The Government of Maharashtra is implementing the Maharashtra Tertiary Care and Medical Education Sector Development Program (MTCMESDP) with financial assistance from the Asian Development Bank (ADB). The project includes the construction of Government Medical Colleges and attached hospitals at Alibag, Sindhudurg, Amravati, and Washim. In accordance with the ADB Safeguard Policy Statement (2009), it is necessary to establish a structured Grievance Redress Mechanism (GRM) to address grievances related to environmental safeguards, social impacts, occupational health and safety, and other project related issues arising during the construction and operational phases of the project.