Minor Project Report

On

“-------------NATIONAL DIGITAL HEALTH MISSION-----------”

(A Path Breaking Step)

Submitted for the partial fulfilment towards the awards of

the degree in Master of Business Administration of Dr. A.P.J
Abdul Kalam Technical University, Lucknow

Submitted by:
Kartikey Mishra (0201MBA110), Iqra Javed (0201MBA 112), Md
Salman (0201MBA048), Naina Saini (0201MBA038), Mayank Kumar
(0201MBA051), Prince Kumar Shahi (0201MBA040)

(Batch: MBA 20-22)

Under the supervision of

DR. MANISHA GUPTA

DEPARTMENT OF MANAGEMENT STUDIES

Noida Institute Of Engineering and Technology(NIET)
19 Knowledge Park II, Greater Noida,G.B.Nagar (UP),India-
201306
 Noida Institute of Engineering & Technology, Greater Noida

CERTIFICATE ISSUED BY PROJECT GUIDE

This is to certify that the Project titled “NATIONAL DIGITAL HEALTH MISSION :-A PATH
BREAKING STEP” is carried out by Kartikey Mishra (0201MBA110), Iqra Javed
(0201MBA112), Md Salman (0201MBA048) , Naina Saini (0201MBA038), Mayank Kumar
(0201MBA051), Prince Kumar Shahi (0201MBA040) a student of MBA – I year at Noida
institute of Engineering and Technology, Greater Noida, under my guidance. This is an original
work carried out by the said student to the best of my knowledge and I recommend for the
submission of this minor project report to Dr. A. P. J. Abdul Kalam Technical University,
Lucknow in the partial fulfilment of the requirement for the award of MBA degree.

Dr. Manisha Gupta

(Asst. Prof)

2
 CERTIFICATE ISSUED BY PROJECT GUIDE THE HEAD OF
DEPARTMENT

This is to certify that the Project titled “NATIONAL DIGITAL HEALTH MISSION :- A
PATH BREAKING STEP” is carried out by “Kartikey Mishra (0201MBA110), Iqra Javed
(0201MBA112), Md Salman (0201MBA048) , Naina Saini (0201MBA038), Mayank Kumar
(0201MBA051), Prince Kumar Shahi (0201MBA040) , a student of MBA – I year at Noida
institute of Engineering and Technology, Greater Noida. This is an original work carried out
by the said student to the best of my knowledge and I recommend for the submission of this
minor project report to Dr. A. P. J. Abdul Kalam Technical University, Lucknow in the partial
fulfilment of the requirement for the award of MBA degree.

Resham M
Head of Department
MBA

3
 Student’s Declaration

I hereby declare that minor project report entitled “NATIONAL DIGITAL HEALTH
MISSION: - A PATH BREAKING STEP” submitted to MBA department at Noida Institute
of Engineering and Technology, Greater Noida. It is the best of my knowledge that it has not
published earlier anywhere or presented to any institution/university for an end of any degree.

Students Name & Id:-

Kartikey Mishra (0201MBA110)

Iqra Javed (0201MBA112)
Md Salman (0201MBA048)
Naina Saini (0201MBA038)
Mayank Kumar (0201MBA51)
Prince Kumar Shahi (0201MBA040)
MBA Department
NIET
Greater Noida

4
 Acknowledgement

Any accomplishment requires the effort of many people and this work is not different. I am
thankful to my faculty supervisor Dr. Manisha Gupta for supporting me and guiding me
throughout the project. This report would not have been possible without her help. I would also
like to express my gratitude towards my team member (Name of student in your team), for
their cooperation. I would also like to express my gratitude towards Resham M, for her
cooperation and giving her valuable time and information for my thesis preparation.

Name of Student
Kartikey Mishra (0201MBA110)
Iqra Javed (0201MBA112)
Md Salman (0201MBA048)
Naina Saini (0201MBA038)
Mayank Kumar (0201MBA51)
Prince Kumar Shahi (0201MBA040)
MBA Department
NIET
Greater Noida

5
National Digital Health Mission
-: A Path Breaking Step:-

6
TABLE OF CONTENTS:-
1. Introduction
1.1. Introduction to the topic
1.2. Silent features of NDHM
1.3. Boost to digital infrastructure
1.4. Advantage of NDHM
1.5. Disadvantage of NDHM
1.6. Objective of the study
1.7. Limitation of the study
2. Industry Profile
3. Literature review
4. Research methodology
5. Data Analysis & Discussion
5.1. Data Analysis
6. Conclusion
6.1. Findings
6.2. Recommendation
6.3. Conclusion
7. Managerial & Societal Implication
7.1. Managerial Implication
7.2. Societal Implication
7.3. Vision
8. Bibliography
9. Questionnaire

