ATM revolution offers health status check-up in minutes!

By Pradeep Kumar

ITANAGAR, Apr 23: The ATM (automated teller machine), electronic banking outlet, is the buzz of present cash transactions that allows customers to complete basic transactions without the aid of a branch representative.

Anyone with a credit card or debit card can access most ATMs. But the YOLO (you only look once) health ATM, an automated health and wellness screening kiosk to deliver quick, convenient and affordable primary care, has revolutionized heath care services by offering automated health check-ups and video consultation with reputed hospitals, doctors and specialists across India. With heath becoming prime concern for Indians becoming more health conscious such ATMs have come like a boon of science.

The prevalence of lifestyle diseases in India, particularly diabetes or hypertension that require close monitoring from a physician are on the rise with 25% reported risk of dying from such diseases before the age of 70. The monitoring often requires assessing blood readings and other preventative measures usually done by a primary care physician.

The number of doctors is rising but not enough to take care of everyone. Lots of startups have popped up to reduce the gap between doctors and patients via video consultation, like SeeDoc and JustDoc. Thus, YOLO ATM is more useful in rural India where full-time doctors are rare. There is a nominal fee for each screening that ranges from Rs 20 for services like BP check-up to Rs 350 for a blood report.

YOLO is a state-of-the-art, real-time object detection system. On a Pascal Titan X it processes images at 30 FPS and has a mAP of 57.9% on COCO test-dev. It outperforms all other detection methods, including DPM and R-CNN, by a wide margin when generalizing from natural images to artwork on both the Picasso Dataset and the People-Art Dataset, assures the ATM. A smaller version of the network, Fast YOLO, processes an astounding 155 frames per second while still achieving double the mAP of other real-time detectors. Compared to state-of-the-art detection systems, YOLO makes more localization errors but far less likely to predict false detections where nothing exists.

One can walk in, sit down, and get the full tests of vital signs, glucose, cholesterol, other blood tests and body mass calculations. After the process is over, the person gets a printout of all of test readings with an option of emailing it to self and another physician before leaving. The whole process with a cost takes four to five minutes, with little help from the medical attendant.

A doctor usually uses a stethoscope and checks skin for any known abnormalities, prescribes to conduct tests, whose reports have to be produced to the doctor to diagnose the disease to prescribe medicines, a very time consuming process. But YOLO ATM offers quick and accurate health check-ups.

Mumbai-based Max Bupa Health Insurance (MBHI) was first to launch health ATMs in October 2017 – the first such innovation in India. These machines will conduct non-intrusive medical tests and issue health policies for up to Rs 10 lakh without manual intervention, the Times of India had reported quoting MBHI MD & CEO Ashish Mehrotra, who had hinted about launching around 20 such ATMs in Bank of Baroda.  Such health ATM, which works over a slow 2G or 3G connection, are functional in Mumbai, Kolkata and Karnataka’s rural  Kolar district, Sukma & Dantewada districts in Chattisgarh.

New Delhi Municipal Corporation had set up first health ATM in South Delhi Balika Kendra dispensary on experimental basis in January last, but with its success plans are afoot to install more across New Delhi. That’s how co-founders Dhilly Babu, Shreyans Gandhi and Arpit Mishra mainly want the apparatus to be used.

YOLO health ATM could serve as boon in Arunachal

Health delivery system still remains a far cry, particularly in remote and inaccessible parts of Arunachal Pradesh though the sector has been on priority agenda of the Govt.

Poor picture as India’s doctor, patient ratio stands at 1:2000 – was reported in this daily’s 30.08.17 edition.

“There are about 792 Govt doctors and if 200 private doctors are added, the total comes to 992, say 1,000, according to health services director Dr Moji Jini. This amounts to doctor: patient ratio of 1:1,650, contrary to WHO norm of 1:1,000.

“Health commissioner Kaling Tayeng when asked had said that the situation would improve soon with the GoAP attaching ‘no tolerance’ policy. The APPSC has been asked to recruit 108 GDMOs, 74 specialists posts sanctioned while process of sanctioning 120 posts on. Health care delivery service would get a new thrust with 302 additional doctors, he added.

“However, realising that not all doctors officially registered in India are actually practicing here, Union Health Ministry is set to prepare a comprehensive database of medical practitioners to balance the doctor-patient ratio in the country, Neetu Chandra Sharma reported in Mail Today from New Delhi on 29.04.16.

According to the Medical Council of India (MCI) there are around 9.29 lakh doctors registered in Indian Medical Register (IMR). The council assumes around 80% availability of doctors at one time, it is estimated that around 7.4 lakh doctors may be actually available for active service. It gives a doctor-patient ratio of 1:1674 against the WHO norm of 1:1000, when every year around 55,000 doctors and 25,000 PG doctors are graduating from various colleges.

“A recent parliamentary committee report on the functioning of the MCI pointed out, “The total number of doctors in India is much smaller than the official figure of 9.29L and we may have one doctor per 2,000 population, if not more.” The committee further noted that given the fact that the IMR is not a live database and contains names of doctors who may have passed away or retired from active practice, by now, as well as those with a permanent address outside India and that there is no mechanism in place for filtering out such cases.

“The committee was also highly skeptical of the Health Ministry’s claim of having one doctor per 1,674 people as data of those doctors who study here but are moving abroad for further studies and serviceare maintained, according to a senior health ministry official”.

Despite last BJP Govt’s initiative, the doctor- patient ratio is still a far cry. Thus, YOLO health ATM if installed at least one in each district headquarters would serve as boon in this land-locked state.

Such ATM is an innovation to reinforce poor primary healthcare infrastructure in developing countries. Health ATM has all primary health checkup inbuilt devices. It can be setup in both rural and urban locations. In rural locations it can be setup in PHC, CHC, smaller clinics to solve problem of lack of medical facilities and availability of doctors. In urban location it can be setup in corporates, retail outlets, pharmacy chains, shopping malls, residential townships and helps people monitor chronic conditions and also consult a doctor.

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