1. 4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
National Optical Fiber Network (NOFN)
Empowering, Rural India
J.S.Bhatia
Executive Director
C-DAC Mohali

2. 4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
NOFN Objectives
 Aimed to connect 2,50,000 Gram Panchayats (GPs) through OFC.
 Services on Offer: G2C, B2B, B2C, P2P etc. covering:
eHealth
eEducation
eGovernance
eAgriculture, among others
 Filling of prevailing connectivity gap that exists between GPs and
Blocks/Districts.
 Empowering rural masses by providing access to information, public
services including education, health etc.

3. 4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
eHealth Pilot using NOFN: Telemedicine
1. Primary Health Center-Fatehgarh, Ajmer (Rajasthan).
2. Community Health Center-Panisagar, (North Tripura).
3. Primary Health Center- Vada Cheepurupalli, Vizag,
(Andhra Pradesh).
Specialist Sites:
1. JLN Medical College and Hospital, Ajmer (Rajasthan).
2. G.B. Panth Hospital Agartala.
3. King George Hospital, Visakhapatnam,
(Andhra Pradesh).
Project Monitoring Site:
 National Informatics Centre, New Delhi.
Remote sites :

4. 4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
Pilot Telemedicine Network on NOFN

5. 4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
Snapshots
Remote Site: Primary Health Center Fatehgarh (Ajmer),Rajasthan.
Training being imparted to doctor & associated staff at PHC Fatehgarh
View of the Primary Health Center(PHC) Fatehgarh

6. 4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
Specialist Site: Jawahar Lal Nehru Medical College and Hospital Ajmer, Rajasthan.
View of the JLN Medical & Hospital Ajmer
Training being imparted to doctor & associated staff at JLN Medical College & Hospital Ajmer

7. 4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
Remote Site: Community Health Center Panisagar, (North Tripura).
View of the CHC Panisagar
Training being imparted at
CHC Panisagar

8. 4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
Specialist Site: G.B. Pant Hospital, Agartala.
Doctor having a look at the
Telemedicine Software
Total manpower trained to operate Telemedicine at these 6 NOFN sites: 72

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Remote Site: PHC Vadachipuripalli, Vizag
Training session being organized at PHC Vadachipuripalli

10. 4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
Pilot Telemedicine using NOFN: Barriers to Implementation
Failure to capitalize on the potential is
more due to issues related to
• National policy
• Administrative structure
• Management
• Physician
less due to commonly perceived barriers relating to
• Cost and cost-effectiveness
• Privacy and data security
• Infrastructure maintenance and literacy
• Quality of practice of medicine

11. 4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
Remote sites/Gram Panchayats:
1. Gram Panchayat Chachiawas
2. Gram Panchayat Aradka
3. Gram Panchayat Babaicha
4. Gram Panchayat Badliya
5. Gram Panchayat Srinagar
6. Gram Panchayat Kanpura
7. Gram Panchayat Tihari
8. Gram Panchayat Makadwali
9. Gram Panchayat Ramsar
10. Gram Panchayat Sanod
Specialist Sites:
1. Janana Hospital, Ajmer.
2. Satellite Hospital, Ajmer
The e-Panchayat Experimental Site Program: Ajmer District

12. 4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
Snapshots
Medical Equipments being
installed at Gram Panchayat
Babaicha
Blood Pressure of Sarpanch at
Gram Panchayat Makadwali being
recorded
IT Manager of Gram Panchayat Badliya uploading the patient’s data
on Telemedicine Software

13. 4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
ECG of the patient being done at
Gram Panchayat Badliya by the
GNM
Live ECG being captured in the
telemedicine Software
Tele-Consultation through Video Conferencing from
Janana Hospital Ajmer
Snapshots of the Sites Implemented

14. 4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
Centralized Training organized on 13/9/2012 for IT Managers and Medical Staff at Janana Hospital
Centralized Training organized on 22/11/2012 for IT Managers and Medical Staff at Satellite Hospital
Snapshots of the Sites Implemented

15. 4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
SITE NAME TOTAL PATIENT REFERRED OPINION RECEIVED FROM
SPECIALIST HOSPITAL
Gram Panchayats:
GP Kanpura 31 26
GP Srinagar 67 62
GP Badliya 37 27
GP Makadwali 43 39
GP Chachiawas 82 69
GP Aradka 71 45
GP Babaicha 56 42
GP Tihari 23 13
GP Sanod 105 78
GP Ramsar 168 143
TOTAL 683 544
Total Patient Referred: 683
Opinion Received from Specialist Hospital: 544
e-Gram Panchayat Project Utilization 1st Nov 2012 - 26th Aug 2013

16. 4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
To study the feasibility and the viability of the telemedicine technology at the CSC’s
established at rural areas, one day health camp was organized at two CSC’s by C-DAC
Mohali.
The two CSCs identified were:
 CSC Raiwali at Ambala district, Haryana.
 CSC Holi at Ambala district, Haryana.
Cont.
PoC: Telemedicine through CSC’s

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PoC: Telemedicine through CSC’s
Basic Health Parameters checked at Camp Sites:
ECG, Blood Gluco/Sugar Level, Blood Pressure, Pulse, Weight
CSC Location
Health
Records
No. of patients whose
data was captured
Consultations
seeked
Raiwali District Ambala, Haryana 51 48 48
Holi District Ambala, Haryana 99 99 58
 Total health records were created on ‘eSanjeevani’: 150
 Total consultations given on basis of ECG Captured: 106

18. 4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
Snapshots of the Camp Organized at CSC’s
CSC-Holi CSC- Raiwali

19. 4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
Patient Registration Basic health Check-up
Patient being prepared for ECG Patient Data being uploaded in software

20. 4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
Patient Registration Basic health Check-up
Patient being prepared for ECG Patient Data being uploaded in software

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22. 4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
Factor Rural/Remote End Specialist End
Capital
Expenditure
IT/Diagnostic equipments:
Computer/Laptop, B.P Meter,
Glucometer, ECG Machine,
Weighing Machine, Thermometer,
Medical film digitizer etc.
Only Computer/Laptop
Connectivity NOFN SWAN/NKN
Manpower Salary & component for
operators/health workers to be
borne by State/Central Govt. under
various Govt. aided health
schemes
Panel of Specialist
Salary component to be borne
by State/Central Govt. under
various Govt. aided health
schemes
Consultation Charges for tele-consultation free

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THANK YOU
jsb@cdac.in