7
Chapter 1:- INTRODUCTION:-

1.1 Introduction to the topic:-

The National Digital Health Mission is an agency of the Government of India which seeks to
provide medical identity document to Indian people. This identity document would enable
people to use Ayushman Bharat Yojana, which is a service in India's publicly funded health
care. The program aligns with other government programs, including
the Aadhaar identification program and the Ayushman Bharat Yojana healthcare program.
The initiative aims to provide efficiency, accessibility, inclusiveness, security and save time
and money in meeting the healthcare needs of a country of 1.38 billion people. The digitization
of the population’s health information into a single database is a fundamental step toward
improving public health delivery, but is also a very important milestone for issues such as the
treatment of pandemics, and of course, everything related to biomedical research. In 2018,
Modi’s government launched the Ayushman Bharat Yojana, a program aimed at providing free
medical assistance to the 40% of the population with low income.
The Make in India initiative has not only empowered manufacturing in India but has also given
a boost to strong and reliable digital infrastructure developed indigenously for the benefit of
citizens. With an aim to create an ecosystem for providing better healthcare services in the
country, the Hon’ble Prime Minister of India Shri Narendra Modi announced the National
Digital Health Mission (NDHM) on 15th August 2020, the 74th Independence Day of India.
The current digital infrastructure of the country that identifies and connects people while
simplifying their day-to-day life through digital means includes Aadhaar Unique Identity
(UID), JAM trinity (Jan Dhan-Aadhaar-Mobile) and Unified Payments Interface (UPI). This
strong digital infrastructure base acts as launcher for NDHM to further develop and enhance
healthcare in the country through digital management.
The primary institutions responsible for governing and implementing the mission include
Ministry of Health and Family Welfare (MoHFW), Ministry of Electronics and Information
Technology (MeitY) and National Health Authority (NHA).
NDHM aims to make India Atmanirbhar or Self-reliant in providing universal health coverage
to all the citizens in the country. It aligns with the goals and objectives of the National Health
Policy (NHP) 2017 and the National Digital Health Blueprint to create a digital infrastructure
for providing healthcare services across the country.
NDHM envisions a national digital health ecosystem in India which supports universal health
coverage that is:
Efficient
Accessible
Inclusive

8
Affordable
Timely
Safe
This digital infrastructure would consist of large amounts of health-related data and various
standardized digital services while ensuring strict confidentiality and security of personal
information of the public.
The Ministry of Health and Family Welfare (“MoHFW”) is responsible for conceiving the idea
of the National Digital Health Mission (“NDHM”). This visionary project of the Government
of India, stemming from the National Health Policy, 2017 (“National Health Policy”) intends
to digitise the entire healthcare ecosystem of India. This would be done by creating digital
health records, and creating and maintaining registries for healthcare professionals and health
facilities in order to ensure a smooth interoperable framework for the multiple partners
associated with healthcare delivery to individuals in India. The National Digital Health
Blueprint, 2019 (“Blueprint”) recommends that a federated architecture be adopted, instead of
a centralised architecture, for the management of digital health data to ensure interoperability,
technological flexibility and independence across the National Digital Health Ecosystem
(“NDHE”). This Health Data Management Policy (“Policy”) is the first step in realising the
NDHM’s guiding principle of “Security and Privacy by Design” for the protection of
individuals’/data principal’s personal digital health data privacy. It acts as a guidance document
across the NDHE and sets out the minimum standard for data privacy protection that should be
followed across the board in order to ensure compliance with relevant and applicable laws,
rules and regulations. This Policy will be dynamic in nature and may be revised from time to
time as may be required. Necessary guidelines may also be issued for the implementation of
the NDHM. The NDHE is based on the principle of federated architecture, which allows
interoperability between independent and decentralized information systems, while enhancing
the security and privacy of personal data of individuals. Such interoperability shall be strictly
compliant with the provisions relating to consent, and protection of personal data as set out
under this Policy. This would be essential to build a trust quotient across the NDHE as well as
to ensure that the personal data relating to the health of all individuals in India is adequately
protected. In addition, participation of an individual in the NDHE will be on a voluntary basis
and where an individual chooses to participate, he/she will be issued a Health ID (as defined in
this Policy) by the NDHM. Where an individual wishes to avail of any health services, the
Health ID of the individual may be verified by the use of Aadhaar or any other method of
identification as may be specified by the NDHM. The voluntary use of Aadhaar in this Policy
is envisaged as per the Aadhaar Authentication for Good Governance (Social Welfare,
Innovation, and Knowledge) Rules, 2020. The failure or refusal to make use of Aadhaar would
not result in the denial of access to any health facility or service. This Policy is to be read along
with, and not in contradiction to, any applicable law, or any instrument having the effect of any
law together with the Blueprint, policies relating to information security, guidelines relating to
data retention and archival, or any other policies or guidelines which may be notified from time
to time for the implementation of the NDHM.

9
1.2 SILENT FEATURES OF NDHM: DIGITAL SYSTEMS

NDHM will implement the following digital systems across the country:
Health ID: Implementation of a Unique Health ID (UHID) just like an Aadhaar ID to identify
and authenticate an individual based on past health records. To create a wide network of health
records, the data will also be shared with various stakeholders after getting an informed consent
from the individual.

Digi Doctor: A repository of doctors with individual details like name, institution, qualification,
specialization and years of experience among other necessary details. The directory of doctors
will be updated from time to time and mapped with the facilities those doctors are associated
with.

