India : Strengthening Universal Health Coverage in India: Supporting the Implementation of Pradhan Mantri Jan Arogya Yojana

Sovereign Project | 54009-001

The proposed knowledge support and technical assistance (TA) aims to support the effective implementation of Pradhan Mantri Jan Arogya Yojana (PMJAY) to accelerate the achievement of universal health coverage (UHC) in India.

Project Details

  • Project Officer
    Yadav, Madhusudan Patirajprasad
    Sectors Group
    Request for information
  • Country/Economy
    India
  • Sector
    • Health
Project Name
Strengthening Universal Health Coverage in India: Supporting the Implementation of Pradhan Mantri Jan Arogya Yojana
Project Number
54009-001
Country / Economy
  • India
Project Status
Active
Project Type / Modality of Assistance
  • Technical Assistance
Source of Funding / Amount
TA 9980-IND: Strengthening Universal Health Coverage in India: Supporting the Implementation of Pradhan Mantri Jan Arogya Yojana
Source Amount
Technical Assistance Special Fund US$ 200,000.00
Republic of Korea e-Asia and Knowledge Partnership Fund US$ 500,000.00
TA 9980-IND: Strengthening Universal Health Coverage in India: Supporting the Implementation of Pradhan Mantri Jan Arogya Yojana (Supplementary)
Source Amount
Japan Fund for Prosperous and Resilient Asia and the Pacific US$ 1.50 million
Operational Priorities
  • OP1: Addressing remaining poverty and reducing inequalities
  • OP2: Accelerating progress in gender equality
  • OP6: Strengthening governance and institutional capacity
Sector / Subsector
  • Health / Health sector development and reform

Gender
Some gender elements
Description
The proposed knowledge support and technical assistance (TA) aims to support the effective implementation of Pradhan Mantri Jan Arogya Yojana (PMJAY) to accelerate the achievement of universal health coverage (UHC) in India.
Project Rationale and Linkage to Country/Regional Strategy
The proposed TA aims to sustain the initiatives in redefining India's healthcare system under PMJAY by drawing from global best practices in digital solutions and financing including from the experiences in the health system reforms in developed countries including the Republic of Korea; and strengthening capacity in developing and managing an integrated, efficient and modern healthcare system.
Impact

Universal access to equitable, affordable, and responsive quality health care attained

Project Outcome

Description of Outcome

Strengthened universal health coverage for better access to quality secondary and tertiary health care services and improved preparedness for COVID-19 pandemic

Progress Toward Outcome
The TA has supported government's efforts towards UHC through supporting the PM-JAY program. The TA now also supports the Ayushman Bharat Digital Mission (ABDM).

Implementation Progress

Description of Project Outputs

Recommendations for digital solutions to improve the operational efficiency of PM-JAY implementation formulated

Innovative models of financing and service delivery developed

Framework and strategies developed to strengthen states' capacity for implementation

Framework and strategies developed to strengthen private sector response to COVID-19 pandemic

Status of Implementation Progress (Outputs, Activities, and Issues)
1. Output 1: The TA has supported digital solutions for claims management and fraud detection for the health insurance schemes of ministries participating in the AB-PMJAY. Ongoing and/or remaining activities include drafting of legal guidelines for dealing with fraudulent practices and related issues, and assessment of information-technology-related gaps in medical audits.2. Output 2: Innovative models of financing and service delivery supported. The TA supported the service delivery innovations agenda through the NHA's Market Access Programme (MAP) which identified 14 healthcare innovations and further supported them with validation, advisory and market support. Ongoing and/or remaining activities include (i) drafting of an 'innovation handbook documenting the journey of innovation unit, lessons learnt, and identifying the best practices for operationalizing such units in other government departments; and (ii) organizing a multi-stakeholder national workshop with focus on mainstreaming of health care and financing innovations.3. Output 3: Framework and strategies developed to strengthen states' capacity for implementation. The TA supports pedagogy, content development, and technical assessment of the training programs of NHA. The framework for information, education, and communication (IEC) strategy for last-mile beneficiary awareness has been developed by the TA consultants, and monitoring support in roll-out of various IEC initiatives has been provided. Ongoing and/or remaining activities include (i) finalization of framework for internal knowledge management, and (ii) conducting workshops to present the proposed capacity development framework to states.4. Output 4: Framework and strategies developed to strengthen private sector response to COVID-19 pandemic. Development of a policy document on ensuring free COVID-19 testing and treatment for AB-PMJAY beneficiaries was supported by TA consultants; and to improve the availability of COVID-19 services, the TA supported development and implementation of a strategy to expedite the private sector hospital empanelment under AB-PMJAY. Ongoing and/or remaining activities include conducting stakeholder consultations for developing and finalizing a strategy to augment testing and treatment in underserved locations. Output 5: Deployment of inter-operable digital interventions scaled-up and associated capacities strengthened. This output is supported through the JFPR and aims to strengthen the implementation of the Ayushman Bharat Digital Health Mission (ABDM). A firm is deployed for delivery of this output by acting as a program management unit (PMU) embedded within the NHA. Two individual consultants were deployed in the interim, as planned, and the activities under this new output were initiated through preparatory technical work in the areas of interoperability and data privacy.
Geographical Location
Nation-wide

