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Vibrant Gujarat - Sustainable Development Sector Profile

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Vibrant Gujarat
Vibrant Gujarat

"• Improvement of Human Development Index remains the core of the 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.

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Sustainable Development Urban 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 Policy initiatives and interventions planned 55 Investment opportunities 59 4.3 Healthcare 64 Overview 65 Gujarat scenario 74 Policy initiatives and interventions planned 83 Investment opportunities 88 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 15.0% 10.0% 5.0% Sectors’ contribution to GDP CAGR Exports 14% CAGR Imports 14% India is one of the major G-20 economies: 400 350 300 250 200 150 100 50 th the 17 largest exporter and th 11 largest importer in the world Main Export Partners 1.73 1.6 1.52 Automobile industry Construction activities nd The 2 preferred global investment destination China India Brazil US 10% Growth Decline No Change (World Investment Prospects Survey 2010-2012 by UNCTAD) USD 254 billion of FDI inflows between April 2000 and March 2012 US 13% UAE 12% China 8% Hong Kong 4% Main Import Partners China 12% UAE 7% Saudi Arabia 6% US 6% Australia 5% FDI Confidence Index, 2012 A.T. Kearney Survey FDI - Top Sectors 9.5% 9.6% 9.3% 6.8% 8.0% 8.6% 0.0% 2006 2007 2008 2009 2010 2011 1.52 1.87 0 0.5 1 1.5 2 Germany Services 30% Telecommunications 12% Computer software and hardware 11% Real estate 11% Power 7% 6% Metallurgical industries 5% Pharmaceuticals 5% Petroleum and natural gas 3% - 200 400 600 800 1,000 1,200 Agriculture Industry Services USD, billion 16% 17% 17% 18% 19% 20% 25% 26% 26% 26% 25% 26% 59% 58% 57% 56% 56% 2011-12 (A) 2010-11 (Q) 2009-10 2008-09 2007-08 2006-07 54% Trade Scenario, USD billion 0 1990-91 1994-95 2000-01 2004-05 2010-11 Export Import 02
World's largest democracy with 1.2 billion people Land of abundant natural resources democr natur and div diverse climatic conditions Enabling business environment greater global participation Strong Mark Fundamen Market Fundamentals Access to result of the IT revolution Impetus on Infrastruc De Infrastructure Development Progressive simplification and rationalization of direct and indirect tax structures Competitively priced skilled labour pric en with gr technology as a r simplific rationaliza ADVANTAGE INDIA 03
04 GUJARAT - PREFERRED INVESTMENT DESTINATION IN INDIA 2
GUJARAT HAS BEEN RANKED 1ST AS PER THE “ECONOMIC FREEDOM RANKINGS 05 FOR THE STATES OF INDIA, 2012” REPORT Double digit growth rate with Gross State Domestic Product of USD 75 billion (2010-11) growing at a five year average of 10% Growth in agricultural output in the state over the last 10 years 11% A highly industrialized state - Gross State Domestic Product contribution from manufacturing sector 28% Gujarat’s Degree of Openness (ratio of exports from state to Gross State Domestic Product) 53% A state with a population of 60 million and one of the highest urbanization levels 43% Increase in seat availability in technical institutions over last 3 years 100% A state with a high and growing literacy rate 79% 26% A state with one of the highest share in investments under implemented projects in India
SUSTAINABLE DEVELOPMENT IN GUJARAT - OVERVIEW AND FOCUS SUB SECTORS 3 06
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% Social Other sector sectors
SUSTAINABLE DEVELOPMENT FOCUS SUB-SECTORS 08 4
09 URBAN DEVELOPMENT 4.1
OVERVIEW 4.1.1 10
GLOBAL URBANIZATION TRENDS Asia: Epicentre of Urbanization • 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 11 12% 50% 13% 10% Africa Asia Europe Latin America & Carribean Pressing need for basic urban amenities – infrastructure, efficient transportation, affordable housing, service delivery in waste, sanitation, water, health and safety 4 8 1 Year 1975 Year 2000 Year 2015 Asia Outside Asia Share of Asia in World’s Mega Cities Sources: World Urbanization Prospects - United Nations, Department of Economic & Social Affairs; Asian Development Bank : Managing Asian Cities 11 11 60% 50% 40% 30% 20% 10% 0% 4% 20% 31% 54% 38% 16% 9% 9% 15% 8%6% 1%1%1% 1950 2009 2050 Northern America 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 Distribution of World Urban Population
GLOBAL URBANIZATION TRENDS 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 of halving 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 GAP $60 billion per year Estimated Annual Urban Infrastructure Investment Requirement - $100 billion Current Annual Urban Infrastructure Investments - $40 billion *Sources: Cities Development Initiative for Asia Experience Asia’s urbanization trends
GLOBAL URBANIZATION TRENDS 13 Urban transport: Instrumental in shaping urban development and city economy 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 – 50%- 70% 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 Sources: Cities on the Move: A World Bank Urban Transport Strategy Review
INDIA URBANIZATION TRENDS State of urban services: Wide demand supply gap Sources: Report on Urban Infrastructure, National Institute of Urban Affairs ; 14 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% Water Supply (1pcd) 250 200 150 100 50 0 India Service Standard Global Best in Class • 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 Solid waste Collection (% total waste generated 100 50 0 India Service Standard 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
INDIA URBANIZATION TRENDS State of urban services: Wide demand supply gap • 4861 out of 5161 cities/towns without even a partial • 18% of urban households defecate in the open • Less than 20% of the road network covered by storm water • 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 • Only 20 out of India's 85 cities with a population of 0.5 million 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 India Service Standard Global Best in Class sewerage network drains • Only 21% of waste water generated is treated 100 50 0 Share of Public Transportation(% total trips India Service Standard Global Best in Class from 11% in 1951 to 1.1% in 2001 of more in 2009 had a city bus service • Share of two wheelers in the total fleet was 72% in 2006 India’s Urban Awakening, MGI; Oxford Economics Projections 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
INDIA URBANIZATION TRENDS Strong Policy Support Sources: Report on Urban Infrastructure, National Institute of Urban Affairs ; 16 India’s Urban Awakening, MGI; Oxford Economics Projections 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 INDIA URBANIZATION TRENDS Urban India in 2030 17 590 270 Million urban population Million more working population Cities with million plus population 1200 900 7400 billion US Dollar investment required Million Sq.m annual additional built up space KM of Metros and Subways 91 Million middle class urban households 2500 Million Sq.m additional paved roads • 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 times the current GDP 5 Urban Population in Million 600 500 400 300 200 100 0 1991 2001 2008 2030 *Sources: India’s Urban Awakening, MGI; Oxford Economics Projections
GUJARAT SCENARIO 4.1.2 18
GUJARAT URBANIZATION TRENDS Spearheading growth and development 19 Ahmedabad Fastest growing city of the world per capita income 3rd 2 times of the country 28.06% 31.10% 34.47% 37.36% • 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 45.00% 40.00% 35.00% 30.00% 25.00% 20.00% 15.00% 10.00% 5.00% 0.00% 27.23% 25.74% 6.00% 5.00% 4.00% 3.00% 2.00% 1.00% 0 10 20 30 40 *Sources: Forbes- Fastest Growing cities of the World, Census 2011 India’s Urban Awakening-MGI 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% Tamil Nadu Maharashtra Punjab Gujarat India 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)
GUJARAT URBANIZATION TRENDS Human Development Indicators: Towards a better quality of life 20 Gujarat's Per Capita Income has witnessed a 8.89% CAGR 38568 0 10000 20000 30000 40000 50000 2009-10 2008-09 2007-08 2006-07 2005-06 2004-05 36102 49030 44861 32021 42498 Female literacy has increased 5.5 times since 1951 160 140 120 100 80 60 40 20 0 1951 1961 1971 1981 1991 2001 2011 Person Literacy % Female Literacy % Gujarat’s rate of growth in the social sector is much higher 74 72 70 68 66 64 62 *Sources: Directorate of Census, 2011 than that of anywhere in India -Renowned International Economist Prof. J N Bhagwati 60 Life Expectancy at Birth in Years (2011-15) 69.2 72.5 Male Female Punjab Maharashtra Andhra Pradesh Karnataka Gujarat Madhya Pradesh Haryana Rajasthan