Health Facility Register (HFR): A repository of Health Facilities across the country. HFR will
be centrally maintained and facilitate standardized data exchange of private and public health
facilities in India. Health facilities will also be allowed to update their profiles periodically.

Personal Health Records (PHR): A PHR is an electronic record of an individual which would
contain health-related information of that individual. The data contained in PHR could be
drawn from multiple sources and will be managed and controlled by the individual, who can
update/ edit information.

Electronic Medical Records (EMR): An app that contains medical and treatment history of a
patient. EMR is envisaged to be a web-based system that would contain comprehensive health
related information of a patient at a facility. This would help clinicians track their patients,
monitor their health and suggest preventive check-ups and screenings.

10
1.3 BOOST TO DIGITAL INFRASTRUCTURE

Initiatives like Atmanirbhar Bharat Abhiyaan and Make in India have promoted domestic
manufacturing in the country. This has in turn paved way for a larger offering of digital
services in the country.
Some prominent examples of digital initiatives are:
Bharat Interface for Money (BHIM) application developed by National Payments
Corporation of India (NPCI) to facilitate easy banking transactions using UPI
Indian Customs Electronic Gateway (ICEGATE), the National Portal of Indian Customs,
Central Board of Indirect Taxes and Customs (CBIC) which provides electronic filing
services to traders
Government Electronic Marketplace (GeM), the national e-commerce portal designed and
developed to aid buyers in procurement from India
eSanjeevani OPD developed by Centre for Development of Advanced Computing (C-DAC)
to provide Medical teleconsultation services to Indian citizens.
The NDHM will further boost the Hon’ble Prime Minister’s vision of Digital India.

1.4 Advantage of NDHM:-

The NDHM is a complete digital health ecosystem with personal health IDs for every Indian,
digitization of health records as well as a registry of doctors and health facilities across the
country.
The digital platform will be launched with four key features – health ID, personal health
records, Digi Doctor and health facility registry.
This ID will be applicable across states, hospitals, diagnostic laboratories and pharmacies.
At a later stage, it will also include e-pharmacy and telemedicine services, regulatory guidelines
for which are being framed.
The platform is voluntary as it will be up to an individual to get enrolled on the app.
Health records will be shared only after authorization by the individual. Similarly, it will be up
to hospitals and doctors to provide details for the app.
The Digi Doctor option will allow doctors from across the country to enroll and their details,
including their contact numbers if they want to provide them, will be available. These doctors
will also be assigned digital signature for free which can be used for writing prescriptions.
The government, however, feels the utility of the app will ensure widespread participation.

11
The NHA, the implementing agency for Ayushman Bharat, has created the platform, which
will be available in the form of an app and website.
The finance ministry has approved a budget of Rs 470 crore for the proposal, but the final NHA
proposal may not seek more than Rs 400 crore.

1.5 Disadvantage of NDHM:-

National Digital Health Mission: Weak links in a weak chain

Instead of making a show of improving private healthcare, the Union government would be
better off if it focuses on improving its public health systems under the scheme, a patient’s
medical history records, including the treatment and tests that he / she took, would be digitally
saved in a central database. Authorized doctors around the country would be able to access it.

The NDHM has been detailed in the National Digital Health Blueprint (NDHB) released in
July 2019. The National Health Policy, 2017 promotes the use of information technology in
healthcare and a special committee was set up in July 2018 to work on the blueprint.

The NDHB has considered learning from digitization in three countries — the United States,
the United Kingdom and South Korea. These countries have been using digitized health data
for decades now — but they are not efficient enough for India to follow suit.

Healthcare is mostly in private hands and is generally accessed through insurance in the US. A
push for digitization of data began in the 1990s and was taken up vigorously in 2009. However,
errors are common.

For example, the Pennsylvania Patient Safety Authority found that between January 2016 and
December 2017, electronic health record systems led to 775 problems during laboratory testing.
Human-computer interactions were responsible for 54.7 per cent of these and the remaining
were caused by the computer alone.

Digitization also puts a burden on doctors, as a study of 142 general practitioners in Wisconsin
shows. These doctors worked for 11.4 hours a day on an average; out of which they spent 5.9
hours on the electronic health record system. Of the time spent on the computer, 44.2 per cent
was clerical work and 23.7 per cent was spent on managing inboxes.

12
In contrast, the UK has a public health system. While good data keeping is important to keep
costs down, a review of NHS Digital in 2017 found record keeping below expectation in the
country. This was mainly due to use of obsolete technology and shortage of skills in areas such
as cyber security, business analysis, clinical resources and software development and systems
engineering.

How, then, will digitization work in India? And how will it help?

Unlike the health systems in the US and the UK, India’s health system is haphazard. Public
healthcare facilities are practically non-existent, and most people are prompted to turn to
private healthcare.

There does not seem to be any incentive for doctors to join this system. Why would a private
doctor want to let others know what treatment he / she is providing? This lays them open for
litigation for malpractice.

13
1.6 OBJECTIVE OF THE STUDY:-
 To study about the National Digital Health Mission.
 To implement the problems associated with National Digital Health Mission.
 To study about the people perception and the awareness related to the NDHM.
 What will be the future perception and impacts of NDHM.
 To Study the health digital mission of our study.

