India
India is a country in South Asia with a population over 1.2. billion people. Life expectancy is 67 years for men and 70 years for women. India suffers from low health outcomes due to a weak public health system, sub-optimal capacities in surveillance and infection control and high inequity in socioeconomic dimensions. Low Government expenditure on health resulted in insufficient financial protection in health and high out of pocket spending. In its National Health Policy 2017-2020, the Ministry of Health emphasises the need to increase health expenditure and achieve universal access to good quality health care services. WHO cooperation supports the Ministry of Health to advance the UHC and Sustainable Development Goals (SDGs) agenda through improved health service delivery, financial protection, population coverage as well as by strengthening systems to efficiently address global health security threats. To this end, the UHC Partnership spurs the development of the SDGs/UHC framework mechanisms, supports the implementation of the National Health Protection Scheme regarding better health financing and provides technical assistance for better service delivery and capacity building. You can access important country documents by clicking here.
Technical Areas
Completed/Cancelled
| Product/Service | Deliverables | Status |
|---|---|---|
| Policy brief on status and options for prescriptions by nurses and MLHWs at PHC level. | Policies for enhancing the role of Mid-Level Health Care Providers (MLHP) revised and developed. | Completed |
| Policy dialogue and advisory on model and mechanisms for new national financing scheme | National financing scheme for secondary and tertiary hospital care in all states for 500.000 million beneficiaries introduced | Completed |
| World forum on access to medical products in India | Improved access to quality medical products , including strengthened regulatory capacity | Completed |
| Review SDG3 implementation in states | Increased availability of and access to SDG/UHC data. | Completed |
| ISCO 08 mapping of allied HW categories | Policies for enhancing the role of Mid-Level Health Care Providers (MLHP) revised and developed. | Completed |
| Claims analysis of RSBY (previous scheme) in select states | National financing scheme for secondary and tertiary hospital care in all states for 500.000 million beneficiaries introduced | Completed |
| Operational model for free medicines and diagnostics developed | Improved access to quality medical products , including strengthened regulatory capacity | Completed |
| HRH planning for MLHWs | Policies for enhancing the role of Mid-Level Health Care Providers (MLHP) revised and developed. | Completed |
| Costing exercise of benefit package of PM-JAY (new scheme) | National financing scheme for secondary and tertiary hospital care in all states for 500.000 million beneficiaries introduced | Completed |
| Training workshop for Central and State Regulatory Authorities on regulation and standards | Improved access to quality medical products , including strengthened regulatory capacity | Completed |
| H&WC operational guidelines finalized | CPHC model through H&WC as part of Ayushman Bharat program for UHC developed and rolled out. | Completed |
| Health labor market analysis | Policies for enhancing the role of Mid-Level Health Care Providers (MLHP) revised and developed. | Completed |
| Disaggregated analysis of household expenditure on health | National financing scheme for secondary and tertiary hospital care in all states for 500.000 million beneficiaries introduced | Completed |
| Comparative verbal autopsy study | Improved methods for assigning causes of death | Completed |
| Technical brief on international experiences with PBF for front line HF | CPHC model through H&WC as part of Ayushman Bharat program for UHC developed and rolled out. | Completed |
| Nurse migration study | Policies for enhancing the role of Mid-Level Health Care Providers (MLHP) revised and developed. | Completed |
| Workshop on strategic purchasing | National financing scheme for secondary and tertiary hospital care in all states for 500.000 million beneficiaries introduced | Completed |
| Implementation of Integrated Health Information Platform | Integrated Health Information Platform (IHIP) for disease surveillance developed and rolled out | Completed |
| Public health functions for PHC revised | CPHC model through H&WC as part of Ayushman Bharat program for UHC developed and rolled out. | Completed |
| World Health Day on UHC | Enhanced partnerships for UHC | Completed |
| Operational research priorities for PMJAY identified | National financing scheme for secondary and tertiary hospital care in all states for 500.000 million beneficiaries introduced | Completed |
| Capacity building of HWs on IHIP | Integrated Health Information Platform (IHIP) for disease surveillance developed and rolled out | Completed |
| HS capacity support for H&WC roll out in two states. | CPHC model through H&WC as part of Ayushman Bharat program for UHC developed and rolled out. | Completed |