GUJARAT URBANIZATION TRENDS Human Development Indicators: Towards a better quality of life 21 150 100 50 Infant Mortality Rate (Per '000 live births) 300 200 100 Maternal Mortality Rate (Per one lakh live births) 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 115 110 105 100 95 90 85 Gross Enrolment Ratio (Source: SSA, Gujarat Education Department) Boys Girls Total 0 2001 2002 2003 2004 2005 2006 2007 2008 Males Females 0 1991- 2001 2001-03 2004-06
POLICY INITIATIVES AND INTERVENTIONS PLANNED 4.1.3 22
GUJARAT URBANIZATION TRENDS Key policy initiatives and programmes 23 Municipal Energy Efficiency Project Urban Mobility Related Policies Centralized Implementation of scientific treatment 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. 16.67% Urban Mobility 11% 22% 3% 3% 33% 11% Basic Civic Amenities Affordable Housing Social Infrastructure e-Governance Skill Development On Going projects Municipal Waste Management Project
GUJARAT URBANIZATION TRENDS Key policy initiatives and programmes 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 Hotel Regulations 2011 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 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
GUJARAT URBANIZATION TRENDS Key policy initiatives and programmes Regulations for Rehabilitation and Redevelopment of Slums 2010 • 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 25 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. Regulations for Residential Township 2009 • 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
INVESTMENT OPPORTUNITIES 4.1.4 26
27 ACHIEVEMENTS & OPPORTUNITIES Water Supply Kotarpur Water Treatment Plant C O M P L E T E D P R O J E C T S O N G O I N G & P R O P O S E D Huge opportunities in water treatment and processing across the State Selected Investment Opportunities in major cities Opportunity Location Total Augmentation capacity of 225 MLD in Jaspur and Raska WTPs Ahmedabad Total 100 MLD planned additional WTP capacity Vadodara Solar plant at Kotapur Ahmedabad 90 MLD WTP Planned Surat under EPC mode 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 Cr completed during last five years Vadodara Our Investors
28 ACHIEVEMENTS & OPPORTUNITIES Liquid Waste Sewage Treatment Plant at Surat C O M P L E T E D P R O J E C T S O N G O I N G & P R O P O S E D 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 Opportunity Location Several new STPs & sewerage Vadodara networks planned with estimated investment of Rs 267 Cr 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 Activated Sludge Process based Sewage Treatment Plants at Madhapure and Rajya of 45 MLD and 51 MLD respectively Sayaji, Kapurai & Ataladara STPs with combined capacity of 95 MLD Our Investors Vadodara Extension of Madhar STP – 45 MLD under BOOT basis Rajkot
29 ACHIEVEMENTS & OPPORTUNITIES Solid Waste Landfill site for inert C O M P L E T E D P R O J E C T S O N G O I N G & P R O P O S E D Opportunities for development of processing units, landfill sites for inorganic and inert waste material and vermi composting plants to the tune of Rs. 152 Crore across the state One of the leading states in the country in compliance with national Municipal Solid Waste Management Rules, 2000 Some Completed Projects Door/Gate to dump disposal of waste across 5 zones of the city 3 Processing plants under PPP mode Development of Phase 1 of Secured Engineered Landfill at Jambhua DCOM of Integrated Processing facility for Mixed Municipal Solid Waste Treatment of 400 TPD Solid waste Collection, Treatment and disposal of bio-medical waste on BOOT basis covering 2000 hospitals and clinics Our Investors Ahmedabad Ahmedabad Vadodara Vadodara Surat Surat Provision of Equipments Opportunity Location Plastic Waste Collection, Transportation, Storage & Treatment Ahmedabad E-Waste Collection, Transportation, Storage and Treatment Ahmedabad GPS, Contactless Card based vehicle monitoring for SWM services Smart Ahmedabad Combined investment size Rs 50 Cr for 400 TPD plant Surat
30 ACHIEVEMENTS & OPPORTUNITIES Affordable Housing C O M P L E T E D P R O J E C T S O N G O I N G & P R O P O S E D Affordable Housing sector in the state provides exciting opportunities for collaboration Special Regulations – Gujarat Slum Rehabilitation and Affordable Housing Policy, 2011 to reduce housing shortage through promotion of public private partnership models in urban sector , attractive incentives offered for private developers Our Investors Opportunity Location Relocation and in situ project of total 16304 dwelling units under Phase II, Vadodara Some Completed Projects In - situ project of 5392 dwelling units under Phase - 1 project Vadodara 7424 Number of units for Economically Weaker Section Surat 113 Units for Low Income Group Surat Selected Investment Opportunities in major cities Slum Networking 7 locations approved for PPP Model with plans to construct ~2000 units at cost of ~Rs. 84 Cr Opportunities for NGOs and CSRs under Slum Networking Project for improvement in Physical and Community Environment partnership Ahmedabad Ahmedabad
31 ACHIEVEMENTS & OPPORTUNITIES Energy Efficiency C O M P L E T E D P R O J E C T S O N G O I N G & P R O P O S E D Municipal Energy Efficiency Project covering implementation of energy saving measures in Street lighting systems, Water/Sewage Pumping systems etc. Galore investment opportunities available for energy saving companies for implementation of various projects – total energy saving potential estimated to be 2.3 lakh MWh per annum Our Investors • 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 Energy Efficiency Initiatives in Vadodara
32 ACHIEVEMENTS & OPPORTUNITIES Urban Environment C O M P L E T E D P R O J E C T S O N G O I N G & P R O P O S E D Construction of Jogging Track walls and platforms in lakes like Bapod& Sarsiya Rashmi Surat Our Investors , Vadodara Laser Toy train at Sayajibaug and Musical Fountains, Vadodara Several new gardens at residential areas Vadodara Kankaria & Kids City Development Lake Development Ahmedabad Sneh , Botanical Garden, Ugat, Jahangirabad Prasad Mukherjee Surat Dr. Shyama Lake Garden at Kansanagar and Surat Revival of water body enhancement of urban landscape at Magdalla, Dindoli, Pal, Puna, Unn & Godadara Plethora of opportunities in development of Lakes, Parks and Gardens, Entertainment Shows and Leisure destinations Opportunity Location Est. Cost Vishwamitry development & beautification of lakes river Vadodara Rs 500 Cr Nyari Dam Site Amusement 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
TRANSPORT LED DEVELOPMENT 4.1.5 33
34 GUJARAT URBANIZATION TRENDS 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 Transport Improvements Commodity Market Labor Market Expansion New Activities Growth Transport Improvements impact urbanization and economic growth
TRANSPORT LED URBAN DEVELOPMENT: HIGHLIGHTS AND OPPORTUNITIES 35 Aspects 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
TRANSPORT LED URBAN DEVELOPMENT: HIGHLIGHTS AND OPPORTUNITIES 36 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 Nirmal Gujarat Special drive by GSRTC to upgrade bus terminals to improve infrastructural facilities • Construction of International Standard Bus Terminals with private partnership at 6 major locations underway Several more planned 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 Vadodara Several River Bridges, Fly overs and Creek Bridges being planned in Surat Some Recent Projects • • 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
TRANSPORT LED URBAN DEVELOPMENT : HIGHLIGHTS AND OPPORTUNITIES 37 Bus Rapid Transit Systems Ahmedabad BRTS Best Mass Transit Project Award, 2009 Best Sustainable Transport in the World Award, 2010 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 SURAT • Status : Project under execution • Total Route Length : 30 Km (Phase 1) + 70 Km (Phase II) • Total Number of Bus Terminals: 200 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 VADODARA • Status : Detailed Feasibility report being prepared Sources: International Association for Public Transport ; Ministry of urban Development, India
TRANSPORT LED URBAN DEVELOPMENT : HIGHLIGHTS AND OPPORTUNITIES 38 Metro-Link Express between Gandhinagar and Ahmedabad 35 kms planned Route Length under phase 1 with 21 stations Special Purpose Vehicle Metro Express Link between Gandhinagar and Ahmedabad (MEGA) formed for implementation of the Metro rail. Proposed Alignment: Routes within Ahmedabad and connecting to International Airport and Gandhinagar *Sources: Urban Development Department, Government of Gujarat 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
TRANSPORT LED URBAN DEVELOPMENT: HIGHLIGHTS AND OPPORTUNITIES 39 Sources: Government of Gujarat Light Rail Systems and Regional Rail Systems Line 2 Line 1 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 • Surat Light Rail System Proposed • Integrated Public Transport Studies done for cities like Ahmedabad, Vadodara and Surat • Status : Under planning
