Dharwad Institute of Mental Health And Neurosciences (DIMHANS)-Dharwad

Directorate of Medical Education

eSanjeevani

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eSanjeevani - the National Telemedicine Service of MoHFW, Government of India has evolved into the world’s largest documented telemedicine implementation in the primary healthcare. The National Telemedicine Service of India has already served over 114 million patients at over 115,000 Health & Wellness Centres (as spokes) through 15,700+ hubs and over 1100 online OPDs serviced by more than 225,000 doctors, medical specialists, super-specialists and health workers as telemedicine practitioners [as on 30 April 2023].Aligned with Hon’ble Prime Minister Narendra Modi’s vision of the Digital India where quality healthcare percolates right up to the remotest regions powered by e-Healthcare eSanjeevani was launched in November 2019. As a cornerstone of Ayushman Bharat Scheme – world’s largest health insurance to achieve Universal Health Coverage, eSanjeevani – is testimony to the fact that digital health has come of age in India. eSanjeevani has digitally brought health services to the masses in rural areas and remote communities.The cloud-based eSanjeevani platform is implemented in two modes: 1. eSanjeevaniAB-HWC (a provider-to-provider telemedicine platform): this variant provides assisted teleconsultations for patients who walk into Health and Wellness Centres (HWCs), community health officers in Health & Wellness Centres facilitate the teleconsultation for the patient who are connected to the doctors and specialists in hubs established in secondary/tertiary level health facilities or medical colleges. This variant is based on a Hub-and-Spoke model. 2. eSanjeevaniOPD (a patient to provider telemedicine platform): it empowers citizens to access health services in the confines of their homes through smartphones of laptops etc.

eSanjeevani - National Telemedicine Service of India is providing health services remotely across the length and breadth of the country, it is offering improved access to healthcare even in resource limited settings. This marvel of ICT is bridging the digital health divide in the country. With phenomenal adoption amongst patients and telemedicine practitioners and its mammoth network extending to all parts of the country including the islands in Lakshadweep and Andamans and peaks in Ladakh, eSanjeevani is seen as one of the crown jewels of Digital India.

Soon after COVID 19 touched Indian shores, the Telemedicine Practice Guidelines were released by the Govt. of India. eSanjeevani was customized to be used for patient to provider teleconsultations and during COVID 19 it was the only hope for millions of citizens to access doctors and medical specialists for non-COVID 19 as well as COVID 19 related health issues from within the confines of their homes. Closely working with policy makers at the Union Health Ministry, team eSanjeevani’s rapidly developed and rolled out eSanjeevaniOPD within 19 days. This indigenously developed telemedicine technology has brought in a tectonic shift in the domain of digital health by enabling a massive digital transformation in delivery of health services even at the primary level. 

eSanjeevani has shown up as a blessing especially to people in rural areas where it was harder to access care, it has since found much wider application across the health spectrum and has revolutionized primary healthcare services in India. This first-of-its-kind, government owned telemedicine platform that has brought a colossal populace (doctors as well as patients) in the fold of the digital health ecosystem by providing free of cost consultations to one and all. It is reassuring to note that over 57% of the beneficiaries of eSanjeevani are females and around 12% of all the beneficiaries are senior citizens. It also goes to reflect that the platform is finding its reach in the more vulnerable sections of the population where its effect is fetches maximum impact. This speaks volumes about the telemedicine platform and the extent to which it has reinvented itself over time to meet the growing demands of healthcare in India.Apart from the direct benefit of being able to facilitate care on demand, and leveraging the potential of information technology, eSanjeevani successfully overcomes the challenges of geography, accessibility, cost and distance to provide equitable and quality care to populations across India. eSanjeevani has proved to be a yardstick for swift capacity building as well as utilising digital technology to strengthen healthcare. eSanjeevani is also shaping into the harbinger of Ayushman Bharat Digital Mission that aims to, develop the backbone necessary to support the integrated digital health infrastructure of the country. The success of this initiative is analogous with the impact and success of Digital India Mission. After tapping the potential of teleconsultations to the fullest, the Ministry of Health and Family Welfare (MoHFW), Govt. of India has augmented eSanjeevani further to add the logical next dimension of telediagnosis in eSanjeevani2.0 that was rolled out in March 2023. This entails seamless integration of a vast spectrum Point of Care Diagnostic devices (PoCDs), also known as near patient testing. PoCDs provide results of various clinical tests including physiological parameters within minutes of taking a test there by facilitating rapid diagnosis and quick decisions.

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