vibrant gujarat - sustainable development sector profile

Sustainable DevelopmentUrban development, Water & Healthcare

SECTOR PROFILE

Table of Contents

1. India - Preferred Investment Destination 1

2 Gujarat - Preferred investment destination in India 3

3 Sustainable Development in Gujarat - overview and focus sub sectors 5

4 Sustainable Development focus sub-sectors 7

4.1 Urban Development 8

Overview 10

Gujarat scenario 18

Policy initiatives and interventions planned 22

Investment opportunities 26

Transport Led Development 33

4.2 Water – Recycling & Desalination 42

Overview 43

Gujarat scenario 51



4.3 Healthcare 64

Overview 65

Gujarat scenario 74



5 Advantage Gujarat 92

6 Doing Business in Gujarat 101

7 Key government agencies 106

INDIA - PREFERRED INVESTMENT DESTINATION

01

1

INDIA - PREFERRED INVESTMENT DESTINATION

9th largest economy in the world by nominal GDP and 3rd largest by purchasing

power parity (PPP)

Recorded the highest growth rates in the mid-2000s

One of the fastest growing economies in the world (GDP growth rate – 8.6% in 2011)

GDP growth rate

Sectors’ contribution to GDP

India is one of themajor G-20 economies:

ththe 17 largest exporter andth11 largest importer in the world

Main Export Partners

ndThe 2 preferred global investment destination

(World Investment Prospects Survey 2010-2012 by UNCTAD)

USD 254 billion of FDI inflows between April 2000 and

March 2012

Main Import Partners

US 13%

UAE 12%

China 8%

Hong Kong4%

China12%

UAE 7%

Saudi Arabia6%

US6%

Australia5%

FDI Confidence Index, 2012A.T. Kearney Survey

FDI - Top Sectors

9.5% 9.6% 9.3%6.8% 8.0% 8.6%

0.0%

5.0%

10.0%

15.0%

2006 2007 2008 2009 2010 2011

1.52

1.52

1.6

1.73

1.87

0 0.5 1 1.5 2

Germany

US

Brazil

India

China

Services30%

Telecommunications12%

Computer softwareand hardware

11%

Real estate11%

Constructionactivities

10%

Power7%

Automobile industry

6%

Metallurgical industries

5%

Pharmaceuticals5%

Petroleum and natural

gas3%

No Change

Decline

Growth

- 200 400 600 800 1,000 1,200

Agriculture Industry ServicesUSD, billion

16%

17%

17%

18%

19%

20%

25%

26%

26%

26%

25%

26%

59%

58%

57%

56%

56%

54% 2006-07

2007-08

2008-09

2009-10

2010-11

2011-12(A)

(Q)

Trade Scenario, USD billion

0

50

100

150

200

250

300

350

400

1990-91 1994-95 2000-01 2004-05 2010-11

Export Import

CAGRExports

14%

CAGRImports

14%

02

World's largest democracy with1.2 billion people

Land of abundant natural resources and diverse climatic conditions

Enabling business environment with greater global participation

Strong Market Fundamentals

Access to technology as a result of the IT revolution

Impetus on Infrastructure Development

Progressive simplification and rationalization of direct and indirect tax structures

Competitivelypriced skilledlabour

democr naturand div

Strong MarkFundamen

Impetus on InfrastrucDe

pric

enwith gr

technology as a r

simplificrationaliza

ADVANTAGE INDIA

03

04

GUJARAT - PREFERRED INVESTMENT DESTINATION IN INDIA

2

05

Gujarat’s Degree of Openness (ratio of exports from state to Gross State Domestic Product)

53%

A highly industrialized state - Gross State Domestic Product contribution from manufacturing sector

28%

Growth in agricultural output in the state over the last 10 years 11%

Double digit growth rate with Gross State Domestic Product of USD 75 billion(2010-11) growing at a five year average of

10%

26%A state with one of the highest share in investments under implemented projects in India

A state with a high and growing literacy rate 79%

Increase in seat availability in technical institutions over last 3 years 100%

A state with a population of 60 million and one of the highest urbanization levels 43%

GUJARAT HAS BEEN RANKED 1ST AS PER THE “ECONOMIC FREEDOM RANKINGS FOR THE STATES OF INDIA, 2012” REPORT

SUSTAINABLE DEVELOPMENT IN GUJARAT - OVERVIEW AND FOCUS SUB SECTORS

306

SUSTAINABLE DEVELOPMENT REMAINS THE FOCUS AREA FOR GUJARAT

07

• Improvement of Human Development Index remains the core of development efforts of Gujarat.

• The Blueprint for Infrastructure in Gujarat 2020 (BIG 2020) is an integrated plan for the state's accelerated, balanced, inclusive and sustainable growth driven by robust social, industrial and physical infrastructure.

During the Eleventh Plan, Gujarat has made Plan allocations of

42 % towards Social Sector for overall and sustainable development

Gujarat aspires to become a beacon of comprehensive social and economic

development by

Creating more employment

Development of entire value chain of sectors

Focusing on value addition in product /service development

Development of knowledge base in sectors

Sustainable development

42%

58%

Socialsector Other

sectors

SUSTAINABLE DEVELOPMENT FOCUS SUB-SECTORS

08

4

09

URBAN DEVELOPMENT

4.1

OVERVIEW

10

4.1.1

GLOBAL URBANIZATION TRENDS

11

Sources: World Urbanization Prospects - United Nations, Department of Economic & Social Affairs; Asian Development Bank : Managing Asian Cities

• Asia home to half of world’s urban population • Urban population in Asia expected to double in the next four decades • By 2050, most of the world urban population to be concentrated around Asia

Pressing need for basic urban amenities – infrastructure, efficient transportation, affordable housing, service delivery in waste, sanitation, water, health and safety

Share of Asia in World’s Mega Cities

Asia Outside Asia

Year 1975 Year 2000 Year 2015

48

1

1111

60%

50%40%

30%

20%

10%

0%

4%12%

20%

31%

50%54%

38%

16%9% 9%

13% 10%15%

8%6%1%1%1%

1950 2009 2050

Africa Asia Europe LatinAmerica &Carribean

NorthernAmerica

Oceania

Key drivers of urbanization in Asia

• Reducing geographic barriers between

urban and rural areas due to better

transportation and connectivity

• Internal migration from rural to urban areas

• Higher life expectancy

2

Asia: Epicentre of Urbanization

Distribution of World Urban Population


12

• Two-thirds of world population without access to improved water supply live in Asia

• Need for basic services like sanitation, water supply etc in Asia outstrips that of Africa, Latin America and the Caribbean taken together

To meet Millennium Development Goals ofhalving proportion of people without access to improved services

• Adequate sanitation facilities required for additional 1.5 Billion people by 2015 in rural areas and 675 million in urban areas

• Access to safe water required for 980 million in rural areas and 619 million in urban areas

*Sources: United Nations Habitat : For a better urban future

*Sources: Cities Development Initiative for Asia Experience

GAP $60 billion per year

Estimated Annual Urban Infrastructure

Investment Requirement - $100 billion

Current Annual Urban Infrastructure

Investments - $40 billion

Asia’s urbanization trends


13

Urban Sector Contribution to

Gross National Product

Expenditure on Transport by Cities in Developing

Countries

Urban Household Income Spent on Transport

15%- 25% 8%- 16%

• Transport closely linked to poverty reduction and urbanization –

Investment of 1% of GDP in transport infrastructure reduces poverty by 0.5 to 1.0 %

• Increasing urban sprawl militates against adequate public transport thus reducing accessibility to

employment and facilities – affecting city’s economy and extent of urbanization

• 1/3rd of the urban infrastructure investment need in cities for transport

50%- 70%

Sources: Cities on the Move: A World Bank Urban Transport Strategy Review

Urban transport: Instrumental in shaping urban development and city economy

INDIA URBANIZATION TRENDS

14

Sources: Report on Urban Infrastructure, National Institute of Urban Affairs ;

Water Supply

Tap connection to household 70%

Water through hand pumps or tube wells 21%

Households with supply within premises 66%

Supply within 200 metres 32%

Sole access to water resource 41%

Shared access to water source 32%

Solid Waste

Solid waste generated per day 115,000 tons

Per Capita waste generation 0.2-0.6 kg

Increase in per capita waste generation per annum 1.3%

Waste in million plus cities 1200-5500 TDP

Waste treated before disposal 30%

• Duration of water supply in Indian cities ranges from 1 hour to 6 hours

• Most Indian cities do not have metering for residential water connections

• 70% of water leakages are from pipes for consumer connection and due to malfunctioning of water metres

• Non revenue water accounts for 50% of the water production

Water Supply (1pcd)

250200150100

500

India Service Standard Global Best in Class

Solid waste Collection (% total waste generated

100

50

0

Service StandardIndia Global Best in Class

• Waste collection less than 50% in smaller cities

• Less than 30% of solid waste segregated

• Collection of garbage from dumpsites infrequent

• Lack of scientific disposal of waste

• Proportion of organic waste to total much higher as compared to other countries

India’s Urban Awakening, MGI; Oxford Economics Projections

State of urban services: Wide demand supply gap


15

Sewerage & Sanitation

Sewerage & Sanitation

Households without toilets 70%

Households using septic tank 35%

Households with sewerage system 22%

Sewerage coverage 48%-70%

Sewerage generation in 300 cities 15,800 MLD

Treatment capacity 3,750 MLD

Sources: Report on Urban Infrastructure, National Institute of Urban Affairs


Sewerage Treated (% of sewerage generated

100

50

0


• 4861 out of 5161 cities/towns without even a partial sewerage network

• 18% of urban households defecate in the open

• Less than 20% of the road network covered by storm water drains

• Only 21% of waste water generated is treated

50

100

0

Share of Public Transportation(% total trips


• Public transport accounts for only 22% of urban transport in India as compared with 49% in lower middle income countries

• Share of public transport fleet in India has decreased sharply from 11% in 1951 to 1.1% in 2001

• Only 20 out of India's 85 cities with a population of 0.5 million of more in 2009 had a city bus service

• Share of two wheelers in the total fleet was 72% in 2006

Urban Transport

Urban Roads 3,01,310 KM

Cities with MRTS 4 out of 30 million plus cities

Urban Roads 7% of all roads in India

Registered vehicles 7,921,000

Mass transport vehicles 992,000

State of urban services: Wide demand supply gap


Strong Policy Support

16

Sources: Report on Urban Infrastructure, National Institute of Urban Affairs ;


