India, ADB Sign $300 Million Loan Pact To Improve Primary Healthcare In 13 States

India and the Asian Development Bank (ADB) on Tuesday (23 November) signed a $300 million loan to strengthen and improve access to comprehensive primary health care in urban areas of 13 states that will benefit over 256 million urban dwellers including 51 million from slum areas, an official release said on Wednesday (24 November).

The agreement for Strengthening Comprehensive Primary Health Care and Pandemic Preparedness in Urban Areas Programme was signed by Rajat Kumar Mishra, Additional Secretary, Department of Economic Affairs in the Ministry of Finance, and Takeo Konishi, Country Director of ADB’s India Resident Mission.

After signing the loan agreement, Mishra said that the programme supports the Government’s key health initiatives - Ayushman Bharat Health and Wellness Centres (AB-HWC) and Pradhan Mantri Atmanirbhar Swasth Bharat Yojana (PM-ASBY) - which has been renamed as Pradhan Mantri Ayushman Bharat Health Infrastructure Mission (PM-ABHIM) - by expanding availability and access to quality primary health care services particularly for vulnerable populations in urban areas, according to a Finance Ministry release.

Launched in 2018, Ayushman Bharat programme aims to improve access to comprehensive primary health care as a key strategy to achieve universal health coverage in India.

With the spread of the coronavirus disease (COVID-19) pandemic that put additional pressure on the country’s health system, the government launched PM-ASBY later renamed as PM-ABHIM in October 2021 to adopt a long-term approach to system strengthening to prepare for future pandemics and other emergencies.

“The programme complements the government’s efforts to bridge the health care gaps by strengthening institutional capacity, operation, and management of urban health and wellness centers at the central, state, and municipal levels," Konishi added.

The programme will be implemented in urban areas across 13 states: Andhra Pradesh, Assam, Chhattisgarh, Gujarat, Haryana, Jharkhand, Karnataka, Madhya Pradesh, Maharashtra, Rajasthan, Tamil Nadu, Telangana, and West Bengal.

Beside the pandemic response, interventions through the programme promote increased utilisation of urban HWCs with provision of comprehensive primary health care packages including noncommunicable diseases and community outreach services such as awareness raising activities on health care options, particularly for women.

Delivery and health information systems for primary health care will be upgraded through digital tools, quality assurance mechanisms, and engagement and partnership with the private sector, the ministry said.

The programme is supported by a $2 million technical assistance grant from ADB’s Japan Fund for Poverty Reduction to provide support for programme implementation and coordination, capacity building, innovation, knowledge sharing and application of scalable best practices across the healthcare system, it added.