Delhi

In early 2016, the Directorate General of Health Services (DGHS) under the leadership of the Govt. of National Capital Territory of Delhi (GNCTD) launched an innovative concept of establishing a network of 100 community clinics, or Aam Aadmi Mohalla Clinics (AAMCs) in the urban slums of Delhi.

WISH joined hands as the Technology and Knowledge-Management partner to the state government for implementing the Mohalla Clinics program for ensuring quality primary healthcare services at the doorstep for the residents of Delhi. Presently 482 clinics are functional with 36 clinics running in two shifts.

As part of its technical support, WISH Foundation has also undertaken the design of and deployment support for several tools to increase the efficiency of health facility processes, supply chains and administration. WISH created customized dashboard for easy documentation and reporting of the clinics’ work flow, provided trainings to doctors in the use of android based tablets for recording patient information, data-management, monitoring community expectations, and demonstration of innovations for scale-up into the public-health system. WISH also successfully created and demonstrated an automated Medicine Vending Machine (MVM) which dispenses medicine on location, eliminating the need to travel to a pharmacy, and records the type and number of medicines dispensed.

WISH is piloting a 3-tab software with advanced EHR at four clinics with the objective of scaling the software to all the clinics. Lab integration in the existing software is being undertaken which in turn will give access of data analytics on patient’s profile and ease the process of lab testing. In addition to patient-centered solutions, WISH is currently supporting the development and testing of a supply-side grievance redressal system that will route AAMC staff complaints and requests to the concerned government departments. LEHS WISH, with support from the Delhi State Government and the AAMC cell, will pilot, refine and scale the solution and provide handholding support. As part of the piloting and refinement process, LEHS WISH will perform data analytics to identify inefficiencies and support improvement in those areas.

In a country with one of the largest out-of-pocket health expenditures and least coverage of health insurance in the world, the free health services offered by Mohalla Clinics is helping reduce the financial burden on low-income households by saving travel costs and lost wages.

Key Accomplishments:

• Customized digital data tool developed to assist in analyzing health patterns for addressing prevalent diseases and policy-making. It also collates the number of services performed per clinic, as well as maintains record of medicines available per clinic.
• Patient records assist doctors in understanding the patient health history.
• Medicine Vending Machine enables an automated record of medicines dispensed and required; and reduces time travel by patients to the pharmacy.
• Worldwide recognition and appreciation by The Lancet Journal and the national and international media.

An Android based Clinical Application software provided to the doctors to register patients, maintain medical records, diagnosis and treatment history with prescription and referral records.

A fully stocked automated Medicine Vending Machine (MVM) dispenses drugs right at the facility.

Clinic monitors are appointed to oversee smooth operations of Mohalla Clinic on a daily basis.