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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

Sensex May Touch 1.15 Lakh And Nifty 43,876 By FY28 In Bull Case, Says Ventura Stock Broking Report

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Mumbai: In a bull case scenario, Sensex is projected to reach 115,836 and Nifty is likely touch 43,876 by the financial year 2028 (FY28), a report said on Friday.

However, in a bear case scenario, Sensex is projected to reach 1,04,804 and Nifty at 39,697 by FY28, Ventura, a stock broking platform, said in its recent projection.

Nifty is expected to oscillate within a well-defined price-to-earnings (PE) band in these three years, with projected robust earnings growth with estimated FY28 earnings per share compound annual growth rate (EPS CAGR) of 12-14 per cent.

“In the last 10 years, the Indian economy has demonstrated resilience and clocked the highest GDP growth as a large economy despite global headwinds of NBFC crisis, Covid 19, Russia-Ukraine war and the recent uncertainty on US President Donald Trump tariff,” said Vinit Bolinjkar, Head of Research, Ventura.

The risk mitigation influencers will outweigh the current challenges, which will usher Indian GDP growth to 7.3 per cent by FY30(E), he added.

By FY28, the Indian index will be at a PE level of 21 times in the bull case and 19 times in the bear case with an estimated earnings-per-share (EPS) of 5,516 for Sensex and 2,089 for Nifty 50, the report stated.

Over the past ten years, India has demonstrated extraordinary resilience by navigating a series of unprecedented disruptions without compromising its growth trajectory.

From the “Fragile Five” designation to demonetisation, GST implementation, a crippling NBFC crisis, and the dual shock of COVID-19 waves, India has withstood and adapted to adversity, the report highlighted.

According to the report, even global headwinds like the Russia-Ukraine war and Trump-era tariffs have failed to derail its momentum, underlining the robustness of the Indian economy.

As of the mid-season point for Q1 FY26 earnings, 159 companies have reported Q1 FY26 results, revealing broad-based strength across key sectors.

Engineering/manufacturing and services sectors have led the pack, while consumption, commodities, and pharma show steady performance, the report stated.

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Sensex – Nifty Open Lower Amid Weak FII Sentiment, Midcap & Smallcap Stocks Lend Market Support

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Key Highlights:

– Sensex fell 171 pts, Nifty down 35 pts; midcaps, smallcaps held strong.

– FIIs sold Rs 3,694 crore worth of stocks; DIIs bought Rs 2,820 crore.

– Nifty’s bearish engulfing pattern suggests continued caution; 25,000 key support.

Mumbai: Indian equity benchmarks Sensex and Nifty began Friday’s session in the red, weighed down by selling pressure in large-cap stocks. At 9:25 am, the Sensex declined by 171 points or 0.21 percent to trade at 82,087, while the Nifty dropped 35 points or 0.14 percent to 25,075.

Heavyweights Drag, Broader Market Holds

Major drag on the indices came from key constituents such as Axis Bank, Bharti Airtel, Kotak Mahindra Bank, and HDFC Bank. Financial stocks, FMCG, and private banking segments were under pressure. However, midcap and smallcap segments outperformed, providing resilience to the overall market.

Gainers on the Sensex included M&M, Tata Steel, Power Grid, L&T, Infosys, and Maruti Suzuki, reflecting strength in sectors like auto, metals, and infra.

Sectoral Picture Mixed

On the sectoral front, gains were recorded in auto, IT, PSU banks, metals, realty, energy, media, infrastructure, and commodities. Meanwhile, financial services, FMCG, and private banking faced losses.

Technical indicators showed bearish signals, with Nifty completing a bearish engulfing candle on Thursday. Analysts highlight 25,000 as a key support and 25,340 as a vital resistance level.

FIIs Remain Net Sellers

Foreign institutional investors (FIIs) continued their selling trend, offloading equities worth Rs 3,694 crore on July 17 — marking the second consecutive session of net selling. Domestic institutional investors (DIIs), however, remained net buyers, purchasing Rs 2,820 crore worth of shares for the ninth straight session.

According to Dr. VK Vijayakumar of Geojit Financial Services, FIIs have shown a clear pattern of selling in July after buying in the previous three months. Without positive triggers, the downtrend could persist.

Global Cues Offer Some Relief

Asian markets traded mostly higher on Friday, with Shanghai, Hong Kong, Bangkok, and Jakarta in the green, although Tokyo and Seoul lagged. The US markets ended positively on Thursday, driven by upbeat investor sentiment.

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Indian Equity Indices Open Flat As Markets Await Fresh Triggers To Break Out Of Consolidation Phase

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Mumbai: The Indian equity indices opened flat on Thursday, as markets looked for new triggers to break out of the consolidation range.

At 9.2 am, c was down 15 points at 82,619 and Nifty was down 2 points at 25,210. Buying was seen in the midcap and smallcap stocks. Nifty midcap 100 index was up 123 points or 0.18 per cent at 59,741 and Nifty smallcap 100 index was up 70 points or 0.37 per cent at 19,210.

On the sectoral front, auto, pharma, FMCG, metal, realty, energy, infra and PSE were major gainers, while IT, PSU bank, financial services and media were major losers.

In the Sensex pack, Sun Pharma, M&M, Trent, Kotak Mahindra, Tata Motors, NTPC, BEL, Titan and Power Grid were major gainers. Tech Mahindra, ICICI Bank, Eternal, Axis Bank, Infosys and HUL were major losers.

According to analysts, an India-US interim trade deal has been discounted by the market, leaving no scope for a sharp rally decisively breaking the range.

“One positive and surprise factor that can trigger a rally is a tariff rate much below 20 per cent, say 15 per cent, which the market has not discounted. So, watch out for developments on the trade and tariff front,” said Dr VK Vijayakumar, Chief Investment Strategist, Geojit Investments Limited.

Most Asian stocks traded in a flat-to-low range. Tokyo, Shanghai, Bangkok and Jakarta were trading in the green while Hong Kong and Seoul were in the red.

The US market closed in the green on Wednesday due to positive market sentiment.

On the institutional front, foreign institutional investors (FIIs) continued to reduce exposure in India, selling equities worth Rs 1,858 crore on July 16. In contrast, domestic institutional investors (DIIs) remained consistent buyers for the 8th straight session, infusing Rs 1,223 crore, lending crucial support to the market amid global uncertainties.

The broader trend remains optimistic as long as key support levels are respected, said analysts.

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