ASSIST – Under World Bank

Last Updated on: February 01, 2023

Assam State Secondary Healthcare Initiative for Service Delivery Transformation (ASSIST) Project under Medical Education and Research Department, Government of Assam will be funded by World Bank. The total project cost is Rs. 2196.500 cr (Loan- Rs 1757.20 cr, State share- 439.30 cr) and the project duration is Six (6) years. The main aim of the project is to improve the district level healthcare services in Assam by improving quality, access and management capacity in selected district hospitals.

Specific objectives are:

  • Improve the quality and access to secondary health facilities by improving physical infrastructure and institutional reforms of the district hospitals.
  • Build responsive health services to meet local needs and requirements following global and national best practices to redesign service delivery and innovations.
  • Strengthen management capacity and accountability at district hospitals through results-based financing approach.
  • Support synergy and complementarity with national programs that focus on improving service delivery and health care infrastructure.


Major Components of the Project are:

  • Construction of new 150 bedded District hospitals in 10 districts including operating cost for 2.5 years.
  • Improve functionality of the existing health infrastructure of 25 district hospitals based on a comprehensive gap assessment.
  • PPP in health to improve quality and efficiency by contracting-in of specialist services and contracting out ancillary services following performance-based contracts.
  • Strengthening hospital management cadre by building comprehensive capacity building protocols.
  • Strengthening of management and data systems including an integrated HMIS, EMR systems.
  • Support improvements/ pilot innovations in pre-service training in nursing colleges, and
  • Results based financing for improving quality of healthcare services with performance indicators around quality of care, patient satisfaction, clinical.


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