Population:

1.2 billion

Area:

1.27 million square miles

Capital City:

New Delhi
Out of pocket spending in India accounts for about 70% of total healthcare expenditure.

ACCESS Health began to work in India in 2006. India remains the focus of much of our work. The knowledge we have gained from our work in India informs many of our programs in other countries.

India is home to advanced innovations in healthcare delivery and technology, yet it is also the country with the highest burden of disease. The Indian government spends only one percent of its GDP on healthcare. Out of pocket spending in India is among the highest in the world, accounting for about seventy percent of total healthcare expenditure.

ACCESS Health began work in India to identify good practices in high quality and low cost healthcare. We have since expanded our work in India to support the scale up of good practices through close collaboration with governments and the private sector. Today, ACCESS Health India focuses on advancing health finance systems and understanding how these systems can improve the quality of healthcare services. The best finance and delivery systems in India can serve as models, both within the country and abroad. ACCESS Health India designs and manages programs and projects that drive domestic healthcare improvements and inspire improvements in healthcare in other countries.

Health Financing

See all Health Financing

The structure of healthcare finance directly influences the behavior of healthcare providers and the quality of outcomes. By supporting strategic health financing reforms and policy implementation, our work in health financing aligns financial and non-financial incentives to ensure high quality health services are affordable and available when needed. Our programs in healthcare finance within India are broad and deep, as are our relations with a group of African and Asian countries that share improvements in healthcare finance as part of the Joint Learning Network for Universal Health Coverage.

  • Toward Universal Hospital Coverage: The Aarogyasri Health Insurance Program of Andhra Pradesh

    Toward Universal Hospital Coverage: The Aarogyasri Health Insurance Program of Andhra Pradesh

    ACCESS Health is currently writing Toward Universal Hospital Coverage in India: The Aarogyasri Health Insurance Program of Andhra Pradesh, a book that describes the rapid transformation of the health system of Andhra Pradesh, a state in central India. The objective of the book is to provide an overview of practical experiences to guide those in Indian states and in other countries who wish to implement universal healthcare coverage insurance programs.

  • Joint Learning: Experiences from Knowledge Sharing Toward Universal Health Coverage

    Joint Learning: Experiences from Knowledge Sharing Toward Universal Health Coverage

    This book will share our experiences with the Joint Learning Network for Universal Health Coverage, a program that brings together countries to share their experiences – their challenges and their successes – working toward universal health coverage. It is scheduled for completion by December 2014.

  • Center for Health Market Innovations Learning Exchange

    Center for Health Market Innovations Learning Exchange

    The Learning Exchange provides funding to facilitate structured learning partnerships between or among organizations that are profiled by the Center for Health Market Innovations. The Learning Exchange will help programs improve business practices, adopt innovations, or scale up or replicate an aspect of their model to a new market.

  • Center for Health Market Innovations

    Center for Health Market Innovations

    ACCESS Health is one of the organizations that creates content for the Center for Health Market Innovations. The Center is a digital platform that connects healthcare organizations and providers, researchers, and policymakers to learn about innovations that increase access to high quality, affordable healthcare. Most of our studies are of health programs in India, Bangladesh, and Brazil.

  • Health Financing Support Program

    Health Financing Support Program

    The Health Financing Support Program aims to improve health outcomes by ensuring better use of public funds. We analyze data and communicate key research to help policymakers understand and implement options for health reforms in India and abroad.

  • Joint Learning Fund

    Joint Learning Fund

    The Joint Learning Network established the Joint Learning Fund to support the ability of Network members to learn from each other on a range of topics, including expanded coverage, information technology, primary healthcare, provider payments, and quality improvement. Member countries use the Joint Learning Fund to support study tours, workshops, and exchange of personnel to learn from universal health coverage reform strategies that have been successful in other countries.

  • Joint Learning Network for Universal Health Coverage

    Joint Learning Network for Universal Health Coverage

    The Joint Learning Network brings together low and middle income countries in Africa and Asia to share experiences, challenges, and insights drawn from their efforts to achieve universal health coverage.

