According to the “Tracking universal health coverage: 2017 global monitoring report” by the World Health Organization and International Bank for Reconstruction and Development, in India alone, about 50-60 million people in the last decade have been pushed to poverty because of health-related expenditure. The poor lose up to 1-2 months of productive time in a year to illness of self and family. Almost 50-80% of them live with some form of undiagnosed illnesses and die earlier than those who are economically better off. To address this issue and break the vicious cycle of ill health and poverty, Swasti’s Invest for Wellness (i4We) programme has brought primary care to the doorstep of 2 lakh+ of the poorest and most marginalised people. Their aim is to reach 100 million well-thy days by the year 2030.
The programme is currently being implemented across 4 States and 5 locations in urban and rural areas in India – Sehore District (2 blocks) in Madhya Pradesh; Ramanagara District (1 taluka), , and Bengaluru urban district in Karnataka; Karur urban in Tamil Nadu; and Gurugram in Haryana. The model is designed to have local community leadership through not just frontline health workers, but through health focused groups and a local community institution, equivalent of the Mahila Arogrya Samiti. Each family is a “member” and actively participate in their well-being journey, actively being navigated through health information, advice and services (screening, treatment and care services and referral) , social protection (awareness,eligibility and facilitation of government identity and schemes) as well as financial literacy and services (savings and credit)