National Urban Sanitation Policy

Jawaharlal Nehru Urban Renewal

Mission

National Urban Transport Policy

National Urban Housing and Habitat

Policy

• Awareness generation• Social and Occupational Aspects of Sanitation

• Institutional Roles & Responsibilities

• Reaching un-served households

• Capacity building

• development of urban

infrastructure and services

• Ensure adequate funds to meet deficiencies

• Scale up delivery of amenities & services

• Urban poor focus

Focussed attention on • Encouraging public transport • Establishment of multi modal public transport systems • Safety, Affordability, Sustainable access for citizens• Integrated land use and transport planning

• Regional level planning approach and sustainability focus

• Public Private Partnerships and increased supply of land

• Focus on affordable housing and EWS/LIG housing schemes• Spatial incentives & increase d flow of funds

68


Urban India in 2030

17

590 270

Million urban

population

Million more working

population

Cities with million plus population

billion US Dollar investment

required

Million Sq.m annual additional built

up space

KM of Metros and Subways

• Cities would generate 70% of the net new jobs by 2030

• Cities would generate 70% of the GDP

• Cities would drive four-fold increase in the per capita income

• Urban Economy would provide 85% of tax income

91

Million middle class urban households

Million Sq.m additional paved

roads

2500

times the current GDP

5Urban Population in Million

600

500

400

300

200

100

01991 2001 2008 2030

*Sources: India’s Urban Awakening, MGI; Oxford Economics Projections

1200 900 7400

GUJARAT SCENARIO

18

4.1.2

GUJARAT URBANIZATION TRENDS

Spearheading growth and development

19

*Sources: Forbes- Fastest Growing cities of the World, Census 2011 India’s Urban Awakening-MGI

Ahmedabad

Fastest growing city of the world

per capita income of the country

3rd

2 times

• Gujarat accounts for 6% of total

geographical area of the country

and 5% of the its population

• One of the fastest urbanizing

states in India

Looking into the Future: 2030

• Gujarat to be the 2nd most urbanized State of the country

• 3 of the largest cities of the country will belong to Gujarat

0.00%

5.00%10.00%

15.00%20.00%

25.00%30.00%

35.00%40.00%

45.00%

27.23% 25.74%28.06%

31.10%34.47%

37.36%

42.58%

17.29% 18.00% 19.91%23.70%

25.71% 27.78%31.16%

1951 1961 1971 1981 1991 2001 2011

Gujarat India

0.00%1.00%2.00%3.00%4.00%5.00%6.00%

Tamil N

adu

Maharashtra

Punjab

GujaratIndia

4.41%

2.80%

1.15%

3.35%

5.22%

Punjab

Karnataka

Maharashtra

Gujarat

Tamil Nadu

0% 50% 100%

Urbanization

Kanpur

Nagpur

Surat

Hyderabad

Bangalore

Kolkata

Mumbai

Population (Million)

0 10 20 30 40


Human Development Indicators: Towards a better quality of life

20

Gujarat's Per Capita Income has witnessed a 8.89% CAGR

0 10000 20000 30000 40000 50000

2004-05

2005-06

2006-07

2007-08

2008-09

2009-10

36102

38568

49030

44861

32021

42498

Female literacy has increased 5.5 times since 1951

020406080

100120140160

1951 1961 1971 1981 1991 2001 2011

Person Literacy % Female Literacy %

*Sources: Directorate of Census, 2011

Gujarat’s rate of growth in the social sector is much higher than that of anywhere in India

-Renowned International Economist Prof. J N Bhagwati

60

62

64

66

68

70

72

74

Male Female

69.2

72.5Life Expectancy at Birth in Years (2011-15)

PunjabMaharashtraAndhra PradeshKarnataka

GujaratMadhya PradeshHaryana

Rajasthan


Human Development Indicators: Towards a better quality of life

21

Gujarat’s focus on HDI has started showing positive impacts through increase in enrolment, reduction in drop out , reduction in both infant and maternal mortality

and improved access to emergency 108 services

85

90

95

100

105

110

115

Gross Enrolment Ratio (Source: SSA, Gujarat Education Department)

Boys Girls Total

0

50

100

150

2001 2002 2003 2004 2005 2006 2007 2008

Infant Mortality Rate (Per '000 live births)

Males Females

0100200300

1991- 2001 2001-03 2004-06

Maternal Mortality Rate (Per one lakh live births)

POLICY INITIATIVES AND INTERVENTIONS PLANNED

22

4.1.3


Key policy initiatives and programmes

23

Municipal Energy Efficiency Project

Urban Mobility Related Policies

Centralized Implementation of sc ient i f ic t reatment and disposal of solid waste for all the ULBs. Alternate funding explored through use of technology and sale of carbon credits. Private developers being involved on a BOT basis

Objective to improve overall energy efficiency of the ULBs for cost and energy savings. Two phase implementation comprising of a pilot phase with selec ted ULBs and followed by implementation across 149 ULBs across the State.

Government resolution passed for creation of a Unified M e t r o p o l i t a n T r a n s p o r t Authority – a nodal regulatory and implementing authority for urban transport initiatives as envisaged under the National Urban Transport Policy.

Swarnim Jayanti Mukhya Mantri Shaheri Vikas Yojana

A Rs 180 billion comprehensive reform linked programme of Government of Gujarat for drinking water supply, underground drainage , infrastructure development in municipal corporations/municipalities and additional assistance for Integrated Housing and Slum Development Programme of the Central Government. The focus is on cities which have not been covered under the Government of India’s JnNURM programme. Nodal agencies and third party agencies are designated for effective implementation and monitoring of the project works.

11%

22%

11%33%

3%3%

16.67% Urban Mobility

Basic Civic Amenities

Affordable Housing

Social Infrastructure

e-Governance

Skill Development

On Going projects

Municipal Waste Management Project



24

Regulations for hotels and hospitals – 2011 to promote development of such facilities with special FSI dispensations

• Well defined regulations governing –

• Health & Environment – to promote non conventional energy and eco friendly materials

• Parking Spaces – multi level parking in basement of any floor permitted

• Service Areas – special permissible areas for construction of vehicle lift, swimming pool, canopy/porch etc

Plot Area in Sq. Mts. of Rooms FSI

Above 5000 & Up to 8000 100 3.0

Above 8000 & Up to 10000 150 3.5

Above 10000 200 4.0

Minimum No. Max. Permissible

Hotel Regulations 2011

Hospital Regulations 2011

Plot Area in Sq. Mts. Max. Permissible FSI

Above 5000 & Upto 6000 3.0

Above 6000 & Upto 10000 3.5

Above 10000 4.0



25

• To provide slum dwellers clean and pucca houses and to rehabilitate through private initiative

• A regulatory framework rather than project based approach to achieve the objectives

• To be made available by:

- Compensation through FSI rather than cash

- Clubbing of slum rehabilitation with commercial/ other more viable and make it affordable rather than providing direct subsidy

- Providing government land and Specific provisions required for zoning and facilities

• Facilities: Dwelling units with min 25 sq mtr and social infrastructure like school, community centre etc

• Developers allowed commercial, residential or any other development & allowed to sell/dispose/rent/lease

• Ownership to be transferred in the name of the society and beneficiary to be stakeholder in the same.

• Objective to make available affordable housing units and open up areas for development

• Developer to maintain and manage township for seven years and later transfer to local authority

• FSI 1.0 is permitted. Additional FSI on payment shall be allowed . Maximum FSI is permissible is 1.5

• Built up area – 45% in case of low rise buildings and 30% in both high rise buildings and mix development

• Public Purpose infrastructure (PPI) includes crossover infrastructure and other amenities

• Total eight townships have been approved in Ahmedabad and one in Surat - Major names include – Shantigram, Safal, Arvind, Applewood, Sahara, Godrej, Smile City and Vedant

Regulations for Residential Township 2009

Regulations for Rehabilitation and Redevelopment of Slums 2010

26

INVESTMENT OPPORTUNITIES

4.1.4

27

ACHIEVEMENTS & OPPORTUNITIES

Water Supply

Kotarpur Water Treatment Plant

C O

M P

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P R

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Huge opportunities in water treatmentand processing across the State

Selected Investment Opportunitiesin major cities

Opportunity Location

Total Augmentationcapacity of 225 MLD inJaspur and Raska WTPs

Ahmedabad

Total 100 MLD plannedadditional WTP capacity

Vadodara

Solar plant at Kotapur Ahmedabad

90 MLD WTP under EPC mode

Planned Surat

Few Other Completed Projects

O&M of Water treatment plants,pumping stations and OHT

Jamnagar

Total capacity augmented to 100 MLD

24 projects completed, Ahmedabad

45 plant up to tertiary level

MLD Sewerage treatment Rajkot

Projects worth Rs 200 Crcompleted during last five years

Vadodara

Our Investors

28

ACHIEVEMENTS & OPPORTUNITIES

Liquid Waste

Sewage Treatment Plant at Surat

C O

M P

L E

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P R

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G O

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&

P R

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Large investment opportunities for infrastructure development for treatment

of sewage - Proposed investment size to the tune of Rs. 800 Crore in

Liquid Waste Management in municipalities

Expression of interest for 125 towns to be floated to promote private players in infrastructure development for treatment of sewage


Several new STPs & sewerage networks planned with estimated investment of Rs 267 Cr

Vadodara

Combined Opportunity in 4 STPs for 200 MLD with estimated investment of Rs. 180 Cr

Surat

Tertiary treatment plants – 60 MLD with estimated investment 100 Cr

Surat

STP at Gauridad of 70 MLD, Raiya of 56 MLD

Rajkot

Few Other Completed Projects

Construction of 66 MLD capacity Sewage Treatment Plant at Dindoli

Surat

Construction of 56 MLD capacity sewage pumping station at Magob & 9 MLD STP at Sarthana

Surat

Rajkot

Our Investors

Activated Sludge Process based Sewage Treatment Plants at Madhapure and Rajya of 45 MLDand 51 MLD respectively

Sayaji, Kapurai & Ataladara STPs with combined capacity of 95 MLD

Vadodara

Extension of Madhar STP – 45 MLD under BOOT basis

Rajkot

29

ACHIEVEMENTS & OPPORTUNITIES Solid Waste

Landfill site for inert

C O

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P R

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Opportunities for development ofprocessing units, landfill sites forinorganic and inert waste materialand vermi composting plants to thetune of Rs. 152 Crore across the state

Some Completed Projects

Our Investors

One of the leading states in the country in compliance with national Municipal Solid Waste Management Rules, 2000