  • Public Private Partnerships Project

    Public Private Partnerships Project

    The Public Private Partnerships Project nurtures a more effective and efficient healthcare system in India. The project works to establish dialogues and to strengthen collaboration between the public and private sectors through research, information sharing, and capacity building.

  • The Aarogyasri Evaluation

    The Aarogyasri Evaluation

    The Aarogyasri Evaluation studied the impact of the groundbreaking health financing program in Andhra Pradesh. The study focused on several outcomes: who is using the program, where users access healthcare, changes in how often they seek care and what type of care they seek, and how much they spend on care.

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Quality and Process Improvement

See all Quality and Process Improvement

ACCESS Health India brings healthcare practitioners together into collaboratives to drive improvements in target areas. We have piloted successful collaboratives on neonatal care and eye care and are bringing this work to scale throughout the country.

Quality of care varies dramatically in India, both among formal and informal healthcare providers. About sixty percent of patients seeking primary care services receive unnecessary or even harmful treatment, yet many other providers are able to deliver world class services at a fraction of what that care would cost in other countries.

  • Kerala Neonatal Quality Collaborative

    Kerala Neonatal Quality Collaborative

    The state of Kerala has made remarkable progress in reducing the infant mortality rates, compared to other states in India. Today, infant and neonatal mortality rates in Kerala are among the lowest in India. The government of Kerala has made a further commitment to reduce these rates by fifty percent by 2017. Despite the concerted efforts of…

  • Joint Learning: Experiences from Knowledge Sharing Toward Universal Health Coverage

    Joint Learning: Experiences from Knowledge Sharing Toward Universal Health Coverage

    This book will share our experiences with the Joint Learning Network for Universal Health Coverage, a program that brings together countries to share their experiences – their challenges and their successes – working toward universal health coverage. It is scheduled for completion by December 2014.

  • Center for Health Market Innovations Learning Exchange

    Center for Health Market Innovations Learning Exchange

    The Learning Exchange provides funding to facilitate structured learning partnerships between or among organizations that are profiled by the Center for Health Market Innovations. The Learning Exchange will help programs improve business practices, adopt innovations, or scale up or replicate an aspect of their model to a new market.

  • Center for Health Market Innovations

    Center for Health Market Innovations

    ACCESS Health is one of the organizations that creates content for the Center for Health Market Innovations. The Center is a digital platform that connects healthcare organizations and providers, researchers, and policymakers to learn about innovations that increase access to high quality, affordable healthcare. Most of our studies are of health programs in India, Bangladesh, and Brazil.

  • Indian Neonatal Collaborative

    Indian Neonatal Collaborative

    The Indian Neonatal Collaborative brought together practitioners from six of the best public and private neonatal intensive care units in India. The practitioners worked together to learn, implement, and scale up practices that reduce newborn deaths caused by infection.

  • Safe Care, Saving Lives

    Safe Care, Saving Lives

    Safe Care, Saving Lives brings newborn care providers in Andhra Pradesh and Telangana into a learning collaborative. Providers in the collaborative learn, implement, and scale up process improvements that improve outcomes for newborns.

  • Standards for Accreditation

    Standards for Accreditation

    The Standards for Accreditation project promoted a uniform standard of efficient, high quality care. The project helped to define a set of agreed upon and achievable criteria that all can implement.

  • ACCESS Health Eye Care Collaborative

    ACCESS Health Eye Care Collaborative

    The ACCESS Health Eye Care Collaborative brought hospitals together to learn how to increase patient volume while maintaining high standards of care. The collaborative helped hospitals expand access to eye care services and improve the efficiency of care.

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Maternal and Child Health

See all Maternal and Child Health

ACCESS Health India works directly with providers to identify, share, and scale hospital processes and procedures that lead to better outcomes for mothers and their children.

