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In the first two years of the project, the number of surgeries increased by 23 percent. Between July 1995 and June 1996 alone, 1.49 million surgeries were financed under the project; about 60 percent of these operations were performed by or with inputs from NGOs. The Andhra Pradesh First-Referral Health Systems Project was also approved in 1994, and is financed with an IDA credit of US$133 million. The project aims to help the Government of Andhra Pradesh improve efficiency in allocation and use of health resources through policy and institutional development, and improve the quality, effectiveness, and coverage of secondary-level health care to serve better the neediest people. Ultimately, the aim is to improve the health status of the people of Andhra Pradesh, especially the poor and underserved, by reducing mortality, morbidity and disability. The project has also served as a model that can be replicated to reorient the health system in other states in India. The project in Andhra Pradesh set the stage for the State Health Systems II Project, approved in 1996 and financed by an IDA credit of US$350 million.
The project aims to help the Governments of Karnataka, Punjab, and West Bengal put in place a coherent approach to integrating a basic package of preventive and curative health care services. The project has three main activities. First, it will strengthen health care institutions and their ability to deliver services, develop health care policy, and develop surveillance capacity for major communicable diseases and response capabilities.
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