Door/Gate to dump disposal ofwaste across 5 zones of the city

3 Processing plants underPPP mode

Development of Phase 1 ofSecured Engineered Landfillat Jambhua

DCOM of Integrated Processingfacility for Mixed MunicipalSolid Waste

Treatment of 400 TPD Solid waste

Collection, Treatment anddisposal of bio-medical wasteon BOOT basis covering 2000hospitals and clinics

Ahmedabad

Ahmedabad

Vadodara

Vadodara

Surat

Surat

Provision of Equipments


Plastic Waste Collection,Transportation,Storage & Treatment

Ahmedabad

E-Waste Collection,Transportation,Storage and Treatment

Ahmedabad

GPS, Contactless Card based vehiclemonitoring for SWM services

Smart Ahmedabad

Combined investment sizeRs 50 Cr for 400 TPD plant

Surat

30

ACHIEVEMENTS & OPPORTUNITIES Affordable Housing

C O

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&

P R

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Affordable Housing sector in the state provides exciting opportunities for collaboration

Our Investors


Relocation and in situproject of total 16304dwelling units underPhase II,

Vadodara

Special Regulations – Gujarat Slum Rehabilitation and Affordable Housing Policy, 2011to reduce housing shortage through promotion of public private partnership models inurban sector , attractive incentives offered for private developers

Some Completed Projects

In - situ project of 5392 dwellingunits under Phase - 1 project

Vadodara

7424 Number of units forEconomically Weaker Section

Surat

113 Units for Low Income Group Surat

Selected Investment Opportunitiesin major cities

Slum Networking

7 locations approved forPPP Model with plans toconstruct ~2000 units atcost of ~Rs. 84 Cr

Opportunities for NGOs andCSRs under Slum NetworkingProject for improvement inPhysical and CommunityEnvironment partnership

Ahmedabad

Ahmedabad

31

ACHIEVEMENTS & OPPORTUNITIES Energy Efficiency

C O

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&

P R

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Galore investment opportunities available for energy saving companies for implementationof various projects – total energy saving potential estimated to be 2.3 lakh MWh per annum

Our Investors

Municipal Energy Efficiency Project covering implementation of energy saving measuresin Street lighting systems, Water/Sewage Pumping systems etc.

Energy Efficiency Initiatives in Vadodara

• Pre Energy audits completed• Involvement of various external agencies – Project management consultants for

implementation and third party verification to balance interest of Energy Saving Companies

• ESCROW mechanism proposed to ensure transparent and secure distribution of savings to all stakeholders

32

ACHIEVEMENTS & OPPORTUNITIES Urban Environment

C O

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Our Investors

Construction of Jogging Trackwalls and platforms in lakeslike Bapod& Sarsiya

, Vadodara

Laser Toy train at Sayajibaug

and Musical Fountains, Vadodara

Several new gardens atresidential areas

Vadodara

Kankaria & Kids City Development

Lake Development Ahmedabad

Sneh , Botanical Garden,Ugat, Jahangirabad

Rashmi Surat

Dr. Shyama Lake Garden at Kansanagar

Prasad Mukherjee Surat

Revival of water body enhancement of urban landscapeat Magdalla, Dindoli, Pal, Puna,Unn & Godadara

and Surat

Plethora of opportunities indevelopment of Lakes, Parks andGardens, Entertainment Showsand Leisure destinations

Opportunity Location Est. Cost

Vishwamitry development &beautification of lakes

river Vadodara Rs 500 Cr

Nyari Dam SiteAmusement Park

Rajkot Rs 170 Cr

Tapi Riverfront Development

Surat Rs 40 Cr

AJI Amusement Park& Aquarium

Rajkot Rs. 40 Cr

Kids City, Ahmedabad Kankaria Lake, Ahmedabad Science Centre, Surat Joy Train, Ahmedabad

33

TRANSPORT LED DEVELOPMENT

4.1.5

34


Vision for future transport development: Transport Led Development

Gujarat strategy will be to shift focus from Transport supported development to Transport Led development

• Transport as a whole to act as a catalyst for development and sprouting of new regions – both industrial and urban

• Shift envisaged from colonial resource based transportation systems to ‘Mobility Solutions’ for everyone

• Mobility is at the core of growth, it creates both - social and economic opportunities

TransportImprovements

CommodityMarket

Labor Market

Expansion New Activities

Growth

Transport Improvements impact urbanization and economic growth

35

TRANSPORT LED URBAN DEVELOPMENT: HIGHLIGHTS AND OPPORTUNITIESAspects of Gujarat’s urban transport development

• Promotion of Sustainable Public Transportation

• Exploring Cleaner Fuel Options

• Encouraging Non motorised Transport

• Traffic Management Systems

• Transport charges and Financing

• Integrated Parking- Planning for Parking Management Systems

• Promotion of Public Private Partnerships for infrastructure development and service provision

• Plans for establishment of Unified Metropolitan Transport Authority for larger urban agglomerations

• Adoption of Cleaner fuel (Compressed Natural Gas) for Buses and Auto Rickshaws

• City Bus Operations through Public Private Partnerships

• Gujarat Metropolitan Committees resolution passed

• Initiation of new age public transport systems

• Efforts at transparent and centralized pricing for public transport

36

TRANSPORT LED URBAN DEVELOPMENT: HIGHLIGHTS AND OPPORTUNITIES

City Bus Services and Connectivity Infrastructure

• Transport as a whole to act as a catalyst for development and sprouting of new regions – both industrial and urban

• Shift envisaged from colonial resource based transportation systems to ‘Mobility Solutions’ for everyone

• Mobility is at the core of growth, it creates both - social and economic opportunities

• Construction of International Standard Bus Terminals with private partnership at 6 major locations underwaySeveral more planned

Nirmal Gujarat Special drive by GSRTC to upgrade bus terminals to improve infrastructural facilities

Public private partnerships for provision of city bus services which are reliable, convenient and affordable

Some Recent Projects

•

•

Somatalav, Akota Dandiya Bazar, Amitnagar Circle, Gotri Junction, Lalbaugh at VadodaraSeveral River Bridges, Fly overs and Creek Bridges being planned in Surat

•

•

Vadodara: City Bus Service under PPP Mode with 367 Routes covering a total of 14000 Kilometres Surat: Over 350 Km of City Bus Services planned on procure, own and operate basis

Some Recent Projects

37

TRANSPORT LED URBAN DEVELOPMENT : HIGHLIGHTS AND OPPORTUNITIES

Bus Rapid Transit Systems

Ahmedabad BRTS

Best Sustainable

Transport in the World Award,

2010

Best MassTransit Project Award, 2009

Best Intelligent Transport System Award, GoI 2011

BRTS Initiatives for major cities across the State

AHMEDABAD

• Status : Operational (No of Buses – 112, Daily ridership: 125,000)• Total Corridor Length : Operational – 45 Km Planned- 88 Km• Total Number of Bus Terminals - 67• Awarded several national and international awards

RAJKOT

• Status : Project under execution• Total Route Length : 29 Km under Phase 1 - 11 KM completed• Total Number of Bus Terminals- ~35 under Phase 1

Sources: International Association for Public Transport ; Ministry of urban Development, India

SURAT

• Status : Project under execution• Total Route Length : 30 Km (Phase 1) + 70 Km (Phase II)• Total Number of Bus Terminals: 200

VADODARA

• Status : Detailed Feasibility report being prepared

38

TRANSPORT LED URBAN DEVELOPMENT : HIGHLIGHTS AND OPPORTUNITIES

Metro-Link Express between Gandhinagar and Ahmedabad

35 kms planned

Route Length

under phase 1

with 21 stations

*Sources: Urban Development Department, Government of Gujarat

Special Purpose Vehicle Metro Express Link betweenGandhinagar and Ahmedabad (MEGA) formed for

implementation of the Metro rail.

Proposed Alignment: Routes within Ahmedabad and connecting to International Airport and Gandhinagar

Project Opportunities

• Direct Connectivity to Dholera, SIR, Sanand BOL, GIDC. GIFT,

Mahatma Mandir, Airport

• Transit Oriented development - Mixed use development around

metro stations with high FSI

• Commercial development in & around stations

• Integration with other modes like BRTS , Railways etc

• Kiosks,& Advertising rights at several locations

39

TRANSPORT LED URBAN DEVELOPMENT: HIGHLIGHTS AND OPPORTUNITIES

Sources: Government of Gujarat

Line 1

Line 2

Light Rail Systems and Regional Rail Systems

Proposed map for Regional Rail Systems

Regional Rail Systems & Twin City Development

• Objective to incentivise people to stay in satellite townships of larger cities by ensuring efficient transport systems for connectivity

• Phase 1 Corridors: • Corridor 1: Kalol-Ahmedabad-Barejadi- 43.49 Km Corridor 2: Ahmedabad – Naroda – 9.47 Km Corridor 3: Ahmedabad – Viramgam – 65 Km

Other extended corridors include: Kalol – kadi – 20Kms Kadi – Katosan Road – 18 Kms Katosan – Viramgam - 38 Kms Ahmedabad – Sanand – 29 Kms Sanand – Viramgam – 36 Kms

• •

• • • • • •

Light Rail Systems• • Integrated Public Transport Studies done for cities like Ahmedabad, Vadodara and Surat • Status : Under planning

Surat Light Rail System Proposed

40

OTHER LARGE INVESTMENT OPPORTUNITIES

Metro-Link Express between Gandhinagar and Ahmedabad

Gujarat International Finance Tech City

One of its kind, financial services SEZ being developed ~ 900 acres as a

global financial hub with intelligent and green buildings and refreshing

landscape

• Excellent opportunity for financial sector players to set up base

•

Sabarmati Riverfront Development Project, Ahmedabad

Commercial Development like Office Spaces and Trade fair complexes

with estimated investment potential of US $1350 million

• Cultural Activities like Museum and Theatre on 36000 Sq m area

• Recreational Activities- Water Sports and Floating restaurants

•

• Municipal initiative for city’s rich heritage conservation and preservation

• Refurbishment of heritage tourism assets , public and community spaces

• New developments - walkways, landscape elements at heritage plaza

Ahmedabad on tentative list of UNESCO’s World Heritage City Status

• Over three Km stretch, 54 hectares of land development

• Walkways, Food Plazas, Cycle Tracks, Festival ground, Mini Floral park

• Parking for over 2200 four wheelers and 3000 two wheelers

Tapi Riverfront Development Project, Surat

41

INSTITUTIONAL STRUCTURE AND KEY CONTACTS


Urban Development and Urban Housing Department

Nodal Agencies Local Self Government Bodies

Other Departments and Agencies

Gujarat Urban Development Company Ltd (GUDC)Gujarat Urban Development Mission (GUDM) Gujarat Municipal Finance Board (GMFB) Gujarat Housing Board (GHB)

8 Municipal Corporations 159 Municipalities

Directorate of Municipalities Town Planning & Valuation Department (TPVD) 16 Urban / Area development Authorities 113 Designated Area development Authorities

Urban Development & Urban Housing Department, Government of Gujarat

Gujarat Urban Development Company

Gujarat Urban Development Mission

http://www.gudcltd.com

http://udd.gujarat.gov.in

http://www.gudm.org

42

WATER – RECYCLING & DESALINATION

4.2

43

OVERVIEW

4.2.1

44

UNDERSTANDING WATER RECYCLING AND REUSE

Water Recycling and Reuse are methods meant to reduce dependence on existing dwindling resources of fresh water

Water recycling refers to techniques aimed at reducing our withdrawal of fresh water from existing dwindling resources and replenishing what we are currently using for further re use. Water recycling cuts down on the amount of wastewater that is produced and discarded.

