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

Accelerating Universal Health Coverage in India

Indo-German Programme on Universal Health Coverage II

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  • Client

    German Federal Ministry for Economic Cooperation and Development (BMZ)

  • Country
  • Political sponsors

    More

  • Runtime

    2024 to 2027

  • Products and expertise

    Social development

A nurse from a PMJAY empanelled hospital was taking the vitals of a beneficiary who had come for a treatment.

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.

Last update: June 2024

Additional information