| Financier | Commitments |
|---|---|
| Borrower/Recipient | 723.00 |
| International Bank for Reconstruction and Development | 500.00 |
India's Enhanced Health Service Delivery Program
Abstract*
The development objective of India's Enhanced Health Service Delivery Program-for-Results (PforR) Project is to increase utilization of comprehensive primary health care services, improve quality of care, and strengthen governance of the health sector in India. The PforR Program will tackle reforms related to ensuring universal and effective health care coverage; spending more and better; and moving toward a system of accountability for results. The... Show More
Development Objective
To increase utilization of comprehensive primary health care services, improve quality of care, and strengthen governance of the health sector in India.
Key Details
Project Details
P178146
Active
Sheena Chhabra
India
December 14, 2021
(as of board presentation)
June 28, 2022
April 13, 2023
US$ 1223.00 million
Ministry of Health and Family Welfare, Government of India,Department of Health and Family Welfare, Ministry of Health and Family Welfare, Government of India
2022
US$ 500.00 million
N/A
N/A
June 30, 2027
BANK APPROVED
April 9, 2024
Finances
Financing Plan (US$ Millions)
Total Project Financing (US$ Millions)
| Product Line | IBRD/IDA |
|---|---|
| IBRD Commitment | 500.00 |
| IDA Commitment | N/A |
| IBRD + IDA Commitment | 500.00 |
| Lending Instrument | |
|---|---|
| Grant Amount | N/A |
| Total Project Cost** | 1223.00 |
Summary Status of World Bank Financing (US$ Millions) as of March 31, 2025
No data available.
| Period | Financier | Transaction Type | Amount (US$) |
|---|---|---|---|
| Jun 15, 2023 | IBRD-94180 | Int Charges | 11,947.41 |
| Dec 15, 2023 | IBRD-94180 | Int Charges | 625,145.56 |
| Jun 15, 2023 | IBRD-94180 | Int Charges | 150,308.22 |
| Apr 13, 2023 | IBRD-94180 | Fee Charges | 1,250,000.00 |
| Apr 13, 2023 | IBRD-94180 | Loan Disb | 1,250,000.00 |
| Jun 15, 2024 | IBRD-94180 | Int Charges | 599,551.10 |
| Jun 28, 2022 | IBRD-94180 | Loan Commitment | 500,000,000.00 |
| Jun 27, 2024 | IBRD-94180 | Loan Disb | 43,000,000.00 |
| Jun 15, 2024 | IBRD-94180 | Int Charges | 499,655.78 |
| Mar 4, 2024 | IBRD-94180 | Loan Disb | 24,759,200.00 |
| Dec 15, 2023 | IBRD-94180 | Int Charges | 504.78 |
| Dec 15, 2023 | IBRD-94180 | Int Charges | 38,913.21 |
| May 6, 2024 | IBRD-94180 | Loan Disb | 24,250,000.00 |
| Jun 15, 2024 | IBRD-94180 | Int Charges | 248.54 |
Ratings
Results Framework
PROJECT DEVELOPMENT OBJECTIVE INDICATORS
| INDICATOR | BASELINE | CURRENT | TARGET |
|---|
Increased pregnant women who received 4 or more ANC visits Value 84 percent is the average of the 7 states where PW 94.3 percent 90 Percent Date March 31, 2022 February 29, 2024 March 31, 2027 Comment Increased HWCs with NQAS certification Value HWC-SC:0; HWC-PHC:501; HWC-UPHC:59 HWC-SC: 209; HWC-PHC: 236; HWC-UPHC: 53 Prior result:127; HWC-SC:961: HWC-PHC: 774: HWC-UP Date March 31, 2022 February 29, 2024 March 31, 2027 Comment Improved community ownership and management of HWCs through Jan Arogya Samitis (JAS) Value None 23% (12,487) of HWCs with functional JAS 40 percent of HWCs with functional JAS Date March 31, 2022 February 29, 2024 March 31, 2027 Comment Increased infants 9-11 months old who received full immunization as per the schedule Value Urban Male: 810,151Urban Female: 753,402Rural Ma Urban Male: 753,713; Urban Female: 729,890; Rural Urban Male: 851,477 Urban Female: 791,833 Rural Ma Date March 31, 2022 February 29, 2024 March 31, 2027 Comment Increased state implementation of district performance measurement and rewards framework Value 0.00 0.00 5.00 Date March 31, 2022 March 30, 2024 March 31, 2027 Comment Increased footfalls at Health and Wellness Centers (CRI) Value 212,006,578 in rural areas; 47,924,765 in urban ar Rural: 66%; Urban: 68%: Total: 67% 40 percent for rural; 40 percent for urban; 40 per Date March 31, 2022 February 29, 2024 March 31, 2027 Comment Increased footfalls at Health and Wellness Centers by women Value 116,397,996 in rural areas; 27,135,351 in urban ar 67% (Absolute numbers: 225,396,688) 10 percent for women in rural areas; 10 percent fo Date Comment
