Center for Health Market Innovations (CHMI)

Programs

CARE Rural Health Mission

last updated Nov 9, 2012

Overview

Implementing organization: 
CARE Foundation
Implementation Partner(s): 
Vision Spring, ILO Micro Insurance Innovation Facility, Harvard School of Public Health, Institute of Financial Management and Research
Legal Status: 
Year Launched: 
2008
Stage: 
Existing/expansion stage
Income Level of Target Population: 
Bottom 20%

Funding

Primary Source of Funding: 
Donor
Funders: 

Technology

Technology Used: 
PDA/Tablet
Technology Purpose: 
Improving Data Management › Data Collection, Extending Geographic Access, Improving Diagnosis and Treatment

Scale

Number of Clients Served: 
1.1 million, 250 Villages
Summary: 

CARE Rural Health Mission is a not for profit organization funded by Care Hospitals non-profit arm CARE Foundation and specializing in telemedicine solutions to link rural health workers in Maharasthra and Andhra Pradesh with doctors at a district-level hub.

Key program components: 

Care Arogya Kendra:

The Care Foundation started the Care Arogya Kendra program in Maharashtra in February of 2008. The project delivers health care to 50 villages using a community-based, technology-leveraged outreach model where grassroots community workers are trained as ‘Village Health Champions’ (VHCs) and equipped with hand held devices, enabling doctors a district-level hub to remotely attend to the patient in the village, averting the need for travel to a clinic and therefore the loss of wages. If the illness requires greater medical attention, patients are referred to the ‘CARE Arogya Clinic’ located at Yavatmal for further investigations and treatment and to CARE hospitals at Nagpur and Hyderabad, for speciality and superspeciality care, respectively.

Currently, more than 65% of primary care treatments are addressed at village level by healtworker through remote doctor support and 35% are treated at referral primary health centers.

Health Microinsurance:

CARE Foundation has also partnered with the Centre for Insurance and Risk Management (CIRM) to create a microinsurance product sold by the VHCs in the form of pre-paid health cards. Individuals who purchase the cards receive services on a fee-for-services basis at nominal prices from the VHC network, plus assistance to obtain hospitalization wherever required. Currently, this project is supported by ILO Micro-insurance Facility.

The program has already enrolled 600 families (i.e 3000 lives) in the last 10 months through a network of 41 health workers for its stand alone primary healthcare product. The product costs Rs 300 for a family of 4 (2 adults and 2 children) and covers consultation, drugs, blood tests, IV fluids and injections with a sum assured of Rs 2500 and with provisions of cashless service and no limits on frequency of usage. The current micro-insurance indicators are as follows: penetration/coverage: 6%; per-capita frequency: 0.67; incurred claims ratio: 33%, average claim cost per patient: Rs 48.

To learn more about developments and lessons from project, you can visit CARE Hospital's Learning Journey page at the ILO Microinsurance Innovation Facility's website.

As of July 1, 2009, CARE Foundation has also taken up the operations of the health module of the Byraju Foundation.

Program history: 

Care Foundation is a not-for-profit organization that has more than a decade of experience in research and technology development for health care and has been a ground force for the Care Hospitals (a chain of for-profit tertiary care hospitals spanning across south and central India) to deliver quality healthcare at affordable cost with a strong focus on medical ethics, professional education and operational efficiency. It has been a pioneer in developing telemedicine technology that has been helping thousands of remote patients over the past years.

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