Evaluation of a novel community-based chronic disease management solution 

The report critically evaluates an operating model (NanoHealth) that leverages a unique combination of community healthworkers and a proprietary technology platform to facilitate early diagnosis and continuous management of chronic NCDs such as Diabetes and Hypertension. In particular, the authors undertook a detailed operational evaluation of one such social enterprise model and draw implications for the wider ecosystem and the challenge of NCD management at a national level. The report talks about the impact of NanoHealth on the health outcomes of its users by analysing the operational and financial feasibility of its model using its two-year operational data.

Impact: The manuscript provides insights on an alternative operating model that can be integrated with the existing health systems, public and private, to provide long-term care for chronic diseases where the government can look into contracting services to these models.
Theme: Tackling the challenge of non-communicable diseases
Funder: Pro bono  
Authors: Sarang Deo, Preeti Singh

Identifying enablers and barriers for healthcare organizations to deliver equitable healthcare in a sustainable manner

India and many other emerging countries face an uphill task of providing healthcare on an equitable basis to all irrespective of their ability to pay. This is in stark contrast to many developed countries, where good healthcare is guaranteed for all its citizens. Barring a few exceptions, outside the realm of eyecare, there have been few success stories with regard to addressing the healthcare needs for other medical specialities. This report seeks to understand the barriers and enablers for providing equitable healthcare across various medical specialities. The insights have been garnered through primary research based on discussions with over 30 leaders spanning different organizations, medical specialities, and geographies in India. The key learning from this research is that it is possible to do good, while also doing well.

Impact: This study identifies acknowledging and measuring equity as one of the key aspects of equity in healthcare delivery. To deliver equitable healthcare, healthcare organizations need to recognize the inequities in the health of the communities and delivery of healthcare. Further, the inequities vary from one place to another.  
Theme: Promoting equitable healthcare in a sustainable manner
Funder: Ernst & Young as part of the EY-IEMS Grant 2018–2019
Authors: D V R Seshadri, Devendra Tayade, Prakash Satyavageeswaran, Thulasiraj Ravilla