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 Ahmedabad on tentative list of UNESCO’s World Heritage City Status • 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 Tapi Riverfront Development Project, Surat • 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
41 INSTITUTIONAL STRUCTURE AND KEY CONTACTS Sources: Government of Gujarat 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://udd.gujarat.gov.in http://www.gudcltd.com http://www.gudm.org
42 WATER – RECYCLING & DESALINATION 4.2
OVERVIEW 4.2.1 43
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: • Agricultural irrigation • Industrial processing like cooling • Municipal & Urban uses • Environmental and recreational • Domestic except drinking Water conservation through recycling helps in • Enhancing water habitats and wildlife that thrive in there • Reduction in pollution by pumping in recycled water into environment than waste water • Preserving delicate ecosystems Bar Screen Grit Removal Primary Clarifier Aeration Basin Secondary Clarifier Filtration Disinfection Activated Sludge Final Effluent to outfall or reuse Primary AIR Sludge Raw Sewage Thickener Bio Solids Digester Bio solids to reuse Water Recycling Process Dewatering
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 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 Major Processes Minor Processes Thermal Process • Multi Stage Flash Distillation • Multiple Effect Distillation • Vapour compression Distillation Sources: Government of Gujarat Membrane Process • Reverse Osmosis (RO) • Electro dialysis (ED) • Electro dialysis reversal process (EDR) 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. Brine Water Storage tank Delivery Pumping Station Pre Treatment Reverse Osmosis Reverse Osmosis Stage 2 Post Treatment Sea Water Pump Intake Delivery Pipeline
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 Salt water 97.5% Fresh 2.5% water: Glaciers 68.7% Ground water 30.1% Surface & Atmospheric water: 0.4% • 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 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
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 Water consumption by sector 2500 2000 1500 1000 500 0 1995 2025 1995 2025 1995 2015 Developing World Countries Developed Countries Domestic Livestock Industrial Irrigation 4457 GLOBAL WATER SITUATION 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 Sources: Global Water Outlook 2025: International Food Policy Research Institute; World Water Development Report 3- United Nations
GLOBAL SCENARIO: WATER RECYCLING AND DESALINATION Developing regions like South Asia and Africa need to catch up United States Spain Japan United Kingdom Saudi Arabia Israel Qatar Baharain UAE India Sources: Pacific Institute: The World’s Water (Data as available) 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% East Asia Southern Asia Caspian Sea Central & East Europe Mediterranean Baltic Sea Western Europe North Atlantic Carribean 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) Kuwait Russia 50 45 40 35 30 25 15 10 5 0 48
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 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 Water demand in 2050 = 1,180 BCM 4479 INDIA WATER SCENARIO Increasing stress on India’s existing water resources with growing domestic consumption and high rates of industrial water use intensity to be more industrial sector led Irrigation 71% Others Industrial 9% 13% Domestic 7% 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 Water demand in 2025 = 843 BCM Irrigation 73% Irrigation 71% Others Industrial 8% 12% Domestic 7% Water demand in 2010 = 710 CM Irrigation 78% Irrigation 78% Irrigation 71% Others Industrial 8% 8% Domestic 6% Industrial Water Productivity (US $ cu. M) 120 100 80 60 40 20 0 Japan Korea UK Netherlands Ger,many USA China India Sources: Ministry of Water Resources, Govt of India; India Infrastructure Report 2011- UNESCO and World Water Assessment Program WWAP 2006
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 Total Water Supply Waste Water Generation Treatment Capacity 0 20000 40000 Source: India Infrastructure Report 2011 Million Litres Per Day Projected Waste Water Generation in urban India 2021 2031 2041 2051 140000 120000 100000 80000 60000 40000 20000 0 Million Litres Per Day 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 4.2.2 51
60 50 40 30 20 10 52 GUJARAT WATER SITUATION Water scarcity due to state’s topography and location and the increasing demand from the large urban and 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 31.75 3.95 2 3.3 1.1 0.65 3.6 4.3 Kutch Surface Water Ground Water Saurashtra South Gujarat North Gujarat 0 Water Demand in Gujarat (BCM) 2010 2025 2050 • 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 57 BCM by 2050
53 GUJARAT SCENARIO: WATER RECYCLING AND TREATMENT 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. 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 Plant on DBOOT basis through unsolicited proposal Ranakpur Planned Augmentation of Jaspur and Raska Waste Treatment Plant, Total investment ~ Rs. 55 Cr Ahmedabad Solar Plant planned at Kotarpur ~ Rs 1.5 Cr Ahmedabad Requirement for Tertiary Treatment of Secondary Treated Sewage ~ Rs 500 Cr. Ahmedabad 771 MLD • 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 1836 MLD Municipal Corporation Other Local bodies Total daily sewage generation in Gujarat
54 GUJARAT WATER SCENARIO: DESALINATION 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. Desalination capacity in Gujarat (in MLD) 141 3,788 4,000 3,500 3,000 2,500 2,000 1,500 1,000 500 2010 2015 2020 2030 2040 2050 State government considering increasing installed capacity to 300 MLD over next five years further estimated to reach ~ 1500 MLD by 2030 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 for Industrial Water Supply 150 MLD Kutch (Further data awaited) Identified sites: Jamnagar (100 MLD), Pipavav (100 MLD), Dahej & Kutch
POLICY INITIATIVES AND INTERVENTIONS PLANNED 4.2.3 55
GUJARAT WATER SCENARIO: GOVERNMENT INITIATIVES 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 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
• 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 5557 GUJARAT WATER SCENARIO: GOVERNMENT INITIATIVES 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 • Watershed Development Programme • • • Sources Narmada, Water resources, Water Supply and Kalpasar Dept, Rural Development Department, 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 • • • 58 GUJARAT WATER SCENARIO: GOVERNMENT INITIATIVES Gulf of Khambhat Development (Kalpasar) Project : World’s largest freshwater reservoir 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 Sources Narmada, Water resources, Water Supply and Kalpasar Dept, Government of Gujarat
INVESTMENT OPPORTUNITIES 4.2.4 59
60 GUJARAT: INVESTMENT OPPORTUNITIES Sardar Sarovar Project Rain water Harvesting Government mandate for all large constructions to have rainwater harvesting Opportunities for EPC and Civil Contracts Waste Water Collection Network Increasing awareness about latest technologies and easy finance options Equipment manufacturing for micro irrigation potential area for investment Water and Waste Water Treatment Plants for Municipal and Industrial Water Driven largely by large scale & rapid industrialization and water scarcity Waste Water Collection Network No revenue collection model as of now (sewerage cost allocated from 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 Social Sustainable Environ-ment Economic 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
Gujarat Water Infrastructure Limited www.gwssb.org 63 INSTITUTIONAL STRUCTURE AND KEY CONTACTS Decentralized and Specialized Agencies for Regulation and Implementation Administration and Regulation Implementation and Operation Urban Development Department www.udd.gujarat.gov.in Municipal Corporations, Municipalities and Panchayats Gujarat Industrial Development Corporation www.gidc.gov.in 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
OVERVIEW 4.3.1 65
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. • • • • 300 250 200 150 100 50 Size of the health sector Expected to create 40 million new jobs by 2020 Distribution of health sector Source: rating agency Fitch. Department of Industrial Policy & Promotion (DIPP) spending in India 78% 22% Private Public 65 100 239 0 2011 2015 (e) 2020 (e) USD billion 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. • - • • Increasing population Increasing disposable income Growing health issues Cheaper cost of treatment Focus on PPP Government initiatives Improving projected growth in healthcare health insurance penetration Factors for Thrust on medical tourism India has got many enabling factors to support its growth in health sector. It is equipped to deliver on global demand.
