India : COVID-19 Hospital Service Delivery Project

Nonsovereign Project | 54185-001

The transaction involves debt financing of up to $20,000,000, (in Indian rupee equivalent) from the ordinary capital resources of the Asian Development Bank (ADB) in nonconvertible debentures (NCDs) to be issued by Global Health Private Limited (GHPL) for the COVID-19 Hospital Service Delivery Project in India.

Flickr photos from the 54185-001: COVID-19 Hospital Service Delivery Project album.

Project Details

  • Project Officer
    Mosnier, Zsuzsanna
    Private Sector Operations Department
    Request for information
  • Approval Date
    6 August 2020
  • Country/Economy
    India
  • Sector
    • Health
Project Name COVID-19 Hospital Service Delivery Project
Project Number 54185-001
Borrower / Company Global Health Private Limited
Country / Economy India
Location Nation-wide
Type or Modality of Assistance
7640 Debt Security Ordinary capital resources USD 13.40 million Committed
Operational Priorities OP1: Addressing remaining poverty and reducing inequalities
OP2: Accelerating progress in gender equality
Sector / Subsector

Health / Health system development

Gender Some gender elements
Responsible ADB Department Private Sector Operations Department
Responsible ADB Division Office of the Director General, PSOD
Responsible ADB Officer Mosnier, Zsuzsanna
Project Sponsor(s)
Description The transaction involves debt financing of up to $20,000,000, (in Indian rupee equivalent) from the ordinary capital resources of the Asian Development Bank (ADB) in nonconvertible debentures (NCDs) to be issued by Global Health Private Limited (GHPL) for the COVID-19 Hospital Service Delivery Project in India.
Objectives and Scope The proceeds of ADB's investment are used to scale up GHPL's critical care capacity and to support its short-term funding needs to ensure the continued provision of essential and non-essential healthcare services amid the COVID-19 pandemic in India.
Status of Development Objectives The Borrower has substantially achieved most of the development targets. Certain targets like number of isolation beds and ventilators were not achieved in full due to containment of the first wave of the COVID-19 in India, before the country was hit by the second wave in April-May 2021 which did not allow for sufficient reaction time to upgrade capacities.
Status of Operation/Construction Essential and non-essential healthcare services by GHPL have been maintained during the COVID-19 pandemic in India.
Linkage to Country/Regional Strategy The project complements ADB's $1.5 billion COVID-19 loan to the Government of India. The loan was approved in April 2020 for disease containment and prevention, and social protection for the poor and economically vulnerable, including women. Among others, the sovereign COVID-19 response includes health system measures, including for better testing capacity, training for public sector healthcare workers, and an increase in COVID-19 isolation ward capacities, particularly at public hospitals. In line with ADB's Operational Plan for Health's emphasis on taking private sector approaches to solve quality, efficiency, and financing issues in health infrastructure, this private sector financing will support private hospital operations in India. The Operational Plan for Health includes supporting regional health security with a focus on regional health governance.
Safeguard Categories
Environment C
Involuntary Resettlement C
Indigenous Peoples C
Summary of Environmental and Social Aspects
Environmental Aspects The project has minimal or no adverse environmental impacts. GHPL hospitals implement processes and procedures for managing environmental, health and safety (EHS) including occupational health and safety (OHS) of staff and community health and safety that meet regulatory requirements and follow WHO guidelines, These include waste and wastewater management, hazardous materials handling and storage, air pollution controls, fire and life safety, hygiene, disinfection and cleaning, separation and isolation of infectious persons, personal protective equipment.
Involuntary Resettlement The project is not expected to result in involuntary resettlement impacts. Land acquisition and resettlement is not required as no new facilities will be established.
Indigenous Peoples The project is not expected to have impacts on indigenous peoples. The project will utilize existing facilities in urban areas where no known indigenous communities are present.
Stakeholder Communication, Participation, and Consultation The project was focused on providing Medanta's personnel with sufficient PPE and adequate training as well as on providing proper patient care equipment. The project also met the short-term financing needs of the company to ensure that it is able to continue the provision of essential and non-essential medical services for non-COVID-19 patients in addition to COVID-19 positive patients. These project activities benefitted all Medanta's patients.
Timetable for assistance design, processing and implementation
Concept Clearance 20 Apr 2020
Credit Committee Meeting 20 Jul 2020
Approval 06 Aug 2020
Last PDS Update 06 Nov 2023

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.

Title Document Type Document Date
COVID-19 Hospital Service Delivery Project: Extended Annual Review Report Extended Annual Review Reports Jul 2023
COVID-19 Hospital Service Delivery Project: FAST Report Faster Approach to Small Nonsovereign Transactions Aug 2020
COVID-19 Hospital Service Delivery Project: Initial Poverty and Social Analysis Initial Poverty and Social Analysis Jul 2020

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

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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.

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