eSanjeevani OPD- KERALA
eSanjeevani Analysis – click Here: Data Last Updated on November 14,2021
We have launched eSanjeevani telemedicine services at Kerala on June 10th 2020. We were providing services in a centralized manner and DISHA is the state hub managing the telemedicine activities for the state. DISHA is performing well to manage & keep the system running. We are utilizing the eSanjveeani OPD services in a centralized manner. On June 10 2021 eSanjeevani completed one year of successful service delivery.
We have on-boarded 4727 doctors including the specialist doctors providing services on the platform with at least 90-100 doctors available at a time on the platform. We are providing services for average 500-750 person per day all across the state and 286670 total consultations till date. The average time for a consultation is 6 minutes 15 seconds and the average patient wait time to get connected to a doctor is 5 minutes 55 seconds. As of now, we have general OPD services as well as specialty OPD services, these are the specialty OPD services –
| Sl. No. | E-Sanjeevani OPD | Day | Time | |
| 1 | General OP | All Days | 8:00 AM to 8:00 PM | |
| 2 | Covid OP | All Days | 24 Hrs. | |
| 3 | Gynecology OP | All Days | 9:00 AM to 1:00 PM | |
| 4 | Dermatology OP | All Days | 9:00 AM to 5:00 PM | |
| 5 | Chest / Pulmonology OP | All Days | 9:00 AM to 1:00 PM | |
| 6 | General Surgery OP | All Days | 9:00 AM to 1:00 PM | |
| 7 | Psychiatric OP | All Days | 9:00 AM to 1:00 PM | |
| 8 | General Medicine OP | All Days | 9:00 AM to 1:00 PM | |
| 9 | ENT OP | All Days | 9:00 AM to 5:00 PM | |
| 10 | Ophthalmology OP | All Days | 9:00 AM to 5:00 PM | |
| 11 | Palliative Care OP | All Days | 9:00 AM to 1:00 PM | |
| 12 | Pediatric OP | Monday to Saturday | 9:00 AM to 6:00 PM | |
| Sunday | 9:00 AM to 1:00 PM | |||
| 13 | Cardiology OP | Sunday | 9:00 AM to 1:00 PM | |
| 14 | Ortho OP | Monday, Thursday & Friday | 9:00 AM to 1:00 PM | |
| 15 | Dental OP | Monday to Friday | 9:00 AM to 1:00 PM | |
| 16 | Adolescent Health OP | Monday to Saturday | 9:30 AM to 3:00 PM | |
| 17 | Hemophilia OP | Monday to Saturday | 9:00 AM to 1:00 PM | |
| 18 | NCD OP (IID) | Tuesday & Thursday | 2:00 PM to 4:00 PM | |
| 19 | PMR( Physical Medicine and Rehabilitation) OP | Tuesday and Thursday | 4:00 PM to 6:00 PM | |
| 20 | DEIC OP | Monday to Friday | 10:00 AM to 4:00 PM, Lunch break 1:00 PM to 2:00 PM. | |
| 21 | DEIC Pediatrician OP | Monday to Friday | 10:00 AM to 4:00 PM, Lunch break 1:00 PM to 2:00 PM. | |
| 22 | DEIC Medical Officer (MO) OP | Monday to Friday | 10:00 AM to 4:00 PM, Lunch break 1:00 PM to 2:00 PM. | |
| 23 | Ayurveda OP | Monday to Saturday | 9:00 AM to 2:00 PM | |
| 24 | Homeopathy OP | Monday to Saturday | 9:00 AM to 2:00 PM | |
| 25 | IMHANS OP (Adult Psychiatry) | Wednesday | 10:00 AM to 12:00 PM | |
| 26 | Child Development Services(CDS) OPD IMHANS | Tuesday | 10:00 AM to 12:00 PM | |
| 27 | Pediatric Cardiology OP(SCTIMST) | Tuesdays | 2:00 pm to 4:00 PM. | |
| 28 | Child Development Centre(CDC) OPD | Thursdays | 12:00 pm to 3:30 PM | |
| 29 | MCC (Malabar Cancer Centre) | Surgical | Monday | 3:00PM to 4:00 PM |
| 30 | Clinical Hematology | Tuesday | 3:00PM to 4:00 PM | |
| 31 | Radiation | Tuesday | 3:00PM to 4:00 PM | |
| 32 | Breast And Gynec | Wednesday | 3:00PM to 4:00 PM | |
| 33 | Medical | Wednesday | 3:00PM to 4:00 PM | |
| 34 | Pediatrics | Thursday | 3:00PM to 4:00 PM | |
| 35 | Head And Neck | Friday | 3:00PM to 4:00 PM | |
| 36 | Cancer Palliative Medicine | Friday | 3:00PM to 4:00 PM | |
| 37 | CCRC (Cochin Cancer Centre) | Head and Neck | Tuesday, Wednesday | 12:00 AM to 1:00 PM |
| 38 | Radiation | Wednesday | 2:00 PM to 3:00 PM | |
| 39 | Medical | Thursday | 12:00 AM to 1:00 PM | |
| 40 | Gynae | Friday | 9:00 AM to 12:00 PM | |
| 41 | RCC (Regional Cancer Centre) | General Oncology | Tuesday and Friday | 2:00 PM to 3:00 PM |
| 42 | Thorax And Gastro Intestinal Cancer (E Clinic of RCC) | Tuesday | 2:00 PM to 2:45 PM | |
| 43 | Gynec- urological (‘D’ clinic of RCC) | Tuesday | 2:45 PM to 3:30 PM | |
