HMRI Assam

Assam is the 14th largest state in India by population and faces a variety of health challenges. Assam has a 54% shortage of Community Health Centres and a 72% shortage of specialists at Community Health Centres. The average distance to the nearest public health facility is 20 km. This is compounded by rugged and hilly terrain, making geographic access to healthcare especially challenging. Assam’s key health indicators fall significantly short of Indian national averages. The state’s total fertility rate is 2.5 (on par with India), maternal mortality ratio is 390 and infant mortality rate is 58.

Although still high, Assam’s maternal mortality ratio has drastically decreased from 540 as a result of targeted public health interventions.

HMRI currently operates four programs in Assam:

104 Sarathi Health Information Helpline receives roughly 6,000 callers per day through a 50 seat call centre.
Sanjeevani Mobile Health Services has served 1.42 million patients with 2.37million visits across covering a population of 61.5 million.
Mother and Child Tracking System is a 25 seat call centre setup in association with National Rural Health Mission (NRHM), Assam for pregnant women in Assam. This project aims at reducing Maternity Mortality Rate (MMR) and Infant Mortality Rate (IMR) by providing access to appropriate health care during pregnancy, childbirth, and immediately afterwards.
HMRI launched comprehensive type 2 diabetics care in partnering with World Diabetes Foundation. This project aims to create a scalable and replicable platform for type 2 diabetes prevention, screening, and management for the rural poor in Assam.

Sanjeevani - Village Health Outreach Program (VHOP) -Assam
This program launched in February 2011 in Assam partnering with the Department of Health and Family Welfare, Government of Assam as a PPP model to provide healthcare access to the underserved & remote rural areas in the state by deploying a fleet of 80 Mobile medical units. The objective of the Program is to create a technology-enabled health service that provides comprehensive health services for the identification, treatment and monitoring of select communicable & non-communicable diseases and minor illnesses, thus managing the morbidity & mortality.

The services are focusing on early identification, screening, referral, follow-up and dispersal of medicines for effective disease management. Based on the screening done in VHOP, the beneficiaries are referred to the nearest PHC for confirmation, prescription and commencement of treatment. The prescribed medicines are dispensed for 1 month. Thus the beneficiary’s disease management begins and it is monitored and managed at VHOP on a monthly basis. The program augments, complements and supplements the existing public health infrastructure in rural Assam.

Each MHU will have a pre-defined calendar & route plan for delivering the services covering 2 villages & a population of 3000 each day on an average & 48 villages in a monthly cycle of 24 days.

Sources: RHS Bulletin – March 2010, SRS 2011, SRS 2007 – 2009, M/0 Health & F.W., GOI.