The next big leap in healthcare for rural India | Dr. Kanav Kahol | TEDxGateway



[Applause] now a couple of years ago a question started to intrigue me and the question was how many medical devices and diagnostics do we need in a country to provide universal health coverage I started to look at India as my case study and focus specifically on diabetes now the International Diabetes Federation actually says that India has 60 1.2 million people with diabetes right now if you actually follow the standard practice standard operating procedures on each one of them and do all the tests and all the treatment that they're supposed to do here's what we are actually faced with for a year three billion blood sugar tests three billion blood pressure tests two billion urine tests two billion hemoglobin tests 250 million visits to the doctor 2.5 million hospitalizations 5.4 billion syringes and countless number of dialysis session for people who actually end up getting end-stage kidney disease because of diabetes this is a large number and when you actually total up the cost that's associated with it it comes to around 0.8% of our country's GDP let me put that in perspective India for its entire healthcare budget only spends 1.8 percent of its GDP so not only are you gonna need a 67 percent increase to take care of diabetes let's actually add the cost of cardiovascular disease let's add the cost of reproductive and child health cancer airborne pollution related diseases and essentially this vibrant and young India's picture starts graying a little bit and the problem is essentially that India does need to spend more money on health care but also we need more health for our money so what works is the fact that most of the medical devices and most of the medical diagnostics are essentially made for the top 1% of the world's population right and then we in India just adopt them and wait for them to get cheaper for all of us to be able to afford it and India can't afford that so what we ended up saying is why don't we actually start developing for the bottom billion and that was the basic dream with which I came back to India in 2011 I traveled the length and breadth of this country I asked people what do you want from health what is health for you what do you want to improve in health care delivery and it was around those interactions that the concept of democratizing Diagnostics really started to hit me the idea of affordable reliable quality digital diagnostics available anywhere anytime now when we actually started this the problem was quite complex because you had to take stuff that was actually lying in three big rooms biochemistry analyzers you needed patient monitors you needed all this stuff that lies in big labs and these big labs take a lot of money from us saying we have three Tesla and four Tesla and we had to reduce it into something that can actually be used in the rural environment and had to be used in a very very rugged manner and that's when me and my team started to work on this device called the swash slate which literally translates to a health tablet samasta slate is a powerful device that actually allows you to do 33 diagnostic tests on a mobile phone so instead of just doing one and then putting it on a mobile phone we said let's actually put all 33 on it because disease is multi-dimensional so should be the solution let me show you let me show you a live demo so my dear friend here uncle he has a girlfriend let's take a look at his heart if it's any different right so here is his live ECG that you can actually see this is a tablet that I've picked up this is a tablet on which you can play Angry Birds but it's also a tablet on which you can actually do a live ECG or funk it and then at the end of it go ahead and produce a report just like this that can actually tell a clinician on whether onk it needs to be in a hospital or not let me show you something other cool stuff that happens as this ECG is being captured we actually reduce all of his patient data into a six a kilobyte file that can actually be then uploaded onto the internet by 2 G by 3 gee by 4 G but also without any G it can actually be uploaded onto the internet via an SMS that can then send data to our SMS server and then moved on and that works beautifully for example in Lake where we are out there where mothers need to be transmitted or transferred to a hospital we want the data to transmit with them and you don't have internet so how do you do that you can do that with these kinds of system let me show you something else here is an example of antenatal care visit app antenatal care as a pregnancy related preventive app so it's already recorded GPS that this particular hazard happened in Mumbai let me show you another cool feature so we go ahead we'll show some questions you can answer these questions and as these questions are answered the system will actually throw back advice that you can tell the patient so the frontline health worker is actually getting advice so if you can focus on that it actually gets standardized advice that you can give a patient anywhere about what they are supposed to do and that's very critical it also generates referrals so for example if the mother is bleeding from the vagina or has a leaking of watery fluid as soon as you press save hair it generates an emergency referral and that emergency referral as soon as you press ok goes to the first referral unit and the doctor has all the data awaiting them all he has to do is scan the mother's iris or scan the mother's fingerprint and all this information is available to him for the first time you actually have mothers showing up in rural areas for delivery with an entire antenatal care visits records with them and that's beautiful now for you what if you wanted to know that that persistent fever is it typhoid is it malaria is it dengue well uncle's here exactly just as we were speaking done a test on this machine which is a machine meant for urban India and that's a machine where he's actually going in and doing a malaria test and as he just press analyze within one second the system will actually tell you whether this person has malaria or not one second doesn't take two weeks doesn't take one doesn't take a day it takes one second and that's the beauty of this particular system it's an end-to-end digitization solution we begin with decision support we go on to doing referrals we go on to doing advice and move on now the government of India actually partnered with us they put us in six to six of Jammu and Kashmir we've been live in Raj or a bunch and Doda these are places where you generally hear off unfortunately because of terrorism but slowly and steadily a health revolution is happening there you can actually see that mothers are actually showing up in these clinics and getting their tests done sixty-one percent was what we were reaching before the swashplate eighty nine point one percent today and the number of mothers who are getting all their tests done has actually grown by twenty five percent twenty five times rather and that's where we actually feel really really proud about what we've actually gone ahead and done what's also interesting is it used to take fourteen days to get an antenatal care visit you had to run from one facility to another to another just to get a preventive visit for a pregnant lady now from fourteen days it just takes forty minutes flat and that's better than what happens in Mumbai that's better than what happens in Paris that's better than what happens in London forty minutes flat a mother knows exactly what to do to protect herself and to protect her kid we have also now found that this is a problem for urban India when you go to your doctor don't you waste two to five days just getting diagnostics going back to the doctor getting some medication and adjusting it now with the health cube which is this little device that you just saw there doctors can actually do the test right there and then and give you solutions as we speak and give you medications in fact in the Delhi government's peer agree clinic which is their smart cities solution for health care a patient can walk in go to the doctor get Diagnostics go back to the doctor then go to the pharmacist get the medication all of the system done in a paperless system in four point three eight minutes flat that's the beauty of this particular solution and that's the whole point of being working for the bottom billion you know for me health and technology are intertwined they cannot be separated any more and it is up to us in India to lead this revolution by putting rural first and essentially enabling the digital version of healthcare thank you [Applause] Oh [Applause]

