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According to the Bank’s website, the objective of this project is to increase equitable access to affordable and quality health care services in the State of Mizoram.
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.
The environmental safeguard category is expected to be C, as the civil works will not be considered within the program boundary and eligible expenditure of the RBL. The proposed RBL program will exclude activities, if any, under the government program that are assessed as likely to have significant adverse impacts that are sensitive, diverse, or unprecedented on the environment and/or affected people, and activities in the Safeguard Policy Statements prohibited investment activities list.
The involuntary resettlement category is expected to be C, as the civil works will not be considered within the program boundary and eligible expenditure of the RBL.
Mizoram has a high share (95%) of the indigenous peoples (scheduled tribe) population to the total state population. Preliminary assessments suggest that the proposed program will not adversely impact the dignity, human rights, livelihood systems, or culture of indigenous peoples or affects the territories or natural or cultural resources that indigenous peoples own, use, occupy, or claim as their ancestral domain. The indigenous peoples category for the program is likely to be B as the proposed program will benefit the states population by expanding accessibility and affordability of health care services.
Loan (Ordinary capital resources): US$ 108.00 million
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ACCOUNTABILITY MECHANISM OF ADB
The Accountability Mechanism is an independent complaint mechanism and fact-finding body for people who believe they are likely to be, or have been, adversely affected by an Asian Development Bank-financed project. If you submit a complaint to the Accountability Mechanism, they may investigate to assess whether the Asian Development Bank is following its own policies and procedures for preventing harm to people or the environment. You can learn more about the Accountability Mechanism and how to file a complaint at: http://www.adb.org/site/accountability-mechanism/main.
