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