Options for water for recycling

• Grey water (domestic waste water except toilet waste water)

• Reclaimed water

• Industrial water

• Rain water

• Storm water

Various uses and purposes of recycled water:

•

• Industrial processing like cooling

• Municipal & Urban uses

• Environmental and recreational

• Domestic except drinking

Agricultural irrigation

Water conservation through recycling helps in

•wildlife that thrive in there

• Reduction in pollution by pumping in recycled water into environment than waste water

• Preserving delicate ecosystems

Enhancing water habitats and

Bar Screen Grit Removal Primary Clarifier Aeration Basin Secondary Clarifier

Filtration Disinfection

Activated Sludge Final Effluent to outfall or reuse

AIRPrimary Sludge

Raw Sewage

Thickener

Bio Solids Digester

Bio solids to reuse

Water Recycling Process

Dewatering

45

UNDERSTANDING WATER DESALINATION


Desalination is a technique meant to reduce pressure on limited freshwater resources by tapping into vast reserves of salt water in the oceans

The supply of freshwater is being outpaced by its consumption and desalination provides a strong ray of hope to meet the ever increasing demand for water. Desalination methods convert abundantly available salt water and brackish water into usable water which can be put for wider uses.

A desalting process separates saline water into two streams – one with a low concentration of dissolved salts (fresh water) and the other containing remaining un dissolved salts (brine stream

Major Processes Minor Processes

Thermal Process

• Multi Stage Flash Distillation

• Multiple Effect Distillation

• Vapour compression Distillation

Membrane Process

•

• Electro dialysis (ED)

• Electro dialysis reversal

process (EDR)

Reverse Osmosis (RO)

Freezing

Membrane Distillation

• Solar Humidification

•

Advances in technology have led to reverse osmosis become the popular desalination process. Improvements in technology have led to reduced energy consumption and cheaper processing costs.

WaterStorage

tank

DeliveryPump Sea Water

Intake

Brine

Pumping Station

Pre

Trea

tmen

t

Reve

rse

Osm

osis

Reve

rse

Osm

osis

St

age

2

Post

Tre

atm

ent

Del

iver

y Pi

pelin

e

GLOBAL WATER SITUATION Scarcity of freshwater reserves and uneven distribution necessitates

water management

Only 2.5% of the total water on the earth is freshwater which supports nearly 85% of the world population. Faster and ever increasing rate of use as compared to replenishment makes it a limited resource and necessitates effective water management along with an acute need of water recycling

Uneven and disproportionate distribution of water as compared

to the population in different regions – Asia supports 60% of

the world population but has only 36% of the water reserves

36% 60%

8% 13%

11% 13%

15% 8%

26% 6% 5% 1%% Fresh water reserves% of World Population

• Total global water reserves is ~1400 MM Trillion Litres of which fresh water is only about 35 MM Trillion litres.

• Ground water and surface water which together form around 30.5% of the freshwater reserve are the most accessible and used sources of water

Salt water97.5%

Fresh 2.5%

water:

Glaciers68.7%

Ground water30.1%

Surface & Atmosphericwater: 0.4%

Sources: Water for People, Water for Life-UN World Water Development Report; Water The India Story – Grail research, Water – A shared responsibility, UN WWDR

46

Water consumption by sector

2500

2000

1500

1000

500

0

1995 2025 1995 2025 1995 2015WorldDeveloping

CountriesDevelopedCountries

Domestic Livestock Industrial Irrigation

4547

GLOBAL WATER SITUATION

Sources: Global Water Outlook 2025: International Food Policy Research Institute; World Water Development Report 3- United Nations

Future estimates suggest tremendous stress on existing water resources in emerging economies like India and China

• Developing countries are projected to account for 98% of the world population growth through 2025, with India and China accounting for 30% of the total increase during 1995-2025 – indicating the sharp increase in stress on water resources

• Total global water withdrawals in 2025 estimated to increase by 22 % over 1995 levels. Consumption of water for domestic, industrial and livestock – all non irrigation uses will increase sharply by 62%. Domestic consumption to increase by 71% of which 90% in developing countries

Overall water usage and per capita domestic consumption in

Low and Middle income countries slated to increase

exponentially based on -

• Increase in population and urbanization

• Increasing consumption with rising per capita incomes

• Change in lifestyles towards use of more water intensive products and foods

GLOBAL SCENARIO: WATER RECYCLING AND DESALINATION

Sources: Pacific Institute: The World’s Water (Data as available)

Developing regions like South Asia and Africa need to catch up

More than 90% of the waste water in developing countries

is discharged untreated into the rivers, lakes or oceans

While the US and middle eastern countries have very high desalination

capacities, developing regions like South Asia are lagging far behind

Ratio of untreated water in regions across the world

0% 20% 40% 60% 80% 100%

Carribean

North Atlantic

Western Europe

Baltic Sea

Mediterranean

Central & East Europe

Caspian Sea

Southern Asia

East Asia

Sources: United Nations Water 2008, United Nations Environment Programme

No of big plants planned (as on Jan 2005)

Existing desalination capacity (lakh cubic meters per day)

United States

SpainJa

pan

United Kingdom

Saudi Arabia

Israel

Qatar

BaharainUAE

India

Kuwait

Russia

5050

45

40

35

30

25

15

10

5

0

48

4749

INDIA WATER SCENARIO

Sources: Ministry of Water Resources, Govt of India; India Infrastructure Report 2011- UNESCO and World Water Assessment Program WWAP 2006

Increasing stress on India’s existing water resources with growing domestic consumption and high rates of industrial water use intensity

In Asia, India has the highest total freshwater withdrawal rate of 761 cubic Km per year with agricultural use forming 78% of the total water usage. In future, India’s composition of water demand is estimated

to be more industrial sector led

Irrigation71%

Others9%Industrial

13%

Domestic7%

Water demand in 2050 = 1,180 BCM

Industrial water productivity of India

though will increase but will remain

much lower than many nations,

highlighting the need for better

use of water recycling and treatment

Irrigation71%

Others8%Industrial

12%

Domestic7%

Irrigation73%

Water demand in 2025 = 843 BCM

Irrigation71%

Others8%Industrial

8%

Domestic6%

Irrigation78%

Water demand in 2010 = 710 CM

India though endowed with large freshwater reserves has over the years experienced an increasing population stress, rapid urbanization, industrialization and over exploitation of surface and ground

water resulting in water scarcity in some regions

Irrigation78%

Industrial Water

Productivity (US $ cu. M)

120100

80604020

0

Japan

KoreaUK

Netherla

nds

Ger,many

USAChina

India

INDIA SCENARIO: WATER RECYCLING AND DESALINATION

Wide demand-supply gap exists in India’s water market with acute need for water treatment

Waste Water Treatment capacity in urban areas (2008

Source: India Infrastructure Report 2011

Total Water Supply

Waste Water Generation

Treatment Capacity

0 20000 40000Million Litres Per Day

2021 2031 2041 2051

140000120000100000

80000600004000020000

0

Mill

ion

Litr

es P

er D

ay

Projected Waste Water Generation in urban India

Desalination market is largely untapped with very few of currently operational facilities, but market is rapidly growing especially for international water treatment manufacturers

India with its 7600 Km long coastline is expected to be one of the countries

with highest growth ratios in desalinating water

Total number of desalination plants in the country stand at 182 only which are estimated

to increase to 500 by 2017. The market is expected to grow by 22% Compound

Annual Growth Rater

• Several regions facing water shortage exist in the country where river water is scarce and ground water level is low

Country’s rapid industrialization has increased demand for reliable water supply from industries providing a ready to tap market for desalination

•

Major Players currently in India

50

31%

GUJARAT SCENARIO

4.2.251

52

Water scarcity due to state’s topography and location and the increasing demand from the large urbanand industrial base leading to a wide demand supply gap

• Total Utilisable water in the state ~ 50 Billion Cubic Metres out of which 38 BCM is surface water and rest is ground water

• State’s characteristic geological formations make water storage in aquifers and percolation of ground water for recharge difficult

• A long coastline and two huge gulfs – Gulf of Cambay and Gulf of Kutch – Little Rann of Kutch and Greater Rann of Kutch are inundated with saline sea water for most year deteriorating ground water quality in adjoining areas

GUJARAT WATER SITUATION

31.75

3.95

23.3

1.10.65

3.6

4.3

Surface WaterGround Water

Kutch

SaurashtraSouth Gujarat

North Gujarat

0

10

20

30

40

50

60

2010 2025 2050

Water Demand in Gujarat (BCM)

• Uneven distribution of water resources in the state with most regions categorised as water stressed having per capita per annum water availability of 1137 cubic mtrs

• Based on rapid urbanisation and its large industrial base, total water demand in the state is estimated to cross 40 BCM by 2025 and reach 57BCM by 2050

53

Several Waste Water Recycling projects are in various stages of implementation:State looking to invest more in water treatment technologies to meet its rising needs

• The State has signed MoUs for setting up of waste water recycling plants in five major cities – Gandhinagar, Ahmedabad, Vadodara, Bharuch and Surat at the cost of Rs 800 crore.