| Meetings of Health Partners Forum | Enhanced partnerships for UHC | Completed |
| Efficiency and effectiveness review of insurance schemes in select states | National financing scheme for secondary and tertiary hospital care in all states for 500.000 million beneficiaries introduced | Completed |
| Conduct data collection for National Health Resource Repository | National Health Resource Repository (NHRR) completed | Completed |
| Demand side study on access and use of CPHC | CPHC model through H&WC as part of Ayushman Bharat program for UHC developed and rolled out. | Completed |
| Sensitization of and engagement with non-state actors strengthened | Enhanced partnerships for UHC | Completed |
| Updated essential medicines and diagnostics lists | Improved access to quality medical products , including strengthened regulatory capacity | Completed |
| National SDG3 dashboard accessible online | Increased availability of and access to SDG/UHC data. | Completed |
| Assessment of impact of PMJAY reform on quality of care in hospitals in select states in India. | A technical team has been commissioned by WHO Country office to conduct the study. The protocol was developed by the team and discussed by technical teams at NHA and WHO country office. Data collection and analysis was completed. The final technical report and policy brief have been submitted by the contracting. We are in the process of planning dissemination of the study results with t he team at National Health Authority. h | Completed |
Details
| Product/Service | Deliverables | Status |
|---|---|---|
| Review SDG targets and other health reporting mechanisms, including data ecosystems | Strengthen SDG monitoring through coordination, build capacity & partnerships, bridge data gaps and develop monitoring tools. | Ongoing |
| Comprehensive PHC and implementation of Health & Wellness Centers adapted to context of select states, monitored and cross learning facilitated | Identify and pilot innovative approaches on integration of services and continuum of care. | Ongoing |
| Universal Health Coverage, Policy dialogue | Facilitate at least one high level policy dialogue, to deliberate upon progress on UHC in India and the way forward | On track |
| Improve health workforce data through standardization and harmonization of data collection systems | Improvement in data reporting on the NHWA platform, both in quantum and quality. | Ongoing |
| HRH Policies and plans reviewed and developed for expansion, diversification and regulation of the health workforce with focus on MLHWs and Nursing cadre | Generating evidence towards strengthening MLHWs, Nurses and Frontline Worker policies | Ongoing |
| Strengthened implementation of the Free Diagnostics and Medicines schemes at the State levels as part of Universal Health Coverage. | Implementation of the Guidance Document for the strengthening of Free Drugs and Diagnostics Initiative in select states; Virtual capacity building workshops in both states Assam and Chhattisgarh undertaken for strengthened implementation of the Free Diagnostics and Medicines schemes at the State levels in select states. | Ongoing |
| Organize WHO cGMP online trainings for Indian manufacturers on Pharmaceutical APIs / Formulations/ Devices for the upgradation of quality management systems. | WHO cGMP online trainings organized for Indian manufacturers on Pharmaceutical APIs / Formulations/ Biologicals including Vaccines and Anti-sera / Medical Devices and (in context of COVID19) for the upgradation of quality management systems. | Ongoing |
| Scale up Civil Registration and Vital Statistics (CRVS), including Causes of Death registration | 1.Develop country capacity for improving Medical Certification for Cause of Death (MCCD) information quality and coverage. 2. Conduct CRVS assessment in two states with a focus on death registration, cause of death and vital statistics. | Ongoing |
| Provide TA for national population surveys, registries and administrative data. | Improve country capacity for data collation, synthesis, analysis and dissemination of Health information products | Ongoing |
| Evaluation of effectiveness of targeting mechanisms in PMJAY | A consultancy team has been commissioned to provide technical support for the conduct of the study. The team will carry out the study over a period of 1 year in three states. The inception report was finalized and validated by WHO and NHA and data collection has commenced. The study team was severely delayed by the process of securing the Non Disclosure Agreement between National Health Authority and WHO. This has since been secured. A revised protocol was developed in which we split the contract into two to allow for biennial closure procedures to take place. Thus by the end of the calendar year, we are finalizing data collection which is currently ongoing. A field report and transcripts are the planned deliverables. the second phase of analysis and report writing will commence in January and end in March 2022. | On track |
Stories from the field
Events
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