Program Advisory

We evaluate and strengthen the capacity of government health staff at state, district and village levels to collect robust data and deliver universal health coverage based on evidence.

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Cover of ASHA Readiness Assessment for Comprehensive Primary Health Care in Uttar Pradesh, India, UHC360, August 2026

UHC360

ASHA readiness assessment for comprehensive primary health care in Uttar Pradesh, India (confidential)

India has had a vision of providing universal health coverage (UHC) to its citizens for a long time. In 1946, the Health Survey and Development Committee Report proposed “a comprehensive health service offering preventive and curative medical care to all, irrespective of their ability to pay”. 80 years later, and 8 years following the launch of Ayushman Bharat (AB) – India’s most ambitious UHC program ever – do we have the evidence-base to design and deliver UHC? Not quite – this report argues based on focus group discussions with 70 Accredited Social Health Activists (ASHAs) and 12 Community Health Officers (CHOs) in the Rampur district of India’s most populous state, Uttar Pradesh – thanks to a series of foundational and functional challenges that ASHAs face in collecting data from all adults aged 30 years and above, according to the Community Based Assessment Checklist (CBAC). CBAC is meant to identify a wide range of risk factors and symptoms that underpin multiple UHC services, and therefore, has the potential to support evidence-based, integrated care for a wide range of health challenges.

UHC360 · Upcoming

Strengthening CBAC data collection in Uttar Pradesh

Using a cascading model, we are going to train CHOs to, in turn, train ASHAs on administering the CBAC – including how to convince community members to participate and share accurate information, ask questions appropriately and record data accurately. To strengthen data quality, CHOs will also be trained to randomly cross-verify a sample of completed CBAC surveys in communities and with patients who visit their facilities. We will monitor the CBAC training that CHOs conduct and the cross-verification they undertake, and share our feedback with them. We will also cross-verify a CBAC sample at the community level before and after this activity as well as during endline evaluation.

Cover of Universal Health Coverage in Meghalaya: Report of a capacity-building program for Meghalaya government health officials, UHC360 and Sambodhi

UHC360 & Sambodhi

Universal health coverage in Meghalaya

Meghalaya is one of the few Indian states that has demonstrated extraordinary political and financial commitment to promoting UHC – and the first in the country to extend it to its entire population. However, there are critical challenges that the state needs to address to translate its commitment into improved, equitable health outcomes for its population.

Read the report

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Dr Ali MehdiFounder & CEO, UHC360