1.7 LIMITATIONS OF THE STUDY:-

 It is a new scheme/mission, so there is lack of awareness among people.
 Many people don’t want to disclose their personal health problem, so it will be hard for
them to cooperate.
 As it is hard to find health professionals, so, we may can't able to take surveys in
satisfactory numbers.
 Time and money limitation.

14
Chapter 2:- INDUSTRY PROFILE:-

This Health Data Management Policy (“Policy”) is the first step in realising the NDHM’s
guiding principle of “Security and Privacy by Design” for the protection of individuals’/data
principal’s personal digital health data privacy. It acts as a guidance document across the
NDHE and sets out the minimum standard for data privacy protection that should be followed
across the board in order to ensure compliance with relevant and applicable laws, rules and
regulations. This Policy will be dynamic in nature and may be revised from time to time as
may be required. Necessary guidelines may also be issued for the implementation of the
NDHM. The NDHE is based on the principle of federated architecture, which allows
interoperability between independent and decentralized information systems, while enhancing
the security and privacy of personal data of individuals. Such interoperability shall be strictly
compliant with the provisions relating to consent, and protection of personal data as set out
under this Policy. This would be essential to build a trust quotient across the NDHE as well as
to ensure that the personal data relating to the health of all individuals in India is adequately
protected. In addition, participation of an individual in the NDHE will be on a voluntary basis
and where an individual chooses to participate, he/she will be issued a Health ID (as defined in
this Policy) by the NDHM. Where an individual wishes to avail of any health services, the
Health ID of the individual may be verified by the use of Aadhaar or any other method of
identification as may be specified by the NDHM. The voluntary use of Aadhaar in this Policy
is envisaged as per the Aadhaar Authentication for Good Governance (Social Welfare,
Innovation, and Knowledge) Rules, 2020. The failure or refusal to make use of Aadhaar would
not result in the denial of access to any health facility or service. This Policy is to be read along
with, and not in contradiction to, any applicable law, or any instrument having the effect of any
law together with the Blueprint, policies relating to information security, guidelines relating to
data retention and archival, or any other policies or guidelines which may be notified from time
to time for the implementation of the NDHM.
NDHM will implement the following digital systems across the country:
Health ID: - Implementation of a Unique Health ID (UHID) just like an Aadhaar ID to identify
and authenticate an individual based on past health records. To create a wide network of health
records, the data will also be shared with various stakeholders after getting an informed consent
from the individual.
Digi Doctor: - A repository of doctors with individual details like name, institution,
qualification, specialization and years of experience among other necessary details. The
directory of doctors will be updated from time to time and mapped with the facilities those
doctors are associated with.
Health Facility Register (HFR):- A repository of Health Facilities across the country. HFR will
be centrally maintained and facilitate standardized data exchange of private and public health
facilities in India. Health facilities will also be allowed to update their profiles periodically.
Personal Health Records (PHR): A PHR is an electronic record of an individual which would
contain health-related information of that individual. The data contained in PHR could be
drawn from multiple sources and will be managed and controlled by the individual, who can
update/ edit information.

15
Electronic Medical Records (EMR):- An app that contains medical and treatment history of a
patient. EMR is envisaged to be a web-based system that would contain comprehensive health
related information of a patient at a facility. This would help clinicians track their patients,
monitor their health and suggest preventive check-ups and screenings.
The governance structure for the NDHE shall be as specified by the NDHM. In addition, the
governance structure shall consist of such committees, authorities and officers at the national,
state, health facility and other levels as will be necessary to implement the NDHM. It shall
consist of a data protection officer (“NDHM-DPO”) who shall be a government officer and
who shall, in addition to the functions identified under this Policy, communicate with regulators
and external stakeholders on matters concerning data privacy and serve as an escalation point
for decision-making on data governance and other matters concerning data. In addition to the
NDHM-DPO, the governance structure of the NDHE shall also consist of a grievance redressal
officer (“NDHM-GRO”) who shall be responsible for carrying out the functions set out in
Clause 32.3 of this Policy. It is further envisaged that the MoHFW and the Ministry of
Electronics and Information Technology (“MeitY”) shall provide overall guidance to the
NDHM on relevant aspects of the NDHE. Further specific details in relation to governance
structure may be stipulated from time to time.

16
Chapter 3:- LITRATURE REVIEW:-

SL Topic Year of Author Resear Conclusion Name of Links

No. publication ch Journal
Method
ology

1. Why data 30 August Rashmi Primary The NHA Economic https://health.e

protection 2020 Mabiyan recently times, conomictimes.i
is crucial released a health ndiatimes.com/
for draft for world news/policy
successful Health data
implement managemen
ation of t policy for
NDHM NDHM in
public
domain for
aiming to
look at data
safety
measures.

2. Is the 22 October Arpitha Primary The The https://thebasti

NDHM an 2020 Desai government Bastion on.co.in/politic
effective is proposing s-and/is-the-
treatment to dispense national-
for India's the digital-health-
health potential mission-an-
system? COVID-19 effective-
vaccine treatment-for-
through a indias-health-
digitized system/
system that
in part
requires the
Indian
population
to furnish
their digital
health
IDs—a new
ID issued
under the
National
Digital
Health
Mission.

