1. A step towards building a healthy nation
Team “HealthKonscious” from IIM Kozhikode
Amit Kumar Das amitkd16@iimk.ac.in 8943436699
Biswa Prateem Das biswapd16@iimk.ac.in 8943599103
Debtanu Dutta debtanud16@iimk.ac.in 8943693129
Manjunath Belgere manjunathadb16@iimk.ac.in 8943599085
Mohul Roy mohulr16@iimk.ac.in 9645930618
Theme
Heeling Touch:
Universalizing access to
quality primary healthcare

2. Agenda
A brief about Primary Healthcare in India
Primary research & taking inspiration from
various case studies
Proposed solution
Required budget and sources of funding
Stake-holder impact analysis and strategies
to overcome probable challenges

3. Definition
Essential health care; based on practical, scientifically sound, and socially
acceptable method and technology; universally accessible to all in the
community through their full participation; at an affordable cost; and geared
toward self-reliance and self-determination” -WHO & UNICEF, 1978
Introduction- Primary Healthcare
Eight essential components
 Education for the identification and prevention / control of prevailing health challenges
 Proper food supplies and nutrition; adequate supply of safe water and basic sanitation
 Maternal and child care, including family planning
 Immunization against the major infectious diseases
 Prevention and control of locally endemic diseases
 Appropriate treatment of common diseases using appropriate technology
 Promotion of mental, emotional and spiritual health
 Provision of essential drugs
Indian healthcare system- key metrics
20%
45%
70%
0%
5%
10%
15%
World
China
Sub-
saharan
Africa
India
%OFPUBLIC
EXPENDITURE
%OFGDPSPENT
ONHEALTHCARE
% of GDP
Public
expenditure
0.00
1.50
3.00
4.50
World China Sub-saharan Africa India
Physician and Hospital Beds (per 1000 people)
Physician
Hospital Beds
50
60
70
80
World China Sub-saharan
Africa
India
Life expectancy (years)
The National Rural Health Mission (NRHM) has been adopted as a tool to eradicate rural healthcare problems
Empower Panchayati Raj Institutions to public heath services
Enhanced community participation through female health
activist ASHA
Integrating vertical Health and Family Welfare programmes at
National, State, District, and Block levels
Strengthening sub-center for decentralized planning and multi-
purpose action
Promoting PPP models; involve local NGOs mainstreaming
AYUSH
Populatio
n Norms
Plain
Area
Hilly/
Tribal
/Diffi
cult
Area
Present
Average
Coverag
e (2011)
Average
No of
Villages
covered
Sub-
Centre
5000 3000 5624 4
PHC 30000 2000
0
34876 27
CHC 12000
0
8000
0
173235 133
Community Participation
• A female Accredited Social Health Activist (ASHA) chosen by
and accountable to the panchayat to act as the interface
between the community and the public health system.
• She is a volunteer with performance based compensation
working on universal immunization, referral, escort services
for healthcare delivery programs including
sanitization, construction of toilets etc.
• She is given training and medical kit for general ailments
• Partnership with NGOs/ICDS Training Centres and State
Health Institutes
• Implementation target “An ASHA in every village” - 6,40,867
villages in India
[2011 census data]
Appendix – A

