Kamrup — bringing Bridgital healthcare to Assam's gateway

A first-of-its-kind partnership between NHM Assam, Tata MD, IIT Guwahati, and the Bill & Melinda Gates Foundation — establishing the DiNC model in Kamrup Metropolitan district's North Guwahati Block as a research-backed pilot for state-wide healthcare transformation.

Dec 2023

MOU signed 

DiNC live

July 2024

1.2 Lakh+

Block Population

IIT Guwahati

Academic Partner

1.2 Lakh+

Block population

94

Villages & wards

1,545

Registered pregnant mothers

09

Health facilities networked

880

Daily healthcare seekers at PHCs

District Overview

Kamrup Metropolitan — Assam's urban-
rural frontier

North Guwahati Block is a peri-urban area on the north bank of the Brahmaputra in Kamrup Metropolitan district — proximate to Guwahati's tertiary medical infrastructure yet structurally underserved at the primary care level. With 1,20,470 people across 94 villages and a 68:32 rural-urban split, citizens routinely cross the river for care that should be available locally.

A doctor-to-patient ratio of 1:30, a fragmented facility network operating in silos, and an NCD caseload of 1,205 active cases pointed to a system under pressure — making it an ideal candidate for the DiNC model.

1.2 Lakh+

Block population

68:32

Rural to urban ratio

1:30

Doctor to patient ratio

1,545

Registered pregnant mothers

9.54

IMR per 1,000 live births

0

Maternal deaths recorded (current)

Key Healthcare Challenges — North Guwahati Block

ai Notes

High Demand

880 citizens seek care daily at public facilities — demand inflated by overflow from neighbouring blocks with no local alternative.

ai Meter

Silo Operations

PHC, CH, Sub-Centre, Specialist Clinics, Tertiary Hospital — operate in silos with no shared patient data or referral coordination.

Healthcare

Overcrowding

Tola Ram Bafna Civil Hospital overcrowded with patients who could and should be managed at PHCs and CHCs.

ecosystem

Lack of Structure

1,205 active NCD cases — Diabetes 326, Hypertension 871, Cancer 8 — with no structured follow-up or care coordination in place.

ecosystem

Under Treatment

3,042 RBSK cases under treatment with disease burden concentrated in skin and dental conditions requiring sustained multi-visit management.

ecosystem

No Digital Coordination

Referrals, follow-ups, and patient records managed manually, creating persistent gaps in continuity of care.

Partnership Structure

A unique four-way partnership
- government, industry,
research, philanthropy

The North Guwahati pilot is the only DiNC implementation anchored by an academic institution, making it a model for evidence generation and research-backed scale-up.

Lead Sponsor

NHM Assam

National Health Mission, Assam facilitated the feasibility study and MOU, providing programme oversight, government staff integration, and state health system linkage

partnership
Implementation Partner

Tata Medical & Diagnostics

Leads on-ground deployment of the DiNC platform, staffing of care coordinators, digi-nurses and digi-doctors, process augmentation, and HealthX integration

partnership
Strategic Partner

Gates Foundation

Global Development leadership including President Christopher Elias engaged directly. Provides strategic guidance on evidence generation, global learning, and policy translation

partnership
Academic Partner

IIT Guwahati

Hosts the 20-seat DiNC Nerve Centre at its 7th Floor Research Building. Provides academic rigour, research design, and health technology innovation through its School of Health Sciences & Technology

partnership
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Implementation Status

Operational across all facilities

  • Nerve Centre operational at IIT Guwahati Research Building
  • Physical infrastructure at all health centres
  • HealthX platform integrated with ABHA national digital health ID

  • DiNC Doctor — 1
  • DiNC Care Coordinators — 4
  • DiNC Nurses — 4
  • Patient Care Coordinators — 12
  • Implementation Specialists — 2 · Patient Care Manager — 1

  • Appointment Management — live across all facilities
  • Reproductive & Child Health — operational
  • RBSK (Rashtriya Bal Swasthya Karyakram) — operational
  • Non-Communicable Disease coordination — operational
  • ABHA creation drive — active at DC Office & 5 colleges
facilities

Programme Activities

Care coordination
services being delivered

mother

Maternal & Child Health

1,545

Registered pregnant mothers

ANC

Block Special ANC drive supported by DiNC at PHCs, Sub-Centres & Anganwadis

mother

Non-Communicable Diseases

1,205

Active NCD cases (2022-23)

871

Hypertension cases

326

Diabetes patients

08

Cancer care

mother

RBSK — Child Health

94,591

Active elderly patients

1,25,295

Hospital visits coordinated

2,48,000+

Cumulative care facilitations

mother

Appointment Management

Live

Appointment

management fully

operational across all facilities

mother

ABHA & Digital Health

Integrated

HealthX platform linked to ABHA national digital health ID

mother

Research & Evidence

IIT Guwahati

Academic partner generating rigorous evidence for Assam-wide scale-up

Doctor

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.

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