17
Sl Topic Year of Author Resear Conclusion Name of Links
No. publicatio ch Journal
n Method
ology

3. What will 21 Phalasha Primary Empowerin The https://www.the

make the October Nagpal g the people Hindu hindubusinesslin
NDHM 2020 to protect e.com/opinion/w
work? their hat-will-make-
privacy will the-national-
go a long digital-health-
way in mission-
ensuring work/article329
better 10091.ece
health
outcomes.

4. NDHM 01 Nexdigm Primary The mission Mondaq. https://www.mo

Harnessing September PVT aims to com ndaq.com/india/
technology 2020 LTD develop, healthcare/9808
to design, and 00/national-
strengthen implement digital-health-
healthcare core and mission-
in India. common harnessing-
digital technology-to-
building strengthen-
blocks that healthcare-in-
are essential india
for
healthcare.

18
 Chapter 4:- RESEARCH METHODOLOGY:-

Data collected type Primary & Secondary

Sampling target unit Individual

Type of sampling Random sampling or Convenient sampling

Sample size taken 91

Research tool Questionnaire

Type of research method Descriptive

Data collection method Survey

Survey area Noida & Patna

19
Chapter 5:- DATA ANALYSIS & DISCUSSION:-

5.1 Data analysis:-

Q1 Gender:-

(a) Male %

(b) Female %

Fig. 1

Gender
80.00%
70.00%
Male
60.00% 71.40%
50.00%
40.00%
30.00%
20.00% Female
28.60%
10.00%
0.00%
male female

 As per survey, 71% respondent were males whereas 29% were females.

20
Q2 Age:-
(a) Below 20 Years
(b) 20-40 Years
(c) Above 40 Years

Fig.2

Age
90.00%
80.00%
70.00% 80.00%
60.00%
50.00%
40.00%
30.00%
20.00%
10.00% 19.00%
1.00%
0.00%
Below 20 yrs 20-40 yrs Above 40 yrs

 19% respondents were below 20 years.

 There are 80% respondents who are in between 20-40 years.
 And, 1% persons are above 40 years.

21
Q3 Qualification?
(a) 10th
(b) 12th
€ Graduated
(d) Post-Graduate
€ Above
(f) Others

Fig.3

70.00%
61.50%
60.00%

50.00%

40.00%

30.00%

20.00% 16.50%
13.20%
10.00%
3.00% 2.00% 3.80%
0.00%
10th 12th Graduated Post graduate Above Others

 There are 3.00% persons having 10th qualification.

 There are 13.20% persons having 12th qualification.
 There are 61.50% persons having graduation qualification.
 There are 16.50% persons having post-graduation qualification.
 There are 2.00% persons have above qualification.
 And, 3.80% persons have others qualification.

22
Q4 Profession ?
(a) Student (b) Teacher (c) Lawyer (d) Doctor (e) Engineer (f) Other
Fig.4

Profession
80.00%
70.00%
70.30%
60.00%
50.00%
40.00%
30.00%
20.00%
10.00% 15.40%
3.30% 0% 3.30% 7.70%
0.00%
Student Teacher Lawyer Doctor Engineer Others

 There are 70.30% respondent were Students.

 There are 3.30% respondent are Teachers.
 There are 3.30% respondent are Doctors.
 There are 7.70% respondent are Engineers.
 And, 15.40% respondent are involved in other profession.

23
Q5 Area:-
(a) Urban (b) Rural
Fig.5

Area
90.00%
80.00%
82.40%
70.00%
60.00%
50.00%
40.00%
30.00%
20.00%
10.00% 17.60%
0.00%
Rural Urban

 17.60% respondents were from rural areas

 82.40% respondents were from urban areas

24
Q6 Are you aware with National Digital Health Mission?
(a) Yes (b) No

Fig.6

Are you aware with National Digital

Health Mission?
80.00%
75.50%
60.00%

40.00%

20.00% 24.50%
0.00%
Yes No

 75.50% respondent were aware of this mission

 Other 24.50% respondents were not aware of this mission

25
Q7 Do you find NDHM (National Digital Health Mission) time saving?
(a) Yes (b) No (c) Maybe

Fig.7

Do you find NDHM (National Digital

Health Mission) time saving?
60.00%
50.00%
49.50%
40.00%
39.50%
30.00%
20.00%
10.00%
11%
0.00%
yes no Maybe

 According to 49.50% respondents its time saving

 11% respondents think it’s not time saving
 And, 39.50% respondents were not sure about it.

26
Q8 Is this mission is money saving?
(a) Yes (b) No
Fig.8

Is this mission is money saving?

90.00%
80.00%
82.40%
70.00%
60.00%
50.00%
40.00%
30.00%
20.00%
10.00% 17.60%
0.00%
Yes No

 There are 82.40% respondents says yes.

 There are 17.60% respondents says no.