GUJARAT SCENARIO: WATER RECYCLING AND TREATMENT

More than 60 towns with effluent generation > 20 MLD –Opportunities for Sewage treatment plants and C-Tech

Planned projects and opportunities Location in the State

45 MLD on BOOT Basis

Proposed Sewage Treatment Plant Rajkot

50 MLD Water Treatment Planton DBOOT basis through unsolicited proposal Ranakpur

Planned Augmentation Treatment Plant, Total investment ~ Rs. 55 Cr

of Jaspur and Raska Waste Ahmedabad

Solar Plant planned at Kotarpur ~ Rs 1.5 Cr Ahmedabad

Requirement for Tertiary Treatment ofSecondary Treated Sewage ~ Rs 500 Cr. Ahmedabad

• Assuming, reuse and recycle potential of 50% of the total municipal sewerage generated, and actual reuse and recycling increasing from 10% in 2015 to 50% in 2050, additional supply of ~4,300 MLD can be created by 2050

Investment Opportunities: Municipal Water and Waste Water Treatment Plants, Industrial Water and Waste Water Treatment Plants

771 MLD

1836 MLD

Municipal Corporation

Other Local bodies

Total daily sewage generation in Gujarat

54

State one of the few states in the country to have taken up desalination on a large scale.Some of the biggest desalination plants present in the State , several others in pipeline

• Owing to its long coastline and water scarcity , State is looking at setting up desalination plants at several locations along its coastline.

• Out of the 300 MLD operational desalination capacity of the country, Gujarat has the highest commissioned capacity of 141 MLD.

GUJARAT WATER SCENARIO: DESALINATION

141

3,788

500

1,000

1,500

2,000

2,500

3,000

3,500

4,000

2010 2015 2020 2030 2040 2050

Desalination capacity in Gujarat (in MLD)

Existing & Planned Projects Capacity Location in the State

Nirma Industries 10 MLD Bhavnagar

Reliance Industries 48 MLD Jamnagar

Gujarat Electricity Board 4.5 MLD Sikka

Tata Chemicals 5.8 MLD Mithapur

Desalination plant forIndustrial Water Supply 150 MLD Kutch

(Further data awaited)

State government consideringincreasing installed capacity to

300 MLD over next five yearsfurther estimated to

reach ~ 1500 MLD by 2030

Identified sites:Jamnagar (100 MLD),

Pipavav (100 MLD),Dahej & Kutch

55


4.2.3

State Wide Water Supply GRID under execution as a long term strategy of drought proofing

• GRID aimed at inter-basin water transfer from sustainable surface water resources to water scarce and quality affected areas to supply drinking water to almost 75% population of the State through surface/ sub-surface sources

GUJARAT WATER SCENARIO: GOVERNMENT INITIATIVES

Villages Towns

Planned 14,865 145

Completed 10937 127

In Progress 2705 11

• Total 291 projects planned under State Wide Water Supply GRID

• 175 projects covering 3250 Km of bulk pipelines under Sardar Sarovar Canal Based Water Supply Project

• 219 projects based on surface/subsurface sources under Rural water supply programme

Bulk Transmission Lines 2240 KM

Distribution Groups 301 projects completed

Average Daily Water Transfer 2766 MLD

Impact Reduction in No. of tankers and deep tube wells

-

-

-

-

Sources: WASMO, Gujarat Water Supply and Sewerage Board (GWSSB) , Data as on December 2011

56

5557


Sujalam Safalam Yojana : Providing water to dry land and dry underground areas

• Launched in 2004 to cater to drought prone

areas of North and Central Gujarat,

Saurashtra and Kutch at an estimated

investment of ~ INR 6200 Crore

Sujalam Safalam canal links to

27 rivers of the state spreading

over a length of 338 KM and catering

to about 4900 villages of the State, water

has flown into 290 KM of the canal

•

Sources Narmada, Water resources, Water Supply and Kalpasar Dept, Rural Development Department, Government of Gujarat

Watershed Development Programme

• Objective of drought proofing, agriculture growth

environment protection and employment generation

Drought Prone Area Programme (DDP) and Integrated

Wasteland Development Programme (IWDP) major

schemes implemented

5590 Projects under execution for treatment of

28 lakh hectares in the State

In 2009-10 an expenditure of Rs 115 Crore was

incurred while in 2010-11 it went up to ~ 170 Crore

•

•

•

58

Gulf of Khambhat Development (Kalpasar) Project : World’s largest freshwater reservoir


Sources Narmada, Water resources, Water Supply and Kalpasar Dept, Government of Gujarat

• World’s largest man made fresh water reservoir for meeting the demand for irrigation, domestic and industrial water supply

Creation of reservoir by construction of Gulf closure dam at the Gulf of Khambhat with storage of 10,000 million cubic metre water inflows of major rivers

Project expected to cater to 10.54 lakh hectares in 39 talukas of 6 districts , essentially Saurashtra and Central Gujarat water scarce regions

Value based utilization, generation of wind and solar energy for lifting freshwater from reservoir to canal

•

•

•

Sardar Sarovar Project

Concrete gravity dam across Narmada River, reservoir capacity 5860 MCM

Two power houses with installed capacity of 1450 MW

460 KM long canal with discharge capacity of 40,000 cusecs at start, total canal network

75000 Km

Water supply for domestic and industrial uses in 9600 villages

Cumulative expenditure till 2011 over Rs 30,000 crore – over 99% excavation and

96% concrete work of main dam completed

59


4.2.4

60

GUJARAT: INVESTMENT OPPORTUNITIES

Sardar Sarovar Project

Government mandate for all large constructions to have rainwater harvesting

Opportunities for EPC and Civil Contracts

Rain water Harvesting

Increasing awareness about latest technologies and easy finance options

Equipment manufacturing for micro irrigation area for investment

potential

Waste Water Collection Network

Driven largely by large scale & rapidindustrialization and water scarcity

Water and Waste Water Treatment

Plants for Municipal and Industrial Water

Waste Water Collection Network

No revenue collection model as of now (sewerage cost allocatedfrom water) Projects can be clubbed with water distribution network

61

GUJARAT : INVESTMENT OPPORTUNITIES

Bulk Water Transmission Projects

• To sustain water supply up to farthest areas under State wide Water Supply GRID

• Viability Gap Funding available

• End to end water supply with minimum offtake

• Long Term concession agreements of 25-30 Years

• Few projects include –

- Dhanki – Navda (Costing Rs. 614.38 Crore, 93.50 KM with ~ 553 MLD)

- Navda – Budhel (Costing Rs. 417.57 Crore, 76.10 KM with ~ 332 MLD)

- Dhanki – Khirai (Costing Rs. 805.00 Crore, 120 KM with ~ 550MLD)

• Dhanki - Ratanpar (Costing Rs. 1037.35 Crore, 145.96 KM with ~ 545 MLD),

Total potential is about Rs 3,00,000 million

on 25 year cycle

Management of water distribution

Efficient management of water supply systems through long term management contracts for service delivery management

Total estimated potential ~ Rs 2000 Million per annum

Comprehensive data acquisition and online water quality monitoring

Data acquisition and water data collection on automated systems

Online water quality monitoring mechanisms

Total estimated potential for about 10000 KM

network to start with

62

GUJARAT : INVESTMENT OPPORTUNITIES

Energy Efficiency Projects

To promote overall energy efficiency in bulk water and water distribution transmission projects

• Pilots conducted by Gujarat Water Supply and Sewerage Board (GWSSB) have given encouraging results

• Opportunity for Energy Service Companies (ESCO) for project implementation

• Favourable Institutional framework with provision for PMC and third party verification to balance interest of investors and government

• Escrow mechanism proposed to ensure distribution of savings

• Carbon credit potential

Total potential is about Rs 200 million per annum

Comprehensive Water Supply Projects

Development of water supply projects from intake to service delivery in villages, towns and industries . Few Projects include

• Water Supply to Dahej PCPIR (Petroleum and Petrochemicals Investment Region) for industries as well as townships

• Water Supply projects of Sabarkantha, Bharuch based on water supplied from dams

Partnership projects involving Corporate Social Responsibility

To facilitate Public-Private –Community Partnerships (PPCP) in

• Water body development for water conservation

• Constructing check dams and village ponds

• Small scale decentralized water purification systems like RO, U V Filtration etc

• Development of micro irrigation , demonstrative technologies

• Rooftop rainwater harvesting

Other projects

• Pipeline projects for irrigation

• Micro Irrigation Technologies

• Area based micro irrigation network including Pressurized irrigation network

• Water Supply management for SEZs, SIRs and Industrial Estates

• Pond Lining and water storage in coastal areas

Social

Environ-ment

Economic

Sustainable

Gujarat Water Infrastructure Limitedwww.gwssb.org

63


Decentralized and Specialized Agencies for Regulation and Implementation

Administration and Regulation

Implementation and Operation

Urban Development Department www.udd.gujarat.gov.in

Gujarat Industrial Development Corporationwww.gidc.gov.in

Municipal Corporations, Municipalities and Panchayats

Gujarat Water Supply and Sewerage Board (GWSSB)

www.gwssb.org

Narmada, Water Resources, Water Supply and Kalpsar Department

www.guj-nwrws.gujarat.gov.in

Sardar Sarovar Narmada Nigam Limited www.sardarsarovardam.org

64

HEALTHCARE

4.3

65

OVERVIEW

4.3.1

66

INDIAN HEALTH SECTOR OVERVIEW

• Government-provided health services accounted for 1. 3% of GDP and private sector health services accounted for about 4.71% of GDP.

Union Government allocated USD 5.6 billion in 2011-12 on health, an increase of 11 per cent from the previous fiscal.

9856 doctors and specialists, 53552 ANMs, 26734 Staff Nurses, 18272 Paramedics have been appointed on contract by States to fill in critical gaps.

Private health spending as a share of national income in India is amongst the highest for developing countries.

Per capita health expenditure is higher than in China, Indonesia and most African countries.

•

•

•

•

Source: rating agency Fitch. Department of Industrial Policy & Promotion (DIPP)

Expected to create 40 million new jobs by 2020

Distribution of health sector spending in India

78%

22%

Private Public

65

100

239

0

50

100

150

200

250

300

2011 2015 (e) 2020 (e)

Size of the health sector

US

D b

illio

n

Sub-sector FDI in USD billion

Hospitals and diagnostic centres 1.1

Medical and surgical appliances 0.5

Drugs and pharmaceuticals sector 5.0

67

KEY DRIVERS OF GROWTH

Decentralized and Specialized Agencies for Regulation and Implementation

• Total global healthcare expenditure represent around 10% of world GDP

Global Health care spending was USD 5,788 billion in 2010

- Per capita spending on healthcare is expected to grow at 4-7% annually till 2013

Growth of per capita spending on healthcare in emerging markets would grow at 10-15% annually

Global healthcare equipment industry grew at 6.8% annually from 2004 to 2008 to USD 296 billion - expected to reach USD 349 billion by 2013.

Asia and Australasia region is showing consistent increase in share in total healthcare spending.

