Fifty-six % of the deliveries among the urban poor women take place at home - SIxty % of urban poor children are not fully immunized - Forty-six % of the total population in India will be living in urban areas by 2030 - Under 5 Mortality Rate in urban areas is 38, IMR is 31 and NMR is 19 per 1000 live births - Only 48.7 % of the urban poor women use any modern method of family planning
  • Slums in the heart of the national capital

  • Children counseling each other on diarrhea

  • Hygiene Awareness Initiative with Children

  • Health Mapping by Mahila Arogya Samiti Members

  • Orientation on Anemia

About HUP

The Population Foundation of India (PFI) is assisting the central government and eight state governments in India, by leading a consortium of technical and implementation partners, in designing and implementing urban health programs, under the USAID-funded Health of the Urban Poor (HUP) program. The PFI-lead consortium works towards strengthening the planning and monitoring systems to deliver innovative models of healthcare, especially maternal, neonatal and child health services (including choices of family planning), while integrating the other determinants of health (nutrition, water, sanitation and hygiene), for the urban poor. These interventions are designed within a larger governance and convergence framework, in partnership with the available private and non-government sector, and supported by effective community engagement at the slum level.

The HUP program contributes to the national and state specific urban health design by developing and evolving tools and models at various levels, which include:


Institutional level

  • Strengthening institutions for convergent actions like City and Ward Coordination Committees
  • Institutional mechanisms for engaging the private sector in urban health
  • Institutional mechanisms for engaging national and international technical institutions for urban health (at national and state levels)

Systems level

  • Planning design and templates, including slum resource mapping (for city health plans and micro-plans for immunization, Health & Nutrition Days, etc.)
  • Monitoring & Evaluation framework for Urban Health and determinants of health, including slum-specific Health Management Information System (HMIS)

Service delivery level

  • Institutionalizing and strengthening Urban Health and Nutrition Days (UHND) through a convergent model (including the departments of health , women and child development  and urban local bodies)
  • Developing integrated outreach and referral linkage through Public Private Partnerships (PPP)
  • Specific interventions on Maternal, Neonatal, Child Health and Nutrition (MNCHN) and Water, Sanitation & Hygiene (WASH) for the urban poor – in a convergent and/or PPP mode

Community level

  • Formation of women’s health groups in the form of Mahila Arogya Samiti (MAS) – for community mobilization, community level mapping and planning and addressing the social determinants of health, especially the WASH component.
  • IEC/BCC strategies and models for urban poor on MNCHN and WASH