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Ayushman Bharat Digital Mission Implementation Research

About

InOrder undertook comprehensive implementation research to identify the challenges and critical factors influencing the adoption of Digital Health initiatives, specifically through pilot microsites for the Ayushman Bharat Digital Mission (ABDM). This research provides valuable insights into the barriers and enablers of digital health adoption and outlines strategies for scaling these initiatives across various states and private sector programs.
Initiation Challenges:
  • Institutional Readiness:
    Both the public and private sectors face limited readiness for digital health implementation. Additionally, there is a significant digital maturity gap between rural and urban populations, with notable variations across states.

  • Digital Infrastructure:
    There is an urgent need for increased funding to address gaps in digital infrastructure and to upgrade systems to support interoperable applications, essential for the widespread adoption of digital health solutions.
  • Private Sector Engagement:
    The lack of incentives for the private sector and insufficient guidance for smaller healthcare facilities in meeting infrastructural compliance are key barriers to progress.

  • Staff Resistance and Skill Gaps:
    Resistance from healthcare staff towards digitization, coupled with significant gaps in digital health skills, poses a major challenge. A diverse range of stakeholders requires tailored approaches for effective implementation.
  • Sustainable Investment:
    For digital health reforms to succeed long-term, planned and sustained investment is crucial.

  • Health Worker Adaptation:
    Strategies to address resistance and enhance digital health skills among health workers are essential for integrating digital health solutions into care delivery.

  • Impact Assessment:
    A robust impact assessment framework is necessary to measure the benefits of digital health reforms and to guide course corrections as needed.

The research will continue to evolve, focusing on adoption strategies across different states and exploring private sector involvement. It will place a strong emphasis on overcoming the identified challenges and advancing digital health readiness, infrastructure, and skills across the health ecosystem.