4. Primary Research Findings – face to face with ground realities
• Visited a Primary Health Centre (PHC) cum Sub Centre (SC) at Kunnamangalam Panchayat, Calicut, Kerala ~
serving 52k people from 23 wards
• Objective: Functioning of PHC – and challenges faced by them
Functioning of
PHC
Spatial
Indoor
(Pull-system)
Outdoor
(Push-system)
Structural
General
Program
National
Program
Outdoor deployment (12)
6 Junior Public Health Nurse (JPHN)
4 Junior Health Inspector (JPI)
2 Health Inspector
Helped by 36 ASHAs (facilitator)
Work:
a) Imparting Education through Clinics on Tuesday (2-4)
b) Collecting data from house-to-house; Immunization of
children, communicable disease, chlorination drives (9-1)
How do they operate:
Coverage: 40 day blocks (1 day block is a collection of > 100
houses to be covered in one day);
Two 20 day blocks are served by JPHN & JPI alternatively;
1 ASHA in every 1000 population to assist them (Rs 500/month)
But workers can visit only 20 houses per day – so each houses
can be visited once in 3 months (instead of 1 month);
20 day
blocks
20 day
blocks
JPHN JPI
ASHA
NCD
MCTS
Water Borne
Disease
(Dengue, Hep
atitis A)
6+4+2 =12 work force
for 52,000 population;
Ideal: 1 person for 5000
Ward Sanitization Group
15 member team – Chairman is a Ward
member; rest conveners were Health Staff;
Special Sanitation drive;
Deploy in small groups just before rainy
season for chlorination activity;
Gets yearly grant of Rs 25,000 , helped by
ASHA (gets Rs 5/house)
Trust
Indoor (8)
> 250 OPD daily;
Serious/ critical
illness are
referred to
Medical college;
Receive medicine
from Kerala
Medical Services
Co-operative free
of cost;
MCTS
Objective: Keeping up-to-
date status of Pregnant
women; should be
registered within 3 months
of pregnancy;
Mission: Prevent neo-natal
deaths; underweight
babies; unnatural
abortions; preventing
anemic mother; properly
immunized babies
NCD
Monitoring of Non
Communicable
diseases like
Diabetes, Hyperte
nsion, etc.
Challenges Faced:
Shortage of man-power; prefer to
include more technology in data
collection
We are thankful to the Kunnamangalam PHC staff for their assistance in our primary research

5. Case studies on IT-enabled healthcare in various Indian states
Maharashtra- e-file system
Systematic and stepwise process of
distribution of day to day
correspondence, managing the
inward/outward documents, movement of
files followed as well as remarks and
decisions by the senior officers by an online
system
 Files can be transferred from one
Department to another within minutes – a
saving of 15 days compared to a situation
when it would have been moved in the
physical format
Easy tracking of files is possible
 Use of regional languages by software
 Easy monitoring and more transparency
 Previously, only 25-30 files were
processed per day but with such
platform, 70-80 files can be processed
Maharashtra- e-file system
Systematic and stepwise process of
distribution of day to day
correspondence, managing the
inward/outward documents, movement of
files followed as well as remarks and
decisions by the senior officers by an online
system
 Files can be transferred from one
Department to another within minutes – a
saving of 15 days compared to a situation
when it would have been moved in the
physical format
Easy tracking of files is possible
 Use of regional languages by software
 Easy monitoring and more transparency
 Previously, only 25-30 files were
processed per day but with such
platform, 70-80 files can be processed
Maharashtra- e-file system
Systematic and stepwise process of
distribution of day to day
correspondence, managing the
inward/outward documents, movement of
files followed as well as remarks and
decisions by the senior officers by an online
system
 Files can be transferred from one
Department to another within minutes – a
saving of 15 days compared to a situation
when it would have been moved in the
physical format
Easy tracking of files is possible
 Use of regional languages by software
 Easy monitoring and more transparency
 Previously, only 25-30 files were
processed per day but with such
platform, 70-80 files can be processed
Gujarat- E Mamta system
Under this program National Rural Health
Mission (NRHM) workers collected
information on expectant mothers & infants
The information was sent back to the State
Rural Health Mission (SRHM) via SMS, which
was in Gujarati but typed in English
Basic data like pregnancy term, the
immunizations taken etc. were collected
SRHM then collated this data and set up
alerts for mothers and infants, who would be
required to take vaccines or medicines as
and when their pregnancy progressed
Alerts were used to notify local health
workers of the regions who reached out to
these mothers to help them understand the
plan and supply them with basic medication
as required
 An IMR drop from 48 in 2010 to 44 in
2012 is largely attributed to this scheme
Punjab- E-Health Point
 E Health Points (EHP) are units owned and
operated by Health point Services India
(HSI) that provide families in rural villages
with water, medicines, comprehensive
diagnostic tools, and advanced tele-medical
services
 The model includes a Tele-medical
Consultation at an EHP with medical doctors
and trained lay health workers, conducted
via video-conferencing from HSI’s urban tele-
medical center at a cost of about Rs 20 per
consultation.
The doctors are from local areas (for
linguistic familiarity) and trained in providing
tele-medical consultations and identify cases
requiring referral for advanced treatment
Medicines are dispensed at each EHP by a
licensed pharmacist which stocks primarily
branded generics medicines as well as OTC
drugs at modest cost to patients
 Partnering with the local government, HSI
is now ready to scale its operations in other
parts of India
Haryana-E-Health.Net
This IT-initiative set up by the Haryana
state government aimed to capture
medicine inventory data and facilitated
consumption patterns of various medicines
location wise
 Monitored the pattern and occurrence of
disease, and the functioning of the health
institution
System helps in efficiently managing
inventory function, distribution of medicine
from Central Store, using parameters likes
minimum buffer stock (Reorder level), OPD
inflow, population covered and consumption
pattern
Implementation of the system in all the
districts of Haryana has resulted in checking
the pilferage of medicines, increase in
availability of medicine at Government
health Institutions, increase in attendance of
patients/doctors in health
institutions, optimal utilization of medicine
Streamlined processes & reduced
bureaucratic hassles
Focused on better mother & child
outcomes
Successful private initiative looking
to governments to scale up
Successful in reducing medicine
stock-out and plugging leakage
Innovative, successful & affordable solutions solving specific problems at state level which can be scaled up to national level