Birth Rate (BR), Death Rate (DR) and Natural increase (NI), India 1901-2050 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 Rate per 1000 population 40.0 30.0 20.0 10.0 0.0 RR DR NI Source: Annual Report 2010-11 of Department of Health and Family Welfare 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 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 • • • 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
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; ACCESS Source: Destination India by PwC, timesofindia.indiatimes.com, economictimes.indiatimes.com COST 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 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 Centre Most peripheral contact point between Primary Health Care System & Community manned with one (HW (F)/ANM & one HW (M) As on 31 March 2010 Nos Community Health Centres (CHCs) 4,535 Primary Health Centres (PHCs 23,673 Sub Centres 147,069
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 Health costs per person for selected countries and country groups (purchasing power parity, in $) France Germany Source: WHO Health Statistics 2010 $ 8,000 7,000 6,000 5,000 4,000 3,000 2,000 1,000 0 Global Low income India income income middle middle Lower Upper China High income Australia Canada Japan Sweden UK USA 2000 2007 Cost of Key Healthcare Procedures Currency: USD US Thailand India India HC Source: India Brand Foundation Report, IBEF Research cost-x of US Cardiac surgery 50,000 14,250 4,000 12.5 Bone 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 3.56 surgery
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 Sub-sector Opportunities FDI in Health and medical Health and Medical Services - 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, 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. • 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 10000 9000 8000 7000 6000 5000 4000 3000 2000 1000 0 Rs. crore Growth in medical equipment market 2954 1369 456 461 3426 1602 525 563 3974 1874 603 687 4610 2192 694 838 5348 2565 798 1022 FY2011 FY2012 FY2013 FY2014 FY2015 Homecare/handled devices Therapeutics Patient Monitoring Imaging
GUJARAT SCENARIO 4.3.2 74
Gujarat healthcare infrastructure 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 Eye Disease Hospitals Class - II Hospitals Mental Hospitals Sub- District hospitals District hospitals Dispensaries Source: Health and Family Welfare Department, Government of Gujarat; GIDB 122 60 28 24 2 3 4 0 20 40 60 80 100 120 140 Grant -in-Aid 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% Primary Secondary Care Tertiary Care Government hospitals in Gujarat Infectious Diseases Hospital 1
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, healthcare centres, beds and are expected to continue 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 Gujarat boasts Computer Navigated Surface Replacement Surgery of the Hip and Knee-Joint Intra - arterial Thromolytic Therapy for Acute Stroke of 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 Producers Drug, device, surgica l manufacturers Purchasers Wholesalers - Mail order distributors Organizations Group Purchasing Fiscal Intermediaries Insurers Pharmacy Benefit managers Providers Source: Health and Family Welfare Department, Government of Gujarat Payers Government Employers Individuals Hospitals Employer Coalition Physicians Pharmacies Gujarat: Healthcare Value Chain Health insurance companies • Bajaj 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 Hospital Krishna Heart Institute Wockhardt Hospital Sterling Addlife India Ltd SAL Hospital Rajasthan Hospital Medisurge Hospital • • • • • • • • Pharmaceutical Zydus Cadila Healthcare Ltd. Claris Life sciences Ltd. Cadila Pharmaceuticals Ltd. Intas Pharmaceutical Ltd. Sun Pharma Torrent Pharmaceuticals Ltd. Dishman Pharmaceuticals Abott Laboratories Wyeth Jubilant 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 Cost in Gujarat 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 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
• 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 79 CLINICAL RESEARCH • Pulse Women’s Hospital Pvt. Ltd. Krishna Heart Institute Apollo Infertility, Foetal medicine, Embryology Stem Cell Therapy , Cardial Drugs Source: Health and Family Welfare Department, Government of Gujarat Radiation Therapy for Cancer Care Rajasthan Hospital Sterling Addlife India Ltd Sterling Addlife India Ltd Plastic & Burns Hematology Otolaryngology Anaesthesiology 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 • Claims Processing Healthcare BPO: Gujarat Medical Transcription Medical Billing Medical Coding • Gujarat is home to Healthcare BPOs like BVS Trans Tech in Vadodara In collaboration with its US partner Pertexa it p ro v i d e s m e d i c a l c o 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 • Source: Health and Family Welfare Department, Government of Gujarat • 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 Gujarat Gujarat 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 •
POLICY INITIATIVES AND INTERVENTIONS PLANNED 4.3.3 83
Stage 1 • • Validation/modification of Family Health Survey data Additional information of BPL 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. 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 • 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. Stage 3 • Generation of HMIS Reports 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 Source: Additional Director(VS), HEALTH,MEDICAL SERVICES & MEDICAL EDUCATION( HS), Gandhinagar
85 GUJARAT – HEALTH SECTOR INITIATIVES 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), Objectives • One child treated outside Gujarat for heart surgery. • 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.
Rs. crore Allocations in Budget 2012 for 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 86 GUJARAT – HEALTH SECTOR INITIATIVES 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. Source: Additional Director(VS), HEALTH,MEDICAL SERVICES & MEDICAL EDUCATION( HS), Gandhinagar
87 GUJARAT – HEALTH SECTOR INITIATIVES • 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) • • • Current status of HMIS project 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) 800+ per hospital. (Data for 13 LIVE hospitals) Overall Gujarat – 22,000 + 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 +
4.3.4 88 INVESTMENT OPPORTUNITIES Source: Additional Director(VS), HEALTH,MEDICAL SERVICES & MEDICAL EDUCATION( HS), Gandhinagar
89 GUJARAT HEALTHCARE SECTOR – INVESTMENT OPPORTUNITIES The GoG health department has initiated several reforms through Public Private Partnership 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 PHCs Urban Health Care Project Govt. hospital management by private sector Contracting out of IEC 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 productivity Accelerated delivery, clear customer focus Enhanced social service, recovery of user charges Improved access to essential services Exchange 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 INSTITUTIONAL STRUCTURE AND KEY CONTACTS Decentralized and specialized agencies for regulation and implementation Administration and regulation Implementation and operation 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 Department http://www.gujhealth.gov.in/ Department of Ayush http://indianmedicine.nic.in/ Department of Health Research http://www.dhr.gov.in/ Department of AIDS Control Executive Committee, State Health Mission (Principal Secretary, H&FW) & Mission Director Commissioner Health http://www.gujhealth.gov.in/ Central Medical Stores Organization http://www.gujhealth.gov.in/ Food & Drug Commissioner http://www.gujhealth.gov.in/ Secretary, Ayush http://indianmedicine.nic.in Secretary, Department of Health Research http://www.dhr.gov.in/
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 Level of Integration 202 Industrial Estates 83 product clusters SEZs • Multi product • Chemical • Textile • Pharma • IT / ITeS • Electronics • Engineering • Biotech • Gems & Jewellery Integrated large area developments • Special Investment Regions (>100 sq. km.) and Industrial Areas (50-100 sq. km.) • Delhi Mumbai Industrial Corridor • 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 KEY GOVERNMENT AGENCIES 7
107 INDUSTRIAL PROMOTION FACILITATORS
108 KEY CONTACT PERSONS Department of Science & Technology Shri Ravi Saxena, IAS, Additional Chief Secretary Phone: 91-79-23259999 E-mail: secdst@gujarat.gov.in Gujarat Informatics Limited Shri Neeta Shah - Director (e-Governance and Center of Excellence) Phone: 91-79-23256022 Fax: 91-79-23238925 Email: info@gujaratinformatics.com Mr. Vipul Mitra Principal Secretary (Tourism, Pilgrimage and Devasthan Management) Industries and Mines Department Phone: +91 79 23250583, Fax: +91 79 23250587 www.gujarattourism.com Mr. Ramakant Jha Director, Gujarat International Finance Tec City Co. Ltd. Phone: +91 79-30018300/27912511 Fax: +91 79-27912516 www.giftgujarat.in Mr. Sanjay Kaul, IAS Managing Director, Tourism Corporation of Gujarat Ltd Phone/Fax: +91 79 66701001 sanjay@gujarattourism.com www.gujarattourism.com Mr. Jagdish Shah Assistant General Manager Industrial Extension Bureau Phone: +91 79 23250400 jsshah@indextb.com www.indextb.com
