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MTP2 Presentation - Mr. Swapnil Mandal

MTP2 Presentation - Mr. Swapnil Mandal

Mr. Swapnil Mandal will present his MTP2 as per the details below:

Date: 24th June 2026

Time: 1300 - 1400 hrs.

Venue: Online Mode

Google Meet joining info: https://meet.google.com/jfn-vdnf-qed 

Title: Technology Mapping of Telemedicine in IHMS in Jaipur District, Rajasthan

Guide: Prof. Kuru Dindi

Examiners: Prof. Sanjay Chahande, Dr. Prem Singh

Abstract:

India's digital health revolution is almost caught between extremely rolled-out universal access policy and the quite low level of infrastructure and staff at the grassroots. More than half of India's population is living in rural areas and these people are facing the problem of unequal health access for a long time. This problem is made worse by the lack of doctors that is just 
1:10926 people and 76.1% shortage of specialists at health centres. For example, in Rajasthan, while only 25% of the total population of 68 million is urban, there are around 800 specialists who are in shortage which leads to completely different  situations in different regions severely. Strictly speaking, even though the state is funnelling a major chunk of its funds towards the
telemedicine module of the Integrated Health Management System (IHMS) in health facilities whether they are public, the frontline health workers level of technological uptake and operational use have progressively remained very low compared to expectations. The paper here aims at finding the system level adoption issues by conducting a thorough technology evaluation.

This research outlines the implementation of IHMS technology throughout the Jaipur district, employing qualitative investigations, non-participant workflow assessments, and data points at the system level to analyse obstacles to socio-technical adoption. Workflows were meticulously compared to formal procurement standards and global health informatics criteria (ISO 18308 and ISO/HL7  10781). The research reveals significant disparities between the intended design of the system and how it actually functions. The highly structured, hierarchical control of IHMS conflicts with the informal, resource-limited, and high-pressure environment in terms of footfall at public facilities. Consequently, the system is primarily utilized as an occasional administrative record instead of a comprehensive, integrated electronic health record. The dedicated telemedicine module made currently sees minimal engagement at the healthcare facility. Achieving genuine digital scale-up can only occur through changes that prioritize user-centred design, offline capabilities, and ongoing input from frontline workers, rather than rigid adherence to administrative protocols.

Keywords: Integrated Health Management System, Telemedicine, Technology Mapping, Electronic Health Record, Socio-Technical Barriers, Public Health Infrastructure