6. 100% Registration of Pregnant Women & Children
100% timely Update of Services Delivered to Pregnant Women &
Children on MCTS Portal
Use of MCTS application by all levels Health workers
Ensure complete and accurate mapping of all the health facilities &
health service providers
Can quickly get an idea of progress made on various fronts
Facilitate identification of poor performing health bodies
Helps in better data analysis for preparation of District /Block health
action plans
 Improved communication with health workers and beneficiaries
 Improved supply chain management of vaccines and Drugs
Mother & Child Tracking System (MCTS) is a
Centralized web based application
Improving delivery of health care services to pregnant women and children up to five years
Name based tracking of each beneficiary and monitoring service delivery
Services Provided under MCTS
Information about government schemes
In time delivery of full complement of services
Help in interaction with Health Service Provider
Benefits to the authorities
Introduction to MCTS – a successful model deployed
nationwide
Mother and child-related health issues plague the Indian healthcare system
37% 13%
69% 47%
0%
40%
80%
World China Sub-saharan
Africa
India
IMR (per 1000 births)
83% 99% 71% 72%
0%
50%
100%
World
China
Sub-
sahara
n
Africa
India
% of children immunized against DPT (12-23
months)
MCTS – What it is
Performance
Total 2.80 Crore mother records have already entered since inception. In 2012-13 total 65.2
lakh (49.6 % on pro rata basis) mother have already been registered in MCT System.
Total 2.06 Crore Child records have already entered since inception. In 2012-13 total 42.3 lakh
(35.4 % on pro rata basis) children have already been registered in MCT System
 Best performing states: Rajasthan, Tripura, Tamil Nadu, Odisha
Worst Performing States: Uttar Pradesh, Karnataka, North-eastern states
Future Goals
66%
99%
47% 52%
World China Sub-saharan Africa India
Birth attended by skilled staff (%)
Benefits to the authorities

