2023.2222.0

Accelerating Universal Health Coverage in India

Universal Health Coverage II
Client
Bundesministerium für wirtschaftliche Zusammenarbeit u. Entwicklung
Country
India
Runtime
Partner
Ministry of Health and Family Welfare, Government of India
Contact

Dr. Christoph Praessl

Contact us
Eine Krankenschwester kümmert sich um einen Patienten, der in einem Krankenhausbett liegt. Hinter der Krankenschwester sitzt eine Frau mit einem Kind im Arm.
© NHA India
A nurse from a PMJAY empanelled hospital was taking the vitals of a beneficiary who had come for a treatment.
© GIZ/Sumit Shaw

Context

Over 40 per cent of healthcare expenses in India are paid out-of-pocket, one of the highest rates worldwide. Consequently, these costs push more than 60 million Indians into poverty every year. The COVID-19 pandemic has underscored the critical need for robust and universal healthcare systems. Although several social health insurance schemes exist nationally and within states, their coordination remains insufficient, leading to partial overlap and underutilisation of their full potential.

To address these challenges and improve healthcare in India, the Ayushman Bharat initiative launched in September 2018. This includes the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB PM-JAY), the world’s largest fully government-funded public health assurance/insurance scheme. It provides health coverage to over 500 million families and is accessible through a network of more than 30,000 authorised public and private hospitals across the country. As a result, it reduces the risk of poverty for low-income families by eliminating the need for them to rely on their own financial resources to pay for healthcare services.

Objective

The conditions for achieving Universal Health Coverage (UHC) in India have been improved by implementing the public health assurance/insurance scheme AB PM-JAY.

A male nurse distributes Ayushman Cards, providing health insurance coverage to patients in India.
© GIZ/Sumit Shaw

Approach

The project significantly advances UHC in India. It enhances healthcare quality, expands service scope, and increases healthcare availability. By improving healthcare conditions, the project aims to make quality healthcare accessible and affordable for all, moving India closer to achieving UHC.

The project focuses on the following three aspects:

  • Providing policy and technical guidance to the National Health Authority.
  • Offering strategic and technical advisory services to the State Health Agencies, especially in Jharkhand, Jammu and Kashmir, and Chhattisgarh.
  • Improving the conditions for digitalisation of the health systems and equitable use of PM-JAY.
An Indian family proudly displays their Ayushman cards.
© GIZ/Sumit Shaw

Last update: June 2024

Further Project Information

CRS code
16010

Policy markers

Significant (secondary) policy objectives:

  • Gender Equality
  • Democratic and inclusive governance
  • Inclusion and empowerment of people with disabilities
  • Reproductive, Maternal, Newborn and Child Health

Responsible organisational unit
2B00 Asien II

Previous project
2019.2196.4

Financial commitment for the actual implementation phase
3,000,000 €

The project contributes to these Sustainable Development Goals (SDGs) of the United Nations:
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