Project
| ID | INDIGO-POJ-0037 |
|---|---|
| Impact Bond Name - (Value) | The Utkrisht Impact Bond |
| Stage of Development - (Value) | Complete |
| Stage of Development - (Source ID's) | source8 |
| Dates - Date outcomes contract signed - (Value) | 2017-11 |
| Dates - Start date of service provision - (Value) | 2018-05 |
| Dates - Anticipated end date of service provision - (Value) | 2021-08 |
| Dates - Actual end date of service provision - (Value) | 2021-04 |
| Dates - (Source ID's) | source2,source8 |
| Overall project finance - Total investment commitment - Currency - (Value) | USD |
| Overall project finance - Total investment commitment - Amount - Exact - (Value) | 2900000 |
| Overall project finance - Total investment commitment - Amount USD - Exact - (Value) | 2900000 |
| Overall project finance - Maximum potential outcome payment - Currency - (Value) | USD |
| Overall project finance - Maximum potential outcome payment - Amount - (Value) | 8000000 |
| Overall project finance - Maximum potential outcome payment - Amount USD - (Value) | 8000000 |
| Overall project finance - Maximum potential return type - (Value) | IRR |
| Overall project finance - Maximum potential return - (Value) | 0.08 |
| Overall project finance - Configuration of the Contracting Parties - (Value) | Waterfall contracting structure |
| Purpose and classifications - Social challenge - (Value) | Requiring that private sector facilities have high quality standards could improve health for many of the 1.4 billion people in India and make progress toward health-related Sustainable Development Goal 3. Private facilities—which provide 80 percent of all outpatient and 60 percent of all inpatient care in the country and house the vast majority of Indian physicians—are subject to limited regulations (Tripathi et al. 2019; Chakravarthi 2018). As a result, private facilities vary greatly in size, services, and quality. Private sector clients are subject to arbitrary costs, inconsistent clinical care, and variable treatment by facility staff—and they rarely have any formal means of seeking recourse or accountability should an issue occur in their care (Chakravarthi 2018; Shukla et al. 2018). |
| Purpose and classifications - Intervention - (Value) | Two service providers, Hindustan Latex Family Planning Promotion Trust (HLFPPT) and Population Services International (PSI), are supporting private facilities to improve the quality of care provided to new mothers and newborns. The service providers will also support the private facilities to become certified by the joint quality standard (JQS). |
| Purpose and classifications - Policy sector - (Value) | Health |
| Purpose and classifications - Primary SDG goal - (Value) | 3 |
| Purpose and classifications - (Source ID's) | source2,source3,source8 |
| Service and beneficiaries - Target population - (Value) | Private facilities across Rajasthan, meeting the following criteria for facility inclusion Scale: Less than 100 beds, minimum of 20 deliveries per month Infrasturcture: 24/7 electricity; 24/7 water supply; operating theatre; labour room Staff: full-time gynecologist; at least three full-time midwives Engagement: interest in quality improvement; willingness to share data Compliance: pollution control registration |
| Service and beneficiaries - Targeted number of unique service users or beneficiaries (total) - (Value) | 10000 |
| Service and beneficiaries - Unit type of targeted service users or beneficiaries - (Value) | Individual |
| Service and beneficiaries - Actual number of unique service users or beneficiaries engaged (total) - (Value) | 13449 |
| Service and beneficiaries - Unit type of actual service users or beneficiaries engaged - (Value) | Individual |
| Service and beneficiaries - (Source ID's) | source6 |
| Service and beneficiaries - (Notes) | Notes on beneficiaries: The Utkrisht Impact Bond supported private facilities across Rajasthan to improve the quality of care provided to new mothers and newborns. The initial aim of the DIB was to avert 10,000 maternal and neonatal deaths. At the end of the DIB, it is expected that quality of care achieved by participating Utkrisht DIB facilities will avert an estimated 13,449 maternal and neonatal deaths by 2023. |
| Delivery Locations 1: Service Provision ID - (Value) | servicedelivery1 |
| Delivery Locations 1: Location - Name - (Value) | Rajasthan, India |
| Delivery Locations 1: Location - Country - (Value) | IN |
| Delivery Locations 1: Lat/Lng - Lat - (Value) | 26.881736 |
| Delivery Locations 1: Lat/Lng - Lng - (Value) | 75.826324 |
| Sources 1: Id | source1 |
| Sources 1: Name - (Value) | Convergence. 2018. Design Case Study: The Utkrisht Impact Bond. P.1. |
| Sources 2: Id | source2 |
| Sources 2: Name - (Value) | Convergence. 2018. Design Case Study: The Utkrisht Impact Bond. P.5. |
| Sources 3: Id | source3 |
| Sources 3: Name - (Value) | Convergence. 2018. Design Case Study: The Utkrisht Impact Bond. P.3. |
| Sources 4: Id | source4 |
