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How ECHO India is building capacities via AWS Cloud to touch 400 million lives

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With a goal to touch 400 million lives in India by end 2025, New Delhi-based non-profit organisation ECHO India is working towards building capacities across areas such as healthcare, education and other sustainable development goals.

ECHO India (Extension for Community Healthcare Outcomes), along with its partners, has launched over 200 hubs and rolled out more than 350 programmes covering more than 30 disease areas, which has led to the capacity building of over 700,000 healthcare providers across the country.

Kartik Dhar, Head Technology & Digital Platforms at ECHO India, told IANS in an interview that Cloud technology is at the heart of all that they do, as it enables them to connect their participants together.

The Covid pandemic created a great sense of urgency for the organisation and access to AWS infrastructure allowed them to build their platform much faster and with greater reliability.

Here are the excerpts from an interview:

Q. What is the vision behind ECHO India?

A: Established in 2008, ECHO India is a non-profit organisation focused on bringing equity primarily in the fields of healthcare and education through capacity building of healthcare practitioners and educators.

We follow the Societal Thinking approach, and are working towards building an open digital infrastructure for capacity building through a community-centred approach, powered by the ECHO’s ‘hub and spoke’ Model of learning; Hub being a group of experts who regularly mentor the learners (spokes).

TeleECHO “clinics” are conducted by ECHO ahubs’ through basic, widely available teleconferencing tools, and the sessions involve primary care clinicians and healthcare workers (HCWs) from multiple sites presenting patient cases to teams of specialists and each other. In this manner, ECHO creates ongoing learning communities to support primary care clinicians and helps them develop necessary skills.

With a goal to touch 400 million lives in India by end of 2025, ECHO India has partnered with the Ministry of Health and Family Welfare (MoHFW), Government of India, State NHMs (National Health Missions), Municipal Corporations, Nursing Councils as well as leading medical institutions across India including AIIMS (All India Institute of Medical Sciences), NIMHANS (National Institute of Mental Health & Neurological Sciences), NITRD (National Institute for Tuberculosis and Respiratory Diseases), NICPR (National Institute of Cancer Prevention & Research), Tata Memorial Hospital, and PGIMER (Post Graduate Institute for Medical Education & Research). ECHO India, along with its partners, has launched over 200 hubs and rolled out 350+ programmes covering more than 30 disease areas, which has led to the capacity building of over 700,000 providers across the country.

Q: What innovations has Echo brought into the non-profit space?

A: The ECHO Model is an innovative learning model that uses case-based learning, guided iterative practice, and tele-mentoring, instead of traditional online and unidirectional learning methodologies like Webinars, Lectures, MOOC (Massive Online Open Courses). Through this practical approach we are able to ensure that health workers have better knowledge retention and practical understanding that they can apply in the field.

We have also developed an innovative Digital Platform called iECHO, — developed in collaboration with Project ECHO USA — that serves as a shared digital infrastructure for the entire global movement. Through this digital platform, participants can connect with experts, take part in live learning sessions, access best practices, get digital certificates, and potentially connect and share knowledge freely and openly.

Q: Tell us about the reach of your work and elaborate on your plans for the next couple of years?

A: We launched more than 80 new hubs during 2021-22, representing a strong YoY growth of over 65 per cent, following on from a massive 160 per cent growth in the year before.

We signed a Memorandum of Understanding (MoU) with the Ministry of Health and Family Welfare to facilitate the use of ECHO Model in MoHFW-linked hospitals, central institutions and national-level programmes.

We also entered into formal partnerships with 25 state NHMs to enable capacity building at primary and secondary care. We expanded outreach to all the North-eastern states, strengthening ECHO’s impact in the country’s hinterland, thus reducing inequities in healthcare access.

In a recent programme, we mentored 5,500 nurses for infection prevention and control in partnership with the Nursing Councils, state NHMs and Municipal Corporations of Mumbai, Nagpur and Kolkata.