| 44 | Pediatric Cancers (F Clinic of RCC) | Tuesday | 3:30 PM to 4:15 PM | |
| 45 | Head and Neck cancers (‘B’ clinic of RCC) OPD | Friday | 2:45 PM to 3:30 PM | |
| 46 | Breast Cancer (C Clinic of RCC) | Friday | 2:00 PM to 2:45 PM | |
| 47 | Hematological Cancers (A Clinic of RCC) | Friday | 3:30 PM to 4:14 PM | |
Features of eSanjeevani OPD services – Kerala
We were providing services in a centralized manner. District wise telemedicine activities are managed by DPMSU, they act as a district console.
We also provide 24 Hrs. Covid OP in this pandemic situation. Covid op started from November 2020, and Night Covid op started from May 2021. So far 26496 Consultations has completed in Covid OP. In addition to doctors from all districts, and from medical colleges, at a time minimum 10-20 are available in Covid OP. It helps the public during the lock period. Two doctors from one district and state console doctors are available at the night Covid OP, so 5 doctors per night are serviced online.
We are providing telemedicine OPD services by our experienced and skillful practitioners in the pioneer institutes all across the state. We are providing specialty services in NCD, Oncology, Psychiatry, Mental health, General Medicine, Pediatric, Dental, Dermatology, Chest or Pulmonology, Cardiology, Gynecology, ENT, Adolescent Health, Palliative care, Ophthalmology, General Surgery, Ortho, Hemophilia, Physical Medicine and Rehabilitation (PMR) OPD, Ayurveda OP, Homeopathy OP. Also all government Medical Colleges are now providing services in General OP, Covid OP, Dermatology OP, Chest/Pulmonology OP and in ENT Ops. Specialist doctors from SCTIMST (Sri Chithira Thirunal Institute of Medical Science and Technology) are also available now.
We are planning to include other specialty Ops like, Neurology, Nephrology, and Gastro-enterology etc.
Training and on boarding of telemedicine practitioners
We have trained and on boarded 4366 doctors including the doctors from the pioneer institutes of the state to render specialty services. The specialty doctors render services on specific dates and time. We always review the platform & we are planning to expand the platform by training more doctors and on boarding them.
Why eSanjeevani?
eSanjevani was initially launched to amid the COVID 19 pandemic to enable patient to doctor tele-consultation. Offered at no cost, this e-health service has made it convenient for the people to avail of the health services without having to travel to any hospital. eSanjeevani enables two-way interaction and even generates a prescription slip. The telemedicine include many specialty OPDs such as Psychiatry, Gynecology, Non Communicable Disease (NCD), Pediatrics, Oncology etc. This is very useful for the people in the rural areas who don’t have easy access to medical specialists located in cites. Tele-medicine saves time and cost. The doctors from major hospitals like RCC, Sree Chitra, IID, IMHANS, CCRC, MCC etc. has become the part of eSanjeevani.
Target free – demand driven approach
We are not assigning any target credit to any category of staff rather to enhance the usage of the platform we are providing ad on various print, visual and social media channels. The usage of the platform is proportional to demand of the public.
ePrescription and lab investigation via Tele-medicine got horned
The Ministry of Health and Family Welfare released an order G.O (Rt) No 1795/2020/H&FWD dated 06/10/2020, as per the order the e-Prescription and Lab investigation through telemedicine got horned. The patients who undergo consultation via telemedicine platform can avail medicine from any government hospitals and can do lab investigations if they are coming with e-prescription or e-request.
Best practice
The recent incident in Palakkad district jail is a great achievement. After confirming COVID 19, a prisoner was admitted to Palakkad district hospital for further treatment and after two consecutive sample results were negative, he was shifted to the isolation room of the district jail for further monitoring and relied on the e-Sanjeevani system for further treatment and continued till his full recovery.