7. Disadvantages
Data
Redunda
ncy
Data
Error
Cost
Escalation
Time lag
Present IT system in Healthcare system
IT in MCTS
Computeri
zation
Central
Repository
Alerts Priority
Efficient
Tracking
MCTS in Karnataka and Andhra Pradesh
IT
Mobile
Tech.
Mobile Technology
Gather data
HO/MO gets
alert SMS
SMS Tracking
Timely medication
SMS data integrated
with database
as
 Computerization of healthcare system
 Central repository for health data collected
 Automatic alerts of scheduled medications
 High priority to serious cases
 Efficient tracking ability
 One step ahead of normal MCTS as they
have implemented mobile technology
 Used to gather data
 Timely provision of medication through
SMS
 Tracking patients through SMS
 SMS data integrated with the database
 HO/MO gets alert once the database gets
updated
7

8.  JPNH & JPI will use tablets for data collection
 Tablet with only one pre-installed app with
inbuilt SIM card to transfer data
Sub-centers
Main data access &
decision making in
Community Center
Local data access &
monitoring
Central database for
tracking diseases
Aadhar database
Data access
Regular data collection at
mass level
Implementation instruction
• App in tablet to be used to collect data
• Standardized format to collect data
• Data will be temporarily stored in the
memory of the tablet
• At the end of the day collected data to
be transmitted to central server by SIM
card 2G connectivity
• Local data storage facility in Hard
disks located at Community Centers
• Daily synchronization of data from
the central server
• Data access from the PHCs
• Inbuilt charts and diagrams help in
data analysis to identify trends and
issues
• Decision for any action taken at the
Community Centers
• Planning and implementation
instructions created at PHCs
Action implementation at
grass-root level
Centralized data
repository &
Decentralized
decision-making
Local Empowerment
• All individual data is stored with an unique ID which
is tied with his/her Aadhar ID
• If family data is stored it can be stored with the head
woman of the house
Proposed
nationwide
solution

9. Rs.30 crore
•Estimated no. of devices is 2,00,000 (1 device per sub-centre+50,000)
•Estimated cost of each device is Rs.1500
Rs.4.5 crore
•Estimated cost of one-time training by device manufacturing company
•OEM would train all state representatives(max.5 from each state)
•Further training would be carried out through NRHM structure, without extra cost
Rs.30 crore
•This is a rough estimate based on server costs of UIDAI (with appropriate considerations)
•A tender will be floated to get the RFQ
Rs.1 crore
•This is to cater to the electricity problems in villages
•Estimated cost of each charger is Rs.200 (50,000 devices × 200) Scope of Data Centres
 Data Centre Service Providers with a space of1000 sq. ft., at 2 places
 Design, Supply and implementation of data centre physical infrastructure
components (civil, interior, electrical, air-conditioning , LAN management
and safety & security system)
 Deployment of energy efficient physical infrastructure solutions
 Five years on-site maintenance of all the equipment and their
components supplied in setting up the data centre physical infrastructure
 Five years onsite support for data centre infrastructure
operations(24*7*365) by qualified engineers/personnel with an
assurance of 99.982% uptime on a monthly basis
Funds
Govt. Corporates
Government
 Gradual Increase of healthcare
spending to be reached to 4%
of GDP from present 1.4%
 Collaboration with companies
in procuring subsidized
equipment
Corporates
 Diversion of some amount of CSR
money towards healthcare
(Through creating PM’s National
Primary Healthcare funds)
 10% tax refund on any
contribution towards healthcare
Estimated one-time Cost of Implementation – Rs. 65.5 Crores
Device Maintenance
(Rs. 1.5 Crore)
 5% of total device
procurement cost
 1,50,00,000 (0.05*
30,00,00,000)
Bandwidth usage
(Rs. 5 Crore)
 GPRS(2G/3G used to
upload data)
 5,00,00,000 (250*
2,00,000 devices)
Contingencies
(Rs. 1 Crore)
 For any unanticipated
events occurring
 Used to overcome
consequences
Recurring cost on yearly basis – Rs. 7.5 Crores
Handheld Devices
Training
Data Centres
Solar Battery Chargers
Cost Estimation Source of FundingAppendix – B Appendix – D
Appendix – C