We see our role evolving from solving the problem to distributing the ability to solve to our “superhubs”, hubs or sometimes even our participants. Our role is to ensure that in this capacity building and skilling of HCWs, there is fidelity to the ECHO Model, an enabling technology infrastructure, defined standards and proper guidance and support all the participants of the ECHO movement.

iECHO allows hubs to onboard themselves on the ECHO platform faster, helps them build and operate multiple programmes and onboard their spokes too. They can access all the programme data at one place with ways to manage multiple programmes, see details of attendance, get robust data analytics on participation, conduct assessments and issue certification to the participants.

Q: How do you go about addressing Sustainable Development Goals?

A: The ECHO model has proven efficient, effective, and scalable across several disciplines in empowering global change, especially in the fields of health and education. Going beyond health and education, the ECHO model can be leveraged to create lasting change across multiple sectors and achieve Sustainable Development Goals (SDGs) — extending even to Gender Equity and Climate — by empowering stakeholders from relevant fields to think and expand their horizons to achieve a better and more sustainable future for all.

Q. What types of challenges do you face while working and how do you solve them?

A: As a technology enabled non-profit, we are constantly challenged with ensuring our systems are resilient, scalable, and accessible to all. In a resource constrained environment like India, access to fast internet has been challenging, especially as we work in remote areas.

Our goal is to ensure equitable access to all our community participants, and we have taken various initiatives to ensure the ECHO platform is accessible to the last mile.

A constant challenge in software development is the balance of speed and quality. Given that we are trying to solve a massive challenge of touching 1 billion lives, we need to operate at speed, while ensuring that the solutions we develop are robust and scalable to meet the growing needs of the movement.

Q. What are some of the emerging technologies that will further reshape healthcare, education, and livelihood over the next 4-5 years?

A: The upcoming Ayushman Bharat Digital Mission (ABDM) platform by the Ministry of Health & Family Welfare, Government of India, can be a game changer in ensuring equitable access to healthcare for the last mile. By enabling interoperability and digitization, it could potentially transform healthcare in the same way that UPI (Unified Payments Interface) has transformed micropayments in India.

We also are optimistic about the potential of Artificial Intelligence (AI) and Machine Learning (ML) technologies to impact the last mile. We have seen deep learning language models like GPT-3 transform the way humans can interact with computer systems, and we are collaborating with the Societal Platform team towards building platform capabilities that will allow the ECHO community to discover and access knowledge resources seamlessly.

AI-based voice assistant and translation technologies in regional languages of India can also be a game changer towards democratizing access to specialized medical knowledge and expertise to health workers in remote areas who are not comfortable with English.

Q: What has cloud technology and AWS helped you to do that you couldn’t do before?

The ECHO movement is a model which relies on personal touch, mutual respect and connection between the mentor and mentee. The challenge has been not to lose the heart of the model while constructing a digital platform which will enable a huge force-multiplication to the initiative. Cloud technology is now at the heart of all how we propose to expand it exponentially, as it connects our participants together while retaining fidelity to the Model.

Amazon has been a critical part of our journey and a key partner. We are using a whole host of AWS services such as the Elastic Kubernetes Service, Pinpoint for messaging, DynamoDB for a highly scalable NoSQL database, and much more.

The pandemic created a great sense of urgency for us and we needed to develop our platform at rapid speed. Having access to AWS infrastructure has allowed us to build our platform much faster and with greater reliability. This has been critical in the journey of ECHO.

Q. In terms of business outcomes, what benefits have you experienced because of running on AWS?

By leveraging containerization and microservices architecture, specifically through Amazon Elastic Container Registry (ECR) and Amazon CloudWatch, we have improved our infrastructure pipelines dramatically. Through ECR we are able to automate our deployment and ensure we can reliably deploy functionality to our users seamlessly. CloudWatch has given us improved insights into infrastructure telemetry data and has reduced the time for issue resolution significantly.

Amazon Simple Email Service (SES) has provided us with a highly cost effective and scalable solution for sending email communications and notifications to our users. It has provided a low cost and high reliability solution as compared to other vendors.

Having a managed suite of services, especially the database and container registry has allowed us to achieve a lot with a small and lean team.

