How Jnana Sanjeevini Medical Center is using IT to help offset diabetes healthcare in urban & rural India

1. Diabetes Melitus
The Sweet Killer for the rest of us.

2. It is an epidemic like no other.
that's >> the entire population of the US

3. 1 in 20 people has diabetes 25 – 50% don't know
they have diabetes
Look around yourself

4. in India...
we bear the highest burden of diabetes in the world

5. Diabetics are 25X more likely to develop blindness

6. 30X more likely to get a foot amputated

7. 20X more likely to develop kidney failure

8. 5X more likely to suffer a heart attack (#1 cause of death)

9. 3X more likely to suffer a stroke

10. But you already knew that...
Consider this: 2 children can live for 2 months for the
money we spend eating lunch at a restaurant

11. Diabetes is preventable.
So are heart attacks, strokes, kidney failure, blindness, and several
other diabetes related complications if they are detected early.
Jnana Sanjeevini specializes in diabetes care, and has helped
several hundred thousand people manage their diabetes. We've
been doing that since 1987.

12. The journey so far
1987
Founded JS
First Adult Diabetes Clinic
1990
25 years of service
2012
1994
First Child
Diabetes Clinic
1999
Multidisciplinary
Preventive Care Clinic
Madhura Sanjeevini
2013
2014
Patient & Family Health
Education & Counselling
First Pregnancy
Diabetes Clinic
1996 200K lives impacted

13. Our projects
Children & youth
Medical Professionals Adults

14. FREE treatment & Insulin | Health education & counselling | Social support | Patient – Parent
support groups | Residential health – recreation camps

15. Adult Diabetes clinic | FREE medicines |Health awareness & counselling | Health screening &
treatment | Continued care – preventive healthcare | Psychosocial & economic support |
Community Diabetes camps

16. Observerships, Internships & Fellowships | Continuing medical education & training | Human
Resource building | Building curriculum – teaching education aids | Physical Education &
Health Educators | Tele-medicine – 24x7 Diabetes helplines | Healthcare IT

17. The Story of Umme Hanne
Age 15 | Mysore | Daughter of auto-rickshaw driver | Diabetic from age of 5
"मम, ममररा बमटटी उम्मम हनटी कको मरार डरालनम कम ललए, और, बराद मम ककद आत्महत्यरा करनम कम ललए
तरायरटी कर लदयरा थरा" - mother in 2004

18. The Story of Nabila
Age 18 | Mysore | Daughter of auto-rickshaw driver | Diabetic from age of 5
"आरम, ननॉकको ननॉकको. ऐसटी मत करको. दमखको ममररा बमटटी नबटीलरा कको बटी ककछ सराल सम डराइयलबटटीस
हह. वको आज लबल्ककल टटीख हह. आप ममररा सराथ बबेंगलकोरम आजरानरा. उम्मम हनटी कको भटी सब टटीख
हको जमयमजरा" - Nabila's father to Umme's father in 2004

19. Random chance is good, but we must do better!
• Dual life saving conversation since the chance meeting between
Umme's & Nabila's families 10 yrs ago
Former was struck with poverty, societal apathy, hopelessness &
despair
Should a life/death outcome be left to chance?

20. Project DEEPA
"आज, ममररा बमटटी सकब सम जराद उत्पप्रमलरत हह, और कनॉलमज जरानरा चराहतरा हह; दमखको, मगर इसकम
सरामनम, ममररा दको बमटम पकररा नरालयक हह" - Umme's mother in 2014

21. DISHA: how can we measure “impact”?
• We did an honest audit in 2008. Dilemma about how to measure
true “impact”
Sure, we were doing very well in terms of healthcare, and
longevity, but are we prolonging the misery of these children just
to let them succumb helplessly few years later?
Pseudo-altruism or real justice?

22. Corrective action
INSULIN
+
EDUCATION

23. Houston, we need to course-correct!
• Full support for formal school & college education [financial +
counselling + monitoring]
Employment placement services through good Samaritans
[including employers themselves having T1DM]
Special emphasis on the girl child
Funded by the same anonymous insulin donor of Project DISHA

24. Are we moving the needle in the right direction?
Professional aspirations of T1DM DISHA children (ind. survey)
~83% want to get into the medical stream. Coincidence?

25. Using IT as a force multiplier
Project Madhura Sanjeevini

26. The Project Charter
Ensure increased awareness, accessibility & affordability to
contemporary diabetes prevention & treatment strategies, to
the economically underprivileged & socially neglected
members of society.

27. Our Vector – the Community Health Worker

28. Madhura Sanjeevini, circa 2013

29. What we intend to achieve
not this but this
0

30. not this but this

31. not this but this

32. not this but this

33. Madhura Sanjeevini (today)

34. How? Using the Power of Internet
Product + mobile app | Mobile devices | Mobile internet

35. Mobile app demo
web

36. Web app demo

37. Are we on the right track? You decide.
Total Number of Community Health Workers (CHWs) trained and
deployed
16
Total Number of Families Enrolled in the community 399
Total Number of People screened in the community 752
Diabetes: Newly Diagnosed 75
Known Diabetes Identified 160
Hypertension: Newly Diagnosed 117
Known Hypertension Identified 143
Number of CHW kits distributed 16
Number of Blood glucose strips distributed 1565
Number of Diabetes and/or Hypertension patients from the
96
community who came for follow up at JSMC

38. Blueprint for Medical Census Data
Our approach is bottom-up where people's incentive to be medically screened is aligned
perfectly with our project goal (universal health care to all)

39. We could use Google's help
• Cloud Hosting credits
Success relies on the availability of mobile devices. We plan to
deploy 50 CHW's
Possible collaboration with GA team to help us with health data
analytics
Adwords for NGOs

40. Thanks for listening. Questions ?