2023-06-21 - Product Committee

5 min

Dr. Sanjay Sood, Project Director

20 min

https://esanjeevani.mohfw.gov.in/#/

Presentation:

Open

• eSanjeevani the national telemedicine service of Government of India, managed by the Ministry of Health and Family Welfare.

  • Single application which is cloud-based single instance - citizen centric and intuitive platform. Being implemented across 36 states and union teritories in India.

    • Enables tele and video consultations, digitization of medical health records, and makes it easy for health departments across states to procure health devices and place them in health and wellness centers.

  • Platform addresses shortage of doctors on the ground - especially in the primary health care sector, and crowded health facilities with limited in-house doctors.

• Other healthcare services being integrated into eSanjeevani - national telemental health initiative the gov’t of India has recently rolled out.

  • 5 digit number or 800 number people in distress can call and be connected to a counselor on the platform.

Q&A

Q. Jaume: Is this system interacting with other government infrastructures? What are the main standards built in this platform that allows it to be built with other systems?

Open

Application Screenshot and Comments from Jaume

• Response: They are using standards, which ensures it can be used all across the country. They are also evaluating other existing platforms ie., Harvard Medical School etc, and others offered by various cloud service providers.

  • In regards to integration with other gov’t systems, eSanjeevani is integrated with more than a dozen healthcare IT applications, which are already in the government’s health space. Most of these integrations are API based integrations.

    • Also enables interoperability where data can be exchanged or shared between applications. They are not using DHS2 yet.

    • The objective was to first ensure the health workers, doctors and general users to become more familiar with the technology - ensure popularity and adoption, then focus on the standards.

  • The Gov’t of India is working on transforming it into a DPG or a digital public code.

Q. Alexandre: What percentage of doctor visits is done through the platform?

• Response: Up to 25% of the total number of patients. There are certain healthcare centers where percentage is low as 5%.

Q. Ayush: To what extend did user feedback get integrated to the application especially since they developed a new/updated version of the application?

• Response: Patients provided feedback through emails and comments. The other primary users - community health officers executing consultations via the platform - gave feedback and suggestions of enhancements and features to add. These feedback of enhancements from the field (users) were incorporated to be more useful for the health works and practitioners.

  • Majority of the requirements were shared or forwarded to them by the state officers i.e, enabling real time sharing of records and enabling the provision of existing medications to be recorded in the system.

  • For requested changes, they sought support or advice from the Health Ministry at the central level and also approval from the state level for implementing certain changes.

Q. Yolanda: How long did it take to gather requirements? How did they prioritize prototype first and what was the process from service design to delivery?

• Response: They were given basic guidelines by the Ministry of Health and Family Welfare with the principle to make the application very simple and easy to use. The Ministry gave them code and information on how to develop the platform and various states provided requests on needs they want met and how to incentivize doctors to use the platform.

Jai - Shared the links below:

• Telemedicine Practice Guidelines from Government of India in March 2020 - https://www.mohfw.gov.in/pdf/Telemedicine.pdf

  • vikaspedia Domains - https://vikaspedia.in/health/health-care-innovations/how-to-use-esanjeevani-opd-portal This video explains step by step on how to avail of medical consultation services all over India from comfort of one’s home without going out and exposing to unfavourable weather and Covid Pandemi...

Q. Saina: Was internet connectivity and bandwidth related core issues when rolling out the application in rural communities?

• Response: Connectivity has been a challenge in the rural areas and there were some efforts made by the state administrations by requesting the Internet service providers to ensure that the quality of internet service is maintained in rural areas.

• For the version 2.0., they have worked jointly with the VC service provider to address bandwidth issues on video consultations. The application also provides audio and text based instant messaging.

@Wes Brown

10 min

Tracking Use Cases: Use Case Discussions

Goals for the 23Q3 Publication

• 10 use cases

• 3-4 sectors

• Contributions from country and/or community of practice

Potential Use Cases

• Jaume: Driving License ‘Building permit’ (<- fixed by Jaume after meeting) from Djibouti (Discussed with Concorde)

  • Yolanda: This is not part of the HOA work

• Yolanda: Currently in the pipeline for Somalia is digitizing high school records and the content management system.

• Wes: Goal is to focus on use cases that can have a wider impact, those incorporating a number of our building blocks, and use cases coming from the country engagement work - user journeys.

• Jaume: Not sure if there is a need to deliver use case because we are going to deliver solutions in the end. This is the reasoning behind focusing on capabilities. The goal is to introduce building blocks and infrastructures that work together on which others can build their own solutions.

• Steve: We'll address Capabilities with the architecture team and TC in the next couple of weeks.

@Wes Brown

5 min

Original Survey: https://www.govstack.global/2023usecases/

GovStack Survey: survey

Added by @Shukla, Ayush Survey is published, please access the same here.

@PSRAMKUMAR

15 min

• @PSRAMKUMAR has sent out a note to WGs, will share an on wave 3 BB use cases update next week. Can they deposit the use cases on confluence instead of Gitbook

  • WG are in the process of migrating content from their preferred working environment to Gitbook

  • GIS and eMarketplace groups already transitioned first content to Gitbook

@Wes Brown

5 min

Next Steps

1. Get feedback from survey

   1. Try to identify use cases that will highlight the value of the GovStack approach

2. Identify potential use cases in each sector

   1. Find volunteers to analyze sectors and identify potential use cases

3. Decide on which use cases to prioritize for the next (post-1.0) publication

4. Present use case in GC get it approved

5. Launch the campaign

GIZ, Estonia, Dial (for Estonia), ITU