By the time you would finish reading this page 4 women and 60 children would have died due to preventable causes in India. The onus of providing health to a largely illiterate community lies with a public system which seriously ails in absence of doctors and resources.
We envision bringing a paradigm shift in focus in rural healthcare- by facilitating the grassroot workers with decision-support and raising community compliance. We enable the community to take responsibility of its own health.
Disease to Village Health worker: VHWs in absence of doctors burdens the responsibility of all sponsored programs and of providing healthcare to the community. Effective utilization of this over-burdened community resource through appropriate support is our best bet to nip the most deadly yet preventable diseases in the bud.
Technology to the last mile: Bold and scalable innovations in technology coupled with licensing of proprietary technology to alleviate rural healthcare.
Technology as an end to a mean: The positive affect of technology as stand-alone is undermined by mis-beliefs and other irrational health practices prevalent in predominantly poor and illiterate rural communities. We develop customized social-cultural and behavioral tools to address these aspects and then work in partnership with local organizations for implementation.
Global to Local: From relocation of health resources to optimal usage of local and semi-urban market based health setups through guided referrals in turn solving the problem on scale. We enable the community to take responsibility of its own health.
The tools and services developed by us, Decision support for village health-worker, Amrita; central monitoring and tracking system, Nira; socio-cultural solutions, Swashiksha and Training module, Saksham would alleviate rural healthcare only if we reach the last mile with appropriate medium. Our modus operandi is discussed below -
We believe that creating synergy with existing systems would be key in leapfrogging to better health indicators. In this regard the Government Public system notwithstanding the dysfunctional (showing some signs of improvement over recent years) nature has the widest reach to rural masses. The health-workers such as Nurses and ASHAs certainly have ample potential in delivering basic care, provided they are trained and supported in innovative ways.
In our rural public health setup, we have over 2.5 Lakh Health-workers (nurses, mid-wives) and over 5 Lakh Accredited Social Health Activists who have been given drug kits and have been trained up to 4 modules.
ASHAs among these reach the last mile but the over-burdened VHWs seldom work at Sub-centers let alone going to villages. In absence of skilled doctors, most of the care at Public Health Centers also becomes the responsibility of these VHWs who are already over-burdened with numerous govt. sponsored programs. Through Amrita we envision to galvanize and best utilize this community resource.
We Assess, train and certify the VHWs with emphasis on basic protocols and behavioral aspects of their work. All mechanical, analytical, mathematical and calculative aspects of their job are deskilled through Amrita. Through Amrita, Newdigm's decision-support and Nira
- The VHWs would be able to do a competent job with timely and correct intervention, classification and filtration of critical cases.
- The VHWs could also be relieved of time-consuming paper work and their effort could be channelized to get real-time surveillance and assessment of work on the ground.
- They would be able to co-ordinate follow-ups and take timely remedial steps in case of epidemics. Automated or guided reminders and alerts would serve this purpose.
- The VHWs and the ASHAs could work together to share the responsibility of reaching out to the masses.
- Reduce the barrier of training and education for a newly appointed nurse or a person with no formal training.
We did field-trail of Amria in Neamam and Thirunindravur PHCs, Tiruvallur District of TamilNadu in collaboration with National Rural Health Mission, Tamil Nadu.
There is no denying that Govt. implementation of innovations in public setups has been traditionally slow and lacklustre. At Newdigm we realized that rather than waiting for the Public setups to grow beyond history, we through innovative and sustainable models can change the face of rural healthcare. In this endeavour we came up with HOPE.
Through HOPE our aim is to drastically improve accessibility to quality and affordable healthcare. This is achieved by
- Reforming available local resources
- Guidance and Information to distant, higher points of care
- Pre-negotiation with service providers by increasing outreach and efficient use of underutilized urban health setups.
- Quality control of points of care
As you can observe from the illustration in the slide-show above we try to replicate tertiary care center in a tiered manner, starting right from the patient's doorstep. We achieve a balance in need-accessibility-resources-cost and leverage existing market based institutions.
Thus HOPE provides
- Health information, awareness, presumptive diagnosis and guidance at the doorstep.
- Commensurate to condition of patient, diagnosis and treatment at varying accessibility points.
- Cheaper and holistic healthcare vis-a-vis private practices.
- Regular monitoring and follow-up thanks to larger outreach.
The scope of partnerships includes local entrepreneurs, Rural Medical Practitioners, MFIs, labs and doctors in city, hospitals, Insurance companies and drug wholesalers.
For more information do check the Presentation on the right. You are also welcome to contact us.