Not having to hire dedicated Database Administrators or system administrators to manage and maintain the database has allowed us to focus our efforts on maximizing value for our users.

Implementing DynamoDB with auto-scaling and in-memory caching has given us a highly scalable database with zero downtime, while being able to handle millions of requests.

Through our microservice architecture implemented on AWS Cloud we are able to ensure a highly available system with failover protection and auto-scaling to handle high traffic spikes.

Amazon Pinpoint has enabled us to send SMS notifications, One-time passwords (OTP), and other communications very easily, thus allowing our users to easily sign up, get updates, and interact with the ECHO platform using mobile devices.

Having dedicated technical support and communication from our relationship manager has been highly appreciated, and gives us added efficiency, and an extra peace of mind.

Ensuring Cybersecurity and compliance best practices around Identity and Access Management (IAM), separation of development, testing and production environments, while maintaining a highly agile and responsive development workflow has been enabled by AWS.

The “mission” of ECHO India is not to generate revenue. It is to bring equity in Healthcare using this ECHO model. I am very happy that the use of AWS in our digital platform iECHO is enabling us to do that.

Business

Is Market Correction Over? Sensex Soars By Over 1,900 Points; Nifty Gains Over 2%

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The marquee indices closed with monumental gains as Dalal Street recovered with some requisite optimism ahead of the Maharashtra state election results on November 23.

Indian Markets Close With Bumper Gains

On Friday, November 22, the marquee indices closed with monumental gains, as Dalal Street recovered with some requisite optimism ahead of the Maharashtra state election results on November 23.

The BSE Sensex closed for the day’s proceeding with some big numbers. The oldest index in Asia closed with gains of a colossal 1961.32 points or 2.54 per cent. This took the overall value of the index to 79,117.11.

The situation was equally euphoric at the National Stock Exchange. The NSE Nifty closed at 23,830.90, having gained 481.00 points or 2.06 per cent.

In addition, the Nifty Bank index also made gains of over 1.5 per cent. Thebanking index closed with gains of 858.50 points or 1.70 per cent, pushing it beyond the coveted 50K mark, propelling it to 51,231.40.

Gainers and Losers

The days went exceedingly well for most listed companies, the day closed with a green wall. At the BSE end, SBI, Titan and TCS were the biggest gainers with all of the said companies gaining over 4 per cent.

ITC, L&T, Infosys and Reliance also made major gains in excess of 3 per cent by the end of day.

This comes after days, nearly a two-week long period of decline, that marred the market, pushing Sensex below its 80K mark, and Nifty, much below its 25K mark.

It remains to be seen, whether the much discussed market correction that brought about bringing the indices to their actual value, has come to an end or whether sea of red will continue in the time to come.

In addition, it also remains to be seen, whether, the election results for teh critical state of Maharahstra would have an effect on the market, in the next trading week.

Asian Markets

The Asian markets also flourished green with great momentum, as these indices closed on a positive note as well.

Japan’s Nikkei gained 0.68 per cent or 257.68 points, moving towards the 40K mark, closing at 38,283.85.

Another Tokyo-based index, TOPIX, closed at 2,696.53, gaining by 0.51 per cent or 13.72 points.

As we move to China, the story was a lot different, as, contrary to the Indian and Japanese markets, the Chinese markets closed in red.

Hang Seng closed with significant losses in its numbers, closing with a massive fall of 1.89 per cent or 371.14 points, at 19,229.97.

The loss was even greater in mainland China, as the Shanghai-based SSE Composite also ended the day’s trade with deep cuts. The index crumbled by 3.06 per cent or 103.21 points of its value and closed at 3,267.19.

South Korea’s KOSPI was in tandem with other market as closed with some good news. KOSPI closed with an increase of 0.83 per cent or 20.61 points, closing for the day at 2,501.24.

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Business

‘Innocent Unless And Until Proven Guilty’: Adani Group Issues Statement In The US Bribery Indictment; Denies Charges, Calls Them Baseless

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The Adani Group, which has been at the eye of the storm since the beginning of the new day, has issued a statement in the US Indictment matter.

