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Demonstration mode. Pragati Shakti does not hold office. Pages marked “simulated” show how the governing model would work; baselines with a cited source are published statistics; targets are proposals. Nothing here is a record of work delivered.
Pragati Shakti
English
অসমীয়াবাংলাबड़ोsoonडोगरीsoonEnglishગુજરાતીहिन्दीಕನ್ನಡکٲشُرsoonकोंकणीsoonमैथिलीsoonമലയാളംꯃꯤꯇꯩꯂꯣꯟsoonमराठीनेपालीଓଡ଼ିଆਪੰਜਾਬੀसंस्कृतम्soonᱥᱟᱱᱛᱟᱲᱤsoonسنڌيsoonதமிழ்తెలుగుاردو

Greyed languages are being translated; reviewers welcome.

Mission 1 of 7

Health

Improve measurable health outcomes, access, affordability, prevention and quality.

Owner: Mission Lead — HealthStateUnionLocal
Outcome hierarchy

10-year outcome → 3-year missions → Year-1 goals

10-year outcome (Year 10 — beyond a single term; depends on renewed mandates)

By Year 10: every citizen can reach emergency care within 30 minutes and no household is pushed into poverty by a health event.

By end of Year 3
  • By end of Year 3: Emergency care reachable within 30 minutes for 80% of population (from a validated baseline).
  • By end of Year 3: Halve median waiting time at primary health centres in pilot districts.
  • By end of Year 3: Publish district-level disease-surveillance data within 7 days of collection.
Year 1 goals
Establish a trustworthy national health-outcome baseline
  • KR · Independent audit of emergency-access baseline in 100 districtsmetric
  • KR · Cut out-of-pocket share of health spending below 40% again and keep it fallingmetric
  • KR · Household health-expenditure survey methodology peer-reviewed and published
  • KR · Waiting-time measurement running in 50 PHCs with monthly public data
Measurement

Outcome metrics

Sourced observations are published statistics, reproduced as stated. Targets are Pragati Shakti proposals. Where no national measurement exists we say so instead of inventing one.

Out-of-pocket expenditure as share of total health expenditure

Unit: % · lower is better
Baseline
43.4% (FY 2022-23) Primary government data · MoHFW / NHSRC (via PIB)
Proposed target
25% by Year 10
Observation log (3) · Last checked 18 Sep 2026
DateValueClassGeographyPeriodPublishedConfidenceSource / note
31 Mar 201464.2Primary government dataIndiaFY 2013-1425 Sep 2024HIGHNational Health Accounts Estimates 2020-21 and 2021-22 — FY 2013-14
31 Mar 202239.4Primary government dataIndiaFY 2021-2225 Sep 2024HIGHNational Health Accounts Estimates 2020-21 and 2021-22 — FY 2021-22 (pandemic year; public spending elevated)
31 Mar 202343.4Primary government dataIndiaFY 2022-232026HIGHNational Health Accounts Estimates 2022-23 — FY 2022-23; rose from 2021-22

Population able to reach emergency-capable care within 30 minutes

Unit: % · higher is better
Baseline to be built
Not yet measured
No national travel-time measurement is published. Pragati Shakti Labs project LAB-01 is building the baseline (GIS travel-time model, 100 districts, independently audited). Until then this metric has no number.
Baseline
Not yet measured
Proposed target
95% by Year 10
We measure
  • Access time to emergency care
  • Waiting time at primary facilities
  • Preventable mortality
  • Disease burden (DALYs)
  • Treatment outcomes
  • Out-of-pocket health expenditure as share of household spend
  • Doctors, nurses and paramedics per 10,000 population
We do not define success by
  • Number of hospitals inaugurated
  • Money allocated
  • Schemes announced
Scope

Focus areas and who can act

Primary healthcarePreventive medicineMaternal healthChild healthEmergency medicineHealthcare workforceAffordable diagnosticsAffordable medicinesMedical educationPublic-health infrastructureDigital healthMental-health infrastructureDisease surveillance
Who can act?
  • StatePublic health and hospitals are a State subject (Seventh Schedule, List II, Entry 6).
  • UnionUnion acts via centrally sponsored schemes, medical education regulation, drug regulation and disease control.
  • LocalUrban local bodies and panchayats run primary facilities and sanitation in many states.
Federalism explained →
Sample implementation schedule · simulated

How the work board for this mission would look (2 sample cards)

These cards demonstrate the record-keeping. None of these initiatives has started; dates are relative to taking office (Y1 Q1 = first quarter).

PS-001

30-minute emergency care access

Illustrative: PilotShared

Large populations cannot reach functioning emergency care quickly; baseline not independently validated.

Owner
Mission Lead — Health
Baseline
Not measured nationally (LAB-01 building baseline)
Target
80% by Year 3; 95% by Year 10
Sample dates
Y1 Q1 → Y3 Q4
Est. / actual
₹1.8k cr / ₹90 cr
KPI
health-emergency-access
Priority
3 / 100

Depends on: State health department MoUs (12 districts); GIS travel-time dataset

Risks: Ambulance staffing shortfalls; Referral hospitals overloaded

Y1 Q2 — Sample schedule: pilot would begin in 12 districts in Y1 Q2; first travel-time audit at the end of Y1.

PS-013

PHC waiting-time measurement (50 PHCs)

Illustrative: DeliveredState

Waiting time at primary facilities is unmeasured, so quality cannot be managed.

Owner
Mission Lead — Health
Baseline
Unmeasured
Target
Monthly public waiting-time data from 50 PHCs
Sample dates
Y1 Q4 → Y1 Q2
Est. / actual
₹4 cr / ₹3.8 cr
KPI
Median waiting time (minutes)
Priority
29 / 100

Risks: Gaming via token manipulation

Y1 Q2 — Sample schedule: live from Y1 Q2 with anomaly detection flagging facilities for audit.

Full policy pages: Emergency care within 30 minutes (v1.0)
Learning · simulated examples

Labs projects and what didn't work

Labs
  • MEASUREGIS travel-time baseline for emergency care
  • PEER_REVIEWHousehold health-expenditure survey instrument
What didn't work