﻿<?xml version="1.0" encoding="UTF-8"?>
<ArticleSet>
  <Article>
    <Journal>
      <PublisherName>Tabriz University of Medical Sciences</PublisherName>
      <JournalTitle>Health Promotion Perspectives</JournalTitle>
      <Issn>2228-6497</Issn>
      <Volume>15</Volume>
      <Issue>4</Issue>
      <PubDate PubStatus="ppublish">
        <Year>2025</Year>
        <Month>12</Month>
        <DAY>30</DAY>
      </PubDate>
    </Journal>
    <ArticleTitle>A new approach for improving access to primary care and public health in India: the 3T Model</ArticleTitle>
    <FirstPage>306</FirstPage>
    <LastPage>314</LastPage>
    <ELocationID EIdType="doi">10.34172/hpp.025.44221</ELocationID>
    <Language>EN</Language>
    <AuthorList>
      <Author>
        <FirstName>Satadal</FirstName>
        <LastName>Saha</LastName>
        <Identifier Source="ORCID">https://orcid.org/0009-0008-1946-4311</Identifier>
      </Author>
      <Author>
        <FirstName>Bibaswan</FirstName>
        <LastName>Basu</LastName>
        <Identifier Source="ORCID">https://orcid.org/0009-0006-8161-8233</Identifier>
      </Author>
      <Author>
        <FirstName>Ruchira</FirstName>
        <LastName>Mukherjee</LastName>
        <Identifier Source="ORCID">https://orcid.org/0000-0002-5850-8881</Identifier>
      </Author>
    </AuthorList>
    <PublicationType>Journal Article</PublicationType>
    <ArticleIdList>
      <ArticleId IdType="doi">10.34172/hpp.025.44221</ArticleId>
    </ArticleIdList>
    <History>
      <PubDate PubStatus="received">
        <Year>2024</Year>
        <Month>12</Month>
        <Day>23</Day>
      </PubDate>
      <PubDate PubStatus="accepted">
        <Year>2025</Year>
        <Month>10</Month>
        <Day>16</Day>
      </PubDate>
    </History>
    <Abstract>Health inequities in India encompass limited primary care access, dearth in healthcare personnel, especially in rural fragile geographies. A health system strengthening (HSS) approach through an innovative 3T-model can solve this ubiquitous problem. 3T includes- (i) Train rural youths (majorly women) as nationally certified &amp; digitally literate Community Health Workers (CHWs) creating livelihood and women empowerment (ii) Technology: clinical algorithm driven software; easy-to-use affordable innovative diagnostic devices, screening tools (iii) Task-shifting: the software guides CHWs transmit structured, analysable, patient data to ‘remote’ doctors. CHWs addresses personnel shortage in health sector. Technology and task-shifting enable improved access to general and specialist doctors. Digital presence reduces doctors’ travel and time, enabling more consultations. The 3T-model addresses critical health inequities in India. Effective scaling can significantly improve access to affordable primary care and public health services for last-mile populations with potential to reduce gender disparities in access to essential healthcare.</Abstract>
    <ObjectList>
      <Object Type="keyword">
        <Param Name="value">Community health workers (CHWs)</Param>
      </Object>
      <Object Type="keyword">
        <Param Name="value">Electronic health record</Param>
      </Object>
      <Object Type="keyword">
        <Param Name="value">Health services accessibility</Param>
      </Object>
      <Object Type="keyword">
        <Param Name="value">Medically underserved areas</Param>
      </Object>
      <Object Type="keyword">
        <Param Name="value">Primary health care</Param>
      </Object>
      <Object Type="keyword">
        <Param Name="value">Task shifting</Param>
      </Object>
    </ObjectList>
  </Article>
</ArticleSet>