Intelehealth aims to revolutionize healthcare delivery in LMICs through an open-source telemedicine software platform built as a Digital Public Good. Faced with immense public health challenges, including an alarming rate of medical errors and a shortage of healthcare workers, LMICs require innovative solutions to improve access to quality healthcare, especially in rural and underserved urban areas.
Intelehealth is solving this last mile health crisis through our innovative low-bandwidth telemedicine platform. Our telemedicine platform comprises a Provider-to-Provider portal, and a Patient-to-Provider portal, all powered by a novel digital assistant called Ayu. Ayu is a decision support system that contains 150+ evidence-based protocols for delivering high-quality health services and improving patient outcomes. Ayu helps to shift the crucial task of clinical history-taking from a qualified doctor to that of a semi-skilled health worker, thereby supporting local health workers to provide evidence-based health services. For conditions that are beyond the capacity of the health worker, it can connect the health worker and patient with a virtual doctor over telemedicine, leading to conclusive diagnosis. All three modes of communication - text chat, audio & video calls - are supported.Through a digital assistant + telemedicine we can address up to 70% of primary care conditions faced by women.
Intelehealth works with existing healthcare networks in a country to set up a telehealth program. We work with governments, NGOs and hospitals who already have networks of community health workers, referral hospitals and pharmacies. We add on virtual-care delivery to these existing systems expanding their reach and making doctors available at the last mile. To date, Intelehealth has covered 46.2 Million population and enabled over 1.6 Million consultations, supported 7633 frontline health workers & 1765 doctors in India, Kyrgyzstan & Syria.

https://intelehealth.org/

• India
• Kyrgyzstan
• Syrian Arab Republic

• Older persons
• Women
• People with disabilities
• The poor
• Remote and rural communities

The Intelehealth platform has significant potential for scaling up and replication in various contexts or regions due to several key factors:
- Technological Flexibility: The platform is designed to operate on mobile devices and function in low-bandwidth or offline environments. This feature makes it easily adaptable and deployable in diverse settings, including those with limited digital infrastructure.
- Language Localization: The capacity to operate in local languages removes language barriers and enhances the potential for scaling up. As new language modules are developed, the system can be extended to new regions.
- User-Centered Design: The platform is built with an emphasis on being user-friendly for both health workers and patients. This design improves its acceptability and usability in various contexts.
- Partnerships and Collaborations: The collaborations with National Governments, Multilateral aid organizations, large nonprofits and academic institutes, contributes to the technical robustness of the platform and offer potential avenues for expansion to other regions where these institutions have a presence or influence.
- Existing Deployment: Intelehealth already has a field presence in 16 states in India, 3 provinces in Kyrgyzstan and the learnings from these deployments can be leveraged to further scale up the solution.
- Potential for Integration with other Health Systems: The platform is designed to integrate with existing health systems, and the potential to link with other digital health initiatives makes it an attractive solution for other regions looking to enhance their digital health capabilities.
- Open Source Nature: Being open source makes it possible for other organizations or regions to adopt and adapt the system to their unique needs, thereby aiding in replication and scalability.
Therefore, Intelehealth has the potential to make a substantial difference in healthcare delivery in different contexts and regions, aiding in the global effort to achieve universal health coverage.

"Intelehealth’s programs reach rural & remote areas especially women and children who do not have access to healthcare services. Every day, those living in poverty and/or in rural areas struggle daily to decide whether to see a medical professional. Women face even more hardships than men, often needing permission or a companion for the journey. Not only do women and men suffer - so do their children and the elderly, as their family members are often not able to take them to medical visits. There may also be a lot of stigma surrounding seeking healthcare for many health issues. Not only is poverty and rural living challenging to healthcare systems, there are also many indigenous and nomadic populations that cannot consistently visit clinics. These are the communities that Intelehealth’s programs support - women, child, elderly living in rural areas or in urban poor communities. We partner with a government or nonprofit health institution that is already running an in-person health care delivery program. We then work with them to extend the reach of their existing health facilities. We connect their peripheral health workers (like nurses, paramedics, community health volunteers) at primary health facilities called spokes to more skilled health providers (like doctors, therapists) at hospitals called hubs. We also create virtual call centers where patients can dial an 1800 number and connect with a hub hospital directly from their homes. The entire program is built along with and later transferred to the government or nonprofit, ensuring long-term local ownership & sustainability. Because we partner with a local health network, we can also bring in linkages to their pharmacies, diagnostic labs, and referral centers where patients can be referred for in-person services & to pick up medicines. We provide our partners with our software + implementation know-how to successfully implement the program."