Fondation Pierre Fabre

Envision rural healthcare ecosystems to enable accessable, affordable and quality healthcare for rural underserved population

Main beneficiary country:
India

About the sponsor

Gramin Health Care

Gramin Health Care (GHC) is an inclusive business model that is accelerating last mile health delivery through Assisted Telemedicine. Through a unique combination of Technology and Walk-in-Health Centres, GHC has been creating access in underserved rural pockets. GHC also enables healthcare financing, community ownership and social behaviour change by developing an ecosystem around the access. This includes creating affordability through prepaid coverage annual family health cards, creating outreach through biweekly health camps, and by developing a rural service delivery chain of Village Health Ambassadors. The technology platform enables doctor consultation at every doorstep, capturing the citizen health information via Electronic Health Records, whereas the walk-in-health centres ensures that linkages are created in the healthcare continuum through locally recruited and trained healthcare professionals. Today there 120+ Walk-in-Health Centres (known as Gramin Health Centres) present across 7 states in India : Haryana, Uttar Pradesh, Rajasthan, West Bengal, Bihar, Madhya Pradesh and Maharashtra. GHC has also started a cluster model in which 7-10 health centres have a hub, polyclinic which stations inhouse doctors, full fledged pharmacy, advanced diagnostics and other specialised treatments. Gramin has also been creating multi stakeholder partnerships with Private-Public and people to create a holistic healthcare system. Through various strategic alliances citizens now have healthcare at a distance they can travel, at a cost they can afford and with dignity they deserve.

Sector: Industrial: Startups, enterprises, etc.

Country of origin: India

The organisation has:

150
Full-Time Equivalents
150
Employees
100
Volunteers
5
Service providers

Initiative overview

Healthcare themes targeted

  • Primary healthcare
  • Cancer
  • Oral health
  • Non Communicable Diseases

Stage of development:

  • Routine project/operational

Area where initiative is utilised

  • National (in one country only)

Initiative start date

  • 09/15/2015

Financing

Financing method

  • Private (private investors, crowdfunding, philanthropy, etc.)

Economic model(s)

  • Income generated by beneficiaries
  • Revenue generated by the beneficiaries/healthcare facilities

About the initiative

According to Rural Health statistics 2014-2015, due to more than 25% shortages of public health centres in rural areas, it is estimated that 50% of beneficiaries travel more than 100 km to access quality care. Gramin Healthcare is accelerating an Alternative Healthcare Delivery access through an Assisted Telemedicine Model. Through combination of digital platform and lean light walk-in-clinics with focus on primary and preventive care, GHC ensures quality primary and preventive care at every underserved pocket. The digital platform ensures every rural citizen has access to doctor consultation, and Walk-in-Health Centre ensures that citizens have all round accessibility and availability of healthcare services through trained healthcare professionals. The asset lightheadedness of the model also enables GHC to replicate the model at an accelerated rate, thereby ensuring its scalability.

According to Household Consumer Expenditure report, rural households with monthly per capita expenditure (MPCE) of less than Rs 500, spend an average of Rs 407 on non-hospitalised treatment implying affordability is still one the biggest woes of the common citizen. Gramin Healthcare has created prepaid coverage Annual Family health card which enables a family to access basic healthcare services at price of less than a dollar for an year. This health card also enables them access to medicines, diagnostics, other healthcare products and advanced healthcare services at a subsidised rate.

Apart from accessibility and affordability, accountability also remains one of the biggest pillars of broken healthcare continuum in India. 38% of existing primary public health services in India are non operational.

Hence Gramin Healthcare goes beyond creating access to creating a rural healthcare ecosystem to create community ownership and social behaviour change. Biweekly outreach camps and awareness campaigns along with our partner network, and the rural service delivery chain of Village Health Ambassador ensures last mile connectivity in every village that our health centre caters to. This also ensures hand holding of citizens formally into the healthcare system, and enabling regular follow up with help of paramedics and Electronic Health Record, thereby accelerating healthcare utilisation behaviour. These initiatives have also created rural livelihood options as well as improve healthcare indicators.

Gramin Health Care (GHC) is an inclusive business model that is accelerating last mile health delivery through Assisted Telemedicine. Through a unique combination of Technology and Walk-in-Health Centres, GHC has been creating access in underserved rural pockets. GHC also enables healthcare financing, community ownership and social behaviour change by developing an ecosystem around the access. This includes creating affordability through prepaid coverage annual family health cards, creating outreach through biweekly health camps, and by developing a rural service delivery chain of Village Health Ambassadors. The technology platform enables doctor consultation at every doorstep, capturing the citizen health information via Electronic Health Records, whereas the walk-in-health centres ensures that linkages are created in the healthcare continuum through locally recruited and trained healthcare professionals. Today there 120+ Walk-in-Health Centres (known as Gramin Health Centres) present across 7 states in India : Haryana, Uttar Pradesh, Rajasthan, West Bengal, Bihar, Madhya Pradesh and Maharashtra. GHC has also started a cluster model in which 7-10 health centres have a hub, polyclinic which stations inhouse doctors, full fledged pharmacy, advanced diagnostics and other specialised treatments. Gramin has also been creating multi stakeholder partnerships with Private-Public and people to create a holistic healthcare system. Through various strategic alliances citizens now have healthcare at a distance they can travel, at a cost they can afford and with dignity they deserve.

Fields of application:

Health professional training - Telemedicine (remote diagnosis and consultations) - Information, education and communication for behaviour change (IEC) - Patient monitoring and medical data - Financial access to care, microinsurance

Target audience

  • Healthcare professionals and structures (hospitals, healthcare centres/clinics, health networks)
  • Entire population
  • Sick people
  • Patient family/entourage

Initiative objectives

  • Decreased mortality
  • Decreased morbidity
  • Reduced suffering
  • Improved treatment
  • Ensure every rural citizen do not have to compromise on daily wages by travelling larger distances to access basic healthcare

Key figures

350000 Number of beneficiaries since launch

Materials used

  • Cellular (mobile) phone
  • Smartphone
  • Tablet
  • Computer
  • Connected objects

Technologies used

  • Mobile telecommunications (without data connection)
  • Internet
  • Geolocation
  • Mobile app (Android, iOS, Windows Phone, HTML5, etc.)

Offline use

Yes

Open Source

No

Open Data

No

Independent evaluation

Yes
evaluated independently

Partners

Indian Farmer & Fertilizer Co-operative

Industrial: Startups, enterprises, etc.

Gov of Haryana, District Administration of Panipat

Organizational: Communities, public authorities, NGOs, associations, foundations, etc.

Roche India

Health: Healthcare professionals and structures

Novartis Social Business

Health: Healthcare professionals and structures

Partners

Collaborators

startupBrics