27
Q9 Is this mission helpful for society/people?
(a)Yes (b) No (b) Maybe

Fig.9

Is this mission helpful for

society/people?
70.00%
60.00%
50.00% 58.20%
40.00%
30.00% 35.20%
20.00%
10.00%
6.60%
0.00%
Yes No Maybe

 58.20% respondents thinks this mission is helpful.

 There are 6.60% respondents who thinks it’s not helpful.
 35.20% respondents were not sure about it.

28
Q10 Are you comfortable in providing your health data online?
(a) Yes (b) No

Fig.10

Are you comfortable in providing

your health data online?
80

60 71.4%

40

20 28.6%

0
Yes No

 There are 71.4% respondents who were comfortable in sharing their data online.
 There are 28.6% respondents who were not comfortable in sharing their data online.

29
Q11 Is your digital card prepared?
(a) Yes (b) No

Fig.11

Is your digital card Prepared?

70.00%
60.00% 64.80%
50.00%
40.00%
30.00% 35.20%
20.00%
10.00%
0.00%
Yes No

 35.20% respondents have digital card prepared.

 64.80% respondents does not have digital card.

30
Q.12 Are you aware with the facilities which NDHM is providing?
(a) Yes (b) No

Fig.12

Are you aware with the facilities which

NDHM is providing?
60.00%
50.00% 54.90%
40.00% 45.10%
30.00%
20.00%
10.00%
0.00%
Yes No

 There are 54.90% persons who were aware of the facilities provided by NDHM.
 There are 45.10% persons says No.

31
Q13 Do you think our data will be safe online?
(a) Yes (b) No

Fig.13

Do you think our data will be safe

online?
54.00%

52.00%
52.30%
50.00%

48.00%
47.70%
46.00%

44.00%
Yes No

 There are 52.30% respondents who think our data will be safe online.
 47.70% respondents denying to this question, they think it’s unsafe to have our data
online.

32
Q14 Are you aware with "Health Facility Registry"(HFR)?
(a) Yes (b) No
Fig.14

Are you aware with "Health Facility

Registry"?
60
50
50% 50%
40
30
20
10
0
Yes No

 There are 50% respondents says yes, they were aware with Health Facility Registry
(HFR).
 There are 50% respondents says no, they were not aware with Health Facility Registry
(HFR).

33
Q15 Do you have facility of Internet?
(a) Yes (b) No

Fig.15

Do you have facility of Internet?

100.00%
90.00%
80.00% 91.20%
70.00%
60.00%
50.00%
40.00%
30.00%
20.00%
10.00% 8.80%
0.00%
Yes No

 There are 91.20% respondents who have proper internet facility.

 8.80% respondent does not have proper internet facility.

34
Q16 Do you aware that NDHM collect all yours information regarding your health? *
(a) Yes (b) No

Fig.16

Do you aware that NDHM collect all

yours information regarding your
health?
80.00%

60.00%
61.50%
40.00%
38.50%
20.00%

0.00%
Yes No

 61.50% respondents thinks that NDHM collect all ours information regarding our
health.
 Other 38.50% denies to this query.

35
Q17 Is connecting with doctors in face to face is more beneficial than connecting
virtual? *
(a) Yes (b) No

Fig.17

Is connecting with doctors in face to

face is more beneficial than
connecting virtual?
100.00%
80.00%
60.00% 79.10%
40.00%
20.00%
20.90%
0.00%
Yes No

 There are 79.10% persons who says yes.

 There are 20.90% persons who says no.

36
GIVE YOUR COMMENT ABOUT NDHM:-
(COMMENTS OF PARTICIPANTS OF SURVEY)
 Good
 Nothing
 No comments
 Good initiative
 It is quite beneficial.
 It’s good but for health I recommended physically meet to the doctor...
 Questions should be less.
 No comment
 No
 I don't know about NDHM briefly but still I think it will be very beneficial mission to
contact with doctors via digital. It gonna save time, money etc.
 Good approach
 This is good
 National Digital Health Mission is a best opportunity for rural area belong to people with
better treatment in specialist doctors.
 I agree with you present government planning to health sector.
 I don't find it much useful.
 Good plan
 NA
 This survey could be done in better way by giving more options to the customer. For
example the ask is “is this mission for money saving”. Difficult to say yes or no if I am not
aware of the concept.
 NDHM facilities are beneficial to everyone
 Maybe it's good.
 National digital health mission is better for this Era
 I don't understand the significance of the NDHM medical document. If Aadhar is being
used as the connecting document, the govt can use the same number for medical
identification as well. Well, it might be a good step though
 What's It?
 Okay
 It is useful
 I agree with you NDHM
 It is good
 It provide opportunities to improve medical outcomes and enhance efficiency. Beneficial
for Citizens wherever they are and whenever they need.
 It is helpful
 Digital health mission is necessary for our healthy future.
 Don't know much about this
 All good in NDHM there all facilities is good
 All over is good