•

-

•

•

India has got many enabling factors to support its growth in health sector. It is equipped to deliver on global demand.

Increasing population

Increasing disposable

income

Growing health issues

Cheaper cost of treatment

Focus on PPP

Government initiatives

Improving health insurance

penetrationThrust on medical tourism

Factors for projected growth

in healthcare

68

INDIAN HEALTH SECTOR

• The National Health Policy (NHP) was formulated in 2002 to provide prophylactic and curative health care services towards building a healthy nation.

National Urban Health Mission (NUHM) launched

•

Source: Health Policies in India: A Review by k Srinivasan, 2011.

The challenge has been to provide the country more equitable access to health services across the social and geographical expanse of the country. Thus, keeping in line with this broad objective, several health programmes/ schemes have been launched from time to time. There has been a steady increase in the aggregate public health investment, in the country

Source: Annual Report 2010-11 of Department of Health and Family Welfare

The NHP aims to achieve an acceptable standard of good health amongst the general population of

the country by increasing access to the decentralized public health system by establishing

new infrastructure in deficient areas, and by upgrading the infrastructure in the

existing areas and institutions

• The major thrust in the National Rural Health Mission (NRHM) has been towards achieving qualitative improvements in standards of public health and health care in the rural areas

A new initiative under NRHM has been taken to identify backward districts for ensuring differential financing. Based on health indicators 264backward districts across the country have been identified for providing focused attention.

The number of beneficiaries of Janani Suraksha Yojana (JSY) has reached 1 crore in FY 2010.

National Programme for Health Care of the Elderly has been initiated. Rs 288 crore have been provided for Geriatric Clinic, wards and Regional Centres

•

•

•

1901

-11

1911

-21

1921

-31

1931

-41

1941

-51

1951

-61

1961

-71

1971

-81

1981

-91

1991

-01

2000

-05

2005

-10

2010

-15

2015

-20

2020

-25

2025

-30

2030

-35

2035

-40

2040

-45

2045

-50

Years

60.0

50.0

40.0

30.0

20.0

10.0

0.0

Rate

per

100

0 po

pula

tion

RR

DR

NI

Birth Rate (BR), Death Rate (DR) and Natural increase(NI), India 1901-2050

69

INDIAN HEALTH SECTOR

• India's allocation for health is all set to double. The Planning Commission has decided to increase its spending on health from 1.2 % to 2.5% of the GDP in the 12th Five Year Plan (by 2017) and to at least 3% of the GDP by 2022.

Increasing public health spending to the recommended levels would result in a five-fold increase in real per capita health expenditures by the government (from Rs 670 in 2011-12 to Rs 3,432 by 2021-22).“

Planning Commission called for greater Public Private Partnership in the sector

•

•

• CENVAT credit (The CENVAT credit can be utilised for payment of excise duty) is admissible on the services provided in relation to

- Health checkups undertaken by hospitals or medical establishments for the employees of business entities;

- Services provided in relation to maintenance of medical records of employees of a business entity;

Source: Destination India by PwC, timesofindia.indiatimes.com, economictimes.indiatimes.com

ACCESSCOST

QUALITY

Conscious and vigorous efforts continue to be made to step up funding in the health sector and to increase spending in the public domain.

70

INDIAN RURAL HEALTHCARE SECTOR

The NRHM is about increasing public expenditure on health care to 2 to 3% of the GDP.

C o r e a n d s u p p l e m e n t a r y strategies of NRHM

Promote access to improved healthcare at household level through the female health activist (ASHA).

Health Plan for each village through Village Health Committee of the Panchayat.

This policy directive has encouraged State Governments to increase budgetary outlay for health to at least 10% and annually including a 15% contribution into the NRHM plan, to slowly shift center – state financing ratio from the current 80:20 to 60:40 ratio.

In 381 districts, the Mobile Medical Units have been operationalised 29904 Rogi Kalyan Samitis have been registered at different level of facilities

As on 31 March 2010 Nos

Community Health Centres (CHCs) 4,535

Primary Health Centres (PHCs 23,673

Sub Centres 147,069

RURAL HEALTH CARE SYSTEM IN INDIA

Community Health Centre (CHC)A 30 bedded Hospital/Referal Unit for 4 PHCs

with Specialised services

Primary Health Centre (PHC)A Referal Unit for 6 Sub Centres 4-6 bedded manned with a

Medical Officer Incharge and 14 subordinate paramedical staff

Sub CentreMost peripheral contact point between Primary Health Care System &

Community manned with one (HW (F)/ANM & one HW (M)

71

MEDICAL TOURISM

• Medical tourism is one of the major external drivers of growth of the Indian healthcare sector.

English-speaking medical staff, state-of-the art private hospitals and diagnostic facilities, and relatively low cost to address the spiralling healthcare costs of the western world

To promote medical tourism, a "Medi City“ is being built in Gurgaon on 43 acres with USD 493 million. It will include a 900-bed hospital that supports 17 super specialties, a medical college and paramedical college. The Medi City will integrate allopathic care with alternative treatments, and it will provide tele-medicine services as well.

•

•

• India provides best-in-class treatment, in some cases at less than one-tenth the cost incurred in the US.

India’s private hospitals excel in fields such as cardiology, joint replacement, orthopaedic surgery, gastroenterology

•www.globalissues.org

Source: WHO Health Statistics 2010

Health costs per person for selectedcountries and country groups

(purchasing power parity, in $)$

8,000

7,000

6,000

5,000

4,000

3,000

2,000

1,000

0

Global

Low inco

meIndia

Lower middle in

come

Upper middle in

come

China

High inco

me

Australia

Canada

France

Germany

Japan

Sweden UKUSA

2000 2007

Cost of Key Healthcare Procedures

Source: India Brand Foundation Report, IBEF Research

Currency: USD US Thailand India India HCcost-x of US

Cardiac surgery 50,000 14,250 4,000 12.5Bone marrow

transplant 62,500 62,500 30,000 13.33

Liver transplant 5000,000 75,000 45,000 11.11

Orthopaedic 16,000 6,900 4,500 3.56surgery

72

HEALTH INSURANCE SECTOR

• Health insurance is the fastest growing segment and currently accounts for 21 per cent of the total insurance

Indian health insurance market would scale new heights in terms of growth owing to the country's robust economic growth, changing demographic patterns, expected increase in foreign direct investment (FDI) limits and the expansion of distribution networks.

Insurance accounts for just 3 per cent of overall healthcare expenditure in India which implies that there lies a great potential to enhance the penetration of insurance as a concept

The Indian health insurance segment accounted for 3.2 per cent of the overall insurance industry in 2011 thereby leaving a lot of scope for further growth and penetration.

•

•

•

Health insurance premium collection during the April-September period of 2011-12 rose 21.3 per cent to Rs 6,721.53 crore (US$ 1.36 billion) from

Rs 5,540.34 crore (US$ 1.12 billion) in the year-ago period.

• During the review period (2007-2011), the penetration of Indian health insurance products stepped up from 0.07 per cent in 2007 to 0.19 per cent in 2011, as many new policies were sold in hinterlands.

The health insurance business constitutes more than 25 per cent of the general insurance industry in India

•

Source: IBEF and UK-based research firm BRICdata

73

OPPORTUNITIES FOR INVESTMENTS IN THE SECTOR

• Healthcare chains such as Parkway and funds such as Avenue Capital, Apax Partners and Warburg Pincus have invested in the USD 65 billion in Indian healthcare sector.

• Life Healthcare, South Africa's second-largest hospital chain, is acquiring a 26 per cent stake in Analjit Singh-led Max Healthcare, making this one of the largest foreign investment deals in the Indian healthcare

Sub-sector Opportunities

FDI in Health and medical services 100% FDI is allowed under the

automatic route

Medical Equipment Medical equipment market is estimates to increase from Rs. 5,240 crore in 2011 to Rs. 9,733 crore by 2015.

Drugs and Pharmaceuticals including those involving the

use of recombinant technology - 100% FDI is permitted under the automatic route;

Health insurance Health insurance policies are on their way to get 'age-free'.

FDI in the insurance sector is permitted up to 26% under the automatic route subject to obtaining a licence from the Insurance Regulatory & Development Authority.

Health and Medical Services -

Drugs and Pharmaceuticals,

10000900080007000600050004000300020001000

0

Rs. c

rore

2954

1369456461

3426

1602

525563

3974

1874

603687

4610

2192

694838

5348

2565

798

1022FY2011 FY2012 FY2013 FY2014 FY2015

Homecare/handled devices Therapeutics Patient Monitoring Imaging

Growth in medical equipment market

74

GUJARAT SCENARIO

4.3.2

75

GUJARAT HEALTHCARE SECTOR - OVERVIEW

• Gujarat offers holistic medicinal services and cost effective treatment through various district hospitals, sub-district hospitals, dispensaries with a capacity of 10,639 beds

Share of primary care in total healthcare market of Gujarat is around 75-80%.

Market for tertiary care expected to grow at a faster rate, due to rise in income levels, increasing adoption of health insurance and rise in complex in-patient ailments

•

•

By 2020, the total investment planned by GoG in the shelf of

projects in health is Rs. 16,117 crore

Source: Health and Family Welfare Department, Government of Gujarat; GIDB

122

60

24

28

4

3

2

0 20 40 60 80 100 120 140

Grant-in-Aid hospitals

Dispensaries

District hospitals

Sub- District hospitals

Mental Hospitals

Class - II Hospitals

Eye Disease Hospitals

• During 2010-11, on an average 24,000 Out – Patients and 5000 In-Patients were served daily.

In the same year nearly 2,00,000 (major : minor, 48:52) operations were performed.