National Partner Knowledge Partner Exhibition Partner Relationship Partner Airline Partners nd Head 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: indextb@indextb.com Regional Office: A-6, State Emporia Building, Baba Kharak Singh Marg, New Delhi 110 001, INDIA Telefax: 011-23747002, 23360049 E-mail: indextbnd@indextb.com For more details and online registration, log on to www.vibrantgujarat.com

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Vibrant Gujarat - Sustainable Development Sector Profile

  • 1. Sustainable Development Urban development, Water & Healthcare SECTOR PROFILE
  • 2. 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 Policy initiatives and interventions planned 55 Investment opportunities 59 4.3 Healthcare 64 Overview 65 Gujarat scenario 74 Policy initiatives and interventions planned 83 Investment opportunities 88 5 Advantage Gujarat 92 6 Doing Business in Gujarat 101 7 Key government agencies 106
  • 3. INDIA - PREFERRED INVESTMENT DESTINATION 01 1
  • 4. 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 15.0% 10.0% 5.0% Sectors’ contribution to GDP CAGR Exports 14% CAGR Imports 14% India is one of the major G-20 economies: 400 350 300 250 200 150 100 50 th the 17 largest exporter and th 11 largest importer in the world Main Export Partners 1.73 1.6 1.52 Automobile industry Construction activities nd The 2 preferred global investment destination China India Brazil US 10% Growth Decline No Change (World Investment Prospects Survey 2010-2012 by UNCTAD) USD 254 billion of FDI inflows between April 2000 and March 2012 US 13% UAE 12% China 8% Hong Kong 4% Main Import Partners China 12% UAE 7% Saudi Arabia 6% US 6% Australia 5% FDI Confidence Index, 2012 A.T. Kearney Survey FDI - Top Sectors 9.5% 9.6% 9.3% 6.8% 8.0% 8.6% 0.0% 2006 2007 2008 2009 2010 2011 1.52 1.87 0 0.5 1 1.5 2 Germany Services 30% Telecommunications 12% Computer software and hardware 11% Real estate 11% Power 7% 6% Metallurgical industries 5% Pharmaceuticals 5% Petroleum and natural gas 3% - 200 400 600 800 1,000 1,200 Agriculture Industry Services USD, billion 16% 17% 17% 18% 19% 20% 25% 26% 26% 26% 25% 26% 59% 58% 57% 56% 56% 2011-12 (A) 2010-11 (Q) 2009-10 2008-09 2007-08 2006-07 54% Trade Scenario, USD billion 0 1990-91 1994-95 2000-01 2004-05 2010-11 Export Import 02
  • 5. World's largest democracy with 1.2 billion people Land of abundant natural resources democr natur and div diverse climatic conditions Enabling business environment greater global participation Strong Mark Fundamen Market Fundamentals Access to result of the IT revolution Impetus on Infrastruc De Infrastructure Development Progressive simplification and rationalization of direct and indirect tax structures Competitively priced skilled labour pric en with gr technology as a r simplific rationaliza ADVANTAGE INDIA 03
  • 6. 04 GUJARAT - PREFERRED INVESTMENT DESTINATION IN INDIA 2
  • 7. GUJARAT HAS BEEN RANKED 1ST AS PER THE “ECONOMIC FREEDOM RANKINGS 05 FOR THE STATES OF INDIA, 2012” REPORT Double digit growth rate with Gross State Domestic Product of USD 75 billion (2010-11) growing at a five year average of 10% Growth in agricultural output in the state over the last 10 years 11% A highly industrialized state - Gross State Domestic Product contribution from manufacturing sector 28% Gujarat’s Degree of Openness (ratio of exports from state to Gross State Domestic Product) 53% A state with a population of 60 million and one of the highest urbanization levels 43% Increase in seat availability in technical institutions over last 3 years 100% A state with a high and growing literacy rate 79% 26% A state with one of the highest share in investments under implemented projects in India
  • 8. SUSTAINABLE DEVELOPMENT IN GUJARAT - OVERVIEW AND FOCUS SUB SECTORS 3 06
  • 9. 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% Social Other sector sectors
  • 10. SUSTAINABLE DEVELOPMENT FOCUS SUB-SECTORS 08 4
  • 13. GLOBAL URBANIZATION TRENDS Asia: Epicentre of Urbanization • 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 11 12% 50% 13% 10% Africa Asia Europe Latin America & Carribean Pressing need for basic urban amenities – infrastructure, efficient transportation, affordable housing, service delivery in waste, sanitation, water, health and safety 4 8 1 Year 1975 Year 2000 Year 2015 Asia Outside Asia Share of Asia in World’s Mega Cities Sources: World Urbanization Prospects - United Nations, Department of Economic & Social Affairs; Asian Development Bank : Managing Asian Cities 11 11 60% 50% 40% 30% 20% 10% 0% 4% 20% 31% 54% 38% 16% 9% 9% 15% 8%6% 1%1%1% 1950 2009 2050 Northern America 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 Distribution of World Urban Population
  • 14. GLOBAL URBANIZATION TRENDS 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 of halving 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 GAP $60 billion per year Estimated Annual Urban Infrastructure Investment Requirement - $100 billion Current Annual Urban Infrastructure Investments - $40 billion *Sources: Cities Development Initiative for Asia Experience Asia’s urbanization trends
  • 15. GLOBAL URBANIZATION TRENDS 13 Urban transport: Instrumental in shaping urban development and city economy 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 – 50%- 70% 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 Sources: Cities on the Move: A World Bank Urban Transport Strategy Review
  • 16. INDIA URBANIZATION TRENDS State of urban services: Wide demand supply gap Sources: Report on Urban Infrastructure, National Institute of Urban Affairs ; 14 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% Water Supply (1pcd) 250 200 150 100 50 0 India Service Standard Global Best in Class • 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 Solid waste Collection (% total waste generated 100 50 0 India Service Standard 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
  • 17. INDIA URBANIZATION TRENDS State of urban services: Wide demand supply gap • 4861 out of 5161 cities/towns without even a partial • 18% of urban households defecate in the open • Less than 20% of the road network covered by storm water • 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 • Only 20 out of India's 85 cities with a population of 0.5 million 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 India Service Standard Global Best in Class sewerage network drains • Only 21% of waste water generated is treated 100 50 0 Share of Public Transportation(% total trips India Service Standard Global Best in Class from 11% in 1951 to 1.1% in 2001 of more in 2009 had a city bus service • Share of two wheelers in the total fleet was 72% in 2006 India’s Urban Awakening, MGI; Oxford Economics Projections 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
  • 18. INDIA URBANIZATION TRENDS Strong Policy Support Sources: Report on Urban Infrastructure, National Institute of Urban Affairs ; 16 India’s Urban Awakening, MGI; Oxford Economics Projections 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
  • 19. 68 INDIA URBANIZATION TRENDS Urban India in 2030 17 590 270 Million urban population Million more working population Cities with million plus population 1200 900 7400 billion US Dollar investment required Million Sq.m annual additional built up space KM of Metros and Subways 91 Million middle class urban households 2500 Million Sq.m additional paved roads • 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 times the current GDP 5 Urban Population in Million 600 500 400 300 200 100 0 1991 2001 2008 2030 *Sources: India’s Urban Awakening, MGI; Oxford Economics Projections
  • 21. GUJARAT URBANIZATION TRENDS Spearheading growth and development 19 Ahmedabad Fastest growing city of the world per capita income 3rd 2 times of the country 28.06% 31.10% 34.47% 37.36% • 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 45.00% 40.00% 35.00% 30.00% 25.00% 20.00% 15.00% 10.00% 5.00% 0.00% 27.23% 25.74% 6.00% 5.00% 4.00% 3.00% 2.00% 1.00% 0 10 20 30 40 *Sources: Forbes- Fastest Growing cities of the World, Census 2011 India’s Urban Awakening-MGI 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% Tamil Nadu Maharashtra Punjab Gujarat India 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)
  • 22. GUJARAT URBANIZATION TRENDS Human Development Indicators: Towards a better quality of life 20 Gujarat's Per Capita Income has witnessed a 8.89% CAGR 38568 0 10000 20000 30000 40000 50000 2009-10 2008-09 2007-08 2006-07 2005-06 2004-05 36102 49030 44861 32021 42498 Female literacy has increased 5.5 times since 1951 160 140 120 100 80 60 40 20 0 1951 1961 1971 1981 1991 2001 2011 Person Literacy % Female Literacy % Gujarat’s rate of growth in the social sector is much higher 74 72 70 68 66 64 62 *Sources: Directorate of Census, 2011 than that of anywhere in India -Renowned International Economist Prof. J N Bhagwati 60 Life Expectancy at Birth in Years (2011-15) 69.2 72.5 Male Female Punjab Maharashtra Andhra Pradesh Karnataka Gujarat Madhya Pradesh Haryana Rajasthan
  • 23. GUJARAT URBANIZATION TRENDS Human Development Indicators: Towards a better quality of life 21 150 100 50 Infant Mortality Rate (Per '000 live births) 300 200 100 Maternal Mortality Rate (Per one lakh live births) 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 115 110 105 100 95 90 85 Gross Enrolment Ratio (Source: SSA, Gujarat Education Department) Boys Girls Total 0 2001 2002 2003 2004 2005 2006 2007 2008 Males Females 0 1991- 2001 2001-03 2004-06
