Deutsche Gesellschaft für Internationale Zusammenarbeit (GIZ) commissioned ACCESS Health International to define how information technology should be used for a well performing primary care system. ACCESS Health was asked to assess the extent to which the existing Rashtriya Swasthya Bima Yojana (RSBY) technology systems can be used or need to be modified if the technology were to integrate with primary healthcare. The RSBY program has provided secondary level healthcare to more than thirty six million families across most states in India. Primary healthcare and outpatient services have been largely outside the scope of the program. As part of the assessment, ACCESS Health studied the outpatient pilots under RSBY, reviewed the medical packages of RSBY to identify services that should be delivered at the primary care level, and studied select government and private programs working in primary care and health insurance.
This report includes an assessment of the RSBY technology systems and recommendations on what aspects of the RSBY system should be modified or used in their current state for an integrated health system that spans both primary and secondary care. The report also includes a summary of the user specifications for primary healthcare technology and a list of RSBY medical packages that can be treated at the primary care level.