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Healthcare service in Rural India Role of CSCs

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Government of India under NeGP (National e-Governance Plan program proposed to setup 1 lakhs Common Services Centers (CSC) in rural parts across the country in PPP mode

NeGP envisions “web-enabled Anytime, Anywhere access” to information and services in rural India, through three infrastructure pillars

STATE DATA CENTRE

STATE WIDE AREA NETWORK (SWAN)

THREE INFRASTRUCTURE PILLARS OF NATIONAL EGOVERNANCE PLAN

COMMON SERVICE CENTRES (CSC)

Common Service Centre Scheme

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COMMON

SERVICE

CENTRES

Delivering government services in urban/rural areas by establishing closer links between Government & Citizens

BENEFITS TO CITIZENS BENEFITS TO Government / Centres

Delivering essential government services such as PAN Card, Election ID, UID etc.

Timely delivery of critical information & services through structured system to manage issues of health, Education etc…

Greater exposure to other products and services offered through the centre. For example, greater awareness of students about the courses offered through the centres

Create new/ additional revenue stream for the centre. As the services are rolled out on commission per transaction basis

Increase administrative efficiency and provide cost-effective access to Government Services

Benefits of Common Service Centres

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Election Commission of India (EC) Services

Unique identification Authority of India (UIDAI) Services

Passport Services Banking Correspondent (27 banks) National Institute of Open Schooling

(NIOS) services PAN Card Services Pension Fund Regulatory Development

Authority (PFRDA) services NIELIT services Agricultural Services Health Care Services

Data Card Recharge DTH Recharge CSC Bazaar – e commerce/shopping

service Mobile Bill Payments Mobile Recharge Entertainment E learning

Government To Citizen (G2C) Services

Business To Customer (B2C) Services

CSC Services

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SN Healthcare Service Partner Location CSCs involved

Start Date No. of consultation

1 Telemedicine (NOFN) Apollo Vishakhapattnam, AP 12 July 2013 140

2 Telemedicine (NOFN) Medanta Ajmer, Vishakhapattnam & North Tripura

35 April 2013 250

3 Telemedicine Apollo (ATHS)

Andhra Pradesh, Uttar Pradesh, Jharkhand, Chhattisgarh, Rajasthan

600 Jan 2014 800

4 Tele-Ophthalmology Apollo Ajmer (Rajasthan) 2 May 2013 3000

5 Tele-Ophthalmology Venu Eye Care

Alwar (Rajasthan) & Ghaziabad (UP)

10 Oct 2013 150 in 6 CSCs of Alwar and 85 in

4 CSCs of Ghaziabad

6 Tele-Ophthalmology Media Lab Asia

Raigarh district in Maharashtra

15 April 2014 80

7 Tele-opthalmology Homeopathy

Dept. of Health & IL&FS

Tripura 40 2009 About a lakh

Health Services through CSCs

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CSCs an Enabler CSCs an Enabler for Use of ICT for Use of ICT Initiatives in Initiatives in HealthcareHealthcare

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Apollo CSC Teleclinics @Junia, Ajmer District

N = 1200 N = 1200

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Apollo CSC Teleclinics @Bharat Nirman Rajiv Gandhi Seva Kendra, I.T. Center, Masuda, AJMER

N = 1800N = 1800

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2. Telemedicine through Medanta

The telemedicine technology initiative, with Medanta has been started in 30 NOFN centres in Arain block of Ajmer, 1 NOFN centre in North Tripura and 15 NOFN centres in Vishakhapattnam.

Doctors of Medanta gives specific advice based on the video conferencing between patient and doctors. Reports of patients are uploaded through software and archived in the system.

Since April 2013, 250 patients are consulted through Medanta telemedicine in NOFN centres.

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Online software for TELEMEDICINE

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3 – Venu Eye Care

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Making Diagnosis

First Stage

Diagnose Entry

Patient examined by the ophthalmologist, Making diagnosis & Further management Decision, Data Entry

Ophthalmologist Diagnose Entry

Third Stage

Ophthalmic Images examined by the Ophthalmologist 2 in the computer room, makes diagnosis & Further Management Decision, Data Entry

Images of patient’s eye captured by ophthalmic technician in the clinic setting by slit lamp, fundus camera, than images transmitted to ophthalmologist 2

Telemedicine Technician

Second StageVenu Eye Care Solution

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Patient End

Doctors End

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4. Media Lab Asia: ICT in Healthcare

Sehat Saathi™- Portable Model for Primary Healthcare Delivery: The model provides front-end contact through a suitably trained non-medical person; back end support from doctors, pathologists and other health professionals for diagnosis and treatment.

Teleophthalmology module of Sehat Saathi deployed at Venu Eye Institute & Research Centre, New Delhi and its 16 remote centres in Rajasthan, Haryana, U.P. and Uttarakhand.

eDhanwanthari™- Centralized/Distributed Rural Telemedicine System: eDhanwanthari is an integrated system to facilitate rural telemedicine interactions/consultations between doctor at a specialty hospital and patient at remote hospital.

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A joint proposal on implementation of Media Lab Asia’s Telemedicine (Teleophthalmology) System through Common Service Centres (CSC’s) beginning with 15 CSC’s in Raigad district of Maharashtra is proposed to be undertaken with CSC e-Government Services India Limited.

Teleophthalmology through CSCs would provide regular eye care facilities in rural areas and motivate people to seek earlier treatment for vision problems.

• 15 CSC’s of Raigad district will be taken up in the 1st phase of the project

• Each CSC will be further enhanced with 4 new CSCs so that total 75 CSCs will be operational in phase II

Media Lab Asia & CSC e-Governance Services India Ltd.

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Teleophthalmology Model

Stakeholders of TeleophthalmologySpeciality Eye Hospitals Technology provider (MLAsia)Village Level Entrepreneur (VLE)Service Centre Agency (SCA) & CSC e-Governance Services India Ltd (CSC-SPV)

Suitable sustainability model for effective utilization of system.

18Teleophthalmology program can be sponsored by Hospitals / Institutes, NGOs, Govt., Corporate etc.

An Eye Care Services through CSCs

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