Summary of Environmental and Social Aspects

Environmental Aspects
Involuntary Resettlement
Indigenous Peoples

Stakeholder Communication, Participation, and Consultation

During Project Design
Close consultations were done with National Health Authority the implementing agency for the TA.
During Project Implementation
Close consultations is undertaken with National Health Authority for an effective implementation.

Business Opportunities

Consulting Services
ADB will engage 14 individual consultants for the implementation of TA activities. The consultants will work on health system planning, information technology, health financing, and other related fields. ADB will engage both national and international individual consultants following its Procurement Policy (2017, as amended from time to time) and its associated staff instructions.
Procurement
Not applicable

Contact

Responsible ADB Officer
Yadav, Madhusudan Patirajprasad
Responsible ADB Department
Sectors Group
Responsible ADB Division
Human and Social Development Sector Office (SG-HSD)
Executing Agencies
National Health Authority

Timetable

Concept Clearance
04 Dec 2021
Fact Finding
16 Apr 2020 to 16 Apr 2020
MRM
-
Approval
14 May 2020
Last Review Mission
-
Last PDS Update
14 Dec 2022

Funding

TA 9980-IND

Milestones
Approval Signing Date Effectivity Date Closing
Original Revised Actual
14 May 2020 22 Jun 2020 22 Jun 2020 30 Jun 2022 30 Jun 2024 -
Financing Plan/TA Utilization
ADB Cofinancing Counterpart Total
Gov Beneficiaries Project Sponsor Others
200,000.00 2,000,000.00 0.00 0.00 0.00 0.00 2,200,000.00
Cumulative Disbursements
Date Amount
19 Apr 2024 534,380.47

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.

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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.

None currently available.


Evaluation Documents See also: Independent Evaluation

None currently available.


Related Publications

None currently available.


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
Hospital Network Management Specialist Individual - Consulting Closed
Capacity Building Consultant Individual - Consulting Closed
Medical Risk Specialist Individual - Consulting Closed
Data Structure and Analysis Specialist Individual - Consulting Closed
IEC Consultant Individual - Consulting Closed
Legal Consultant Individual - Consulting Closed
Supporting National Health Authority (NHA) for implementing the Ayushman Bharat Digital Mission Firm - Consulting Closed
Digital Health Insurance System Consultant Individual - Consulting Closed
Organizational Management Consultant Individual - Consulting Closed
Digital Health Expert-II Individual - Consulting Closed
Digital Health Expert-I Individual - Consulting Closed
Health Systems planning Expert Individual - Consulting Closed
Digital Health Insurance System Consultant - 2 Individual - Consulting Closed
Data Structure and Analysis Specialist Individual - Consulting Closed
Health Financing Expert Individual - Consulting Closed
Organizational Management Consultant Individual - Consulting Closed
Capacity Building Consultant-2 Individual - Consulting Closed
Digital Health Insurance System Consultant-1 Individual - Consulting Closed
Digital Health Insurance System Consultant-2 Individual - Consulting Closed
Health Systems Consultant-1 Individual - Consulting Closed
IEC Consultant Individual - Consulting Closed
Health Systems Consultant-2 Individual - Consulting Closed
Capacity Building Consultant-1 Individual - Consulting Closed
Hospital Network Management Consultant Individual - Consulting Closed

Contracts Awarded

No contracts awarded for this project were found

Procurement Plan

None currently available.