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ACCESS Health India supported the Institute for Rural Management-Anand and the Indian Institute of Technology-Madras towards the process evaluation of the AB-PMJAY in Uttar Pradesh. ACCESS Health co-authored the report titled “Process Evaluation Report of Pradhan Mantri Jan Arogya Yojana in Uttar Pradesh” along with the two partners. The report was released at an event held on September 30, marking four years of PMJAY implementation in the state, and was submitted to the Uttar Pradesh state government recently.

The Process Evaluation was commissioned by the State Agency for Comprehensive Health and Integrated Services (SACHIS), the State Health Agency for implementation of Pradhan Mantri Jan Arogya Yojana (PM-JAY) in Uttar Pradesh. The study was funded by Bill & Melinda Gates Foundation (BMGF) as part of its State PM-JAY Implementation Support to ACCESS Health International.

This report has been authored by Dr. Umakant Dash, Director IRMA, Dr. V R Muraleedharan, Department of Humanities and Social Sciences IIT-M, along with Ms. Himani Sethi Director-Programmes and Ms. Manisha Tripathi-State Director, Uttar Pradesh from ACCESS Health International. The data analysis support has been provided by Mr. Vineet Prakash and Mr. Swapan Ghosh from ACCESS Health.

The State Agency for Comprehensive Health and Integrated Services (SACHIS) is the implementing organisation for PM-JAY in Uttar Pradesh. The scheme covers 1.18 crore poor and deprived rural families, and identified occupational categories of urban workers’ families in the state. In addition, 8.43 lakh additional families have been included under the state scheme called the Mukhya Mantri Jan Arogya Abhiyaan (MM-JAA). PM-JAY is being implemented in assurance mode directly by institution with the Department of Health and Family Welfare-DOHFW, with assistance from Third Party Administrators (TPAs). In the first three years of implementation SACHIS focused on setting up systems and processes crucial to the implementation of the scheme. x

A mixed-method approach was applied for the process evalution. This includes a desk review and discussions with SACHIS officials covering policies, plan and practices, followed along operational constructs for development of a qualitative understanding. A beneficiary household survey (covering 4,156 households, including 164 MM-JAA households) was conducted in ten sample districts to bring beneficiary perspective on the scheme and service delivery. They were selected based on the geographical representation and the performance of PM-JAY implementation.

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