37
Chapter 6:- CONCLUSION:-

6.1 Finding:-
Our survey included 71.40% males and 28.60% females. In which there were people of many
ages, in which 80.20% were below 20 years, 18.70% were between 20 and 40 years old. And
1.20% were more than 40 years. When we talked about qualification, it was found that 3.00%
metric degree, 13.20% intermediate degree, 61.50% graduated, 16.50% were post graduates,
2.00% above and 3.80% with other degrees
When we asked about their profession, it was found out that 70.30% of the students, 3.30% of
the teachers, 3.30% of the doctors, 7.70% of the Engineers and 15.40% of the others were in
the profession.
Our survey included 17.60% rural areas and 82.40% urban areas
When we asked peoples are you aware with National Digital Health Mission, then 75.50%
people said yes and 24.50% people said no.
When peoples were asked about National Digital Heath Mission saves time then 49.50% of the
people said yes, 11% did not speak and 39.50% said no and 39.50% peoples said maybe.
In terms of is this mission money savings then 82.40% people said yes and 17.60% people said
no.
Then when we asked them if this mission was helpful for the society and people, 58.20% of
the people said yes, 6.60% said no and 35.20% peoples said maybe.

38
6.2 Recommendations:-

 It may cause data harm, so government have to keep the data safe.
 It is a new scheme so government have to spread awareness about this mission.
 In many rural area, there is no coverage of internet, so government try to give internet
facilities to these areas.
 Government has to increase human resource, so digitalizing health record may not become
burden .

39
6.3 Conclusion:-

We have got mixed response on our survey. As we know that National digital health mission
is a new scheme of the government, many of the people were unaware of it. Mostly it is
unknown by the people of rural area. Some people who knows about this have only partial
information about it. As people are confused, some of them are hesitation to provide their health
information online. People still thinks that connecting with doctors face to face is more
beneficial that connecting with doctors virtually.
According to our survey we would like to conclude that NDHM scheme is efficient, accessible,
affordable, time saving, safe & easy to use. People are comfortable to interact with doctor and
share their problem without any hesitation. But this scheme is mostly aware by urban area
people there are lack of awareness in rural area, we need to take step to promote this scheme
in rural area. So that everyone able to take advantage to this scheme.
With increased ease of use, acceptance by the people and adaptation by service providers,
digital health interventions can accelerate progress towards UHC and improve population
health outcomes. By establishing a comprehensive, nationwide integrated digital health
ecosystem, NDHM will contribute significantly to achieving the goals of National Health
Policy 2017 and the SDGs related to health. NDHM will mark a new beginning for the Indian
digital healthcare ecosystem, enabling more effective delivery of healthcare services and
moving towards health to all.
Overall this scheme is good and helpful to create safe India and happy India.

40
Chapter 7:- MANAGERIAL AND SOCIETAL IMPLICATIONS:-

7.1 MANAGERIAL IMPLICATION

We have learned about through managerial implications that it have a problem solving
technique through which it helps to solve our problem in a significant manner for achieving
good result and it is also work as team management how we should work in a team and
coordinate with each other in a good way. It shows leadership quality which shows clarity,
passion towards or work. In this the most important is communication how we communicate
with each so it can be easy to work with each other and cooperate. So this or managerial
implications.

We Conduct survey about National digital health mission it creates social awareness through
people who know more about national digital health mission. It shows positive impact
towards the society through which we gets good result in future. Enrolling in NDHM is
voluntary in which data can be stored after approval from individuals. Easy access to
healthcare.

Managerial Implications summarize what the results mean in terms of actions. In other words,
Managerial Implications compare the results to the action standard, and indicate what
action—or even non-action—should be taken in response. Managerial Implications should
focus only on the evidence provided in the report rather than on how to implement the
results. If explicitly asked to do so, you may add sections—clearly labelled—that separate your
idea generation from the evidence-based interpretation of the research results. In terms of
order, the Managerial Implications should flow directly from the Objectives, summarizing the
answers to the questions asked and the evidence in support of the answers. The Managerial
Implications may identify additional information needed for greater certainty. It should also
remind the reader of limitations or caveats about the using the results, such as amount,
quality or timeliness of the data. Leadership has a direct cause and effect relationship upon
organizations and their success. Leaders determine values, culture, change tolerance and
employee motivation. They shape institutional strategies including their execution and
effectiveness. Well, managerial means “done by management”, and the function or
responsibility or activity of management is to Plan, Organise, Lead and Control. Implications
mean consequences or effects, and they could be negative or positive for the stakeholders in
a business/organization. A few of those stakeholders are Owners, Customers (or members or
citizens), Co-workers, and Suppliers, they all have needs and wishes that should be fulfilled.
This study suggests that the organisational leadership and planning has the strongest
influence on the employee engagement at Creative mine. One of the managerial implications
from the results and discussion is the need for the organisation to provide employees with
better leadership and planning. The managers play a vital role in enhancing engagement
within an employee and they should care about the employees’ wellbeing by providing

41
appropriate feedback to the employees’ input and suggesting them some ideas to progress in
their career by using the opportunities within the organisation. The managers should also
appraise their performance levels and should introduce some incentives and bonuses to the
better performer so that they continue with this effort long term.

