SATHI Training Programme

Digital Health Assistant Programme

A training programme for school pass-outs encouraging them towards a career in healthcare, with immediate job opportunities as support personnel to medical professionals. The programme is intended to help effective implementation of NDHM – National Digital Health Mission – and help build a healthcare-enabled population.
Dr S B Gogia
President, Society for Administration of Telemedicine and Healthcare Informatics
gogia7@gmail.com   |   sec.sathi@gmail.com
Phone: 9810126883

Programme Vision

Build healthcare support personnel.
Support national digital-health implementation.
Prepare school pass-outs for healthcare careers.
Build a healthcare-enabled population.

About SATHI

Society for Administration of Telemedicine and Healthcare Informatics

20% Technology
35% Business Process Engineering
40% Change Management
5% Opportunity

The Organisation

SATHI is a registered society: 49774/2004, NCT Delhi Societies Act, 1873.

Former Director of AIIMS Prof Sneh Bhargava joined and continues to be a patron.

Others associated include Prof Lazar Mathew, part of DRDO.

Prof Abdul Kalam had appreciated SATHI's work.

Change Management Approach

SATHI describes itself as a Change Management (80%) organisation.

Capacity building is the main component of Change Management.

Its telehealth projects have been successful because of this approach.

There is emphasis on academic output and scientific research to create publishable evidence.

Digital India Is Happening

PMJAY & ABDM

PMJAY and ABDM implementation requires a trained healthcare workforce.

Telehealth

Telehealth can provide a cost-effective healthcare solution by reducing travel needs.

AI & Quality Data

AI is shaping the future of technology. Quality data is essential fuel for AI advancement.

The data-entry challenge: Data entry remains a bottleneck in an era where computing power and connectivity are rapidly improving. Health-related travel itself also incurs significant costs.

Travel for Health Is a Health Cost

The presentation illustrates how strengthening local care and Local Village Practitioners can substantially reduce healthcare expenditure and unnecessary travel.

Patient Requiring Dressing or a Simple Procedure

Local Village Practitioner
›
Doctor in Nearest Town
›
Super Specialist Centre

Local Village Practitioner

LVP = Local Village Practitioner.

If LVPs are trained to improve care quality, healthcare costs can come crashing down.

Low cost: Rs 20

Doctor in Nearest Town

Knowledge, drugs and equipment need to be available.

Affordable: Rs 100–150
Cost of travel: Rs 1000

Super Specialist Centre

Often used by well-off and upper classes when higher-level treatment is required.

Rs 2000 +/-
High-cost treatment: Rs 500
Additional hidden costs: Cost of stay and relatives, and time off work for everyone involved.

If treatment is adequate locally, there may be no need to travel.

Local skill enhancement and improvement of the local economy can become an additional by-product.

Need for Digital Health Assistants

Digital Health Landscape

India has a rapidly evolving Digital India landscape.

Public as well as private-sector healthcare providers are expected to maintain digital health records for better health planning and care.

60–70% of care is still in private hands.

Telemedicine & EHR

The significance of Telemedicine and Electronic Health Records increased with the establishment of Health and Wellness Centres.

ABHA & Health Infrastructure

Current efforts by the National Health Authority to provide ABHA IDs, along with identification of care providers and healthcare facilities, need support.

Trained-Manpower Gap

Implementation faces challenges because of shortage of trained manpower. Digital Health Assistants can help address this gap.

Existing HSSC programmes such as GDA and Front Line Health Care do not train learners in EHR/EMR and other digital tools.

Alignment with UN SDGs 2030

1

No Poverty

Health costs are among the biggest contributors to poverty. Better health knowledge, local availability of services, reduced travel for healthcare and retention of healthcare jobs can improve the rural economy. The presentation notes that 52% of rural people in India travel for health-related issues, adding to the already higher cost of tertiary care.

