Health Management and Research Institute (HMRI)
SummaryHMRI is an easily accessible digital health platform integrating a medical advice hotline, a mobile medical outreach component, and telemedicine solutions.
After the success of the Emergency Management and Research Institute (EMRI) model, Andhra Pradesh's existing Health Information Hotline was restructured as HMRI to provide better access to and quality of services for the most vulnerable segments of society.
Key program components
104 Mobile and 104 Advice are HMRI’s two cornerstone programs.
104 Mobile is a technology-enabled, comprehensive, once-a-month health service for the rural poor located more than 3 kilometers away from any public health service provider. Through this program, health services are being offered to each village on a “fixed” date of each month, complementing the existing public health system to create a framework for comprehensive and easily accessible health care delivery. The service leverages information and communication technologies (ICTs) and modern management practices to take health care to the last mile. These interventions facilitate faster and more effective realization of the health objectives supported by the various national health programs.
104 Mobile deploys mobile health units (MHUs) to render 4 hours of services once a month in each habitation with a population of 1,500. Each mobile health unit covers two habitations in a day and 56 villages in a month. With staff comprising paramedics, pharmacists and lab technicians, each mobile health unit provides the following services to the rural beneficiaries:
- Ante-Natal check ups
- Height and weight monitoring
- Basic blood and urine lab investigations and screening
- Advice and medicine dispensation for chronic illnesses such as diabetes, hypertension, epilepsy and COPD
Medicines are dispensed for one month free of cost. The modern, state-of-the-art vehicles carry facilities to store blood/urine samples for testing, medicines and a television screen for public health education.
This flagship initiative of HMRI is a state-of-the-art health helpline that provides the 80 million people of Andhra Pradesh with round-the-clock, qualified and standardized medical information, advice and counseling in three languages- Telugu, Hindi and English. Anyone in Andhra Pradesh with access to a telephone can reach out to 104 Advice for medical advice and information. The 104 Advice call center has specially trained counselors, doctors, paramedics, and PhDs on to answer questions from callers.
Key offerings of 104 Advice:
- Medical advice using triage and providing appropriate advice
- Counseling services
- Directory Information
- Complaint registry (citizens can register complaints against any public health system/provider).
Since inception, the service has witnessed strong growth, from 4 seats attending 200 calls a day to a new facility of 400 seats working round-the-clock to attend an average of 50,000 calls daily.
UPDATE: As of September 1, 2011, HMRI will no longer operate the 104 Advice service as the government has decided to discontinue HMRI's contract and hand over the call centre operations of HMRI (104) services to the Rajiv Aarogyasri Trust, a public entity.