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India Infrastructure Report

The India Infrastructure Report (IIR) is an annual thematic report that reflects a central contemporary issue in infrastructure development. An outcome of the collaborative efforts of academics, researchers and experts, the IIR is an invaluable resource for policymakers, academicians and corporates.

India Infrastructure Report 2013 | 14
The Road to Universal Health Coverage

The Indian population today has little or no access to good quality healthcare at affordable prices. Not surprisingly, on several of the basic health indicators India ranks amongst the lowest in the world. The health crisis is aggravated by a rising incidence of chronic and non - infectious diseases. The public health system is in jeopardy, due to decades of appallingly low public investments; inadequate and antiquated infrastructure; severe shortage of human resources; and inadequancies in government policies. Failed public health systems have forced people to turn to the private sector, which is costly and unregulated, with services often being provided by unqualified medical practitioners. As a result, people seeking healthcare services have the agonising choice between poor quality public facilities and costly, yet undependable private services. Preventive and primary healthcare have been marginalised, with the focus having shifted to curative tertiary care, higher importance of clinical medicine, and extremely high dependence on clinical investigations. Health expenditures can be prohibitively high with the rural popluation and the urban poor being the worst sufferers. India is thus faced with the daunting challenge of providing Universal Health Coverage (UHC) and ensuring that all people receive good quality healthcare without facing significant financial difficulty.

Twelfth in the series, India Infrastructure Report 2013/14 looks at the challenges for ensuring availability, accessibility, affordability and quality of comprehensive healthcare to all, and explores strategies to overcome the impediments along the road to UHC. In this process, it also discusses whether initiatives taken to reduce the burden of people's health expenditure has yielded desirable results, how to leverage the strengths of the private sector in healthcare delivery, role played by the non-state entitties in rural healthcare, imperatives of engaging with the community, and the high impact of preventive care at low cost. The Report draws the readers attention to some of the emerging issues in the health sector such as rising burden of non-communicable diseases and mental health, human resource crisis in health sector, and health concerns of informal sector workers, and steps required to attend to them within the UHC framework.

The result of a collaborative effort led by the IDFC Foundation, this Report brings together a range of insightful perceptions of academics, researchers and practitioners committed to improving healthcare practices. It will be an extremely useful resource for policy - makers, academics, researchers and corporates engaged in this sector.


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India Infrastructure Report 2012
Private Sector in Education

Today, India’s education sector remains a victim of poor policies, restrictive regulations and orthodoxy. Despite being enrolled in schools, children are not learning adequately. Increasingly, parents are seeking alternatives through private inputs in school and tuition. Students are dropping out from secondary school in spite of high financial returns of secondary education, and those who do complete it have inferior conceptual knowledge. Higher education is over-regulated and under-governed, keeping away serious private providers and reputed global institutes. Graduates from high schools, colleges and universities are not readily employable, and few are willing to pay for skill development. Ironically, the Right to Education Act, if strictly enforced, will result in closure of thousands of non-state schools, and millions of poor children will be left without access to education.

Eleventh in the series, India Infrastructure Report 2012 discusses challenges in the education sector – elementary, secondary, higher and vocational – and explores strategies for constructive change and opportunities for the private sector. It suggests that immediate steps are required to reform the sector to reap the benefits from India’s 'demographic dividend' due to a rise in the working population.

Result of a collective effort led by the IDFC Foundation, this report brings together a range of perspectives from academics, researchers and practitioners committed to enhancing educational practices. It will be an invaluable resource for policy-makers, researchers and corporates.   

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India Infrastructure Report 2011

India's water future is in danger if current trends in its use continue

Three quarters of Indians live in water-stressed regions. The situation is worsening with growing demand and inefficient water usage while the availability of clean water is declining due to overexploitation of groundwater and pollution of water bodies. Climate change would exacerbate the problem. The widening water gap could have serious ramifications if the current trends in its use continues.

The IIR 2011 focuses on the rights-policy-legal-institutional framework and the dimensions of conflicts related to water sector, argues the need for a reorientation of public irrigation management, localized solutions and conservation of water resource, better coordination among institutions for planning and delivery of water services, and greater use of market mechanisms for better resource management. The report also looks into the techno-economic and regulatory aspects of water conservation.

The Report was released by Dr. Mihir Shah, Member Planning Commission, Govt. of India at the Taj Mansingh, New Delhi on December 19, 2011.

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India Infrastructure Report 2010
Infrastructure Development in a Low Carbon Economy

Rapid infrastructure build-up is essential to sustain India’s high economic growth. But infrastructure development has traditionally been carbon intensive. The challenge, therefore, is to build infrastructure with less carbon footprints without compromising poverty alleviation and energy security. This report therefore, focuses on issues and challenges of infrastructure development in a carbon smart way in keeping with India’s inclusive growth objectives. The Report was released by Shri Suresh P Prabhu, Member of United Nations Commission for Biodiversity & Land Use Change, and Former Union Cabinet Minister of Power; Environment and Forests; Chemicals and Fertilizers; Heavy Industry & Public Enterprises, Govt. of India at the Taj Mansingh,  New Delhi on October 20, 2010.

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India Infrastructure Report 2009
Land – A Critical Resource for Infrastructure

This IIR focuses on land as a critical resource for infrastructure and examines its diverse facets viz. acquisition of land for infrastructure development and consequent involuntary displacement of people, resettlement and rehabilitation issues, land market distortions, institutional and regulatory impediments to urban land market development, land as a financing instrument, and possible solutions to address constraints. It was launched by Shri Kamal Nath, Hon’ble Minister of Road Transport and Highways, at the Hotel Taj Mahal, New Delhi, on July 24, 2009.

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India Infrastructure Report 2008
Business Models of the Future

This report focuses on PPP growth models of the future in power, telecom, transport, commercial and urban infrastructure, and social infrastructure. The models highlight global best practices in PPP in these sectors with successful case studies from India and abroad.

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India Infrastructure Report 2007
Rural Infrastructure

This report describes recent developments in rural infrastructure. Providing infrastructure facilities to half-a-million hamlets is a daunting task. In this context the report focuses on better governance to further improve rural infrastructure despite the diversity and constraints.

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India Infrastructure Report 2006
Urban Infrastructure

This report focuses on regulation and industry structure and spells out an agenda of reform and privatization to improve the infrastructure's effectiveness, targeting, and efficiency.

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India Infrastructure Report 2004
Ensuring Value for Money

This report, recognizing the limits of the paradigm for the government’s role in infrastructure, argues for an enhanced role for the private sector and end-users. It also outlines necessary initiatives from the government in the form of policy frameworks for public-private partnerships, and private financing initiatives for both publicly contracted infrastructure as well as privately financed and provided infrastructure.

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India Infrastructure Report 2003
Public Expenditure Allocation and Accountability

This report focuses on regulation and industry structure and spells out an agenda of reform and privatization to improve the infrastructure's effectiveness, targetting, and efficiency.

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India Infrastructure Report 2002
Governance Issues for Commercialization

This report focuses on one of the most fundamental building blocks of a reform agenda, namely, governance frameworks for commercialization.

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India Infrastructure Report 2001
Issues in Regulation and Market Structure

This report focuses on the policies required to create an appropriate market structure for infrastructure provision and the regulatory framework this implies.

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