INTERMEDIATE RESULTS INDICATORS
| INDICATOR | BASELINE | CURRENT | TARGET |
|---|
Functional HWCs providing expanded healthcare service delivery packages of CPHC (including urban HWCs) Value 37,653 for rural areas; 1,831 for urban areas Rural: 53,626 HWCs and Urban: 3,475 HWCs functiona 47,855 rural HWCs and 1,559 urban HWCs functional Date March 31, 2022 February 29, 2024 March 31, 2027 Comment Development and adoption of state-specific Human Resources for Health (HRH) strategies for public health facilities Value 0.00 0.00 5.00 Date March 31, 2022 February 29, 2024 March 31, 2027 Comment States conducting operational research Value 0.00 2.00 5.00 Date March 31, 2022 February 29, 2024 March 31, 2027 Comment Strengthened CPHC data systems for improved performance tracking and performance incentives Value TBC Assessment of CPHC data quality completed and a ro (i) Generate HWC Health Index and publicly dissemi Date March 31, 2022 March 31, 2024 March 31, 2027 Comment A diagnostic analysis for quality of care improvement conducted to develop a template for a comprehensive state-specific Quality ofCare Strategy (QOCS) Value No Yes Yes Date March 31, 2022 February 29, 2024 March 31, 2027 Comment National knowledge exchange events held Value 0.00 1.00 4.00 Date March 31, 2022 February 29, 2024 March 31, 2027 Comment Increased population screened based on established national protocol Value 35,072,471 in rural areas; 11,750,531 in urban are Aggregate 94% increase from baseline (20,12,19,344 87 percent for rural; 87 percent for urban; 87 per Date March 31, 2022 February 29, 2024 March 31, 2027 Comment Development of state QOCS Value 1.00 0.00 5.00 Date March 31, 2022 February 29, 2024 March 31, 2027 Comment Development of Jan Arogya Samitis (JAS) template for annual report and financial audit Value No 23% of HWCs are with functional JAS (this is as pe At least 40 percent of HWCs with functional JAS; Date March 31, 2022 February 29, 2024 March 31, 2027 Comment Infants 9-11 months who have received the first dose of Pentavalent vaccine Value 88.00 92.33 88.00 Date March 31, 2022 February 29, 2024 March 31, 2027 Comment Conducting a learning exchange event for fostering an enabling environment for comprehensive quality of care improvement Value 0.00 4.00 5.00 Date March 31, 2022 February 29, 2024 March 31, 2027 Comment Piloting of routine measurement of patient/user experience at primary and secondary facilities Value No Mera Aspataal Portal is being revamped with revise Routine measurement of patient/user experience at Date March 31, 2022 February 29, 2024 March 31, 2027 Comment Increased state implementation of district performance measurement and rewards framework Value No District level performance measurement developed b Annual district level performance-based measuremen Date March 31, 2022 March 30, 2024 March 31, 2027 Comment Simplification and enhanced transparency of the health sector's public financial management Value No Approval and release data to be extracted from exi Annual reporting of all approvals and releases und Date March 31, 2022 March 27, 2024 March 31, 2027 Comment