Mohalla Clinics: Universal Primary Healthcare

Government of NCT of Delhi
The Pitch

The Government of NCT of Delhi developed Mohalla Clinics to expand access to free healthcare in low-income urban communities. The clinics have led to significant reductions in water-borne illnesses, improved health outcomes and eased the burden on the primary healthcare system. 

The Problem

Residents of New Delhi’s low-income urban communities and informal settlements lacked reliable access to affordable healthcare due to exclusion from public services, making disease and illness prevention difficult. 

The Process
  • Created free public health clinics—equipped with a doctor, nurse, phlebotomist and pharmacist—located within walking distance of low-income communities that provide free treatment, testing and medication
  • Utilized old shipping containers as clinic structures, building an examination room, reception and waiting areas, a pharmacy and washroom inside each
  • Recruited private doctors and diagnostic labs to run the clinics for a fee  
  • Instituted a payment-per-patient model to compensate doctors 
The Impact
  • Built 496 neighborhood clinics, with locations in all of New Delhi’s 11 districts  
  • Provided services to 20 million people at the clinics, including 1,500 residents of low-income communities and informal settlements
  • Reduced patient load on other health infrastructure in the city by 20%
  • Reduced malaria by 69.57%, dengue by 75.25% and chikungunya by 96.225% through proper diagnosis and treatment of water-borne diseases
  • Effectively provides free healthcare to residents at an affordable cost to the government: The cost of each clinic is 5% of the cost of a traditional primary healthcare center
  • Diverts metal from landfills and provides a replicable model for healthcare centers in remote areas by utilizing shipping containers as structures
  • Broadly expanded access to healthcare services among low-income urban communities in New Delhi  
  • Improved health outcomes, established trust between residents and the government, and expands access to public services to previously excluded groups