National Optical Fiber Network (NOFN) Empowering Rural India

4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India

National Optical Fiber Network (NOFN)Empowering, Rural India

J.S.BhatiaExecutive DirectorC-DAC Mohali


NOFN Objectives

Aimed to connect 2,50,000 Gram Panchayats (GPs) through OFC.

Services on Offer: G2C, B2B, B2C, P2P etc. covering:eHealtheEducationeGovernanceeAgriculture, among others

Filling of prevailing connectivity gap that exists between GPs and

Blocks/Districts.

Empowering rural masses by providing access to information, public

services including education, health etc.


eHealth Pilot using NOFN: Telemedicine

1. Primary Health Center-Fatehgarh, Ajmer (Rajasthan).2. Community Health Center-Panisagar, (North Tripura).3. Primary Health Center- Vada Cheepurupalli, Vizag,

(Andhra Pradesh).

Specialist Sites:

1. JLN Medical College and Hospital, Ajmer (Rajasthan).2. G.B. Panth Hospital Agartala.3. King George Hospital, Visakhapatnam,

(Andhra Pradesh).

Project Monitoring Site: National Informatics Centre, New Delhi.

Remote sites :


Pilot Telemedicine Network on NOFN


Snapshots Remote Site: Primary Health Center Fatehgarh (Ajmer),Rajasthan.

Training being imparted to doctor & associated staff at PHC Fatehgarh

View of the Primary Health Center(PHC) Fatehgarh


Specialist Site: Jawahar Lal Nehru Medical College and Hospital Ajmer, Rajasthan.

View of the JLN Medical & Hospital Ajmer

Training being imparted to doctor & associated staff at JLN Medical College & Hospital Ajmer


Remote Site: Community Health Center Panisagar, (North Tripura).

View of the CHC Panisagar

Training being imparted at CHC Panisagar


Specialist Site: G.B. Pant Hospital, Agartala.

Doctor having a look at the Telemedicine Software

Total manpower trained to operate Telemedicine at these 6 NOFN sites: 72


Remote Site: PHC Vadachipuripalli, Vizag

Training session being organized at PHC Vadachipuripalli


Pilot Telemedicine using NOFN: Barriers to ImplementationFailure to capitalize on the potential is

more due to issues related to

• National policy• Administrative structure• Management • Physician

less due to commonly perceived barriers relating to

• Cost and cost-effectiveness• Privacy and data security • Infrastructure maintenance and literacy• Quality of practice of medicine


Remote sites/Gram Panchayats: 1. Gram Panchayat Chachiawas2. Gram Panchayat Aradka3. Gram Panchayat Babaicha4. Gram Panchayat Badliya5. Gram Panchayat Srinagar6. Gram Panchayat Kanpura7. Gram Panchayat Tihari8. Gram Panchayat Makadwali9. Gram Panchayat Ramsar10. Gram Panchayat Sanod

Specialist Sites:1. Janana Hospital, Ajmer.2. Satellite Hospital, Ajmer

The e-Panchayat Experimental Site Program: Ajmer District


Snapshots

Medical Equipments being installed at Gram Panchayat

Babaicha

Blood Pressure of Sarpanch at Gram Panchayat Makadwali being

recorded

IT Manager of Gram Panchayat Badliya uploading the patient’s data on Telemedicine Software


ECG of the patient being done at Gram Panchayat Badliya by the

GNM

Live ECG being captured in the telemedicine Software

Tele-Consultation through Video Conferencing from Janana Hospital Ajmer

Snapshots of the Sites Implemented


Centralized Training organized on 13/9/2012 for IT Managers and Medical Staff at Janana Hospital

Centralized Training organized on 22/11/2012 for IT Managers and Medical Staff at Satellite Hospital

Snapshots of the Sites Implemented


SITE NAME TOTAL PATIENT REFERRED OPINION RECEIVED FROM SPECIALIST HOSPITAL

Gram Panchayats:

GP Kanpura 31 26GP Srinagar 67 62GP Badliya 37 27GP Makadwali 43 39GP Chachiawas 82 69GP Aradka 71 45GP Babaicha 56 42GP Tihari 23 13GP Sanod 105 78GP Ramsar 168 143TOTAL 683 544

Total Patient Referred: 683Opinion Received from Specialist Hospital: 544

e-Gram Panchayat Project Utilization 1st Nov 2012 - 26th Aug 2013


To study the feasibility and the viability of the telemedicine technology at the CSC’s

established at rural areas, one day health camp was organized at two CSC’s by C-DAC

Mohali.

The two CSCs identified were:

CSC Raiwali at Ambala district, Haryana.

CSC Holi at Ambala district, Haryana.

Cont.

PoC: Telemedicine through CSC’s


PoC: Telemedicine through CSC’sBasic Health Parameters checked at Camp Sites:ECG, Blood Gluco/Sugar Level, Blood Pressure, Pulse, Weight

CSC LocationHealth

RecordsNo. of patients whose

data was captured Consultations

seeked

Raiwali District Ambala, Haryana 51 48 48

Holi District Ambala, Haryana 99 99 58

Total health records were created on ‘eSanjeevani’: 150 Total consultations given on basis of ECG Captured: 106


Snapshots of the Camp Organized at CSC’s

CSC-Holi CSC- Raiwali


Patient Registration Basic health Check-up

Patient being prepared for ECG Patient Data being uploaded in software


Factor Rural/Remote End Specialist End

Capital

Expenditure

IT/Diagnostic equipments:

Computer/Laptop, B.P Meter,

Glucometer, ECG Machine,

Weighing Machine, Thermometer,

Medical film digitizer etc.

Only Computer/Laptop

Connectivity NOFN SWAN/NKN

Manpower Salary & component for

operators/health workers to be

borne by State/Central Govt. under

various Govt. aided health

schemes

Panel of Specialist

Salary component to be borne

by State/Central Govt. under

various Govt. aided health

schemes

Consultation Charges for tele-consultation free


THANK [email protected]

National Optical Fiber Network (NOFN) Empowering Rural India

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