Case Studies: India
Dr. Mohan’s Diabetes Specialities Centre: Integrated treatment for chronic disease
Dr. Viswanathan Mohan’s diabetes specialty centre diagnoses and treats diabetes-related health problems under one roof, in a country with rapidly growing case loads. The work load is divided among a disease management team of diverse specialties many cadres of staff, and on any given day a consultant may see 20 to 30 patients. The team raises awareness at the village level about the disease which requires continual management.
Download Case Study PDFCommunity Health and Development (CHAD)
Community Health and Development of CMC Vellore popularly known as CHAD is a true example of the fine balance between training and service to the community. This half a century old program part of Community Health Department has grown manifold and attracted people from all over the world. This case study attempts to highlight the efficiency with which CHAD has obtained results through a combination of training and service delivery and how aspects of the CHAD model can be adopted by other institutions to achieve similar results. Download Case Study PDFKriti Arogya Kendram
Kriti was established in 2009 to provide need based services to the urban slum population in Hyderabad. It works in the areas of health, education and livelihood. This report captures the key lessons learnt during the implementation of the pilot healthcare program (Kriti Arogya Kendram) in ‘Filmnagar slum’, Hyderabad
Download Case Study PDFWorld Health Partners (WHP)
World Health Partners (WHP) is an international non-profit organization that provides health and reproductive health services in developing countries by harnessing local market forces to work for the poor. They use the latest advances in communication, diagnostic and medical technology. They combine this with existing social and economic infrastructure to establish large scale, cost-effective health service networks in the rural areas. This case study captures the model piloted by WHP in three districts of Uttar Pradesh, India. The WHP model strives to strike a balance between curative and preventive services by creating incentives for the private sector to provide much needed health and family planning services and products in poverty stricken rural areas. The network of providers created by WHP addresses these needs with locally available resources and appropriate technology.
Download Case Study PDFGarhwal Community Development and Welfare Society
Dr Rajesh Singh is a surgeon by profession and a very courageous one at that. He has conducted many a complicated surgeries with limited resources relying on his sound clinical knowledge. His wife Mrs. Rajkumari is a nurse by profession. She has been a strong support to her husband and was his assistant in his surgeries. She now leads the community health programs of the organization and involved in many research activities. Together, they have created a niche for themselves in the Tehri Garhwal district of Uttarakhand – one of most underserved regions of the county. This place is 6000 feet above sea-level. The Christian Hospital or the “Masiha Hospital” as it is locally known was established in 1991 by them. This case describes the work done by the organization in the last two decades.
Download Case Study PDFAarohi
Aarohi is a grassroots organization established in 1992 that is committed to need-based and people-planned integrated rural development in the Central Himalayan region of Uttarakhand. The “Arogya - Community Health Initiative” project aims to achieve long-term sustainability and security of community health by developing a viable, cost-effective community health programme. The project involves 25 villages and is benefiting approximately 15,000 people from Nainital, Chamoli and Bageshwar districts. The project's focuses on preventive and promotive health care at the household and community level, has developed a referral process for curative services. Aarohi also runs a hospital and mobile clinics to reach patients in the region's more remote areas.
Download Case Study PDFInstitute for Rural Health Studies
The Institute for Rural Health Studies (IRHS) was established in 1981 by Dr Patricia Bidinger (Pat) and Mrs. Bhavani Nag in Hyderabad to do research on the nature and cause of rural health problems.During interaction with the villagers it became evident to Dr. Pat and Bhavani that access to healthcare was minimal. Today, IRHS is known for its healthcare provision and helping rural people access healthcare. It provides both curative and preventive healthcare as well as helping villagers access secondary and tertiary level facilities.
Download Case Study PDFApollo Telemedicine Networking Foundation (ATNF)
Apollo Telemedicine Networking Foundation (ATNF), a not-for-profit organization, is a part of the Apollo Hospitals Group. It is credited with being the first to setup a Rural Telemedicine centre in 1999 in Aragonda (in Andhra Pradesh). ATNF works with multiple entities such as the Central and State Governments, medical bodies, and private and public sectors - both at a domestic and international level - to popularize the concept of telemedicine. ATNF offers customized solutions addressing telemedicine support for primary, secondary and tertiary level of healthcare.
Download Case Study PDFTELERAD Foundation
The Telerad Foundation was established in 2007 by Teleradiology Solutions as a not-for-profit trust to provide teleradiology support to hospitals in rural/semirural or underserved areas in Asia that are unable to obtain on-site radiology coverage, develope low cost technologies to make the delivery of such services feasible to locations where high-speed broadband has not yet penetrated, and disseminate knowledge and training in the field of teleradiology and telemedicine to raise the overall standard of medical care in the community.