10. • IT system with central repository
• Access to Community Centers & PHCs require computers
at these levels – already there
• Software access requires only Internet connection at CC
& PHCs – already there
• Local data deposited at the computer hard disk of the CC
• Tablets procurement a central contract
• SIM connection by BSNL which is present in almost all
states and business contracts with other companies
where it is not present
Perfectly
Scalable
IMPACTS
• Comprehensive data collection method
• Redundancy of data, repetition of work reduced
• This extra time can be used in collecting more data on the
field
• Empowerment and decision making at every level
• Central data repository enables govt. create large history of
data
• Doctors can access individual data during medical checkup
• As the system is fully integrated with Aadhar, any transfer of
medical benefit completely tracked and corruption-free
• Through the reports after data analysis govt. can find a
major source of fund by selling such reports to pharma
companies
• Major cost is one time development and implementation
cost which can be sourced through CSR funds
• After this only maintenance cost which is miniscule
• Training cost is also one time
• IT upgradation for increasing population required once in
10 years if thought out prudently
• Once training is given to the existing people they can
train future recruits, so no recurring cost on training
• No extra man power requirement as such
• Source of funding recurring cost also certain
• Innovative solution for areas without electricity
Perfectly
Sustainable
Beneficiaries
Faster service with flexibility
Better interaction with health officer
Full medical history at one place linked with Aadhar
Information about Govt. schemes and services
ANM/HI/ASHA
Technical support for work planning
Contact details of beneficiaries
Systematic process avoiding manual error
Timely instructions from senior supervisors
PHC/Subcentre/Panchayat
Less time for reporting, can be used elsewhere
Automatic alert, Ease of access
Readily available analytical reports
Technical support for program planning
State/Centre
Macro planning of healthcare programs
Identify patterns using statistical tools
Better tracking and delivery of health services
Revenue from Pharma companies
Stake-holder
Analysis
Challenges
 Community involvement in Healthcare programs
 Shortage of medical staffs in all 3 units of health system
 Underutilization of existing staffs
 Partnership with local NGOs in spreading awareness
 Delay in conventional way of registering health data
 Health and nutritional programs suited to the local requirement
 Lack of technical data support for local decision making
OurSolution

11.  One time initial set up cost will be on the higher side
 To take care of the recurring cost every year
 State opposition due to concerns on infringement on
federalism & central government getting credit for the scheme
 People working at grassroots level will not be very tech-savvy
 General public and govt. health centers might be skeptical
 Dearth of people at health centers and less local knowledge
Chances of data theft and concern against government sharing
data with pharma companies
Linguistic concerns during storing data in numerous vernacular
languages, particularly while writing in the comment section of
the app and during development of app in different languages
 These costs can be funded by inviting donations from corporate
CSR funds towards “Prime Minister Primary Healthcare Fund”
(on the same line as “PM National Relief Fund”)
 Individual donation can also be attracted through tax incentive
 A rigorous training program need to be executed
 Campaign and awareness program
 Need to involve local NGOs for awareness programs
 App development in different languages can be done in Google
apps development platform and Google translator can translate
different languages into English for free
 Also these areas will be a good opportunity for entrepreneurship
 Using the same data security as Aadhar is doing
 Govt. will share only aggregated data, not individual
 Engaging states from the initial planning stage
 Sharing collected data with states and help them identify
medical emergencies and to deal it swiftly
 Sharing the revenue made by Center from pharma companies
Technological
Legal
Social
Economic
Political
Possible challenges Mitigation Strategies

13. Ministry of Health & Family Welfare .Rural Health Care System in India.
2011
BMJ 2012;344:e3151. Strengthening Primary Healthcare in India: White
paper on opportunities for Partnership. Mala Rao and David Mant
Issues and Prospects. Healthcare in India – Vision 2020. R Srinivasan
Indiastat.com Database. State-wise Number of Villages Electrified and Un-
electrified in India. 2013
National Health Profile. 2010
National Health Accounts. 2009
Health Sector Policy Reform Options Database (HS-PROD)
Health Finance Indicators (2010) – Central Bureau of Health Intelligence
References

