India is making impressive progress with its Collective Action Initiatives, which are designed to achieve ambitious UHC targets within just 100 days.

Launched at the end of December 2023 under the country’s L4UHC programme, the Collective Action Initiatives are addressing a range of issues intended to improve public health service delivery and the sustainability of health insurance schemes in three states in India – Himachal Pradesh, Kerala and Punjab, and the union territory of Jammu & Kashmir.

Key advances include:

  • Jammu and Kashmir have increased the number of major elective procedures in eight district and sub-district public hospitals by 80%, relative to the monthly average for 2023, against a target of doubling those procedures across 12 hospitals by April 2024.
  • Himachal Pradesh aims to halve the number of inactive HIMCARE membership cards in four districts from 159,000 to 80,000. So far, it has cut that number by 10,000 through a variety of initiatives, including advising district officials on how to persuade beneficiaries to voluntarily reactivate their cards.
  • Punjab is committed to providing all eligible UHC beneficiaries with e-cards to access services, reflected in its drive to reduce the number of beneficiaries without e-cards from 8.1 million to 4.5 million. That number is now down to 7.7 million, thanks to a door-to-door campaign to generate e-cards and other activities.
  • Kerala’s goal is to reduce average waiting time for dialysis patients by 20% in KASP-empanelled centres in Trivandrum, Alappuzha, Kottayam, Kannur, and Thrissur. A methodology for tracking and monitoring KASP-empanelled dialysis patients on waiting lists has been developed, and primary data for establishing a baseline collected.
See India’s country page for more information. 

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