State Cabinet okays Rs 4,250 crore ‘PRAGATI’ project to modernise Maharashtra’s healthcare infrastructure

Mumbai, Sep 9 (IANS) In a major push to make Maharashtra’s public healthcare system more robust, accessible, high-quality, and technology-driven, the State Cabinet on Tuesday approved the ambitious state-level public health reform initiative titled PRAGATI (Primary Healthcare Reimagined with Advanced Governance and Accessible Technology Integration).

Announcing the decision, Minister for Public Health and Family Welfare Prakash Abitkar stated that the project will be implemented over a five-year period from 2026 to 2031 with an overall outlay of Rs 4,250 crore. The Asian Development Bank (ADB) will fund 70% of the project cost through a loan of Rs 2,975 crore, while the remaining 30% (Rs 1,275 crore) will be borne by the Government of Maharashtra.

The PRAGATI project places a strong emphasis on the prevention, screening, diagnosis, and treatment of Non-Communicable Diseases (NCDs). Key priority areas include diabetes, hypertension, cardiovascular conditions, Chronic Kidney Disease (CKD), Chronic Obstructive Pulmonary Disease (COPD), stroke, mental health, diabetic retinopathy, fatty liver disease, palliative care, and hospice services, said Minister Abitkar.

Additionally, the initiative will strengthen early screening and diagnostic infrastructure for breast, cervical, and oral cancers. Substantial resources will also be directed toward capacity building for healthcare staff, community counselling, awareness campaigns, and Behaviour Change Communication (BCC).

Under the newly introduced Maharashtra Health Technology Mission, the state aims to accelerate digital health transformation. The project will expand the footprint of Electronic health records and integrated health information systems, Telemedicine services, and Advanced digital health applications, the minister said.

The objective is to leverage technology to bring healthcare closer to citizens, streamline coordination across primary, secondary, and tertiary care levels, and ensure a seamless continuum of care for patients.

To reduce the overburdening of tertiary referral hospitals, the project allocates approximately Rs 1,500 crore in capital expenditure to enhance hospital infrastructure across five key districts, including Kolhapur, Nanded, Pune, Latur and Nagpur. This expansion will add a total of 1,600 hospital beds, allowing advanced diagnostic, treatment, and referral services to be addressed directly at the district level.

Minister Abitkar highlighted that the PRAGATI project will transform the public health landscape in Maharashtra. By integrating health services, leveraging digital governance, and enhancing clinical capacity, the initiative is designed to significantly lower out-of-pocket medical expenditures for citizens while accelerating the state’s progress toward Sustainable Development Goal 3 (SDG-3) and Universal Health Coverage (UHC).

–IANS

sj/uk