In 2012, more than twenty five million infants were born in India, and about eight hundred thousand died within the first month. In addition, India reported about fifty six thousand maternal deaths in 2010. Recent health reforms have increased access to facility based maternal and newborn care without significant improvement in outcomes for mothers and infants. To improve health outcomes, these facilities must also deliver high quality care.

  • Kerala Neonatal Quality Collaborative

    Kerala Neonatal Quality Collaborative

    The state of Kerala has made remarkable progress in reducing the infant mortality rates, compared to other states in India. Today, infant and neonatal mortality rates in Kerala are among the lowest in India. The government of Kerala has made a further commitment to reduce these rates by fifty percent by 2017. Despite the concerted efforts of…

  • Center for Health Market Innovations Learning Exchange

    Center for Health Market Innovations Learning Exchange

    The Learning Exchange provides funding to facilitate structured learning partnerships between or among organizations that are profiled by the Center for Health Market Innovations. The Learning Exchange will help programs improve business practices, adopt innovations, or scale up or replicate an aspect of their model to a new market.

  • Center for Health Market Innovations

    Center for Health Market Innovations

    ACCESS Health is one of the organizations that creates content for the Center for Health Market Innovations. The Center is a digital platform that connects healthcare organizations and providers, researchers, and policymakers to learn about innovations that increase access to high quality, affordable healthcare. Most of our studies are of health programs in India, Bangladesh, and Brazil.

  • Indian Neonatal Collaborative

    Indian Neonatal Collaborative

    The Indian Neonatal Collaborative brought together practitioners from six of the best public and private neonatal intensive care units in India. The practitioners worked together to learn, implement, and scale up practices that reduce newborn deaths caused by infection.

  • Safe Care, Saving Lives

    Safe Care, Saving Lives

    Safe Care, Saving Lives brings newborn care providers in Andhra Pradesh and Telangana into a learning collaborative. Providers in the collaborative learn, implement, and scale up process improvements that improve outcomes for newborns.

  • ACCESS Health Infant Care Improvement Project

    ACCESS Health Infant Care Improvement Project

    The ACCESS Health Infant Care Improvement Project analyzed factors that affect infant care in two Indian states, Bihar and Odisha (Orissa). ACCESS Health worked with the local governments to create a plan for primary care for maternal and infant care based on this work. Several districts in both states have declared an interest in implementing this plan to reduce mother and child mortality.

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Eye Care and Hearing

See all Eye Care and Hearing

ACCESS Health India brings together some of the largest eye care hospitals in the country to adopt good practices shown to improve the efficiency and the effectiveness of eye care services.

Eye care in India provides one of the best examples of how excellent healthcare can be both accessible and affordable. Although the prevalence of blindness in the population decreased from about 1.5 percent in 1973 to just slightly over one percent in 2007, India still has largest burden of blindness. Of a total population exceeding one billion, as many as fifteen million are blind, and an additional fifty two million are visually impaired, due to cataracts, refractive errors, glaucoma, and other causes. Unique models for high quality, low cost care exist in India and have inspired eye care providers around the world. Despite these excellent systems of eye care, only a fraction of the population in India benefits from these services.

  • How to Create, Manage, and Finance High Quality, Cost Effective Eye Hospitals: A Handbook of Best Practice

    How to Create, Manage, and Finance High Quality, Cost Effective Eye Hospitals: A Handbook of Best Practice

    ACCESS Health is currently writing an instruction manual called How to Create, Manage, and Finance High Quality, Cost Effective Eye Hospitals: A Handbook of Best Practice. The Handbook will be a step by step guide to how to create and manage efficient, high quality, cost effective eye care surgical units.

  • ACCESS Health Eye Care Collaborative

    ACCESS Health Eye Care Collaborative

    The ACCESS Health Eye Care Collaborative brought hospitals together to learn how to increase patient volume while maintaining high standards of care. The collaborative helped hospitals expand access to eye care services and improve the efficiency of care.

