The Ihangane Project mobilizes community innovation in clinical care, community health, health systems management and social enterprise to create effective and resilient front line health systems that connect national protocols to local realities.
Arogya Triage@Home
Arogya Triage@Home
Not-for-profit
Year launched: 2008Existing or expanding (post-pilot)
Target geography
Target Population
Target income level
- Bottom 20%
- Lower-middle income (20-40%)
Health focus
- Primary care
Summary
Arogya builds local social enterprises, owned by trained local youth (girls and boys), to deliver pediatric triage services at home. These entrepreneurs go door to door delivering care for common ailments and preventable diseases. Arogya also screens for hearing and vision impairments.Program goals
This program aims to deliver pediatric care to 24,000 children and enable 100 girls and boys to set up their own pediatric enterprises. Arogya adopts pioneering technologies for rural villages; reduces the cost of delivery by 93%; and builds a health data repository that may grow to 5 million data elements. The repository is expected to generate revenue to pay return to investors and defray costs of operation.
Key program components
Sustainable Innovations (SI) trains staff members and those of the partnering NGO. Staff training consists of triage protocols, IT, patient communications, social norms, and government compliance. These staff members, in turn, train young people called Panna. (Panna was a 16th century nursemaid.) Pannas deliver care to children at their homes. The care addresses common ailments, preventable diseases, hearing, and vision testing. Pannas are social entrepreneurs - they own their care delivery enterprises and are not SI employees. SI supports them with financial, intellectual, and managerial capital. Specifically, SI provides mobile platforms and diagnostic devices (financial capital); software licenses (intellectual capital) and operational expertise (managerial capital). Pannas carry mobile platforms called kiosks with medical protocols for common ailments and preventable diseases. These kiosks will capture clinical information, such as vitals, patient history, medication, diagnostics, drug names, and manufacturer's name, as well as demographics such as name, age, or other relevant data. Arogya is also working with private sector pediatricians to create pediatric electronic medical records to shorten the time it takes for patients to reach healthcare. Donor grants are used by Sustainable Innovations to demonstrate the feasibility of projects like Arogya, and to scale up effective projects. Sustainable Innovations, with the participation of the National Rural Health Mission, will rollout Arogya in all 40,000 villages of Rajasthan as a public-private partnership. This program is currently serving people in 15 villages, with a goal of reaching 50 villages by the end of 2014.
Scale
Technology
Financials
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