State opposes NITI Aayog’s Prescription

NITI Aayog’s prescription for the State — to bring private sector players in a big way into the functioning of public hospitals in districts — has been met with strong opposition here.

Karnataka, which has been selected for the SATH (Sustainable Action for Transforming Human capital) programme in the health sector, has opposed the Aayog’s proposal to privatise well-functioning district hospitals in Tier 2 and Tier 3 cities for treatment of non-communicable diseases (NCDs).

The Aayog recommended leasing out for 30 years a section of district hospitals to a private company for providing treatment for cardiovascular, cancer, and pulmonary diseases.


The SATH program embodies the philosophy of co-operative federalism. NITI Aayog selected the three states through a three-stage challenge-process – expression of interest, presentations by the states and assessment of commitment to health sector reforms. Finally, three states: Assam, Uttar Pradesh and Karnataka were chosen based on objective assessment criteria affecting the potential for impact and likelihood of success. A consortium of reputed technical consultants is closely working with NITI Aayog and the states to conceptualize the initiatives and provide support in the implementation process.

About SATH programme:

Furthering the agenda for cooperative federalism, NITI Aayog has launched SATH, a program providing ‘Sustainable Action for Transforming Human capital’ with the State Governments. The vision of the program is to initiate transformation in the education and health sectors. The program addresses the need expressed by many states for technical support from NITI.

SATH aims to identify and build three future ‘role model’ states for health systems.

NITI will work in close collaboration with their state machinery to design a robust roadmap of intervention, develop a program governance structure, set up monitoring and tracking mechanisms, hand-hold state institutions through the execution stage and provide support on a range of institutional measures to achieve the end objectives.

The program will be implemented by NITI along with McKinsey & Company and IPE Global consortium, who were selected through a competitive bidding process.

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