  • 24. POLICY INITIATIVES AND INTERVENTIONS PLANNED 4.1.3 22
  • 25. GUJARAT URBANIZATION TRENDS Key policy initiatives and programmes 23 Municipal Energy Efficiency Project Urban Mobility Related Policies Centralized Implementation of scientific treatment 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. 16.67% Urban Mobility 11% 22% 3% 3% 33% 11% Basic Civic Amenities Affordable Housing Social Infrastructure e-Governance Skill Development On Going projects Municipal Waste Management Project
  • 26. GUJARAT URBANIZATION TRENDS Key policy initiatives and programmes 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 Hotel Regulations 2011 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 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
  • 27. GUJARAT URBANIZATION TRENDS Key policy initiatives and programmes Regulations for Rehabilitation and Redevelopment of Slums 2010 • 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 25 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. Regulations for Residential Township 2009 • 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
  • 29. 27 ACHIEVEMENTS & OPPORTUNITIES Water Supply Kotarpur Water Treatment Plant C O M P L E T E D P R O J E C T S O N G O I N G & P R O P O S E D Huge opportunities in water treatment and processing across the State Selected Investment Opportunities in major cities Opportunity Location Total Augmentation capacity of 225 MLD in Jaspur and Raska WTPs Ahmedabad Total 100 MLD planned additional WTP capacity Vadodara Solar plant at Kotapur Ahmedabad 90 MLD WTP Planned Surat under EPC mode 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 Cr completed during last five years Vadodara Our Investors
  • 30. 28 ACHIEVEMENTS & OPPORTUNITIES Liquid Waste Sewage Treatment Plant at Surat C O M P L E T E D P R O J E C T S O N G O I N G & P R O P O S E D 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 Opportunity Location Several new STPs & sewerage Vadodara networks planned with estimated investment of Rs 267 Cr 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 Activated Sludge Process based Sewage Treatment Plants at Madhapure and Rajya of 45 MLD and 51 MLD respectively Sayaji, Kapurai & Ataladara STPs with combined capacity of 95 MLD Our Investors Vadodara Extension of Madhar STP – 45 MLD under BOOT basis Rajkot
  • 31. 29 ACHIEVEMENTS & OPPORTUNITIES Solid Waste Landfill site for inert C O M P L E T E D P R O J E C T S O N G O I N G & P R O P O S E D Opportunities for development of processing units, landfill sites for inorganic and inert waste material and vermi composting plants to the tune of Rs. 152 Crore across the state One of the leading states in the country in compliance with national Municipal Solid Waste Management Rules, 2000 Some Completed Projects Door/Gate to dump disposal of waste across 5 zones of the city 3 Processing plants under PPP mode Development of Phase 1 of Secured Engineered Landfill at Jambhua DCOM of Integrated Processing facility for Mixed Municipal Solid Waste Treatment of 400 TPD Solid waste Collection, Treatment and disposal of bio-medical waste on BOOT basis covering 2000 hospitals and clinics Our Investors Ahmedabad Ahmedabad Vadodara Vadodara Surat Surat Provision of Equipments Opportunity Location Plastic Waste Collection, Transportation, Storage & Treatment Ahmedabad E-Waste Collection, Transportation, Storage and Treatment Ahmedabad GPS, Contactless Card based vehicle monitoring for SWM services Smart Ahmedabad Combined investment size Rs 50 Cr for 400 TPD plant Surat
  • 32. 30 ACHIEVEMENTS & OPPORTUNITIES Affordable Housing C O M P L E T E D P R O J E C T S O N G O I N G & P R O P O S E D Affordable Housing sector in the state provides exciting opportunities for collaboration Special Regulations – Gujarat Slum Rehabilitation and Affordable Housing Policy, 2011 to reduce housing shortage through promotion of public private partnership models in urban sector , attractive incentives offered for private developers Our Investors Opportunity Location Relocation and in situ project of total 16304 dwelling units under Phase II, Vadodara Some Completed Projects In - situ project of 5392 dwelling units under Phase - 1 project Vadodara 7424 Number of units for Economically Weaker Section Surat 113 Units for Low Income Group Surat Selected Investment Opportunities in major cities Slum Networking 7 locations approved for PPP Model with plans to construct ~2000 units at cost of ~Rs. 84 Cr Opportunities for NGOs and CSRs under Slum Networking Project for improvement in Physical and Community Environment partnership Ahmedabad Ahmedabad
  • 33. 31 ACHIEVEMENTS & OPPORTUNITIES Energy Efficiency C O M P L E T E D P R O J E C T S O N G O I N G & P R O P O S E D Municipal Energy Efficiency Project covering implementation of energy saving measures in Street lighting systems, Water/Sewage Pumping systems etc. Galore investment opportunities available for energy saving companies for implementation of various projects – total energy saving potential estimated to be 2.3 lakh MWh per annum Our Investors • 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 Energy Efficiency Initiatives in Vadodara
  • 34. 32 ACHIEVEMENTS & OPPORTUNITIES Urban Environment C O M P L E T E D P R O J E C T S O N G O I N G & P R O P O S E D Construction of Jogging Track walls and platforms in lakes like Bapod& Sarsiya Rashmi Surat Our Investors , Vadodara Laser Toy train at Sayajibaug and Musical Fountains, Vadodara Several new gardens at residential areas Vadodara Kankaria & Kids City Development Lake Development Ahmedabad Sneh , Botanical Garden, Ugat, Jahangirabad Prasad Mukherjee Surat Dr. Shyama Lake Garden at Kansanagar and Surat Revival of water body enhancement of urban landscape at Magdalla, Dindoli, Pal, Puna, Unn & Godadara Plethora of opportunities in development of Lakes, Parks and Gardens, Entertainment Shows and Leisure destinations Opportunity Location Est. Cost Vishwamitry development & beautification of lakes river Vadodara Rs 500 Cr Nyari Dam Site Amusement 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
  • 36. 34 GUJARAT URBANIZATION TRENDS 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 Transport Improvements Commodity Market Labor Market Expansion New Activities Growth Transport Improvements impact urbanization and economic growth
  • 37. TRANSPORT LED URBAN DEVELOPMENT: HIGHLIGHTS AND OPPORTUNITIES 35 Aspects 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
  • 38. TRANSPORT LED URBAN DEVELOPMENT: HIGHLIGHTS AND OPPORTUNITIES 36 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 Nirmal Gujarat Special drive by GSRTC to upgrade bus terminals to improve infrastructural facilities • Construction of International Standard Bus Terminals with private partnership at 6 major locations underway Several more planned 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 Vadodara Several River Bridges, Fly overs and Creek Bridges being planned in Surat Some Recent Projects • • 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
  • 39. TRANSPORT LED URBAN DEVELOPMENT : HIGHLIGHTS AND OPPORTUNITIES 37 Bus Rapid Transit Systems Ahmedabad BRTS Best Mass Transit Project Award, 2009 Best Sustainable Transport in the World Award, 2010 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 SURAT • Status : Project under execution • Total Route Length : 30 Km (Phase 1) + 70 Km (Phase II) • Total Number of Bus Terminals: 200 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 VADODARA • Status : Detailed Feasibility report being prepared Sources: International Association for Public Transport ; Ministry of urban Development, India
  • 40. TRANSPORT LED URBAN DEVELOPMENT : HIGHLIGHTS AND OPPORTUNITIES 38 Metro-Link Express between Gandhinagar and Ahmedabad 35 kms planned Route Length under phase 1 with 21 stations Special Purpose Vehicle Metro Express Link between Gandhinagar and Ahmedabad (MEGA) formed for implementation of the Metro rail. Proposed Alignment: Routes within Ahmedabad and connecting to International Airport and Gandhinagar *Sources: Urban Development Department, Government of Gujarat 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
  • 41. TRANSPORT LED URBAN DEVELOPMENT: HIGHLIGHTS AND OPPORTUNITIES 39 Sources: Government of Gujarat Light Rail Systems and Regional Rail Systems Line 2 Line 1 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 • Surat Light Rail System Proposed • Integrated Public Transport Studies done for cities like Ahmedabad, Vadodara and Surat • Status : Under planning
  • 42. 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 Ahmedabad on tentative list of UNESCO’s World Heritage City Status • 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 Tapi Riverfront Development Project, Surat • 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
  • 43. 41 INSTITUTIONAL STRUCTURE AND KEY CONTACTS Sources: Government of Gujarat 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://udd.gujarat.gov.in http://www.gudcltd.com http://www.gudm.org
  • 44. 42 WATER – RECYCLING & DESALINATION 4.2
