Health Service Provision in Gujarat: Assessing Facility Capacity, Costs of Care, and Patient Perspectives

Published March 29, 2018

This report draws from the Access, Bottlenecks, Costs, and Equity (ABCE) project in Gujarat, India, part of a multi-pronged and multi-country research collaboration focused on understanding what drives and hinders health service provision. Results include the following:

  • Assessing the capacity of health facilities to provide services across different levels of care, such as physical infrastructure, human resources for health, and stocks of medicines and functional equipment
  • Comparing patient reports of their experiences at facilities, including wait time for care, interactions with providers, and expenses incurred during their visit
  • Tracking trends in patient volumes and spending across facility types
  • Quantifying the relationship between facility resources and production of services
  • Estimating facility costs associated with different types of services

Funding for this project was provided by the Bill & Melinda Gates Foundation – Disease Control Priorities Network (Investment # OPP51229).


Institute for Health Metrics and Evaluation (IHME) and Public Health Foundation of India (PHFI). Health Service Provision in Gujarat: Assessing Facility Capacity, Costs of Care, and Patient Perspectives. Seattle, WA: IHME and PHFI, 2018.