The approach was an investment operation with substantial policy contents and addressing priority issues to help the State to put in place the sustainable first referral health system to support rest of the health sectors.

The Main objectives were to:

• Improve efficiency in the allocation and use of health resources through policy and institutional development.
• Improve the performance of the health care system through improvements in the quality, effectiveness and coverage of health services at the first referral level and selective coverage at the primary level to better serve the neediest sections of society.

The objective of the project was to assist to Govt. of Punjab to:

• To improve efficiency in the allocation and use of health resources in the Project States through policy and institutional development ; and

- To improve the performance of the health care system in the Project States through improvements in the quality, effectiveness and coverage of health services at the first referral level and selective coverage at the primary level, so as to improve the health status of the people, especially the poor. By reducing mortality morbidity and disability.