Digital LiteracySurvey Sakhi Project

95% Untapped Potential: Telemedicine in Rural Saidbhar

Saidbhar, Uttar Pradesh
August 23, 2025
400 potential beneficiaries
95% Untapped Potential: Telemedicine in Rural Saidbhar

Impact at a Glance

100%
Health Insurance Awareness
95%
Never Used Telemedicine
95%
Experience Common Illnesses
60%
Travel to Private Hospital
80%
Families With Internet
35%
Women Want Digital Training

Survey findings reveal a paradox: 100% of women in Saidbhar are aware of government health insurance schemes, yet 95% have never used telemedicine despite 95% experiencing recurring fever, diarrhea, and respiratory issues. Digital health could transform rural healthcare access.

The Challenge

Women in Saidbhar face recurring health issues—95% experience fever, diarrhea, and respiratory problems—yet must travel to distant private hospitals (60%) or government facilities (30%) for every consultation. Despite 100% awareness of Ayushman Bharat health insurance and 80% of families having internet, only 5% have ever tried telemedicine.

Our Approach

The Survey Sakhi data collection revealed massive untapped potential for digital health interventions. ASHA workers successfully reach 99% of women for vaccination information, proving the community health worker model works. Extending this to telemedicine training could provide immediate healthcare access, especially for common ailments.

Implementation

Survey Sakhi conducted health access surveys across women in Saidbhar, documenting common illnesses, healthcare facility usage, telemedicine awareness, and digital health readiness. Questions covered distance to hospitals, frequency of common ailments, health insurance knowledge, and interest in learning digital health tools. The survey also mapped the successful ASHA worker model for vaccination information delivery (99% reach), identifying it as a potential channel for telemedicine training. Data collection took place over 5 weeks, with follow-up questions to understand barriers to digital health adoption.

Results & Impact

The findings revealed a stark digital health paradox: 100% Ayushman Bharat awareness versus 95% zero telemedicine usage. With 95% of women experiencing recurring fever, diarrhea, and respiratory issues, and 60% traveling to distant private hospitals for every consultation, the cost—in time, money, and delayed care—is enormous. Yet the infrastructure exists: 80% have internet, and 45% of women own smartphones. The survey quantified the opportunity: if even 30% of the total women adopted telemedicine for common ailments, it could save approximately 250+ hospital trips annually in this one village alone.

When my child gets fever at night, I have to wait until morning to travel several kilometers to the hospital. If I could talk to a doctor on the phone, it would save so much time and worry.

Survey Respondent, Saidbhar Village, Saidbhar, Uttar Pradesh

Lessons Learned

Key insights emerged: First, awareness of health schemes (100%) doesn't translate to digital health adoption (5%), indicating a massive training gap. Second, the ASHA worker model's success (99% reach for vaccination info) provides a proven community health infrastructure that could be leveraged for telemedicine training. Third, common ailments (fever, diarrhea, respiratory issues affecting 95%) are exactly the conditions telemedicine serves best. Fourth, women's preference for private hospitals (60%) despite government health insurance suggests quality concerns that telemedicine could partially address through immediate expert consultation. Fifth, night-time emergencies particularly affect mothers, making 24/7 telemedicine especially valuable.

Looking Forward

DigiSam Foundation plans to partner with ASHA workers to pilot a Telemedicine Training Program in Saidbhar. The initiative will train 20-25 women in using government telemedicine platforms (e-Sanjeevani, Aarogya Setu) and private options. Training will cover: identifying conditions suitable for telemedicine vs. in-person care, using video consultation features, sharing symptoms effectively, and following up on prescriptions digitally. We'll collaborate with local primary health centers to integrate telemedicine into the existing health delivery system. Target: reduce non-emergency hospital trips by 40% within 6 months, measured through follow-up surveys tracking healthcare access patterns.

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