Context India has more than 4.3 billion doctor consultations per annum,1 but most health records are not digital, or are unstructured/ inconsistently maintained.Households’ out-of-pocket expenditure on health (OOPE) is about $46 billion which equates to 39.4% of total health expenditure, 1.51% of GDP , 2,600 rupees [$30] per capita.2India is ranked 66th in the world out of 195 countries in the 2021 Global Health Security Index.3 Notes: 1. Praxis Global Alliance. (2021). Outpatient healthcare market in India. https://www.praxisga.com/PraxisgaImages/ReportImg/ praxis-report-on-outpatient-healthcare-market-in-india-Report-3.pdf. 2. Ministry of Health and Family Welfare, Government of India, National Health Accounts Technical Secretariat. (2024). National Health Accounts estimates for India 2021–22. https:// nhsrcindia.org/sites/default/files/2024-09/NHA%202021-22.pdf. 3. Global Health Security Index. (2021). GHS Index country profile for India. https://ghsindex.org/country/india/. Objectives The aim is to demonstrate the impact and value of digital health-led transformation in Indian healthcare at scale via public–private partnerships. We intend to create a collaborative framework to accelerate adoption of digital health programmes in India, as part of the World Economic Forum’s global digital health transformation initiative. The focus will be to: Build collective will by demonstrating need, inspiring leaders and illustrating new value creation Develop enabling environment via dialogue, blueprints and capability-building Chart a clear path to systems change and collaborative innovation with a multisectoral approach Strategy/lever/workstreams Activators Create public–private coalitions at the regional, national or subnational levels, driving activation of digital initiatives in health systems.Community-driven Engage with senior stakeholders from both the public and private sectors such as private healthcare providers, government agencies, pharmaceutical companies, insurance companies, academia, technology companies, multilaterals, corporate wellness leaders, global firms and civil society organizations.Regional focus Target one or two regions as hubs in the first year, focusing on the specific priorities and needs of the respective geographical areas while keeping the national-level objectives in mind. Centre for the Fourth Industrial Revolution (C4IR) India – an Impact Journey 35

C4IR India An Impact Journey 2025