14. State-wise Number of Villages Electrified and Un-electrified in India
(As on 31.05.2013)
States/UTs
Total
Inhabited
Villages As
per 2001
census
Villages Electrified As
on 31.03.2013 per
new definition
(Provisional)
Cumulative
Achievement
as on
31.05.2013
as per new
definition
%age of
Villages
Electrified As
on
31.05.2013
Un-
electrified
Villages
Number
s %age
As on
31.05.2013
#
Andaman & Nicobar
Islands 501 339 67.7 339 67.7 162 (*)
Andhra Pradesh 26613 26613 100 26613 100 0
Arunachal Pradesh 3863 2917 75.5 2917 75.5 946
Assam 25124 24156 96.1 24156 96.1 968
Bihar 39015 36744 94.2 37084 95.1 1931
Chandigarh 23 23 100 23 100 0
Chhattisgarh 19744 19181 97.1 19181 97.1 563
Dadra & Nagar Haveli 70 70 100 70 100 0
Daman & Diu 23 23 100 23 100 0
Delhi 158 158 100 158 100 0
Goa 347 347 100 347 100 0
Gujarat 18066 18031 99.8 18031 99.8 35 (**)
Haryana 6764 6764 100 6764 100 0
Himachal Pradesh 17495 17480 99.9 17480 99.9 15
Jammu & Kashmir 6417 6304 98.2 6304 98.2 113
Jharkhand 29354 26190 89.2 26190 89.2 3164
Karnataka 27481 27468 99.95 27468 100 13
Kerala 1364 1364 100 1364 100 0
Lakshadweep 8 8 100 8 100 0
Madhya Pradesh 52117 50863 97.6 50863 97.6 1254
Maharashtra 41095 41059 99.9 41059 99.9 36 (***)
Manipur 2315 1997 86.3 1997 86.3 318
Meghalaya 5782 4988 86.3 4988 86.3 794
Mizoram 707 661 93.5 661 93.5 46
Nagaland 1278 896 70.1 896 70.1 382
Odisha 47529 37500 78.9 37500 78.9 10029
Puducherry 92 92 100 92 100 0
Punjab 12278 12278 100 12278 100 0
Rajasthan 39753 38771 97.5 38778 97.5 975
Sikkim 450 450 100 450 100 0
Tamil Nadu 15400 15400 100 15400 100 0
Tripura 858 797 92.9 797 92.9 61
Uttar Pradesh 97942 87086 88.9 87086 88.9 10856
Uttaranchal 15761 15593 98.9 15593 (^) 98.9 168
West Bengal 37945 37941 99.99 37941 99.99 4
India 593732 560552 94.4 560899 94.5 32833
Accredited
Social Health
Activist
Sub-centre
Primary
Healthcare
Centre
Community
Healthcare
Centre / BPHC
Smallest unit of Government
health system manned by 1
ANM(female) and 1 HW(male)
Referral unit of 6 subcentres
with a medical officer incharge
and 14 supporting staffs
A 30-bed hospital/referral
unit for 4 PHCs with
specialized services
Interface between ANM and
the community
1,48,124
23,887
4,809
Primary Healthcare System
(Numbers at the end of 12th Plan period)
640867
Targeted
Slide 3
Slide 9
“If it were possible to evaluate the loss, which this country annually suffers
through the avoidable waste of valuable human material and the lowering of
human efficiency through malnutrition and preventable morbidity, we feel that
the result would be so startling that the whole country would be aroused and
would not rest until a radical change had been brought about”
- Bhore Committee, 1946
“In rural areas, there are no doctors. They (PHCs) are functioning only on paper.
There is no facility at PHCs. Hospitals function without any doctor”
- Supreme Court (2nd October, 2008)

