
  • India
Sector
  • Health
 
Project Name Supporting National Health Authority
Project Number 53285-001
Country India
Project Status Active
Project Type / Modality of Assistance Technical Assistance
Source of Funding / Amount
TA 9831-IND: Supporting National Health Authority
Technical Assistance Special Fund US$ 225,000.00
Strategic Agendas Inclusive economic growth
Drivers of Change Governance and capacity development
Knowledge solutions
Private sector development
Sector / Subsector

Health / Health care finance

Gender Equity and Mainstreaming No gender elements
Description 2. Almost 62.5% of the population in India does not have access to any form of health protection. The government is unable to cover the full spectrum of health-care needs because of low public investment in health, limited human resources, and inadequate health infrastructure, which increase the out-of-pocket (OOP) expenditure and the financial burden of care. The proportion of households experiencing catastrophic health expenditure in India increased over the past two decades. A recent study estimated that 55 million Indians, or about 4.6% of the population, were pushed below the poverty line in 2011 12 because of catastrophic OOP expenditures on health care. Of this, approximately 38 million became poor only because they had to purchase medicines through OOP payments. Around 68% of the Indian population have limited or no access to essential medicines. Another study estimated that 8% of the Indian population had been pushed below the poverty line by high OOP payments for health care in 2014 -15. Non-communicable diseases like cancer, heart diseases, and diabetes account for the largest chunk of spending by households on health. Financial protection mechanisms are needed to reduce the OOP expenditure particularly for population groups at risk.
Project Rationale and Linkage to Country/Regional Strategy To address the above challenges in a holistic way, in 2018, the gGovernment of India, in 2018, launched its flagship health care program, Ayushman Bharat Yojana (Scheme for Healthy India). It has two components to provide comprehensive and universal access to good health care services viz. (i) creation of health and wellness centrers for comprehensive primary health care,; and (ii) the formulation of a Prime Minister's Jan Aadhar Yojana Pradhan Mantri Jan Arogya Yojana (PM-JAY), or the Prime Minister's Health Protection Scheme, providing health insurance for secondary and tertiary health care.
Impact Access to universal healthcare and social protection, particularly for the poor and the vulnerable across India improved
Project Outcome
Description of Outcome Strengthened process and institutional arrangements, and institutional framework for providing refinancing window to health service providers partnering with NHA for PM-JAY implementation
Progress Toward Outcome Activities carried out under various outputs contribute to the outcome. This includes estimating current healthcare access gaps in secondary and tertiary care across India, overview of healthcare PPPs in India, key learnings from PPPs in healthcare globally and other sectors in India, and designing healthcare system and facility models required for solving unmet need. Work is ongoing on key guiding principles of the PPP model concession framework, and on designing and implementation arrangements for a health financing intermediary.
Implementation Progress
Description of Project Outputs

Diagnostic appraisal of infrastructure gaps in secondary and tertiary health service provision and institutional arrangements completed and plan of actions recommended

Design and implementation arrangements for a health financing intermediary completed

Financial products and financial intermediation structures for expanding health financing window through a health financing intermediary developed

Institutional capacity development plans developed and advisory support for PM-JAY

Status of Implementation Progress (Outputs, Activities, and Issues) A coordination specialist was mobilized to provide (i) policy level implementation support to NHA and other concerned agencies; and (ii) implementation level support to delivery of program outcomes at national, state, district, and sub-district levels to participating agencies. The finance specialist was engaged to (i) provide design and implementation arrangements for a health financing intermediary, and (ii) propose financial products and financial intermediation structures for expanding health financing window through a health financial intermediary. The health infrastructure specialist was engaged to undertake a diagnostics of infrastructure gaps in provision of secondary and tertiary health services and identify critical constraints.
Geographical Location Delhi
Summary of Environmental and Social Aspects
Environmental Aspects
Involuntary Resettlement
Indigenous Peoples
Stakeholder Communication, Participation, and Consultation
During Project Design
During Project Implementation
Business Opportunities
Consulting Services ADB will engage consultants through a competitive selection process on an output-based (lumpsum) or input-based basis following ADB's Technical Assistance Disbursement Handbook (2010, as amended from time to time). The consultants will be engaged by ADB in accordance with ADB's Procurement Policy (2017, as amended from time to time) and its associated project administration instructions and/or staff instructions.
Procurement Not applicable
Responsible ADB Officer Kumar, Utsav
Responsible ADB Department South Asia Department
Responsible ADB Division Public Management, Financial Sector and Trade Division, SARD
Timetable
Concept Clearance -
Fact Finding 21 Jun 2019 to 21 Jun 2019
MRM -
Approval 23 Oct 2019
Last Review Mission -
Last PDS Update 16 Dec 2020

TA 9831-IND

Milestones
Approval Signing Date Effectivity Date Closing
Original Revised Actual
23 Oct 2019 - 23 Oct 2019 31 Dec 2020 30 Jun 2021 -
Financing Plan/TA Utilization Cumulative Disbursements
ADB Cofinancing Counterpart Total Date Amount
Gov Beneficiaries Project Sponsor Others
225,000.00 0.00 0.00 0.00 0.00 0.00 225,000.00 23 Oct 2019 123,493.08

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Tenders

Tender Title Type Status Posting Date Deadline
Supporting National Health Authority (Health Infrastructure Specialist) Individual - Consulting Closed 21 Mar 2020 27 Mar 2020
Supporting National Health Authority (Financial Specialist) Individual - Consulting Closed 18 Jan 2020 24 Jan 2020
Supporting National Health Authority (Health Infrastructure Specialist) Individual - Consulting Closed 18 Jan 2020 24 Jan 2020
Supporting National Health Authority Individual - Consulting Closed 22 Nov 2019 28 Nov 2019

Contracts Awarded

No contracts awarded for this project were found

Procurement Plan

None currently available.