India's Ministry of Health is committed to universal health coverage and has announced its plan to provide dialysis in the face of rising kidney failure. But providing dialysis for all who need it could consume the entire public health budget. Policymakers need to evaluate affordable dialysis options, pay systematic attention to the selection of who will receive dialysis, and put more emphasis on prevention.
CGD Policy Blogs
Now the Government of India and the World Bank have adopted an approach using principles we describe as Cash on Delivery (COD). The program follows three of these principles by linking payments to outcomes, not inputs; independently verifying outcomes; and allowing recipients to take the lead. India has become the single largest payer for outcomes in a nationwide sanitation initiative.