Assam State Secondary Healthcare Initiative for Service Delivery Transformation (ASSIST) Project

The development objective of the Assam State Secondary Healthcare Initiative for Service Delivery Transformation (ASSIST) Project for India is to strengthen management capacity, access to, and quality of the secondary healthcare system in Assam. The project comprises of three components. The first component, strengthened management capacity of health systems at state, district, and facility level consists of following sub-components: (i) internal performance agreements (IPAs) to strengthen management capacity; and (ii) technical support and project operating costs to strengthen management capacity. The second component is improved access to and quality of essential services in existing secondary facilities. The third component, enhanced access to and structural quality of secondary care will invest in: (a) upgrading up to 10 community health center (CHCs) and sub-district hospitals (SDHs) to district hospital (DH) following national guidelines and provision of medical equipment and goods to enhance equitable access to secondary care, and (b) incremental operating costs of these newly upgraded facilities to improve structural quality of secondary care.