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
    South Asia Department
    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
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)
Japan Fund for Prosperous and Resilient Asia and the Pacific US$ 1.50 million
Strategic Agendas Inclusive economic growth
Drivers of Change Gender Equity and Mainstreaming
Governance and capacity development
Partnerships
Sector / Subsector

Health / Health sector development and reform

Gender Equity and Mainstreaming 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.

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
Responsible ADB Officer Yadav, Madhusudan Patirajprasad
Responsible ADB Department South Asia Department
Responsible ADB Division India Resident Mission
Executing Agencies
National Health Authority
Ayushman Bharat-PMJAY,7th & 9th Floors, Jeevan Bharati Building, Connaught Place
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 22 Dec 2021

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 2023 -
Financing Plan/TA Utilization Cumulative Disbursements
ADB Cofinancing Counterpart Total Date Amount
Gov Beneficiaries Project Sponsor Others
200,000.00 2,000,000.00 0.00 0.00 0.00 0.00 2,200,000.00 17 Jun 2022 202,735.79

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

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Tenders

Tender Title Type Status Posting Date Deadline
Hospital Network Management Specialist Individual - Consulting Closed 23 Mar 2022 29 Mar 2022
Capacity Building Consultant Individual - Consulting Closed 23 Mar 2022 29 Mar 2022
Medical Risk Specialist Individual - Consulting Closed 02 Mar 2022 15 Mar 2022
Legal Consultant Individual - Consulting Closed 02 Mar 2022 08 Mar 2022
Data Structure and Analysis Specialist Individual - Consulting Closed 02 Mar 2022 08 Mar 2022
IEC Consultant Individual - Consulting Closed 02 Mar 2022 08 Mar 2022
Supporting National Health Authority (NHA) for implementing the Ayushman Bharat Digital Mission Firm - Consulting Closed 21 Feb 2022 13 Mar 2022
Digital Health Insurance System Consultant Individual - Consulting Closed 04 Jan 2022 10 Jan 2022
Organizational Management Consultant Individual - Consulting Closed 13 Dec 2021 19 Dec 2021
Digital Health Expert-II Individual - Consulting Closed 28 Sep 2021 04 Oct 2021
Digital Health Expert-I Individual - Consulting Closed 28 Sep 2021 04 Oct 2021
Health Systems planning Expert Individual - Consulting Closed 18 Sep 2021 24 Sep 2021
Digital Health Insurance System Consultant - 2 Individual - Consulting Closed 26 Nov 2020 02 Dec 2020
Data Structure and Analysis Specialist Individual - Consulting Closed 26 Nov 2020 02 Dec 2020
Health Financing Expert Individual - Consulting Closed 24 Nov 2020 30 Nov 2020
Organizational Management Consultant Individual - Consulting Closed 10 Sep 2020 16 Sep 2020
Capacity Building Consultant-2 Individual - Consulting Closed 28 Jul 2020 03 Aug 2020
Health Systems Consultant-2 Individual - Consulting Closed 09 Jul 2020 15 Jul 2020
IEC Consultant Individual - Consulting Closed 09 Jul 2020 15 Jul 2020
Hospital Network Management Consultant Individual - Consulting Closed 09 Jul 2020 15 Jul 2020
Health Systems Consultant-1 Individual - Consulting Closed 09 Jul 2020 15 Jul 2020
Capacity Building Consultant-1 Individual - Consulting Closed 09 Jul 2020 15 Jul 2020
Digital Health Insurance System Consultant-2 Individual - Consulting Closed 09 Jul 2020 15 Jul 2020
Digital Health Insurance System Consultant-1 Individual - Consulting Closed 09 Jul 2020 15 Jul 2020

Contracts Awarded

No contracts awarded for this project were found


Procurement Plan

None currently available.