India's Enhanced Health Service Delivery Program

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 Program has three key result areas with a combination of technical interventions related to the provision of Comprehensive Primary Health Care (CPHC) and quality of care, and transversal interventions to strengthen governance and accountability. Those are: (i) strengthened service delivery through redesigned CPHC model; (ii) improved comprehensive quality of care; and (iii) transformed health sector governance, accountability, and institutional and management capacity. Seven priority states have been identified to be part of the Program based on the following factors: (i) leveraging WB state health systems operations to deepen impact; (ii) providing a mix of high-performing and not-so-well-performing states based on the NITI Aayog-MoHFW Annual State Health Index; (iii) ensuring geographical representation from all four regions of India; and (iv) providing opportunities for knowledge sharing and cross-learning based on state-specific CPHC initiatives. The Program will support interventions across the four universal actions recommended by the 2018 Lancet Global Health Commission on High Quality Health Systems in the Sustainable Development Goal Era (HQSS): redesigning service delivery, governing for quality, transforming the health workforce, and igniting demand for quality among citizens.