3

Good Health & Well-Being

Independent healthcare professionals such as GPs of modern and traditional medicine, dentists and physiotherapists are responsible for 60–70% of health support in India. Because their care costs are relatively low, many cannot afford full-time nurses. DHAs can help improve care by enabling appropriate data entry and EHR creation and maintenance. The presentation reports that well-designed telehealth programmes have previously cut travel by 50–60% without loss of quality. Better-trained personnel at doctors' clinics can improve outcomes, replacing the use of untrained personnel.

4

Quality Education

Better health-related education allows people to provide improved care for family members. Skills such as vital checks including BP and sugar can reduce unnecessary clinic visits. Data-entry basics and troubleshooting connectivity problems are practical day-to-day skills. Basic Life Support training is increasingly considered essential for health emergencies.

8

Decent Work & Economic Growth

School-level learners can obtain employment early in life and can also work in remote locations as Telehealth Technicians. Such jobs can remain within rural and remote areas, reducing the need for migration and travel.

10

Reduced Inequalities

Better-quality healthcare and increased employment opportunities in remote locations can improve the status of underserved populations.

13

Climate Action

Reduced travel for healthcare and employment can lead to lower consumption of fossil fuels.

Students' Learnings

Digital & Clinic Skills

  • Maintain computer systems
  • Maintain Electronic Health Records
  • Clinic maintenance
  • Explain doctors' advice to patients
  • Pulse oximetry
  • Blood-pressure checking
  • Blood-sugar checking
  • Dressing
  • Patient triage
  • Queue maintenance
  • Patient transfer
  • Handling phone calls
  • Basic Life Support

How EHRs Help Doctors

  • Improve efficiency in managing present and past health issues of patients.
  • Support long-term care.
  • Support management of chronic diseases.
  • Enable clinical research and audit, including reviewing what went wrong.
  • Provide data for epidemiology.
  • Support public-health activities.
  • Support development of healthcare strategies.

What the Course Covers

Training Platform

Providing a structured training platform to learners.

EMR & Telemedicine

EMR and Telemedicine training, with software provided for training.

Chapter-Wise Learning

Online and offline training is conducted chapter by chapter and monitored session by session.

Training Equipment

Medical kits and mannequins are arranged for Basic Life Support training.

Practical Training

Practical face-to-face training is provided for three days on each subject, or more if required by students.

Internship

On-the-job training or internship is provided for every student.

Progress Monitoring: Student progress is reviewed monthly according to the criteria and processes specified by SATHI.

Course Delivery, Evaluation & Support

In-Person Training

In-person training is conducted at a decided training facility based on mutually agreed timings and as required.

Regulatory Alignment

The course is described as meeting the regulatory and compliance requirements for:

  • Multiskilled Assistant Programme HSS/Q5109
  • Telemedicine Services Co-Ordinator HSS/Q5801

Formal Certification

Efforts to obtain formal certification are ongoing and were expected to be in place soon.

Evaluation & Employer Response

Students are evaluated upon completion of the course.

Private doctors where placement took place have appreciated the training.

Financial Support: SATHI, with funding by Ion Foundation, subsidises the training. SATHI acknowledges and thanks Ion Foundation for this support.

A balance contribution of ₹3,000 is to be paid by the student or a guarantor. The purpose is to assure sustained interest in course completion, rather than the monetary amount itself.

This works out to approximately ₹500 per month

Beyond Training

The programme plans to move beyond training towards actual job creation and entrepreneurship.

Planned Centres and Streams

Telehealth Centres
Basic Training for All
Disaster Management
Specific Streams Based on Local Needs
Lymphedema Counsellor
Eye Care Centres
Dermatology – proposed stream
Psychiatric Support – proposed stream

Previous Experience

Aims2Health

Second-opinion services.

https://aims2.health

Lymphedema Projects

Lymphedema project experience in Sitapur and many other locations.

Eye-Care Work

Eye clinics in Mizoram and work in blindness control.

Disaster & Mental-Health Support

Post-tsunami care in Tamil Nadu and PTSD support.

Digital Health Assistant Programme

Society for Administration of Telemedicine and Healthcare Informatics

Dr S B Gogia, President

gogia7@gmail.com   |   sec.sathi@gmail.com   |   Phone: 9810126883