Country of Operation
Target income level
- Lower-middle income (20-40%)
- Middle-income (40-60%)
- Primary care
SummaryE Choupal uses local human resources and ICT in a hub and spoke model that connects to a village health worker (spoke) to a hub equipped with a clinic, pharmacy, and laboratory. The hub is further connected to specialty consultation through telemedicine.
The Program's goal was to provide good quality care at affordable cost to the rural patients.
E-Choupal is a platform and a one-stop shop where a rural citizen gets access to all his needs under one roof.
Key program components
The first tier was situated at the choupal (village) level managed by a village health champion (VHC), usually a female. The primary focus here was on wellness. The health champion was the first point of contact between the patient and the health-care delivery infrastructure. In addition, basic health information and awareness was dispersed through information and communication technology (ICT) - choupal portal and radio.
The e-Choupal portal carried health and well-being content as well as provisions for relevant frequently asked questions to be monitored and responded to remotely by a doctor. The ICT kiosk was supplemented by a weekly health talk on relevant health topics delivered by a doctor through the Choupal radio.
Regular health camps conducted by visiting doctors would further enhance access to basic services such immunizations, preventive care and early detection of curable diseases.
The village health champion would conduct door to door surveys to enable creation of a health profile database of the community eventually enabling customization of services.
The second tier consisted of a health center located at the Choupal Saagar or the hub clinic. The health center comprised of a primary health clinic, a pathology lab and a pharmacy established in partnership with a health care provider. The center would be staffed by a general practitioner, a licensed pharmacist, and a pathologist. The hub clinic would also have a telemedicine facility for tele-consultation with specialists, as well as online training and learning modules for the doctor.
The third tier consisted of network partners including local hospitals, specialist doctors, diagnostic centers, tertiary care hospitals, and insurance companies. A partnership with secondary hospitals in the immediate vicinity of the hub for services such as maternity, basic surgical requirements and diagnostics not available at the clinic including hospitalization was envisaged.
Revenue Sources: Out of pocket payments
- International Business Division of ITC LimitedFor-profit
- CARE/Apollo HospitalsFor-profit