C4IR Telangana: A pathway to streamlining healthcare delivery Challenge The current system for accessing government services in Telangana is fragmented and cumbersome, requiring citizens to use multiple cards to access essential services such as healthcare, distribution of rations and welfare programmes. This complexity leads to inefficiencies, difficulties in managing comprehensive health records and frequent repetition of primary tests due to the lack of a unified health history. As a result, impoverished people struggle to navigate these systems and access the necessary medical services, which can negatively affect their health outcomes. Solution The Telangana Family Digital Health Card initiative addresses these difficulties by issuing a single digital card that consolidates access to various government services and welfare schemes. This “One State, One Card” initiative aims to streamline service delivery and enhance efficiency. Key features of the card include: 1. Single access point: Citizens use one card to access multiple services 2. Portability: The card is portable, allowing users to access services from any location in Telangana 3. Comprehensive health records: The card carries the health profiles of each family member, including past treatment details, which reduces the need for redundant diagnostic tests; this system helps streamline consultations by allowing doctors to make informed decisions quicklyApproach The pilot project for Telangana’s “One State, One Card” policy was launched by Revanth Reddy, the chief minister of Telangana. Families permanently resident in the state will be identified. The exercise, carried out in all 190 constituencies (one village and one municipality ward) will later be implemented across the state. The family digital card will have a woman as the head of the family (or the most senior man if there is no woman). All families will be provided with family IDs irrespective of their economic status. Each person in the family will be provided with a unique personal ID. The family digital cards will help people access welfare schemes. Furthermore, a special monitoring mechanism will be established at the district level to oversee the family digital card initiative, ensuring its successful implementation and sustainability. Outcome The pilot project conducted in Mulugu and Rajanna Sircilla revealed higher prevalence rates of cardiovascular diseases and cervical cancer, respectively. As part of the pilot, 30 different tests were conducted and insights gathered through door-to-door data collection, facilitated by 30 teams in 15 primary health centres (PHCs), enabling comprehensive health profiling. This led to improved health outcomes and better resource allocation.CASE STUDY 1 C4IR TelanganaAppendix: Case studies Better Together: Building a Global Health Network Economy through Data Collaboration 19

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