Not only individuals but institutions are now dependent on tele consultation services. Another surprising fact is that even prisons today have chosen e-Sanjeevani for the routine treatment of prisoners. We can expect more institutions to follow this step and provide medical care.
eSanjeevani is very helpful for the people who are staying in the Old age homes , Orphanages , Palliative care centers and other such similar places where the patients who are not able to go directly to hospital for consultation. The major users of eSanjeevani are middle aged people and senior citizens. The eSanjeevani saves many life during the past 10 months. Many doctors able to diagnoses the patients with the warning signs and symptoms that can appear before cardiac arrest. Many palliative patients who are having bedsores and was not able to visit a diagnostic center utilize eSanjeevani platform. Immediate first aid for many emergencies are handled by the eSanjeevani doctors. The Specialty OPDs such as Pediatrics and Gynecology are boon to the patients since they are the Vulnerable group who can avoid unnecessary hospital visit
Active participation and coordination from DME and DHS
| Districts | Days of the week |
| Trivandrum, Thrissur | Mondays |
| Kollam, Palakkad | Tuesdays |
| Pathanamthitta, Malappuram | Wednesdays |
| Alappuzha, Kozhikode | Thursdays |
| Kottayam, Wayanad | Fridays |
| Idukki, Kannur | Saturdays |
| Ernakulam, Kasargode | Sundays |
| Medical Colleges | Days of the week |
| Kozhikode , Konni | Mondays |
| Trivandrum, Kottayam | Tuesdays |
| Kannur, Ernakulam, Idukki | Wednesdays |
| Thrissur, Kozhikode | Thursdays |
| Trivandrum , Kollam | Fridays |
| Alappuzha, Malappuram | Saturdays |
CONSULTATION COUNT – DISTRICTS WISE
| Districts | August | September | October |
| ALAPPUZHA | 1581 | 1841 | 1214 |
| ERNAKULAM | 3117 | 3665 | 2398 |
| IDUKKI | 635 | 656 | 429 |
| KANNUR | 1408 | 1495 | 886 |
| KASARAGOD | 379 | 377 | 285 |
| KOLLAM | 1231 | 1461 | 851 |
| KOTTAYAM | 1161 | 1432 | 926 |
| KOZHIKODE | 2355 | 2417 | 1417 |
| MALAPPURAM | 1780 | 1923 | 1241 |
| PALAKKAD | 1396 | 1560 | 1084 |
| PATHANAMTHITTA | 597 | 839 | 591 |
| THIRUVANANTHAPURAM | 3142 | 4081 | 2773 |
| THRISSUR | 2959 | 3160 | 2034 |
| WAYANAD | 467 | 519 | 418 |
| TOTAL | 22208 | 25426 | 16547 |
Doctors enrolled in last Six months
| Doctors enrolled | ||||||
| April | May | June | July | August | September | October |
| 40 | 947 | 1807 | 444 | 152 | 160 | 171 |
Consultation Count of Last Three Months
| Sl. No. | E-Sanjeevani OPD | August | September | September | Percentage of increase/Decrease |
| 1 | General OP | 7935 | 8372 | 6350 | -0.24 |
| 2 | Covid OP | 3933 | 5111 | 2931 | -0.43 |
Effect on Health Service Doctor’s strike in specialty OPDs.
| OPDs | September | October | Percentage Change |
| Pediatrics | 2605 | 1690 | -33.12 |
| Psychiatric | 349 | 195 | -44.13 |
| Gynecology | 426 | 121 | -71.60 |
| General Medicine | 659 | 53 | -91.96 |
| Dental | 77 | 43 | -44.16 |
| Ortho | 223 | 25 | -88.79 |
| Cardiology | 120 | 6 | -95.00 |
| General Surgery | 66 | 4 | -93.94 |
| Palliative | 4 | 1 | -75.00 |
| TOTAL | 9593 | 2138 | -77.71 |
| August | September | October | |
| Most promoting districts | Trivandrum, Ernakulam, Thrissur | Trivandrum, Ernakulam, Thrissur | Trivandrum, Ernakulam, Thrissur |
| Least promoting districts | Kasaragod, Wayanad, Idukki | Kasaragod, Wayanad, Idukki | Kasaragod, Wayanad, Idukki |
Achievements
- First step of ECRP-II Doctor to Doctor Consultation Login for identified HUB and Spokes started from the districts Idukki, Kasaragod, Malappuram, Palakkad and Wayanad.
- Registration of Hub and Spoke institutions for H&FW doctor to doctor consultation is progressing.
- The Procurement of equipment for Spoke and Hub institutions is progressing.
