Project Data Sheet

Project Data Sheets (PDS) contain summary information on the project or program: Because the PDS is a work in progress, some information may not be included in its initial version but will be added as it becomes available. Information about proposed projects is tentative and indicative.

PDS Creation Date
PDS Updated as of 02 Jul 2015

Project Name Supporting National Urban Health Mission
Country India
Project/Program Number 47354-002
Status Approved
Geographical Location
In preparing any country program or strategy, financing any project, or by making any designation of, or reference to, a particular territory or geographic area in this document, the Asian Development Bank does not intend to make any judgments as to the legal or other status of any territory or area.
Sector Health and social protection
Subsector Health system development
Strategic Agendas Inclusive economic growth (IEG)
Drivers of Change Gender equity and mainstreaming (GEM)
Governance and capacity development (GCD)
Knowledge solutions (KNS)
Partnerships (PAR)
Gender Equity and Mainstreaming Categories Category 2: Effective gender mainstreaming (EGM)


Type/Modality of Assistance Approval Number Source of Funding Approved Amount (thousand)
Technical Assistance8577Technical Assistance Special Fund600
Technical Assistance8577Technical Assistance Special Fund225

Summary of Environmental and Social Aspects

Environmental Aspects
Involuntary Resettlement
Indigenous Peoples

Stakeholder Communication, Participation and Consultation

During Project Design
The development of National Urban Health Mission (NUHM) and Framework for Implementation by the Ministry of Health and Family Welfare involved extensive consultations across all levels of Government and civil society. The NUHM Technical Resource Group (TRG) further guided on key issues of reaching vulnerable sections of the society, main strategies and institutional design of NUHM, and organization of urban health service delivery and governance based on series of consultations with experts and a range of vulnerable urban poor groups and field visits to 30 cities. The ADB team also conducted stakeholder consultations and detailed field assessment of NUHM implementation in West Bengal, Madya Pradesh, and Tamil Nadu, which gave important insights into NUHM implementation challenges and capacity building requirements.
During Project Implementation
For stakeholder participation, the NUHM emphasizes community participation and processes, reaching of vulnerable groups, and capacity building of stakeholders (urban local bodies, health workers, private providers, community structures, and functionaries of other related departments) in managerial, technical, and public health competencies.


The proposed S-PPTA will reconfirm NUHM's relevance, rationale, and its linkage with GOI's development goals and sector strategy for urban health. The TA will examine the program's effectiveness, efficiency and economy, and sustainability. Specifically, it will review soundness of the NUHM's implementation framework and the proposed state-level program implementation guidelines. It will analyze the extent to which NUHM, with some strengthening in its design and implementation arrangements, can achieve its desired outcomes of serving health care needs of the urban poor in a sustainable manner. It will review the key components and result indicators. The S-PPTA will analyze the organizational set-up at central, state, and urban local body levels, staff capacity, and mechanisms for stakeholder consultations and grievance redressal. It will also initiate a review of NUHM's expenditure framework and financing plan, and assess the planning and budgeting process. The coverage, level, and distribution of budget allocation will also be reviewed. The S-PPTA will assess predictability and sustainability of financing, such as timeliness, amount of budget release, and capacity for budget execution.

Project Rationale and Linkage to Country/Regional Strategy

The initial assessment of NUHM, based on the two missions and a review of the NUHM documents, shows that the concept is relevant and sound, and the delivery approach is innovative. The project team assesses that the results-based lending (RBL) modality will be most suitable for supporting the NUHM for the following reasons. First, this is a government-owned program which already has a program and implementation framework, detailed organizational arrangements, key result indicators, and an expenditure framework. Second, GOI's strong preference is for external assistance to support the whole program, rather than creating multiple projects with ring-fenced external funding. Third, the multi-disciplinary nature of the program that has a diverse range of activities requires an extensive inter-sectoral convergence and coordination. This calls for a modality that strengthens accountability for results rather than focusing only on transactions. A project loan modality will not be appropriate since the transaction costs of directly monitoring each transaction would be very high. The S-PPTA will, therefore, support loan design in accordance with the RBL policy and staff guidance.

Development Impact

Sustainable urban health delivery system targeted to urban poor established

Project Outcome

Description of Outcome
RBL for "Supporting National Urban Health Mission" conceptualized and initial loan design developed
Progress Towards Outcome

Outputs and Implementation Progress

Description of Project Outputs
Scope of RBL program for NUHM assessed
Status of Implementation Progress (Outputs, Activities, and Issues)
Status of Development Objectives
Status of Operation / Construction
Material Changes

Business Opportunities

Date of First Listing 2014 Apr 15
Consulting Services
The executing agency is MOH, GOI. The implementing agency is the Urban Health Division, Department of Health & Family Welfare. A total of 63 person-months, including 15 person-months of international and 48 person-months of national consultant are provided under the PPTA. Individual consultants are engaged in accordance with ADB 's Guidelines on the Use of Consultants (2013, as amended from time to time). Disbursements will be made in accordance with ADB s Technical Assistance Disbursement Handbook (2010, as amended from time to time). The S-PPTA, which commenced in January 2014 will be implemented over 15 months and to be completed in April 2015.
Procurement and Consulting Notices


Concept Clearance
Management Review Meeting
Approval 10 Apr 2014


Approval No. Approval Signing Effectivity Closing
Original Revised Actual
Technical Assistance 8577 16 Dec 2013 16 Dec 2013 31 Oct 2014 31 Mar 2016


Date Approval Number ADB (US$ thousand) Others (US$ thousand) Net Percentage
Cumulative Contract Awards
Cumulative Disbursements

TA Amount (US$ thousand)

Approval Number Approved Amount Revised Amount Total Commitment Uncommitted Balance Total Disbursement Undisbursed Balance
Technical Assistance 8577 825 825 727 98 237 588

Contacts and Update Details

Responsible ADB Officer Hayman K. Win (
Responsible ADB Department South Asia Department
Responsible ADB Divisions Human and Social Development Division, SARD
Executing Agencies


Project Website
List of Project Documents