| Sources 4: Name - (Value) | (Center for Global Development, 2019) Development Impact Bonds Targeting Health Outcomes: Pages 11- 14 |
| Sources 5: Id | source5 |
| Sources 5: Name - (Value) | Convergence. 2018. Design Case Study: The Utkrisht Impact Bond. P.4. |
| Sources 6: Id | source6 |
| Sources 6: Name - (Value) | Communication with Ecorys |
| Sources 7: Id | source7 |
| Sources 7: Name - (Value) | Convergence. 2018. Design Case Study: The Utkrisht Impact Bond. P.6. |
| Sources 8: Id | source8 |
| Sources 8: Name - (Value) | Evaluation Report - Maternal Health Care Quality and Outcomes Under the Utkrisht Impact Bond: Endline Findings and Insights |
| Sources 8: URL - (Value) | https://golab.bsg.ox.ac.uk/documents/Utkrisht_Endline_Report.pdf |
| Service Provisions 1: Id | serviceprovision1 |
| Service Provisions 1: Organisation ID - (Value) | INDIGO-ORG-0597 |
| Service Provisions 2: Id | serviceprovision2 |
| Service Provisions 2: Organisation ID - (Value) | INDIGO-ORG-1198 |
| Outcome Payment Commitments 1: Organisation ID - (Value) | INDIGO-ORG-0602 |
| Outcome Payment Commitments 1: Maximum potential Outcome payment - Currency - (Value) | USD |
| Outcome Payment Commitments 1: Maximum potential Outcome payment - Amount - (Value) | 3500000 |
| Outcome Payment Commitments 1: Maximum potential Outcome payment - Amount USD - (Value) | 3500000 |
| Outcome Payment Commitments 2: Organisation ID - (Value) | INDIGO-ORG-0073 |
| Outcome Payment Commitments 2: Maximum potential Outcome payment - Currency - (Value) | USD |
| Outcome Payment Commitments 2: Maximum potential Outcome payment - Amount - (Value) | 4500000 |
| Outcome Payment Commitments 2: Maximum potential Outcome payment - Amount USD - (Value) | 4500000 |
| Investments 1: Id | investment1 |
| Investments 1: Organisation ID - (Value) | INDIGO-ORG-0534 |
| Investments 1: Investment Commitment - Currency - (Value) | USD |
| Investments 1: Investment Commitment - Amount - Exact - (Value) | 2900000 |
| Investments 1: Investment Commitment - Amount USD - Exact - (Value) | 2900000 |
| Intermediary services 1: Organisation ID - (Value) | INDIGO-ORG-0598 |
| Intermediary services 1: Organisation Role Category - (Value) | Other |
| Intermediary services 1: Other Role Description - (Value) | Independent verification |
| Intermediary services 2: Organisation ID - (Value) | INDIGO-ORG-0599 |
| Intermediary services 2: Organisation Role Category - (Value) | Performance management |
| Intermediary services 3: Organisation ID - (Value) | INDIGO-ORG-0063 |
| Intermediary services 3: Organisation Role Category - (Value) | Impact bond design |
| Intermediary services 4: Organisation ID - (Value) | INDIGO-ORG-0279 |
| Intermediary services 5: Organisation ID - (Value) | INDIGO-ORG-0600 |
| Intermediary services 5: Organisation Role Category - (Value) | Legal counsel |
| Intermediary services 6: Organisation ID - (Value) | INDIGO-ORG-0601 |
| Intermediary services 6: Organisation Role Category - (Value) | Legal counsel |
| Intermediary services 7: Organisation ID - (Value) | INDIGO-ORG-1246 |
| Intermediary services 7: Organisation Role Category - (Value) | Other |
| Intermediary services 7: Other Role Description - (Value) | Evaluation |
| Outcome Metrics 1: Id | outcomemetric1 |
| Outcome Metrics 1: Outcome Definition - (Value) | Improved quality of care provision. More than or equal to 30% of points met in all 10 chapters of NABH standards AND More than or equal to 40% of FOGSI standards are 100% met. Pre-post reporting and evaluation. |
| Outcome Metrics 1: Targeted number of service users Or beneficiaries (total) - (Value) | 10000 |
| Outcome Metrics 1: Unit type of targeted Service users or beneficiaries - (Value) | Individual |
| Outcome Metrics 1: Primary SDG goal - (Value) | 3 |
| Outcome Metrics 1: Primary SDG target - (Value) | 3.1 |
| Outcome Metrics 1: Secondary SDG targets - (Value) | 3.2 |
| Outcome Metrics 1: Notes | 360-444 (private facilities), up to 10,000 service users (based on LiST calculation) |
| Outcome Metrics 2: Id | outcomemetric2 |
| Outcome Metrics 2: Outcome Definition - (Value) | Reaching JQS level of care provision. More than or equal to 50% of points met in all 10 chapters of NABH standards AND More than or equal to 70% of FOGSI standards are 100% met. Pre-post reporting and evaluation. |
| Outcome Metrics 2: Primary SDG goal - (Value) | 3 |
| Outcome Metrics 2: Primary SDG target - (Value) | 3.1 |
| Outcome Metrics 2: Secondary SDG targets - (Value) | 3.2 |
| Documents 1: Title - (Value) | Case Study - Utkrisht Impact Bond |
| Documents 1: URL - (Value) | https://golab.bsg.ox.ac.uk/knowledge-bank/case-studies/utkrisht-impact-bond/ |
| Documents 2: Title - (Value) | Report - Maternal Health Care Quality and Outcomes Under the Utkrisht Impact Bond: Midline Findings and Insights |
| Documents 2: URL - (Value) | https://golab.bsg.ox.ac.uk/knowledge-bank/resources/maternal-health-care-quality-and-outcomes-under-utkrisht-impact-bond-midline-findings-and-insights/ |