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Governance for strategic purchasing and instruments to improve quality of services: experiences from India

Collectivity group on Governance for Strategic Purchasing - webinar series


Governance for strategic purchasing and instruments to improve quality of services: experiences from India



Dear colleagues,


Please find below details for the next webinar in the strategic purchasing series, to be held on Tuesday, September 24th from 2:30-3:30 PM UTC+1 (8:30-9:30AM EST)


This presentation will focus on experience with governance for strategic purchasing in India, and will answer the following question:


What specific governance aspects, including political and institutional drivers, were critical in the expansion of different strategic purchasing instruments aimed at improving quality?


Please come prepared with related examples from your own country to share during the discussion, and we look forward to engaging with you!



Chair: Laura Downey, Imperial College; London


Presenters: Sumit Mazumdar, Centre for Health Economics, University of York, UK; Nishant Jain, GiZ-India, New Delhi


Discussant: Vergil de Claro, health policy analyst and health financing specialist; Philippines





Overview: The strategic purchasing paradigm for Indian health financing is complex and multi-tiered within the fiscal federalist system, initiated through different government-sponsored health insurance schemes (GHIS) across Indian states. Strategic purchasing of health services involves contracting of mostly private sector secondary and tertiary-level hospitals to provide a defined package of health services and procedures in a fee-for-service model. The new national health insurance programme in India – the Pradhan Mantri Jana Aarogya Yojana (PMJAY) – launched in 2018, has subsumed most of the pre-existing State GHIS under a comprehensive package of services with flexibility regarding how the SP function is implemented in each State. Drawing on contemporary experience in selected Indian provinces, the webinar will discuss how SP governance aspects are critical to the success of PMJAY – along with interlinkages with political and institutional drivers of wider health system functions – in implementing the key reform measures under PMJAY, and how purchasing functions can be a useful policy lever to influence quality of health services and ensure adequate financial risk protection. 


Dial in details: Governance for strategic purchasing and instruments to improve quality of services: experiences from India


Hosted by Aurelie KLEIN


Tuesday, Sep 24, 2019 2:30 pm | 1 hour | (UTC+01:00) Brussels, Copenhagen, Madrid, Paris (8:30AM EST)

Meeting number: 926 122 460


Join by video system


You can also dial and enter your meeting number.


Join by phone

41445750282 SWITZERLAND Toll

+1-415-655-0003 US Toll

Access code: 926 122 460



This webinar is part of the Collectivity webinar series on Governance for Strategic Purchasing planned throughout 2019. Collectivity is an online platform that facilitates the achievement of virtual collaborative projects with the objective to support collective learning. It is open to anyone curious, eager to learn and ready to get involved in a virtual exchange.

Governance is an overarching health systems function, which according to WHO's framework for action on strengthening health systems is about “ensuring strategic policy frameworks exist and are combined with effective oversight, coalition-building, regulation, attention to system-design and accountability”. Yet, governance of the purchasing of health services has received little attention in either research or policy practice, despite its importance. A working group comprised of policy makers, experts and researchers has come together on the collectivity online platform to foster collective learning and peer exchange around different aspects of governance for strategic purchasing

Each webinar will present a country case and highlight a key aspect of the WHO framework to assess governance for strategic purchasing (to be published soon, a conference copy is available). The webinars will discuss various elements of strategic purchasing and explore how governance arrangements contribute to making purchasing more strategic.

The remaining webinars in the series are as follows:


October 23 2019 (8:30-9:30 AM EST) Health information systems and strategic purchasing: Country focus Colombia

November 27 2019 (8:30-9:30 AM EST) Implementation of a purchaser-provider split (questions of political feasibility, autonomy): Country presentation Cambodia