Maharashtra Govt approves proposal to borrow ₹2,975 crore from ADB for health project — PRAGATI
The Maharashtra government has approved a ₹2,975 crore loan from the Asian Development Bank to fund the PRAGATI health project. This initiative aims to expand hospital infrastructure and integrate digital health services across the state by 2031.
Why it matters
This project represents a significant investment in public health infrastructure, aiming to improve healthcare accessibility and efficiency in India's most populous state.
The Maharashtra Cabinet, chaired by Chief Minister Devendra Fadnavis, on Tuesday (September 8, 2026), announced the implementation of the “PRAGATI (Primary Healthcare Reimagined with Advanced Governance and Accessible Technology Integration)” project between 2026 and 2031. The Cabinet approved the State Public Health Department’s proposal to obtain a loan from the Asian Development Bank for the project and to include the State Government’s share in it.
The total cost of this project is expected to be ₹4,250 crore, the loan approval has been given for ₹2,975 crore from the Asian Development Bank and ₹1,275 crore was approved to be made available in phases in the budget as the State’s share, as per the CMO.
The project proposes to start a 500-bed district hospital each in Kolhapur and Nanded and a 300-bed district hospital in Nagpur and Latur as well as a 200-bed specialty referral hospital for Pune district.
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