๐ Tender Overview
Project Name
Supporting Universal Health Coverage for Mizoram Program
Project Number
57007-001
Country / Economy
India
Project Status
Proposed
Project Type / Modality of Assistance
Loan
Source of Funding / Amount
Loan: Supporting Universal Health Coverage for Mizoram
Ordinary capital resources US$ 108.00 million
Sector / Subsector
Health / Health care finance - Health insurance and subsidized health programs - Health sector development and reform - Health system development
Gender
Gender equity theme
Description
India's economy grew by 7.8% in fiscal year (FY) 2024 and is projected to grow by 6.8% in FY2025, making it one of the world's best performing economies with moderate debt sustainability risk. Although India is growing rapidly, its government healthcare spending as a share of gross domestic product remains less than 1.4%. This has led to the high out-of-pocket expenditure (OOPE) on health in India, which is currently around 47% of total health expenditure and more than 80% as a percentage of total private health expenditure. High OOPE has brought significant negative socioeconomic and health impacts to the poor and vulnerable population, especially women and socially excluded minorities, and it has been the leading reason of their foregone healthcare.
The State of Mizoram is in the northeast region of India. It has a projected population of over 1,380,000 in 2023 and the schedule tribe population is dominant (94.4%). Mizoram has difficult terrain that creates physical mobility constraints which severely hinder the availability of essential goods and services including medical services. The geographic feature of Mizoram makes its population highly concentrated in few valleys and plains, which makes it one of the most urbanized states in India (52.1% population resides in urban areas). Mizoram only connects to the India mainland through few interstate highways in north and its only domestic airport near Aizawl. Despite these constraints, Mizoram is one of the fastest growing states of India. A remarkable economic growth of around 12.2% was observed in FY2023 due to the speedy recovery from the coronavirus disease (COVID-19) pandemic and the increased government investment in infrastructure. The per capita gross state domestic product of Mizoram is
175,986 in FY2023, above per capita of gross domestic product of India of
123,144.
Project Rationale and Linkage to Country/Regional Strategy
Mizoram has observed a mixed performance of key health outcomes since 2000s. The life expectancy of male and female in Mizoram is 68.3 years and 73.8 years, close to the national average of India. The infant mortality rate and under-five mortality rate in Mizoram have decreased from 34 and 53 infants per 1,000 live births in 2005 to 21 and 24 children per 1,000 live births in 2020. Institutional births in the state have also increased from 59.8% to 85.8% during the same period. On noncommunicable diseases (NCDs), Mizoram has