Most sought after Super–Specialties in Gujarat include Cardiology, Neuro – Surgery, Orthopedics, Infertility treatment, joint replacement and eye surgeries

•

•

17%4%

79%

Gujarat healthcare infrastructure

Primary Secondary Care Tertiary Care

Government hospitals in Gujarat

1Infectious Diseases Hospital

76

GUJARAT HEALTHCARE SECTOR - OVERVIEW

Gujarat healthcare sector is poised well for a sustained boom

The State Government is taking several initiatives to make Gujarat

a Global Healthcare destination

• Gujarat is evolving in terms of number of hospitals, healthcarecentres, beds and are expected tocontinue a positive trend in future. Doctor to patient ratio is 1 : 10 and nurse to patient ratio is 1: 5

Favourable state and central policies

Highly skilled medical personnel

Major corporate investments

Increased health insurance

Latest technical equipment

Competitive prices

Laser Vision Correction (LASIK) – Excimer laser

Computer Navigated Surface Replacement Surgery of the Hip and Knee-Joint

Intra - arterial Thromolytic Therapy for Acute Stroke

Gujarat boastsof

World's 1st trans-radial lounge for Angioplasty – Angiography (Sterling Hospital)

The healthcare sector in Gujarat has moved up the value chain by imbibing global best practices to deliver seamless patient care of highest quality

77

GUJARAT HEALTHCARE – PRESENCE ACROSS THE VALUE CHAIN

Source: Health and Family Welfare Department, Government of Gujarat

Producers

Drug, device, surgical manufacturers

Purchasers

Wholesalers- Mail order distributors

Organizations Group Purchasing

Providers

FiscalIntermediaries

InsurersPharmacy

Benefit managers

Payers

GovernmentEmployers

Individuals

Employer CoalitionHospitalsPhysicians

Pharmacies

Gujarat: Healthcare Value Chain

Health insurance companiesBajaj Allianz Health • Insurance

Company Limited• TATA AIG General Insurance Company• Vysya life Insurance Company • National Insurance Company Ltd.

Hospitals• IKDRC, GCRI, U.N.Mehta Heart Institute

Shalby Apollo HospitalKrishna Heart InstituteWockhardt HospitalSterling Addlife India LtdSAL HospitalRajasthan HospitalMedisurge Hospital

• • • • • • • •

Pharmaceutical Zydus Cadila Healthcare Ltd.Claris Life sciences Ltd.Cadila Pharmaceuticals Ltd.Intas Pharmaceutical Ltd.Sun PharmaTorrent Pharmaceuticals Ltd.Dishman PharmaceuticalsAbott LaboratoriesWyethJubilant Organosys

• • • • • • • • • •

78

MEDICAL TOURISM - GUJARAT

• There are large number of Non Resident Gujaratis (NRGs)

• Over 30% of total NRIs are Gujaratis

Significantly lower cost of treatment (a selective comparison shown below):

Procedure Cost in the USA in USD in USD

Liver Transplant 300,000 69,350

Heart Surgery 30,000 8,700

Orthopedic Surgery 20,000 6,300

Metal Free Bridge 5,500 600

Dental Implants 3,500 900

Porcelain Metal Bridge 3,000 600

Porcelain Metal Crown 1,000 100

Tooth Impactions 2,000 125

Root Canal Treatment 1,000 110

Tooth Whitening 800 125

Tooth Coloured Composite 500 30

Tooth Filling 300 90

Cost in Gujarat

Medicity” shall be developed

This opens up huge opportunity for private sector investment

Provision of direct or indirect fiscal incentives to hospitals treating foreign patients

Investments in hospitals catering to medical tourists becomes lucrative

An intensive IEC campaign to reach all countries and their embassies on various medical tourism packages available in Gujarat.

Increased flow of medical tourists to the state – ensures stable / growing demand

Hospital Accreditation Initiative

Boosts consumer confidence leading to increased flow of medical tourists

A Medical Tourism Council chaired by Health Minister and with private sector stakeholders as its members shall be formed – the CM will be the Chief Patron

Private sector and the government get to work together for the promotion of medical tourism in the state

•

•

•

•

•

Gujarat boasts of World-class hospitals, a large quality pool of medical professionals, modern

medical technology and well equipped Healthcare facilities

79

CLINICAL RESEARCH


• In order to initiate clinicians in the concept of scientific evidence-based medicine and to address burning medical and epidemiological questions, many hospitals in Gujarat are engaged into clinical research

VEEDA CR, India's fastest growing Clinical Research Organisation (CRO), has opened it's new Clinical Pharmacology Unit (CPU) at Muljibhai Patel Urological Hospital (MPUH), Nadiad, Gujarat

•

Pulse Women’s Hospital Pvt. Ltd.Krishna Heart Institute Apollo

Infertility, Foetal medicine, Embryology

Stem Cell Therapy , Cardial Drugs

Radiation Therapy for Cancer Care

Rajasthan Hospital Sterling Addlife India Ltd Sterling Addlife India Ltd

Plastic & BurnsHematology

OtolaryngologyAnaesthesiology

Nephrology, Oncology, Respiratory System,

Cardiology

Nephrology

80

HEALTHCARE OUTSOURCING

• Outsourcing in the healthcare sector has come a long way — from low-end claims processing and medical transcription to medical analytics and clinical processing

Healthcare BPO is still not very large in Gujarat, but it has immense potential and is growing at a fast pace

•


HealthcareBPO: Gujarat

ClaimsProcessing

MedicalCoding

MedicalTranscription Medical Billing

• Gujarat is home to Healthcare BPOs like BVS Trans Tech in Vadodara

In collaboration with its US partner Pertexa it p rov i d e s m e d i c a l co d i n g, b i l l i n g a n d transcription services to doctors, lawyers and insurance professionals based in USA, UK and around the World

•

• Similarly Healthcare Informatics Pvt. Ltd. (Vadodara)-a captive Healthcare KPO, is one of the biggest providers of Medical Transcription services in Western India

It is the sister concern of Digidms Inc., U.S.A. - A Healthcare information software company

•

81

GUJARAT HEALTHCARE EDUCATION

Medical colleges

• MBBS – 16 (6 Govt., 2 GMERS, 3 Municipal and 5 Private)

• Homeopathic –16 ( 4 Grant-in-aid and 12 Private)

• Ayurvedic - 10 (4 Govt., 1 University, 2 Grant-in-aid and 3 Private)

• Dental – 12 ( 2 Govt., 1 Municipal & 9 Private)

• Physiotherapy – 25 (5 Govt. & 20 Private)

• Nursing (from GNM to M.Sc.)– 66 (24 Govt. & 42 Private)

• Pharmacy – 109 (3 Govt. , 9 Grant-in-aid & 97 Private)

Key Education Centres

• Institute of Kidney Disease and Research Centre (IKDRC)

• Gujarat Cancer Research Institute ( GCRI)

• Government Medical College, Vadodara

• U.N. Mehta Cardiology Research Institute

• B.J. Medical College Ahmedabad

• Gujarat Ayurvedic University , Jamnagar

• Pramukh Swami Medical College , Karamsad Anand

• Nathiba Hargovindas Lalbhai Medical College, Ahmedabad

• Surat Municipal Institute of Medical Education & Research

2012 Budget announcements

• North Gujarat’s Himmatnagar will have a new medical college – Rs. 43 crore

• New Ayurvedic and Homeopathic colleges in tribal area – Rs. 75 crore

• New cancer research institute in Rajkot – Rs. 3 crore

• The GoG will set up an independent corporation for coast effective medicines

• New medical colleges have been started at Sola (Ahmedabad) and Gotri (Vadodara). Five new medical colleges to be set up at Gandhinagar, Patan, Valsad, Vadnagar and Junagadh – Rs. 533 crore

Opportunity for PPP

Development and improvement, of education, research, and policy formulation in the field of Public Health. Proposed shelf of Projects over next 5 years - investment

• Establishment of an Indian Institute of Public Health (IIPH), Gandhinagar

• Integrated healthcare townships (one each around 4 major cities. to create at least 50,000 beds) - Rs 10,000 crore

• Develop a Medical University –Rs 200 crore

• Centre for Excellence in Life Sciences (at least 3 by 2020) - Rs 1500 crore

• Centre for Excellence in Knowledge Development and Information Technology for healthcare (2) –Rs 200 crore

• Centre for Excellence in Indian system of medicine–Rs 50 crore

• Centre for Excellence in Pharmaceuticals –Rs 35 crore

82

KEY INDUSTRY PLAYERS IN GUJARAT

Corporate hospitals

Major groups such as Sterling, Apollo, Fortis, Wockhardt have made significant investments in s e t t i n g u p s t a t e - o f - t h e - a r t hospitals in major cities of Gujarat

Wellness Institute in GujaratGujarat Ayurvedic

University, Jamnagar

• Hospitals and wellness centres now looking at a comprehensive and holistic approach towards treating their patients

Naturopathy or nature cure is fully developed and scientific system which utilizes the scientifically designed dietary principle in combination with Yog and physiotherapy for physical and mental health

•

83


4.3.3

84

GUJARAT – HEALTH SECTOR INITIATIVES

E-Mamta

• GoG has initiated E-Mamta project with a view to minimize mother-infant death rate by providing vital health services at pre and post delivery time.

• It is Mother and Child (aged 0-6 years) Tracking System which requires intense capacity building at various levels primarily at the Block and Sub-Centre levels.

• With the software government will keep track of pre and post delivery check-up of mothers and vaccination and growth charts of children.

• Parents will be informed about their next action in prior through SMS.

15th National Awards of e-Governance

2011-12 organized by GoI declared that

Gujarat government’s E-Mamta project

has won Silver Award.

Source: Additional Director(VS), HEALTH,MEDICAL SERVICES & MEDICAL EDUCATION( HS), Gandhinagar

• UID given to all eligible Pregnant Women, Children and adolescents.

• State Government carried out a survey and collected details of about 79,10,457 families of the State.

The National Informatics

Centre (NIC) has been requested

to modify and adapt the Gujarat

model of e-Mamta software

application to other States.

Ministry of Health and

Family Welfare

Stage 2

•

Beneficiaries

•

•

Pre- service list of

to all field workers

A printed E-Mamta card to

beneficiary for recording

services taken

System generated drop out

list for various services

Stage 1

•

•

Validation/modification of

Family Health Survey data

Additional information of BPL

Stage 3

• Generation of HMIS Reports

85


School Health Programme (SHP) is a single, largest time framed health programme operating in Gujarat since 1997.

In 2010-11, SHP covered ≈ 1.45 crore children ≈ 25% population of Gujarat. SHP covers all districts & villages of the State.

• 15.27 lakh children treated on the spot

• 30018 children were provided referral services

• 5191 children were provided super specialty care for Heart (3053), Kidney (1076) and Cancer ( 1062),

• One child treated outside Gujarat for heart surgery.Objectives• Promotion of Positive Health

Prevention of Diseases Early Diagnosis, Treatment & F/U of defects. Awakening Health

consciousness in children. Provision of Healthful

environment

• • • •

•

The WHO has appreciated Gujarat’s School Health Program, under which 14 million primary

school children are medically examined every year

Chiranjeevi Yojana - a novel scheme involving private gynaecologists in providing services related to safe delivery of pregnant women primarily from socio-economically weaker sections. The scheme called the, was launched in December 2005. The beneficiaries under the scheme are the mothers from poor families

The scheme secured international recognition in the form of Asian Innovation Award at

Singapore from Wall Street Journal and the Financial Express.