Adani Denies Charges

The company, in a statement procured by the conglomerate-owned IANS, said, “The allegations made by the US Department of Justice and the US Securities and Exchange Commission against directors of Adani Green are baseless and denied.”

Furthermore, the statement asserted its stance and added, “As stated by the US Department of Justice itself, “the charges in the indictment are allegations and the defendants are presumed innocent unless and until proven guilty.” All possible legal recourse will be sought.”

Committed to Highest Standards

The Adani Group further added that it has always upheld and is steadfastly committed to maintaining the highest standards of governance, transparency and regulatory compliance across all jurisdictions of its operations.

US Court Indicts Adani and Co.

The company, in an attempt to assuage stakeholders, partners and employees, said that the company is a law-abiding organisation, fully compliant with all laws.

The storm was kicked off by a post from short-seller group Hindenburg, which shared the news of the US Federal Court’s indictment of Gautam Adani and seven others associated with the company.

Billionaire Gautam Adani has been charged by US prosecutors for allegedly being part of a scheme to pay over USD 250 million (about Rs 2,100 crore) bribe to Indian officials in exchange of favourable terms for solar power contracts.

The press release from the US court elaborated on the allegations and claimed that the company and its leadership had indulged in mass bribery activity, in which the company bribed Indian officials to bag a contract for its Adani Green Energy company.

This in turn led to misleading American investors and global financial investors.

The court reportedly also issued an arrest warrant against Gautam Adani and seven others.

Adani Shares Tank

In the aftermath of the report, Adani Group company shares tanked at Dalal Street. With Adani Enterprises shares hitting the lower circuit, losing 20 per cent of their value. The situation was the same with the other Adani stocks, including Adani Green Energy, which is in the middle of the new storm.

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Business

Bharat NCAP Awards 5-Star Crash Test Rating to Mahindra Thar Roxx

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The Mahindra Thar Roxx has earned a prestigious 5-star rating in Bharat NCAP’s latest crash tests, reflecting its commitment to safety. Recently evaluated under stringent testing, the SUV excelled with a 31.09 out of 32 score for adult occupant protection and 45 out of 49 for child safety.

Tested in its AX5L and MX3 variants, the Mahindra Thar Roxx delivered notable results, scoring 15.09 out of 16 in the Frontal Offset test and a perfect 16 out of 16 in the Side Impact test. The assessment revealed strong protection for most areas, with adequate ratings for the driver’s chest and lower legs.

The Mahindra Thar Roxx has received high marks for child occupant safety, scoring 24 points in Bharat NCAP tests, along with 12 points for CRS (Child Restraint System) installation and a Vehicle Assessment Score of 9. This top-tier safety rating applies to all Thar Roxx units produced from November 2024 onward, underscoring Mahindra’s dedication to enhancing safety features across its SUV range. Additionally, Mahindra’s XUV400 and 3XO models have also achieved 5-star safety ratings, further emphasizing the automaker’s commitment to robust safety standards.

The Mahindra Thar Roxx offers two interior themes – Classic Ivory and a new Dark Mocha Brown. Comfort and convenience are prioritizing with ventilated seats, leatherette upholstery, a digital driver display, a larger 10.25-inch touchscreen, a high-quality Harmon Kardon sound system, a panoramic sunroof, rear AC vents, wireless connectivity for Apple CarPlay and Android Auto, and a six-way adjustable driver’s seat, combining practicality with luxury.

Mahindra Thar 5-door comes packed with safety and interior upgrades to enhance its appeal. On the safety side, it includes essentials like six airbags, three-point seatbelts for all occupants, hill control features, electronic stability control, and a seatbelt reminder. Advanced driver-assist features, such as autonomous emergency braking, adaptive cruise control, lane-keeping support, lane departure alerts, and a 360-degree camera system with blind spot monitoring, add an extra layer of protection.

Mahindra Thar Roxx offers two engine choices: a 2.0-litre turbo-petrol and a 2.2-litre diesel. The petrol engine comes in two setups—150 bhp and 330 Nm of torque for the manual, and 174 bhp with 380 Nm for the automatic. The diesel option is available only with four-wheel drive.

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