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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

India Set To Lead The World In 6G, Says Telecom Minister Jyotiraditya Scindia

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In a bold declaration at the inaugural address of the Indian Mobile Congress 2024 (IMC) on Tuesday, Union Telecom Minister Jyotiraditya M. Scindia has said that India will lead the world in the adoption of 6G.

In his address at the event, Scindia emphasized that India is now prepared to lead the world in the development of 6G technology.

India’s Technological Rise: From Following to Leading

“It is our belief and commitment that India, which followed the world in 4G and marched with it in 5G, will lead the world in 6G,” Scindia stated.

The minister highlighted India’s remarkable achievements in the telecommunications sector over the last ten years, the country has become a global leader in innovation and technology.

“It’s a fundamental change in approach towards technology development,” he said, attributing this transformation to Prime Minister Narendra Modi’s leadership.

Telecom Sector Growth Under PM Modi’s Leadership

“Prime Minister who has always put people at the heart of progress Sabka Sath, Sabka Vikas Sabka Vishvas aur Sabka Prayas combined with his second motto, One Earth, One Family and One Future. It is combination of these two mottos that leads India under PM Narendra Modi leadership one of the leading sectors in the committee of Nations,” Scindia said.

Scindia underscored government’s initiatives to bridge the digital divide, particularly through the BharatNet program, the world’s largest rural broadband connectivity initiative to connect every panchayat of the nation. Over the past three years, the government has invested more than USD 10 billion and laid 7 lakh kilometres of fiber across rural India.

Digital Payments and UPI: Pillars of India’s Digital Economy

He cited staggering growth in mobile and broadband connectivity, with mobile connections rising from 94 million to 1.16 billion, and broadband users growing from 60 million to 924 million in just a decade. India’s optical fibre cable (OFC) networks has expanded from 11 million kilometers to 41 million kilometres over the last ten years, he added.

The minister further said that this growth is accompanied by the success of India’s digital payment systems, the 4G stack, and the Unified Payments Interface (UPI), which serve as pillars of India’s digital economy are expected to contribute significantly to the global digital infrastructure.

Scindia further noted that the government’s efforts to ensure that policy frameworks keep pace with the rapidly evolving digital landscape. “The recent changes to the Telecommunications act 2023 is a case in point. It has been drawing light upon hither to undressed areas such as a high potential sector of satellite communications, addressing the challenges of the digital leader. The most important being cyber security. The telecom sector much like other growth critical sectors in India is aggressive, is ambitioushe said.

“The telecom sector much like other growth critical sectors in India is aggressive, is ambitious and its outlook in our Journey from Amritkal to Shatabdikal is to lead the world,” Scindia said. By mid-next year, India will have achieved 100 per cent saturation of 4G across the entire country, covering even the most remote villages, the minister said.

He emphasised PM Modi’s vision of India as a first mover in 6G technology, underscoring the nation’s resolve to lead the world in future telecom innovations.

“The attitude put forward by the prime minister of not just embracing, but raising ourselves to becoming the first mover in the 6G technology,” he added.

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Indian Markets Gave Better Returns Than China In Last 5 Years, Says Sebi Member

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Sebi Whole-time Member Ananth Narayan G on Monday reminded investors that Indian equities have consistently delivered 15 per cent returns over the last 5 years whereas the same has been zero or even negative in China.

Terming the Indian markets “sone pe suhaga” for delivering higher returns for lower risks, Narayan also flagged a few areas of caution for investors and asked them to be conscious of the risks.

“There’s a lot of talk about China markets over the last few days. But over the last five years, while Indian markets have given around 15 per cent compound annual growth rate consistently, Chinese markets are nowhere close to that. It’s almost zero. In fact, in some cases, like in Hong Kong, it’s actually negative,” Narayan said.

Speaking at an event marking the start of the Investor Awareness Week at NSE, Narayan said FY24 was a “remarkable” year for India, with the benchmark indices returning 28 per cent and the volatility just 10 per cent.

“That’s like ‘sone pe suhaga’. It’s like the best of all worlds: low risk and very high return,” Narayan said, underlining that there are side effects of this as well.

Making it clear that it will not be the same going forward and investors should not assume it to be a one-way street, Narayan said such handsome returns can lead to complacency and pointed to a lot of youngsters opening up demat accounts to join the bandwagon.

Educating people about risks is very important, Narayan said, giving the analogy of driving a car. “There has to be a light push on the accelerator to get more investors to provide risk capital for the economic growth, we also need to be aware of risks and use the brakes if need be.” He said that 40 per cent of the small and midcap scrips have shot up by 5 times in the last five years, because of an imbalance between inflow of investor money and supply of new paper.

On its part, the capital markets regulator is trying hard to ensure that fund-raising clearances are done early so that there is a steady stream of quality paper supply in the market.

From a broader, longer-term perspective, Indian markets will only go north from here given the economic growth prospects in the country, Narayan said, issuing specific advice to investors.

Investors need to have the right intermediaries to capitalise on this opportunity presented by India, and not fall for the unregistered and fly-by-night ‘finfluencers’ who might be driven by vested interests, he said.

Using the oft-repeated idiom of “all roads lead to Rome”, Narayan remarked that Rome is not a traveller-friendly place and one may get scammed there as well. Therefore, it is important to seek advice from the right people for the investors, he said.

He also said that it is in investors’ interests to trade less and stay invested for longer for higher returns, and added that studies prove the same.

Sebi, which has flagged certain areas like derivatives recently, is not against speculation or participants taking short-term trades, but it would want investors to understand the risks, Narayan said.

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Ratan Tata Rubbishes Rumors Of ‘Critical Health’; Says No Cause For Concern

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Ratan Tata Rubbishes Rumors Of 'Critical Health'; Says No Cause For Concern

Tata Group’s Ratan Tata has denied rumours of his critical health that have been reported and have surfaced in the recent hours.

Ratan Tata’s associates took to his official Instagram account to debunk the news of him being ‘Critical’.

In the post, Ratan Tata said, “I am aware of recent rumors circulating regarding my health and want to assure everyone that these claims are unfounded. I am currently undergoing medical check-ups due to my age and related medical conditions.

There is no cause for concern. I remain in good spirits and request that the public and media respect refrain from spreading misinformation.

For more than fifty years, Ratan Tata has led the Indian business community’s entrance hall. The 86-year-old has been suffering from illnesses associated with ageing. Tata has participated in social life to the best of his limited ability despite his health issues.

Recently, on the occasion of Gandhi Jayanti, on October 2, Ratan Tata, expressed his congratulations to the Prime Minister on this occasion. “I congratulate the honourable Prime Minister on the 10-year commemoration of programmes that have benefitted millions in rural India.”

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