Under “Matru Vandana” private Gynaecologists provide free services to

antenatal mothers on 9th day of each month. Almost 1000 gynaecologists are working

as Matru Vandana Doctors.

86



Rashtriya Swasthya Bima Yojana – is an innovative Social Health Insurance scheme benefitting BPL families in Gujarat. It offers them protection against the cost of illness and indebtedness. 19.05 lakh BPL families were covered and were issued smart card for the 'cash less' treatment. More then 89 thousand claims worth of Rs.50 crore had been claimed

• SEWA – Community Based Health Insurance Scheme provides financial services to women .

Employees State Insurance Scheme - Each employee is issued an identity card which has all essential particulars for obtaining medical benefits

•

• Emergency ambulance service EMRI better recalled as 108 in the state is providing exemplary services in timely emergency care. Since inception, till November, 2011, 26 lakh Emergency Medical calls have been attended by this service.

Many un-served areas have been covered through Mobile Medical Units. The efforts in Gujarat in this direction have been commendable.

• Another toll-free number 104, which will provide tele-medical assistance in cases ranging from minor health troubles to serious emergencies.

Allocations in Budget 2012for health - Purpose

A new scheme is proposed under the name of AMRUTAM - to provide financial assistance to BPL families for the treatment of diseases viz. cancer, kidney, neurology and burns. (Within the ceiling of Rupees Two Lakh per family) 200

Health and Family Welfare Department 3060

For Expansion of Ahmedabad's Kidney hospital 20

Ahmedabad civil hospital 100

New Trauma Center, Ahmedabad 43

Nutrition Mission – for protecting BPL families against malnutrition under 60

Strengthening Primary and Community Health Centre and providing trained manpower. 421

A provision of for providing quality medical services and infrastructural facilities 329

To tribal MBBS doctors to set up medical facility in tribal area 0.5

Rs. crore

87


• Conceptualized by the department of Health & Family Welfare, Govt. of Gujarat

Objective : To ensure the quality health using Information and Communication Technology (ICT) as the tool to provide standard clinical & diagnostic tools, hospital management tools and integration of management information at the state level to ensure online review & monitoring

•

• Aims:

Management of vital patient records, analysis of the critical health related data so as to provide an updated planning & policy tool towards provision of quality heath services

Assists the doctors and medical staff to improve health services with readily reference patient data, work flow enabled less-paper process and parameterized alarms and triggers during patient treatment cycle

•

•

• EDGE Award 2010 Bronze medal for HMIS National

E-governance award (2008-09) Scotch Challenger Award for

HMIS (2007-08) CSI Nilihent Award for HMIS

(2007-08)

•

•

•

No. of Users 11,500 +

No. of Modules 29

Size of Database 3 – 4 GB at each hospital. 50 GB at central server

No. of District Hospitals covered 24

No. of Teaching Hospitals covered 5

No. of LIVE Hospitals 29 (5 Teaching + 24 Non Teaching)

No. of registrations (Average Daily) (Data for 13 LIVE hospitals)

Average No. of Transactions Approx 200,000 per month per minor hospital (24) and 500,000 per month per major hospital (5)

No. of Users Trained 14,000 +

800+ per hospital. Overall Gujarat – 22,000 +

Current status of HMIS project

88



4.3.4

89

GUJARAT HEALTHCARE SECTOR – INVESTMENT OPPORTUNITIES

Mapping of expertise available for training in private and non-governmental organizational sectors and to involve them in training (e.g. RCH training, training related to HIV/AIDS) is proposed. Efforts are also underway to involve and enable participation of the community in such training and ensure better sharing of information through community volunteers and NSS students.

Under the agreement, the government agreed to finance the entire gamut of PHC services in project area, with the proviso that these services are run on the same pattern as that in the government.

So far, one PHC and 5 CHCs have been handed over to non-government organizations.

This project aims to provide primary health care to urban slum population under PPP through community based health volunteers in urban areas. Given the lack of infrastructure in urban areas, towns with less then one lakh population are proposed to be covered under this scheme.

• Wockhardt Hospitals Group (WHG), will conduct and manage the 275-bed Palanpur Civil General Hospital.

• Adani group shall manage the 300 bed G.K. general hospital, and a medical college in Bhuj.

With an intention to pool together information available and bring a professional approach to behaviour change communication (BCC), services like IEC are being contracted out. Efforts are also underway to develop partnerships with various stakeholders like pharmaceutical company to ensure wider coverage

Health Training PPP in PHCsUrban Health Care Project

Govt. hospital management by

private sector

Contracting out of IEC

The GoG health department has initiated several reforms through Public Private Partnership for improving the service delivery across the state

90

GUJARAT HEALTHCARE SECTOR – PPP

Other PPP project opportunities

• Performance Management of CHC Shamlaji Hospital located in tribal area of Sabarkantha district of Gujarat is managed by All India Movement for Seva.

• Contracting-out are being tried out with respect to developing IEC material for malaria control especially for early diagnosis of malaria in RCH group, preventive measures and treatment.

• Establishment of Regional Resource Centres for Health, Education, Training and Nutrition Awareness ( C H E T N A ) h a s b e e n a c t i v e l y supporting a total of 21 mother NGO’s working effectively to implement Reproductive and Child Program (RCH).

• Tele Medicine Project Sarva Swastha Abhiyan, an NGO has opened 10 centres in the five predominantly tribal areas.

• The Government has encouraged private practitioners to provide services in the public sector under “Samaydan scheme”.

• EMRI

Benefits of private participation

• Cost effectiveness, higher productivityAccelerated delivery, clear customer focusEnhanced social service, recovery of user chargesImproved access to essential servicesExchange of expertise

• • • •

Current Infra + proposed

Investments

Technology and

Telemedicine

Enhanced resource utilization

and improved access to

healthcare+ =

Government funded institutes administered by various private

organisations:

1. Institute of Kidney Diseases and Research Centre (IKDRC)

2. U.N.Mehta Institute of Cardiology and Research Centre

3. Gujarat Cancer Research Institute

PPP- Healthcare - Gujarat

Public Health Institute (a part of London School of Science,

School hygiene & Tropical Medicine and Harvard School)

will be established in the state.

91


Decentralized and specialized agencies for regulation and implementation

State Health Mission (Chief Minister) and State Health Society (Chief Secretary, H&FW)

http://www.mohfw.nic.in

State Ministry of Health and Family Welfare http://www.mohfw.nic.in/

Health and Family Welfare Departmenthttp://www.gujhealth.gov.in/

Department of Ayush http://indianmedicine.nic.in/

Department of Health Researchhttp://www.dhr.gov.in/

Department of AIDS Control

Executive Committee, State Health Mission (Principal Secretary, H&FW)

& Mission Director

Commissioner Healthhttp://www.gujhealth.gov.in/

Central Medical Stores Organizationhttp://www.gujhealth.gov.in/

Food & Drug Commissionerhttp://www.gujhealth.gov.in/

Secretary, Ayushhttp://indianmedicine.nic.in

Secretary, Department of Health Research http://www.dhr.gov.in/

Administration and regulation Implementation and operation

92

ADVANTAGE GUJARAT

5

93

GUJARAT – THE STATE WITH STRATEGIC LOCATION

94

GUJARAT – INDIA’S ECONOMIC POWERHOUSE

95

GUJARAT – ROBUST INFRASTRUCTURE

96

GUJARAT – STRONG URBAN, SOCIAL AND EDUCATIONAL INFRASTRUCTURE

97

GUJARAT – LAND OF INNOVATIVE HUMAN CAPITAL

GUJARAT – NEW PARADIGM FOR INDUSTRIAL GROWTH

The current phase – involving Integrated development of large areas like SIRs,

PCPIR and DMIC – is poised to transform the industrial scenario in the state

Phase of industrial development

Leve

l of I

nteg

ratio

n

83 productclusters

202 IndustrialEstates

SEZs• Multi product• Chemical• Textile• Pharma• IT / ITeS• Electronics• Engineering• Biotech• Gems & Jewellery

Integrated large areadevelopments

• Special Investment Regions (>100 sq. km.) and Industrial Areas (50-100 sq. km.)

• CorridorDelhi Mumbai Industrial

• GIDC Industrial Estates• Petroleum, Chemicals and Petrochemicals Investment Region• Knowledge corridor• Logistics parks• Theme towns

Phase I Phase II Phase III Phase IV

98

99

GUJARAT - PROACTIVE GOVERNANCE

Source: Socio-Economic Review Gujarat, 2011-12, Department of Economic affairs, March 2009

100

OPPORTUNITIES TO INVEST IN GUJARAT

101

DOING BUSINESS IN GUJARAT

6

102

OVERALL FRAMEWORK FOR DOING BUSINESS

103

TAX FRAMEWORK

104

EXCHANGE CONTROL REGIME

105

FRAMEWORK FOR SETTING UP INDUSTRY IN GUJARAT

106

7KEY GOVERNMENT AGENCIES

107

INDUSTRIAL PROMOTION FACILITATORS

108

KEY CONTACT PERSONS

Department of Science & TechnologyShri Ravi Saxena, IAS,

Additional Chief SecretaryPhone: 91-79-23259999

E-mail: [email protected]

Gujarat Informatics Limited Shri Neeta Shah - Director (e-Governance and

Center of Excellence) Phone: 91-79-23256022 Fax: 91-79-23238925

Email: [email protected]

Mr. Vipul Mitra Principal Secretary (Tourism, Pilgrimage and

Devasthan Management)Industries and Mines Department

Phone: +91 79 23250583, Fax: +91 79 23250587www.gujarattourism.com

Mr. Ramakant JhaDirector,

Gujarat International Finance Tec City Co. Ltd. Phone: +91 79-30018300/27912511

Fax: +91 79-27912516www.giftgujarat.in

Mr. Sanjay Kaul, IASManaging Director,

Tourism Corporation of Gujarat Ltd Phone/Fax: +91 79 [email protected]

www.gujarattourism.com

Mr. Jagdish ShahAssistant General ManagerIndustrial Extension Bureau

Phone: +91 79 [email protected]

www.indextb.com

ndHead Office: Block No. 18, 2 Floor, Udyog Bhavan, GH-4, Sector 11, Gandhinagar 382 010 Gujarat, INDIA Phone: +91-79-23250492/93 Fax: +91-79-23250490

www.indextb.com, www.ic.gujarat.gov.in E-mail: [email protected] Regional Office: A-6, State Emporia Building, Baba Kharak Singh Marg, New Delhi 110 001, INDIA

Telefax: 011-23747002, 23360049 E-mail: [email protected]

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