15. Specifications Akash Tablet Our Device
Touchscreen Type Capacitive Resistive
Resolution 800 × 480 pixel Based on screen size
Screen size 7 inches max 7 inches
Capacity 4GB 2GB
Memory card Micro SD 
RAM 512MB 256MB
Wi-Fi  
Sim card   (inbuilt)
GPRS(2G & 3G)  
GPS  (custom CUG SIMs)
SMS  
USB  
Application 1,90,000 apps NRHM data collection app only
Operating System Android Android
Price 2500 1500
Design specifications of our proposed Tab
Costing details of our proposed Tab
 We considered the present handheld device “Akash”, which is in
circulation by the Govt. of India for some of its departments, to
derive at a cost for our proposed device
 Akash is far sophisticated device compared to our proposed device.
Please refer to the table at the left side for comparison
 Based on the expected functionality of the device we’ve arrived at a
cost of Rs.1500, which we expect to be the maximum that we might
incur in procuring the device once the technicalities and the design
are approved
Costing details for Training
 We’ve considered that the initial training for device usage will be
carried out by the OEM (device manufacturer). OEM will be finalized
based on bidding, RFP, RFQ processes
 We’ve taken the cost of training as a percentage of total
procurement cost of the device
 15% of the total procurement cost is expected to be the training cost
 Hence the cost of training is arrived at Rs.4,50,00,000 (0.15 ×
30,00,00,000)
Slide 9

16. Costing details for Bandwidth usage
 We suggest/expect govt. to collaborate with any
of the telecommunication service provider
(through closed bidding process)
 Service provider would provide bandwidth to
upload all the captured data in a handheld device
into central repository
 Service provider would provide telecom services
at a subsidized rate
 We expect that the data captured by a device in
an year, may not exceed 5GB, as the data is plain
text or in xml format
 We decided that the cost of such services at
subsidized rate could come up to 250 per device
per year
 Hence the total cost of Rs.5,00,00,000 (2,00,000
devices × Rs.250)
Costing details for Solar battery charger
 We expect that the electricity problem to be very grave
in few villages, where we cannot do without solar
battery chargers
 The number of affected PHCs due to electricity
problem is expected to be 25%, i.e.., 50,000
 The solar battery chargers are expected to be procured
at a cost of Rs.200, which is a pure estimation based on
partial analysis of existing technology
 The devices can be perfected in collaboration with IITs
or companies, whichever seems feasible and cheaper
 The total cost is thus arrived at Rs.1,00,00,000 (50,000
devices × Rs.200)
Slide 9

17. • The company which will win the tender of providing
Tabs will have to go for app creation
• They can create the app by themselves or
outsource to others
• The app need to be made in local languages of the
states (one local language in each state)
• A state can ask for app in more than one language.
In that case the state government will invest the
extra development cost for the app in other
languages
• Currently app development in other languages is
not a very difficult task on Android platform
Plan of App development for the Tab
• Solar battery chargers are needed for charging Tabs
in the Sub-centers at rural areas where no
electricity is available
• We recommend use of this solar charger in all sub-
centers as it completely eliminates electricity
problem and allows a renewable energy source
• This will create an area where entrepreneurial
ventures can participate mainly from MSME sectors
• Government will call for tenders from MSME sector
ventures to come up with innovative solutions
• In this way government will create employment
opportunities among the rural MSME sector
Plan of developing solar battery charger
Slide 9

