Healthcare is the right of every individual but rural India where more than 65.53% population resides shows some contradictory facts than its urban part [1]. More than 800 million Indians live in 636000 Indian Villages die due to preventable or curable diseases as 66% of rural Indians do not have access to the critical medicines and 31% of the population travels more than 30 kms to seek healthcare [2]. The diversity of the challenges faced by the rural healthcare sector is the combined effect of lack of quality infrastructure, shortage of qualified medical professionals, low insurance penetration and technology adoption [3].

The three-tier healthcare system of rural healthcare comprising of Sub-Centres, Primary Health Centres (PHC), and Community Health Centres (CHC) where shortfall reported as 18% at the Sub-Centre level, 22% at the PHC level and 30% at the CHC level [4] which is detrimental to the rural health system in terms of the quality and availability of care for rural people.  Data from the National Rural Health Mission shows that nearly 8% of primary health centres in rural India were functioning without a doctor, while 61% of them had just one doctor as of March 2017[5]. Not only that, the quality of the doctors operating in rural areas is also questionable as a 2016 WHO report showed that only 19% of the doctors in rural areas had a medical degree [6]. This unmatched crisis leads the rural people accessing facilities from private health care.  Hence, they depend on household income or saving (68%) and borrowing (25%) to fund hospitalization expenses [7] as only 14.1% in rural people are covered under any health insurance scheme [8]. It has been observed that rural households of India face more Catastrophic Health Expenditure than the urban (rural (25.3%) and urban (17.5%)) [9]. In addition to that, technology solutions in emerging markets are often hard to navigate and fail to engage patients from the rural areas. Health providers in those areas now need affordable mobile and cloud-based technologies that combine basic practice management with patient engagement in a user-friendly manner, making it easy for large hospitals and small clinics alike to connect with patients. [9]

These diversified challenges are an opportunity for the stakeholders to extend care beyond healthcare institutions and take it to the doorsteps of the underserved population at the remotest corner. As there is a strong imbalance between urban compared to rural areas, making rural India grossly underserved, technology here can be transformative in delivering healthcare services [10]. The unmet demands of the health workforce in the last mile community and affordable quality healthcare requires the health system to come up with a wide range of diverse technology interventions as well as the strategic partnership to address the varying financing, prevention, provision, and protection needs of the healthcare. These include reaching millions who are geographically spread across the country, providing better and more accurate diagnosis, managing operations, and facilitating effective collaboration and dialogue between doctors and healthcare workers. Hence the solution which brings technology innovations, scalable models, and ecosystem partnership of multiple stakeholders in the last mile could build an integrated care delivery model that is both inclusive and community responsive.