13 Comments

  1. There was silicon Valley co.
    Called Theranos..
    Is this India's theranos

  2. India (IAST: Bhārat), also called the Republic of India (IAST: Bhārat Gaṇarājya), is a country in South Asia.

    It is the seventh-largest country by area, the second-most populous country (with over 1.2 billion people), and the most populous democracy in the world.

    It is bounded by the Indian Ocean on the south, the Arabian Sea on the southwest, and the Bay of Bengal on the southeast.

    It shares land borders with Pakistan to the west; China, Nepal, and Bhutan to the northeast; and Bangladesh and Myanmar to the east.

    In the Indian Ocean, India is in the vicinity of Sri Lanka and the Maldives.

    India's Andaman and Nicobar Islands share a maritime border with Thailand and Indonesia.

    The Indian subcontinent was home to the urban Indus Valley Civilisation of the 3rd millennium BCE.

    In the following millennium, the oldest scriptures associated with Hinduism began to be composed.

    Social stratification, based on caste, emerged in the first millennium BCE, and Buddhism and Jainism arose.

    Early political consolidations took place under the Maurya and Gupta empires; the later peninsular Middle Kingdoms influenced cultures as far as southeast Asia.

    In the medieval era, Judaism, Zoroastrianism, Christianity, and Islam arrived, and Sikhism emerged, all adding to the region's diverse culture.

    Much of the north fell to the Delhi Sultanate; the south was united under the Vijayanagara Empire.

    The economy expanded in the 17th century in the Mughal Empire.

    In the mid-18th century, the subcontinent came under British East India Company rule, and in the mid-19th under British crown rule.

    A nationalist movement emerged in the late 19th century, which later, under Mahatma Gandhi, was noted for nonviolent resistance and led to India's independence in 1947.

    In 2017, the Indian economy was the world's sixth largest by nominal GDP and third largest by purchasing power parity.

    Following market-based economic reforms in 1991, India became one of the fastest-growing major economies and is considered a newly industrialised country.

    However, it continues to face the challenges of poverty, corruption, malnutrition, and inadequate public healthcare.

    A nuclear weapons state and regional power, it has the second largest standing army in the world and ranks fifth in military expenditure among nations.

    India is a federal republic governed under a parliamentary system and consists of 29 states and 7 union territories.

    It is a pluralistic, multilingual and multi-ethnic society and is also home to a diversity of wildlife in a variety of protected habitats.

  3. Nice work appreciate plz also visit my page I'm also on pharma

  4. Brilliant solution.
    But huge challenges lie ahead from the notorious nexus in system.

  5. Wow!

  6. Any idea how to get a hold of him?

  7. Just brilliant

  8. Technology especially AI can transform healthcare in India.

  9. This device Not being used in Delhi Aamc… Which he mentioned….

  10. DrKanav kanol its great job you are doing ,my self Dr Rajashekhar Savanur from karntakaI, interested in this swastha slate is available for purchase or you are having any kind of partnership model with you.
    Please contact me 9900095701

  11. nice sir

  12. amazing, this technology truly increase accessibility of healthcare

  13. HEY GUYS I'M NEW HERE AND IT WOULD MEAN THE WORLD TO ME IF YOU CHECKED OUT MY SLAM POETRY❤❤

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