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Designing an Intervention to Nurture Self-Help Groups as Platforms to Deliver Comprehensive Elderly Care

Across the globe, countries are experiencing a significant demographic shift as the older population grows. In India, between 2011 and 2050, the elderly population is expected to rise from 104 million to 347 million, making up 20.8% of the total population. Among the most prominent challenges for an elderly population are their healthcare needs. The most common chronic conditions amongst the elderly were cardiovascular diseases (35.6%), followed by hypertension (32%) and diabetes mellitus (13.2%).

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Planning and Implementing Community-Responsive Palliative Care Using Human-Centered Design in Tumkur, Karnataka

Arohan is supporting the Ajit Isaac Foundation (AIF) in planning and implementing a community-responsive palliative care model in Tumkur, Karnataka. One of the core goals of the Niram Palliative Care Center is to provide high-quality, patient-centered care to underserved populations with palliative care needs.
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Technical Assistance to inform measures for Advancing Universal Health Assurance in India for Indian School of Public Policy

AROHAN Partners contributed to the flagship report developed by Indian School of Public Policy-
Road to Viksit Bharat: From Achieving Universal Health Coverage to Attaining Universal Health Assurance, launched by the Comptroller and Auditor General of India (CAG) on 11 December 2025. 

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Designing an Integrated Care Coordination Model

In India and across the globe, healthcare systems continue to struggle with a persistent challenge: fragmented care delivery. Health facilities, labs, diagnostic centres, and private providers continue to operate largely in isolation, while multiple public health programs run in parallel with uneven integration. For patients and their caregivers, navigating a health system can feel like moving through a complex maze: disjointed facilities, confusing referrals, weak follow-up, and limited information continuity, which often lead to patients falling through the cracks, thereby undermining health outcomes.

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Rapid Assessment of Comprehensive Primary Health Care in Assam

Arohan is undertaking a rapid assessment of Comprehensive Primary Health Care (CPHC) Systems in Assam as part of its broader portfolio of health systems strengthening initiatives. Commissioned by NHM Assam, supported by Guwahati Medical College and Hospital (GMCH), and funded by The Gates Foundation, this assessment addresses the need for a clear, evidence-based understanding of the current status of CPHC implementation in the State.

The work seeks to identify key enablers, systemic barriers, and high-potential focus areas within CPHC service delivery mechanisms of the State. The findings from this assessment aim to generate actionable insights to inform and guide strategies for strengthening primary health care in Assam.

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Designing an Intervention to Nurture Self-Help Groups as Platforms to Deliver Comprehensive Elderly Care

Across the globe, countries are experiencing a significant demographic shift as the older population grows. In India, between 2011 and 2050, the elderly population is expected to rise from 104 million to 347 million, making up 20.8% of the total population. Among the most prominent challenges for an elderly population are their healthcare needs. The most common chronic conditions amongst the elderly were cardiovascular diseases (35.6%), followed by hypertension (32%) and diabetes mellitus (13.2%). 

Addressing the increasingly complex healthcare needs of an aging population requires a fundamental shift toward community-based care models rather than continued reliance on institutional care. Among community-based healthcare approaches practiced in India, self-help groups have emerged as vital platforms that build strong social networks, facilitate peer-to-peer health information exchange, and promote community ownership towards adopting healthier behaviors. However, few states have been able to explore strategies to expand the role of SHGs in emerging areas such as elderly care. 

Through a comprehensive review of specific needs, this study, in collaboration with Project Concen International (PCI), aims to identify areas where SHGs can effectively support community-based care or support for the elderly. The ultimate aim is to create a holistic care ecosystem for the elderly by designing a feasible intervention that leverages SHG structures, networks, and community embeddedness to deliver comprehensive care.

Planning and Implementing Community-Responsive Palliative Care Using Human-Centered Design in Tumkur, Karnataka

Arohan is supporting the Ajit Isaac Foundation (AIF) in planning and implementing a community-responsive palliative care model in Tumkur, Karnataka. One of the core goals of the Niram Palliative Care Center is to provide high-quality, patient-centered care to underserved populations with palliative care needs.

In collaboration with the Gupta-Klinsky India Institute, Arohan is facilitating the design of an inclusive, contextually relevant, and sustainable service delivery model through a series of Human-Centered Design (HCD) workshops and stakeholder engagement processes. The initiative seeks to place caregivers, healthcare providers, and health systems administration at the center of the design process, ensuring that services are responsive to local needs.

Technical Assistance to inform measures for Advancing Universal Health Assurance in India for Indian School of Public Policy

AROHAN Partners contributed to the flagship report developed by Indian School of Public Policy-

Road to Viksit Bharat: From Achieving Universal Health Coverage to Attaining Universal Health Assurance, launched by the Comptroller and Auditor General of India (CAG) on 11 December 2025.

The report includes two key knowledge products developed  by Arohan

  1. Pradhan Mantri–Jan Aarogya Yojana (PM-JAY): Reflections – Insights on governance, implementation, and systemic gaps in India’s largest public health insurance programme.
  2. Strengthening Community Engagement for UHC – Recommendations for embedding community participation, trust, and accountability within public health programmes.

These contributions enriched the report’s evidence base, highlighting pathways for  people-centred, outcome-oriented, and equitable reforms for strengthening UHC.

Download the full Report from here: https://ispp.org.in/wp-content/uploads/2025/12/cuha-report.pdf  

Designing an Integrated Care Coordination Model

In India and across the globe, healthcare systems continue to struggle with a persistent challenge: fragmented care delivery. Health facilities, labs, diagnostic centres, and private providers continue to operate largely in isolation, while multiple public health programs run in parallel with uneven integration. For patients and their caregivers, navigating a health system can feel like moving through a complex maze: disjointed facilities, confusing referrals, weak follow-up, and limited information continuity, which often lead to patients falling through the cracks, thereby undermining health outcomes. These coordination gaps are evident across services, including maternal and child health, communicable and non-communicable diseases. Behind this maze lie deeper challenges. Providers themselves are constrained by limited access to patients’ longitudinal health data, a lack of standardized treatment protocols, unclear referral chains, poorly defined roles, and heavy administrative burdens. Beyond providers, systemic challenges, from overcrowded facilities and human resource shortages to weak program management and inadequate surveillance, further hinder the delivery of coordinated care. 

Addressing these gaps requires a holistic approach: building a connected network of providers and facilities, leveraging digital tools and health information systems, synchronizing vertical health policies, and ensuring every patient receives seamless, continuous care. This exploratory study by Arohan Partners, conducted in collaboration with Access Health International, aims to inform the design of an integrated care coordination model. Although the model is currently in its design phase, our study is built around the vision of its full implementation. Through this lens, we aim to lay out the rationale for integrated care coordination, develop a Theory of Change (ToC) to map its potential benefits, and identify additional and complementary strategies needed to fully realise its potential.

Rapid Assessment of Comprehensive Primary Health Care in Assam

Arohan is undertaking a rapid assessment of Comprehensive Primary Health Care (CPHC) Systems in Assam as part of its broader portfolio of health systems strengthening initiatives. Commissioned  by the Gates Foundation, in collaboration with Guwahati Medical College and Hospital (GMCH) and State NHM, this assessment addresses the need for a clear, evidence-based understanding of the current status of CPHC implementation in the State.

The work seeks to identify key enablers, systemic barriers, and high-potential focus areas within CPHC service delivery mechanisms of the State. The findings from this assessment aim to generate actionable insights to guide future investments and strategies for strengthening primary health care in Assam and informing subsequent Gates Foundation support to the sector.