Download Case Study PDFNeurosynaptic Communications ReMeDi
Neurosynaptic Communications creates products that help provide access to basic healthcare facilities to the rural population. The affordable telemedicine solution, which includes a Remote Diagnostic Kit, can be installed at villages and other remote locations, which have Internet connectivity. The doctor, who is present in a different location (maybe in a city), and the patient at the remote location, are connected to each other over a video conferencing link. The kit can measure basic physiological parameters such as temperature, non-invasive blood pressure, pulse rate and multi-channel ECG. It also has an electronic stethoscope to capture sounds from the chest and back of the patient.
Download Case Study PDFVivus Mobile Solutions
The Mobile Cardiac Catheterization Laboratory was launched in 2005 by the Vivus Group to help treat heart-disease in rural and peri-urban areas.The mobile cath lab is a sophisticated cardiac cath lab on wheels. The equipment is housed in a 40 feet trailer, which is bacteria free and air conditioned. The trailer can be taken to any part of the state, on regular roads. The cardiac catheterization is done inside the trailer and recovery of patient occurs in any hospital or nursing home with modest facilities.
Download Case Study PDFCARE Hospitals
CARE Hospitals is a for-profit entity, evolving as integrated and networked healthcare delivery model, both horizontally and vertically, that suits the needs of the population across geographic (rural and urban) and social (low to high income groups) spectra. Within service delivery, CARE has 3 focus areas: the hospital, primary health clinics, and villiage "health guides" outfited with Point of Care diagnostics and who perform education, data-collection, and provide basic care within the community. CARE has grown rapidly from one unit to thirteen units within a span of decade, currently serving a million patients in the out-patients and around fifty thousand admissions annually, of which cardiac volumes constitute half of the patient load.
Download Case Study PDFSadguru Netra Chikitsalaya
Sadguru Netra Chikitsalaya (SNC) is one of the rural hospitals performing high volume eye surgeries in India situated at Chitrkot, Madhya Pradesh. SNC treats 230,000 patients every year and performs around 75,000 surgeries a year. For the poor, treatment is free, for the middle class, it is subsidized; individuals from the upper middle and upper classes pay the full service fees.
Download Case Study PDFHealth Care Global Enterprise Ltd. (HCG)
HCG Enterprises is the largest network of oncology hospitals, functioning as a hub and spoke model. Every center in the HCG network functions independently and is different in its particulars. Some focus on niche programs, others provide a full suite of services, but each benefits from the approach of bringing the core aspects of care together. It adopts various methods to make care affordable such as giving concessions on ward nursing charges, treating patients through HCG Foundation Fund, and providing free medicines through pharmaceutical company tie-ups. HCG has also introduced an EMI scheme (monthly instalments) for the patients who cannot afford to pay at one go.
Download Case Study PDFThe Banyan
Founded in 1993 as a shelter and transit home for homeless mentally ill women, ‘The Banyan’ is an organization that cares for mentally ill women who have wandered from their homes across the country and ended up in the streets of Chennai, India. ‘The Banyan’ provides a full range of services such as prevention, access to care, rehabilitation, community awareness, policy advocacy and research. Today it has served over 5,000 people by providing services to support them in reaching their definition of recovery.
Download Case Study PDFE-Choupal Health
The ITC group (www.itcportal.com) is one of India’s largest private sector companies, with a diversified presence in fast moving consumer goods. Having already created their e-Choupal infrastructure, used to connect farmers to markets, ITC continued to look for ways to address unmet needs of the rural population. Based on the gaps analyzed and their visits to other institutions, ITC felt that their existing three tier e-Choupal infrastructure could be leveraged to deliver a range of health services and products. The three-tiered model is supported by a robust supply chain for drugs, supplies and consumables.
Download Case Study PDFTamilnad Kidney Research Foundation (TANKER)
Tamilnad Kidney Research (TANKER) Foundation was set up in 1993 with the primary objective of providing assistance to underprivileged patients for dialysis, transplantation, investigation and medication costs. It started its activities with organization of regular awareness and screening programs for early detection of kidney diseases and research in Nephrology. Over the years the foundation’s activities have grown exponentially and it has started its own dialysis centers. Today, it is one of the high volume dialysis centers in India that provide subsidized dialysis for the underprivileged people. It has 26 dialysis machines spread across three dialysis units located in Chennai and Madurai and has a monthly service load of approximately 1400 cases of dialysis.
Download Case Study PDF