18. Data Center for centralized data management
Project Plan
Phase I Design & approval
Phase II Implementation
Phase III Operations & Management
*Source: Request For Quotation-Data Center Development Agency (DCDA) for
UIDAI's Captive Data Center Physical Infrastructure
Prequalificationcriteria before RFQ for Data Center
Sr. No. Description Proof
5
The Bidder should have technical strength of 500
permanentemployees on-rolls, including 15
employeeswho are certifiedfor PMP/ Prince2,
CDCP/ CDCS, ISO 27001/ITIL; with numbers in each
category.
Certificationfrom MD/CEO for the people on roll (excluding
contractors/ outsourced/ daily wage staff)
Copy of Certificates in respect of 15 employees
6
The Bidder should have implementedat least two
Data Center projects, each of 1,000 sq. feet or
above (White space i.e. Space for IT Racks, Power
DistributionUnits, Computer Room Precision Air-
Conditioner)involvingDesign & Turnkey
Implementationof Data Centre Physical
InfrastructureServices for their customers during
the last three financial years ending 31/03/2013
Copy of work order/contract/purchaseorder and work
completioncertificateissued by the Customer
Copy of approved As-Built DC Layout drawings with
indicatingdetails of Data Center White space
7
The Bidder should have experience of handling
comprehensiveon-site operations and
maintenanceof Data Center Physical Infrastructure
Services for their customer for at least one Data
Center of 5,000 sq. ft. or above (White space i.e.
space for IT Racks, Power Distribution Units,
Computer Room Air-Conditioner)for a continuous
period of one year during the last three financial
years ending 31/03/2013 and whose services have
not been terminated prematurelybefore
completionof the contract. The referenced Data
Center could also be any one of the Data Center
providedas a reference for meeting the reference
criteriaas in Sr.No.6
Copy of work order/contract/purchaseorder and work
completioncertificateissued by the Customer
Copy of approved As-Built DC Layout drawings with
indicatingdetails of Data Center White space
*Source: Request For Quotation-Data CenterDevelopment Agency (DCDA) for UIDAI's Captive Data Center
Physical Infrastructure
*appropriatechanges required for our project has been made
Prequalificationcriteria before RFQ for Data Center
Sr. No. Description Proof
1
The Bidder shall be a Company registered
in India under the Companies Act, 1956
and should be in business for three years
ending 31/03/2013.
Copy of the Certificate of incorporationand
amendmentif any thereof
2
The Bidder should be in business for a
minimum duration of three years with a
minimum annual turnover of Rs.200 Crore
in each of the last three financialyears
ending 31/03/2011.
Audited Financial results/ Balance sheet copy for
last three years
3
The Bidder should have experience of
undertakingTurnkey Solutions for Data
Center Physical InfrastructureServices
Copy of work order/contract/purchaseorder
demonstratingthat the bidder has implemented
Data Center PhysicalInfrastructure services as a
Turnkey Solution
4
The Bidder should be ISO 27001:2005
certifiedor with equivalent certification
for Quality Management Standards or
certifiedby BSI/ DNV/ BVQI or similar
Institution
Copy of relevant certificationwith validity
Slide 9

19. Interview with an ANM in West Bengal
• Subcenter – Rupuspur run by two female ANMs, covers 8 villages with the help of 6 ASHAs
• A Government building with 4 rooms. Apparatus include
• BP instrument
• Stethoscope
• Weight machine
• Equipment for testing sugar, hymoeglobin
• Dopler m/c (runs on electricity)
• Stove
• Functioning (Sunday closed):
• One ANM at the subcentre while the other on field visit on Monday, Wednesday and Friday
• Reversal of roles in between the ANMs on Tuesday, Thursday and Saturday
• Field visit of an ANM is always accompanied by an ASHA, and sometimes a member of Panchayat or SHG depending on the purpose of visit
• BPHC(CHC) – Nakrakona which covers 4 PHCs and 24 subcentres including Rupuspur
• Review meeting on every Saturday of a month attended by all ANMs and others at
• BPHC level on the 1st Saturday
• PHC level on the 2nd Saturday
• Subcentre level on the 3rd Saturday
• Panchayat on the last Saturday
• They maintain among others
• MCTS register (18 digit ID for new mothers, check-up, immunization status)
• House register
• Census of Eligible couple
• Weekly reporting of all diseases in a prescribed format
We are thankful to Mrs. Subhalaxmi Das for providing us these information