  • 46. 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: • Agricultural irrigation • Industrial processing like cooling • Municipal & Urban uses • Environmental and recreational • Domestic except drinking Water conservation through recycling helps in • Enhancing water habitats and wildlife that thrive in there • Reduction in pollution by pumping in recycled water into environment than waste water • Preserving delicate ecosystems Bar Screen Grit Removal Primary Clarifier Aeration Basin Secondary Clarifier Filtration Disinfection Activated Sludge Final Effluent to outfall or reuse Primary AIR Sludge Raw Sewage Thickener Bio Solids Digester Bio solids to reuse Water Recycling Process Dewatering
  • 47. 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 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 Major Processes Minor Processes Thermal Process • Multi Stage Flash Distillation • Multiple Effect Distillation • Vapour compression Distillation Sources: Government of Gujarat Membrane Process • Reverse Osmosis (RO) • Electro dialysis (ED) • Electro dialysis reversal process (EDR) 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. Brine Water Storage tank Delivery Pumping Station Pre Treatment Reverse Osmosis Reverse Osmosis Stage 2 Post Treatment Sea Water Pump Intake Delivery Pipeline
  • 48. 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 Salt water 97.5% Fresh 2.5% water: Glaciers 68.7% Ground water 30.1% Surface & Atmospheric water: 0.4% • 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 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
  • 49. 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 Water consumption by sector 2500 2000 1500 1000 500 0 1995 2025 1995 2025 1995 2015 Developing World Countries Developed Countries Domestic Livestock Industrial Irrigation 4457 GLOBAL WATER SITUATION 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 Sources: Global Water Outlook 2025: International Food Policy Research Institute; World Water Development Report 3- United Nations
  • 50. GLOBAL SCENARIO: WATER RECYCLING AND DESALINATION Developing regions like South Asia and Africa need to catch up United States Spain Japan United Kingdom Saudi Arabia Israel Qatar Baharain UAE India Sources: Pacific Institute: The World’s Water (Data as available) 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% East Asia Southern Asia Caspian Sea Central & East Europe Mediterranean Baltic Sea Western Europe North Atlantic Carribean 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) Kuwait Russia 50 45 40 35 30 25 15 10 5 0 48
  • 51. 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 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 Water demand in 2050 = 1,180 BCM 4479 INDIA WATER SCENARIO Increasing stress on India’s existing water resources with growing domestic consumption and high rates of industrial water use intensity to be more industrial sector led Irrigation 71% Others Industrial 9% 13% Domestic 7% 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 Water demand in 2025 = 843 BCM Irrigation 73% Irrigation 71% Others Industrial 8% 12% Domestic 7% Water demand in 2010 = 710 CM Irrigation 78% Irrigation 78% Irrigation 71% Others Industrial 8% 8% Domestic 6% Industrial Water Productivity (US $ cu. M) 120 100 80 60 40 20 0 Japan Korea UK Netherlands Ger,many USA China India Sources: Ministry of Water Resources, Govt of India; India Infrastructure Report 2011- UNESCO and World Water Assessment Program WWAP 2006
  • 52. 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 Total Water Supply Waste Water Generation Treatment Capacity 0 20000 40000 Source: India Infrastructure Report 2011 Million Litres Per Day Projected Waste Water Generation in urban India 2021 2031 2041 2051 140000 120000 100000 80000 60000 40000 20000 0 Million Litres Per Day 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%
  • 54. 60 50 40 30 20 10 52 GUJARAT WATER SITUATION Water scarcity due to state’s topography and location and the increasing demand from the large urban and 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 31.75 3.95 2 3.3 1.1 0.65 3.6 4.3 Kutch Surface Water Ground Water Saurashtra South Gujarat North Gujarat 0 Water Demand in Gujarat (BCM) 2010 2025 2050 • 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 57 BCM by 2050
  • 55. 53 GUJARAT SCENARIO: WATER RECYCLING AND TREATMENT 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. 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 Plant on DBOOT basis through unsolicited proposal Ranakpur Planned Augmentation of Jaspur and Raska Waste Treatment Plant, Total investment ~ Rs. 55 Cr Ahmedabad Solar Plant planned at Kotarpur ~ Rs 1.5 Cr Ahmedabad Requirement for Tertiary Treatment of Secondary Treated Sewage ~ Rs 500 Cr. Ahmedabad 771 MLD • 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 1836 MLD Municipal Corporation Other Local bodies Total daily sewage generation in Gujarat
  • 56. 54 GUJARAT WATER SCENARIO: DESALINATION 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. Desalination capacity in Gujarat (in MLD) 141 3,788 4,000 3,500 3,000 2,500 2,000 1,500 1,000 500 2010 2015 2020 2030 2040 2050 State government considering increasing installed capacity to 300 MLD over next five years further estimated to reach ~ 1500 MLD by 2030 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 for Industrial Water Supply 150 MLD Kutch (Further data awaited) Identified sites: Jamnagar (100 MLD), Pipavav (100 MLD), Dahej & Kutch
  • 57. POLICY INITIATIVES AND INTERVENTIONS PLANNED 4.2.3 55
  • 58. GUJARAT WATER SCENARIO: GOVERNMENT INITIATIVES 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 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
  • 59. • 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 5557 GUJARAT WATER SCENARIO: GOVERNMENT INITIATIVES 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 • Watershed Development Programme • • • Sources Narmada, Water resources, Water Supply and Kalpasar Dept, Rural Development Department, Government of Gujarat
  • 60. • 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 • • • 58 GUJARAT WATER SCENARIO: GOVERNMENT INITIATIVES Gulf of Khambhat Development (Kalpasar) Project : World’s largest freshwater reservoir 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 Sources Narmada, Water resources, Water Supply and Kalpasar Dept, Government of Gujarat
  • 62. 60 GUJARAT: INVESTMENT OPPORTUNITIES Sardar Sarovar Project Rain water Harvesting Government mandate for all large constructions to have rainwater harvesting Opportunities for EPC and Civil Contracts Waste Water Collection Network Increasing awareness about latest technologies and easy finance options Equipment manufacturing for micro irrigation potential area for investment Water and Waste Water Treatment Plants for Municipal and Industrial Water Driven largely by large scale & rapid industrialization and water scarcity Waste Water Collection Network No revenue collection model as of now (sewerage cost allocated from water) Projects can be clubbed with water distribution network
  • 63. 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
  • 64. 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 Social Sustainable Environ-ment Economic 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
  • 65. Gujarat Water Infrastructure Limited www.gwssb.org 63 INSTITUTIONAL STRUCTURE AND KEY CONTACTS Decentralized and Specialized Agencies for Regulation and Implementation Administration and Regulation Implementation and Operation Urban Development Department www.udd.gujarat.gov.in Municipal Corporations, Municipalities and Panchayats Gujarat Industrial Development Corporation www.gidc.gov.in 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
  • 68. 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. • • • • 300 250 200 150 100 50 Size of the health sector Expected to create 40 million new jobs by 2020 Distribution of health sector Source: rating agency Fitch. Department of Industrial Policy & Promotion (DIPP) spending in India 78% 22% Private Public 65 100 239 0 2011 2015 (e) 2020 (e) USD billion Sub-sector FDI in USD billion Hospitals and diagnostic centres 1.1 Medical and surgical appliances 0.5 Drugs and pharmaceuticals sector 5.0
  • 69. 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. • - • • Increasing population Increasing disposable income Growing health issues Cheaper cost of treatment Focus on PPP Government initiatives Improving projected growth in healthcare health insurance penetration Factors for Thrust on medical tourism India has got many enabling factors to support its growth in health sector. It is equipped to deliver on global demand.
  • 70. Birth Rate (BR), Death Rate (DR) and Natural increase (NI), India 1901-2050 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 Rate per 1000 population 40.0 30.0 20.0 10.0 0.0 RR DR NI Source: Annual Report 2010-11 of Department of Health and Family Welfare 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 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 • • • 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
  • 71. 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; ACCESS Source: Destination India by PwC, timesofindia.indiatimes.com, economictimes.indiatimes.com COST 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.