Conclusion
When social distancing is among the major measures used to fight COVID-19 pandemic, tele-health is stepping-up as a key technology for safe and efficient communications. The World Health Organization mentioned telemedicine among essential services in “Strengthening the Health Systems Response to COVID-19” policy. By providing these services, we can reduce the rush in the outpatient department and ensure the delivery of services to the general public at their door step. Telemedicine services have been identified as an excellent modality to render essential medical consultations to people in the background of COVID19 pandemic. The CDAC team is supporting us very much. They are trying to implement many new features to upgrade the system. The patient case follow up and feedback can be done soon through this platform. As Xth and XIIth level state board exams have been started and also the increasing positivity rate of covid cases are found more and more doctors are appointed and incorporated for solving respiratory related issues.
The eSanjeevani got much attention from the people and has become a big blessing to help the people in getting routine medical attention professionally. These platform is necessary to continue to tackle the situations created by pandemic like COVID 19
FACT SHEET – eSanjeevani – National Teleconsultation Service
Activity map – briefing – October 2021
eSanjevani was initially launched to amid the COVID 19 pandemic to enable patient to doctor tele-consultation.
| Status | ||
| 1 | Total Consultations | 281269 |
| 2 | Total Consultation Duration | 29398 Hrs 10 min |
| 3 | Avg. Consultation Duration | 6 min 16 sec |
| 4 | Avg.Patient Wait Time | 4 mins 44 secs |
| 5 | Doctors Registered | 4687 |
CONSULTATION COUNT – DISTRICTS WISE
| Districts | August | September | October |
| ALAPPUZHA | 1581 | 1841 | 1214 |
| ERNAKULAM | 3117 | 3665 | 2398 |
| IDUKKI | 635 | 656 | 429 |
| KANNUR | 1408 | 1495 | 886 |
| KASARAGOD | 379 | 377 | 285 |
| KOLLAM | 1231 | 1461 | 851 |
| KOTTAYAM | 1161 | 1432 | 926 |
| KOZHIKODE | 2355 | 2417 | 1417 |
| MALAPPURAM | 1780 | 1923 | 1241 |
| PALAKKAD | 1396 | 1560 | 1084 |
| PATHANAMTHITTA | 597 | 839 | 591 |
| THIRUVANANTHAPURAM | 3142 | 4081 | 2773 |
| THRISSUR | 2959 | 3160 | 2034 |
| WAYANAD | 467 | 519 | 418 |
| TOTAL | 22208 | 25426 | 16547 |
Doctors enrolled in last Six months
| Doctors enrolled | ||||||
| April | May | June | July | August | September | October |
| 40 | 947 | 1807 | 444 | 152 | 160 | 171 |
Consultation Count of Last Three Months
| Sl. No. | E-Sanjeevani OPD | August | September | September | Percentage of increase/Decrease |
| 1 | General OP | 7935 | 8372 | 6350 | -0.24 |
| 2 | Covid OP | 3933 | 5111 | 2931 | -0.43 |
Effect on Health Service Doctor’s strike in specialty OPDs.
| OPDs | September | October | Percentage Change |
| Pediatrics | 2605 | 1690 | -33.12 |
| Psychiatric | 349 | 195 | -44.13 |
| Gynecology | 426 | 121 | -71.60 |
| General Medicine | 659 | 53 | -91.96 |
| Dental | 77 | 43 | -44.16 |
| Ortho | 223 | 25 | -88.79 |
| Cardiology | 120 | 6 | -95.00 |
| General Surgery | 66 | 4 | -93.94 |
| Palliative | 4 | 1 | -75.00 |
| TOTAL | 9593 | 2138 | -77.71 |
| August | September | October | |
| Most promoting districts | Trivandrum, Ernakulam, Thrissur | Trivandrum, Ernakulam, Thrissur | Trivandrum, Ernakulam, Thrissur |
| Least promoting districts | Kasaragod, Wayanad, Idukki | Kasaragod, Wayanad, Idukki | Kasaragod, Wayanad, Idukki |
Achievements
- First step of ECRP-II Doctor to Doctor Consultation Login for identified HUB and Spokes started from the districts Idukki, Kasaragod, Malappuram, Palakkad and Wayanad.
- Registration of Hub and Spoke institutions for H&FW doctor to doctor consultation is progressing.
- The Procurement of equipment for Spoke and Hub institutions is progressing.
Challenges
- Many of the eSanjeevani telemedicine specialty OPDs is now vacant owing to the doctors’ strike. As a result, many beneficiaries are being veered away from eSanjeevani’s specialty telemedicine opd services. Before the strike, the total number of OPD consultations was between 800 and 1,000, but now it’s less than 500.
- Except for Kozhikode, all other districts submit their duty lists to the state on schedule.
- IEC activities to be strengthened to improve the utilization among all the age groups, females and the districts with less utilization.
- Data collection from districts for H&FW doctor to doctor consultation is not timely updating from districts.