Service Overview

All 12 Comprehensive Primary Health Care services— delivered through one platform

DiNC is the only implementation in India to operationalise the full CPHC service package as envisaged under Ayushman Bharat — covering the complete spectrum from pregnancy to elderly care, through a single integrated digital coordination layer.

CPHC Services Coverage

Twelve services. One
coordinated system.

DiNC augments every programme across the primary health care continuum — highlighted services explored in depth below.

Care in Pregnancy & Childbirth

ANC coordination, high-risk monitoring, delivery preparedness, and postnatal follow-up — end to end.

Neonatal & Infant Health

Newborn registration, immunisation milestone tracking, breastfeeding and early development support.

Child & Adolescent Health

Immunisation tracking, RBSK referral and recovery management, paediatric virtual care access.

Population Management & Reproductive Health

Eligible couple engagement, pre-conception care, family planning and contraceptive counselling.

Non-Communicable Diseases

Population screening, risk stratification, personalised care plans, treatment adherence and specialist coordination.

Communicable Diseases (Common)

Consultation coordination and follow-up for common communicable conditions beyond the facility visit.

Communicable Diseases (National Health Programmes)

TB, HIV, malaria, and NHP programme adherence, caregiver engagement, and treatment completion.

Mental Health

Community identification, appointment coordination, specialist virtual access, and recovery-oriented counselling.

Ophthalmic & ENT

Structured referrals and specialist coordination for ophthalmic and ENT conditions underserved at primary level.

Basic Oral Health

Coordinated access to essential dental services integrated with facility-based care.

Elderly & Palliative Health

Appointment coordination, follow-up, counselling, and assisted access for elderly and palliative patients.

Emergency Medical Services

Real-time referral coordination, patient navigation, and inter-facility communication for emergency response.

Deep Dive — Four Core Programmes

How DiNC transforms existing
government programmes

THE GAP

Maternal and neonatal care pathways are well-defined under national programmes, but continuity remains fragmented. Mothers often miss critical milestones due to poor coordination across frontline workers and facilities.

HOW DINC TRANSFORMS

DiNC creates a continuous care journey from pregnancy confirmation through postnatal recovery and newborn care — ensuring no mother or child is lost between visits.

KEY INTERVENTIONS

Registers and tracks every mother across all trimesters in a longitudinal record
Schedules ANC visits, diagnostics, and PMSMA camps with automated reminders
Provides continuous counselling on IFA adherence, nutrition, and danger signs between visits
Flags and actively manages high-risk pregnancies with coordinated escalation to higher facilities
Supports delivery preparedness and micro-birthing planning with ASHAs
Ensures postnatal continuity: breastfeeding support, PPH monitoring, newborn registration, and immunisation tracking

THE GAP

Child health programmes are effective at screening, but follow-up and treatment completion — especially for children with developmental or chronic conditions — remain inconsistent.

HOW DINC TRANSFORMS

DiNC converts child health from a screening-led model into a managed care system — ensuring every identified child completes the full treatment pathway.

KEY INTERVENTIONS

Registers every newborn and creates a personalised immunisation schedule from birth
Tracks immunisation adherence with proactive reminders and follow-ups
Manages complete RBSK pathways for children with Defects, Diseases, Deficiencies, and Developmental delays
Activates outreach for missed vaccinations and dropout cases
Enables virtual paediatric consultations where specialist access is limited
Provides counselling to families on nutrition, rehabilitation, and long-term care

THE GAP

While screening and diagnosis are widely implemented, long-term adherence and follow-up remain weak — leading to avoidable complications and escalation to higher levels of care.

HOW DINC TRANSFORMS

DiNC shifts NCD care from episodic treatment to continuous management — ensuring adherence, early intervention, and sustained patient engagement.

KEY INTERVENTIONS

Mobilises population-level screening for citizens above 30 years
Creates personalised care plans (Care Planogram) for each patient
Tracks patient health dynamically through the True Wellness Meter — AI-enabled risk scoring
Sends medication reminders and manages missed follow-ups proactively
Enables virtual specialist consultations at primary care facilities
Provides ongoing counselling on diet, exercise, and lifestyle management

THE GAP

Mental health care is constrained by limited specialist availability and high stigma — resulting in low access and poor continuity of care.

HOW DINC TRANSFORMS

DiNC enables access, continuity, and engagement in mental healthcare by combining community-based identification with private, continuous support channels.

KEY INTERVENTIONS

Enables early identification through ASHAs and community referrals
Provides a private, phone-based access channel via digi-nurses
Conducts counselling for both patients and caregivers
Manages missed appointments through closed-loop follow-up systems
Facilitates virtual consultations with psychiatrists and specialists
Supports recovery-oriented care beyond medication

What Makes It Different

Private access channel that reduces stigma and improves disclosure
Active caregiver engagement as part of the care model
Persistent follow-up for missed appointments
Focus on recovery and rehabilitation, not just medication

What could this look like
in your district?

Discover how the DiNC model can help strengthen and transform healthcare delivery across your district or state through a data-driven, integrated, and outcome-focused approach.

If you would like to learn more about the model, explore its potential applicability in your context, or discuss partnership opportunities, we invite you to submit an enquiry. We will reach out to you to answer your questions, provide additional information, and discuss how the model can support your healthcare and development priorities.

ENQUIRE NOW

All 12 Comprehensive Primary Health Care services— delivered through one platform

Twelve services. One coordinated system.

Care in Pregnancy & Childbirth