  • 72. 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 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 Centre Most peripheral contact point between Primary Health Care System & Community manned with one (HW (F)/ANM & one HW (M) As on 31 March 2010 Nos Community Health Centres (CHCs) 4,535 Primary Health Centres (PHCs 23,673 Sub Centres 147,069
  • 73. 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 Health costs per person for selected countries and country groups (purchasing power parity, in $) France Germany Source: WHO Health Statistics 2010 $ 8,000 7,000 6,000 5,000 4,000 3,000 2,000 1,000 0 Global Low income India income income middle middle Lower Upper China High income Australia Canada Japan Sweden UK USA 2000 2007 Cost of Key Healthcare Procedures Currency: USD US Thailand India India HC Source: India Brand Foundation Report, IBEF Research cost-x of US Cardiac surgery 50,000 14,250 4,000 12.5 Bone 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 3.56 surgery
  • 74. 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
  • 75. 73 OPPORTUNITIES FOR INVESTMENTS IN THE SECTOR Sub-sector Opportunities FDI in Health and medical Health and Medical Services - 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, 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. • 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 10000 9000 8000 7000 6000 5000 4000 3000 2000 1000 0 Rs. crore Growth in medical equipment market 2954 1369 456 461 3426 1602 525 563 3974 1874 603 687 4610 2192 694 838 5348 2565 798 1022 FY2011 FY2012 FY2013 FY2014 FY2015 Homecare/handled devices Therapeutics Patient Monitoring Imaging
  • 77. Gujarat healthcare infrastructure 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 Eye Disease Hospitals Class - II Hospitals Mental Hospitals Sub- District hospitals District hospitals Dispensaries Source: Health and Family Welfare Department, Government of Gujarat; GIDB 122 60 28 24 2 3 4 0 20 40 60 80 100 120 140 Grant -in-Aid 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% Primary Secondary Care Tertiary Care Government hospitals in Gujarat Infectious Diseases Hospital 1
  • 78. 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, healthcare centres, beds and are expected to continue 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 Gujarat boasts Computer Navigated Surface Replacement Surgery of the Hip and Knee-Joint Intra - arterial Thromolytic Therapy for Acute Stroke of 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
  • 79. 77 GUJARAT HEALTHCARE – PRESENCE ACROSS THE VALUE CHAIN Producers Drug, device, surgica l manufacturers Purchasers Wholesalers - Mail order distributors Organizations Group Purchasing Fiscal Intermediaries Insurers Pharmacy Benefit managers Providers Source: Health and Family Welfare Department, Government of Gujarat Payers Government Employers Individuals Hospitals Employer Coalition Physicians Pharmacies Gujarat: Healthcare Value Chain Health insurance companies • Bajaj 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 Hospital Krishna Heart Institute Wockhardt Hospital Sterling Addlife India Ltd SAL Hospital Rajasthan Hospital Medisurge Hospital • • • • • • • • Pharmaceutical Zydus Cadila Healthcare Ltd. Claris Life sciences Ltd. Cadila Pharmaceuticals Ltd. Intas Pharmaceutical Ltd. Sun Pharma Torrent Pharmaceuticals Ltd. Dishman Pharmaceuticals Abott Laboratories Wyeth Jubilant Organosys • • • • • • • • • •
  • 80. 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 Cost in Gujarat 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 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
  • 81. • 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 79 CLINICAL RESEARCH • Pulse Women’s Hospital Pvt. Ltd. Krishna Heart Institute Apollo Infertility, Foetal medicine, Embryology Stem Cell Therapy , Cardial Drugs Source: Health and Family Welfare Department, Government of Gujarat Radiation Therapy for Cancer Care Rajasthan Hospital Sterling Addlife India Ltd Sterling Addlife India Ltd Plastic & Burns Hematology Otolaryngology Anaesthesiology Nephrology, Oncology, Respiratory System, Cardiology Nephrology
  • 82. 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 • Claims Processing Healthcare BPO: Gujarat Medical Transcription Medical Billing Medical Coding • Gujarat is home to Healthcare BPOs like BVS Trans Tech in Vadodara In collaboration with its US partner Pertexa it p ro v i d e s m e d i c a l c o 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 • Source: Health and Family Welfare Department, Government of Gujarat • 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 •
  • 83. 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
  • 84. 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 Gujarat Gujarat 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 •
  • 85. POLICY INITIATIVES AND INTERVENTIONS PLANNED 4.3.3 83
  • 86. Stage 1 • • Validation/modification of Family Health Survey data Additional information of BPL 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. 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 • 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. Stage 3 • Generation of HMIS Reports 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 Source: Additional Director(VS), HEALTH,MEDICAL SERVICES & MEDICAL EDUCATION( HS), Gandhinagar
  • 87. 85 GUJARAT – HEALTH SECTOR INITIATIVES 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), Objectives • One child treated outside Gujarat for heart surgery. • 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.
  • 88. Rs. crore Allocations in Budget 2012 for 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 86 GUJARAT – HEALTH SECTOR INITIATIVES 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. Source: Additional Director(VS), HEALTH,MEDICAL SERVICES & MEDICAL EDUCATION( HS), Gandhinagar
  • 89. 87 GUJARAT – HEALTH SECTOR INITIATIVES • 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) • • • Current status of HMIS project 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) 800+ per hospital. (Data for 13 LIVE hospitals) Overall Gujarat – 22,000 + 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 +
  • 90. 4.3.4 88 INVESTMENT OPPORTUNITIES Source: Additional Director(VS), HEALTH,MEDICAL SERVICES & MEDICAL EDUCATION( HS), Gandhinagar
  • 91. 89 GUJARAT HEALTHCARE SECTOR – INVESTMENT OPPORTUNITIES The GoG health department has initiated several reforms through Public Private Partnership 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 PHCs Urban Health Care Project Govt. hospital management by private sector Contracting out of IEC for improving the service delivery across the state
  • 92. 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 productivity Accelerated delivery, clear customer focus Enhanced social service, recovery of user charges Improved access to essential services Exchange 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.
  • 93. 91 INSTITUTIONAL STRUCTURE AND KEY CONTACTS Decentralized and specialized agencies for regulation and implementation Administration and regulation Implementation and operation 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 Department http://www.gujhealth.gov.in/ Department of Ayush http://indianmedicine.nic.in/ Department of Health Research http://www.dhr.gov.in/ Department of AIDS Control Executive Committee, State Health Mission (Principal Secretary, H&FW) & Mission Director Commissioner Health http://www.gujhealth.gov.in/ Central Medical Stores Organization http://www.gujhealth.gov.in/ Food & Drug Commissioner http://www.gujhealth.gov.in/ Secretary, Ayush http://indianmedicine.nic.in Secretary, Department of Health Research http://www.dhr.gov.in/
  • 95. 93 GUJARAT – THE STATE WITH STRATEGIC LOCATION
  • 96. 94 GUJARAT – INDIA’S ECONOMIC POWERHOUSE
  • 97. 95 GUJARAT – ROBUST INFRASTRUCTURE
  • 98. 96 GUJARAT – STRONG URBAN, SOCIAL AND EDUCATIONAL INFRASTRUCTURE
  • 99. 97 GUJARAT – LAND OF INNOVATIVE HUMAN CAPITAL
  • 100. 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 Level of Integration 202 Industrial Estates 83 product clusters SEZs • Multi product • Chemical • Textile • Pharma • IT / ITeS • Electronics • Engineering • Biotech • Gems & Jewellery Integrated large area developments • Special Investment Regions (>100 sq. km.) and Industrial Areas (50-100 sq. km.) • Delhi Mumbai Industrial Corridor • GIDC Industrial Estates • Petroleum, Chemicals and Petrochemicals Investment Region • Knowledge corridor • Logistics parks • Theme towns Phase I Phase II Phase III Phase IV 98
  • 101. 99 GUJARAT - PROACTIVE GOVERNANCE Source: Socio-Economic Review Gujarat, 2011-12, Department of Economic affairs, March 2009
  • 102. 100 OPPORTUNITIES TO INVEST IN GUJARAT
  • 103. 101 DOING BUSINESS IN GUJARAT 6
  • 104. 102 OVERALL FRAMEWORK FOR DOING BUSINESS
  • 107. 105 FRAMEWORK FOR SETTING UP INDUSTRY IN GUJARAT
  • 108. 106 KEY GOVERNMENT AGENCIES 7
  • 109. 107 INDUSTRIAL PROMOTION FACILITATORS
  • 110. 108 KEY CONTACT PERSONS Department of Science & Technology Shri Ravi Saxena, IAS, Additional Chief Secretary Phone: 91-79-23259999 E-mail: secdst@gujarat.gov.in Gujarat Informatics Limited Shri Neeta Shah - Director (e-Governance and Center of Excellence) Phone: 91-79-23256022 Fax: 91-79-23238925 Email: info@gujaratinformatics.com Mr. Vipul Mitra Principal Secretary (Tourism, Pilgrimage and Devasthan Management) Industries and Mines Department Phone: +91 79 23250583, Fax: +91 79 23250587 www.gujarattourism.com Mr. Ramakant Jha Director, Gujarat International Finance Tec City Co. Ltd. Phone: +91 79-30018300/27912511 Fax: +91 79-27912516 www.giftgujarat.in Mr. Sanjay Kaul, IAS Managing Director, Tourism Corporation of Gujarat Ltd Phone/Fax: +91 79 66701001 sanjay@gujarattourism.com www.gujarattourism.com Mr. Jagdish Shah Assistant General Manager Industrial Extension Bureau Phone: +91 79 23250400 jsshah@indextb.com www.indextb.com
  • 111. National Partner Knowledge Partner Exhibition Partner Relationship Partner Airline Partners nd Head 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: indextb@indextb.com Regional Office: A-6, State Emporia Building, Baba Kharak Singh Marg, New Delhi 110 001, INDIA Telefax: 011-23747002, 23360049 E-mail: indextbnd@indextb.com For more details and online registration, log on to www.vibrantgujarat.com