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Primary Care

See all Primary Care

Access to high quality, affordable primary care remains a challenge in much of India. The result is a high burden of disease and high out of pocket expenditures. Recent federal and state government commitments signal increasing support for a stronger primary healthcare system. ACCESS Health India supports these commitments by studying the healthcare programs and working with individual states to design and implement improvement in primary care.

  • Joint Learning: Experiences from Knowledge Sharing Toward Universal Health Coverage

    Joint Learning: Experiences from Knowledge Sharing Toward Universal Health Coverage

    This book will share our experiences with the Joint Learning Network for Universal Health Coverage, a program that brings together countries to share their experiences – their challenges and their successes – working toward universal health coverage. It is scheduled for completion by December 2014.

  • Center for Health Market Innovations Learning Exchange

    Center for Health Market Innovations Learning Exchange

    The Learning Exchange provides funding to facilitate structured learning partnerships between or among organizations that are profiled by the Center for Health Market Innovations. The Learning Exchange will help programs improve business practices, adopt innovations, or scale up or replicate an aspect of their model to a new market.

  • Center for Health Market Innovations

    Center for Health Market Innovations

    ACCESS Health is one of the organizations that creates content for the Center for Health Market Innovations. The Center is a digital platform that connects healthcare organizations and providers, researchers, and policymakers to learn about innovations that increase access to high quality, affordable healthcare. Most of our studies are of health programs in India, Bangladesh, and Brazil.

  • Joint Learning Fund

    Joint Learning Fund

    The Joint Learning Network established the Joint Learning Fund to support the ability of Network members to learn from each other on a range of topics, including expanded coverage, information technology, primary healthcare, provider payments, and quality improvement. Member countries use the Joint Learning Fund to support study tours, workshops, and exchange of personnel to learn from universal health coverage reform strategies that have been successful in other countries.

  • Joint Learning Network for Universal Health Coverage

    Joint Learning Network for Universal Health Coverage

    The Joint Learning Network brings together low and middle income countries in Africa and Asia to share experiences, challenges, and insights drawn from their efforts to achieve universal health coverage.

  • ACCESS Health Infant Care Improvement Project

    ACCESS Health Infant Care Improvement Project

    The ACCESS Health Infant Care Improvement Project analyzed factors that affect infant care in two Indian states, Bihar and Odisha (Orissa). ACCESS Health worked with the local governments to create a plan for primary care for maternal and infant care based on this work. Several districts in both states have declared an interest in implementing this plan to reduce mother and child mortality.

  • ACCESS Health Primary Care Research Project

    ACCESS Health Primary Care Research Project

    The ACCESS Health Primary Care Research Project reviewed and summarized information on the state of primary care delivery in India and highlighted good practice initiatives. ACCESS Health uses this data to work with both public and private sectors to design effective primary healthcare systems.

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Drug Procurement and Distribution

See all Drug Procurement and Distribution

The ability of patients and healthcare providers to access high quality and affordable medications when needed is vital to a well functioning health system. India has a mandate to dispense free essential generic medicines through its public health system. Inventory shortages and inappropriate stocking and procurement practices contribute to drug shortages and high costs for consumers.

ACCESS Health India works with public, private, and not for profit organizations to identify strengths, gaps, and opportunities to improve drug procurement and distribution systems throughout the country.

  • Public Drug Procurement Project

    Public Drug Procurement Project

    ACCESS Health India analyzed drug procurement programs in five Indian states as part of the Public Drug Procurement Project. We measured the impact of these programs on the quality and availability of drugs. Our work highlighted critical success factors for efficient drug procurement systems in this context.

  • TB Drug Procurement Study

    TB Drug Procurement Study

    The ACCESS Health initiated TB Drug Procurement Study examined tuberculosis drug procurement systems in several Indian states. We worked with local governments to identify weaknesses in drug procurement programs and to increase the availability and decrease the cost of essential medicines.

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From the Blog

Brookings Institution Study Trip to India

In November, I participated in a study trip for members of the Brookings Institution. The purpose of the trip was to support learning about the current state of politics, international relations, and business in India.

View all Blog Posts from India