The managers need to help in creating an environment where the employees become
engaged emotionally and cognitively. The managers can make the employees emotionally
engaged by building strong bond with the managers, colleagues and work. The employees
can be cognitively engaged by understanding the clear mission and purpose of the
organisation; and by receiving information and appropriate feedback. If the employees have
a strong bond with the managers, then they feel that they are being valued by their managers
and their opinions are being considered. This allows them to internally develop emotional
engagement which helps the organisation to succeed in its goals. Similarly, the employees
who better understand the long term goals of the organisation and the importance of their
job role to the organisation’s success will always feel more cognitively engaged.

In addition to this, the employees feel more engaged if the organisation provides them with
the new learning and training opportunities to notice their talents. For this to happen, the
organisation needs to provide enough resources for the job so that the employees would be
able to meet the targeted deadlines and accomplish their organisational and personal
objectives effectively and efficiently. The results from this research confirms the past
perception of some organisations, managers and employers that if the employee is engaged
in his/her work, then he/she would be more enthusiastic and willing to accomplish even a
very difficult task.

42
7.2 SOCIETAL IMPLICATIONS
The term "social implications" refers to the effects that the actions of an individual or group
have on such variables as the values, demographics or economic condition of an individual,
families or a community. Increased demographic diversity, for example, is one possible social
implication of increasing affordable housing within a community. When such demographic
changes continue over the long-term, the effect of increasing affordable housing moves
beyond having social implications to one having a sustained "social impact. “All technological
advancements have social implications because communities and individuals must invest
their financial and human resources to enable them. The social impact on communities that
make these investments, such as in Silicon Valley or the Seattle area, is long-term economic
growth. The increased tax base in turn improves government services, such as parks and
libraries. Social determinants of health such as poverty, unequal access to health care, lack of
education, stigma, and racism are underlying, contributing factors of health inequities. The
Centres for Disease Control and Prevention (CDC) is committed to achieving improvements in
people's lives by reducing health inequities.

43
7.3 Vision of National Digital Health Mission
To create a national digital health ecosystem that supports universal health coverage in an
efficient, accessible, inclusive, affordable, timely and safe manner, that provides a wide-range
of data, information and infrastructure services, duly leveraging open, interoperable,
standards based digital systems, and ensures the security, confidentiality and privacy of
health-related personal information.

44
Bibliography:-

 https://en.wikipedia.org/wiki/National_Digital_Health_Mission
 https://health.economictimes.indiatimes.com/news/policy
 https://thebastion.co.in/politics-and/is-the-national-digital-health-mission-an-effective-
treatment-for-indias-health-system/
 https://www.thehindubusinessline.com/opinion/what-will-make-the-national-digital-
health-mission-work/article32910091.ece
 https://www.thehindubusinessline.com/opinion/what-will-make-the-national-digital-
health-mission-work/article32910091.ece
 https://www.google.com/url?sa=t&source=web&rct=j&url=https://www.nhp.gov.in/NH
Pfiles/National_Digital_Health_Blueprint_Report_comments_invited.pdf&ved=2ahUKE
wiJxZnKnY3vAhUB7XMBHRx-
BmMQFjACegQIExAC&usg=AOvVaw2aRxTRvas_Lpn-
jFb7XXrZ&cshid=1614537731307
 https://www.makeinindia.com/national-digital-health-mission

45
QUESTIONNAIRE LINK:-
https://forms.gle/ysEGSx2P8iRBWHNN7

ASKED QUESTIONS:-

NATIONAL DIGITAL HEALTH MISSION (A Path Breaking Step)

The National Digital Health Mission aims to develop the backbone necessary to support the
integrated digital health infrastructure of the country. It will bridge the existing gap amongst
different stakeholders of Healthcare ecosystem through digital highways.

1. Name:-
Your answer

2. E-mail:-
Your answer

3. Gender:-
(a)Male
(b)Female

4. Age:-
(a)Below 20 Years
(B) 20-40 Years
(c)Above 40 Years

5. Qualification?
(a) 10th
(b) 12th
(c) Graduated
(d) Post-Graduate
(e) Above
(f) Others

6. Profession?
(a) Student (b) Teacher (c) Lawyer (d) Doctor (e) Engineer (f) Other

7. City:-
Write your answer

46
8. Area:-
(a) Urban (b) Rural

9. Are you aware with National Digital Health Mission? *

(a) Yes (b) No

10. Do you find NDHM (National Digital Health Mission) time saving? *
(a) Yes (b) No (c) Maybe

11. Is this mission is money saving? *

(a) Yes (b) No

12. Is this mission helpful for society/people? *

(a)Yes (b) No (b) Maybe

13. Are you comfortable in providing your health data online? *

(a) Yes (b) No

14. Is your digital card Prepared? *

(a) Yes (b) No

15. Are you aware with the facilities which NDHM is providing? *
(a) Yes (b) No

16. Are you comfortable to talk with doctors online? *

(a) Yes (b) No

17. Do you think our data will be safe online?

(a) Yes (b) No

18. Are you aware with "Health Facility Registry"? *

(a) Yes (b) No

19. Do you have facility of Internet? *

(a) Yes (b) No

20. Do you aware that NDHM collect all yours information regarding your health? *
(a) Yes (b) No

21. Is connecting with doctors in face to face is more beneficial than connecting virtual? *
(a) Yes (b) No

22. Give your comment about NDHM.

47