Project KilKari

Case Study: Enhancing

Access to Infertility
Solutions Through
Community Outreach

info@subhag.in www.Subhag.in 9036 490 490

The Outreach
This document provides a comprehensive overview of Subhag HealthTech's mission to address the
challenge of infertility in India, particularly in smaller cities and towns. It outlines the scale of the
issue, the current landscape of infertility, and the innovative approaches introduced by Subhag
HealthTech to bridge the gap and provide accessible fertility treatments.

VA by Vikram Rajput
Introduction
Chapter 1: Introduction

In India, the journey to parenthood doesn’t always follow a straight

path for many couples. Facing the challenge of infertility, millions
find themselves on a quest for solutions that are often out of reach
due to various barriers. This issue is particularly pressing in smaller
cities and towns, where access to advanced healthcare and
awareness is limited. Subhag HealthTech steps in here, aiming to
bridge this gap with innovative and accessible fertility treatments.

Join the Movement: Stand Up for Your Hospital

Introduction (cont..)
Infertility affects an estimated 22 to 33 million couples of
reproductive age across India. This widespread issue, however,
rarely receives the attention it deserves, partly due to social stigma
and partly due to a lack of accessible solutions.

Subhag HealthTech’s mission is to bring hope to these couples,

especially in Tier II and Tier III cities, by providing easier access to
fertility treatments. This chapter introduces the landscape of
infertility in India, outlining the scale of the challenge and setting the
stage for a deeper exploration of how Subhag HealthTech is
addressing this issue head-on, offering new avenues for couples
dreaming of starting a family.

Join the Movement: Stand Up for Your Hospital

The Infertility Challenge - A Problem
Statement

The "Population Projection Report 2011-2036" by the Technical Group on Population

Projections, under the aegis of the National Commission on Population, Ministry of Health and
Family Welfare, Government of India, presents comprehensive projections of India's population
growth and demographic changes from 2011 to 2036. The report underscores the critical
implications of these projections for policy-making, program implementation, and healthcare
provisioning across the nation.

The Total Fertility Rate (TFR) chart for Indian states and union territories, based on the most
recent data, illustrates a wide range of fertility rates across the country. This variation in TFR
from state to state highlights the demographic diversity within India.

States like Bihar, Uttar Pradesh, and Meghalaya have higher fertility rates, exceeding the
replacement level of 2.1, indicating a younger population with more children per woman. In
contrast, states such as Tamil Nadu, Kerala, and Goa, along with several union territories,
report TFRs well below the replacement level, reflecting an ageing population and potentially
indicating shifts towards smaller family norms.
The Infertility Challenge - A Problem
Statement

The Infertility Challenge - A Problem Statement

The "Population Projection Report 2011-2036" by the Technical Group on Population

Projections, under the aegis of the National Commission on Population, Ministry of Health and
Family Welfare, Government of India, presents comprehensive projections of India's population
growth and demographic changes from 2011 to 2036. The report underscores the critical
implications of these projections for policy-making, program implementation, and healthcare
provisioning across the nation.

The Total Fertility Rate (TFR) chart for Indian states and union territories, based on the most
recent data, illustrates a wide range of fertility rates across the country. This variation in TFR
from state to state highlights the demographic diversity within India.

States like Bihar, Uttar Pradesh, and Meghalaya have higher fertility rates, exceeding the
replacement level of 2.1, indicating a younger population with more children per woman. In
contrast, states such as Tamil Nadu, Kerala, and Goa, along with several union territories,
report TFRs well below the replacement level, reflecting an ageing population and potentially
indicating shifts towards smaller family norms.

This disparity in fertility rates across India underscores the complex interplay of cultural,
economic, and educational factors influencing reproductive behaviour and family planning
decisions. The presence of states above and below the replacement level TFR points to varied
demographic transitions across the country, with implications for policy-making, resource
allocation, and social services planning.

Demographic Shifts: There will be a significant demographic shift with a decline in the
proportion of the population under 15 years from 30.9% to 20.1% and an increase in the
proportion of those aged 60 and above from 8.4% to 14.9%.

Fertility Rates: The Total Fertility Rate (TFR) is anticipated to decline from 2.37 (2011-2015)
to 1.73 (2031-2035).

Year Total Under 15 15-59 (%) 60+ (%) TFR

Population (%)
(Crores)

2011 121.1 30.9 60.7 8.4 2.37

2036 152.2 20.1 64.9 14.9 1.73

India faces a high burden of infertility, with an estimated 22 to 33 million couples of

reproductive age struggling with lifetime infertility. This widespread issue is influenced by
various factors, from lifestyle changes to medical conditions, making it a complex challenge to
address.
The Infertility Challenge - A Problem
Statement
The Growing Issue of Infertility

Infertility in India mirrors a global trend but is exacerbated by specific local factors. Female
infertility accounts for 40%-50% of cases among couples, with male infertility responsible for
30%-40%. The rise in infertility rates is closely tied to deteriorating lifestyle and health risk
factors such as obesity, tobacco use, alcohol consumption, and sexually transmitted infections
(STIs), with obesity rates among men and women showing a significant increase over recent
years.

Polycystic Ovarian Syndrome (PCOS) and endometrial tuberculosis are notable medical
conditions contributing to infertility. PCOS, for instance, has prevalence rates in Indian women
ranging from 3.7% to 22.5%. Additionally, genital tuberculosis, a significant risk factor causing
tubal blockage and endometrial damage, has an estimated prevalence of 18% among infertile
women in India.

Impact of Lifestyle and Demographic Shifts

The fertility landscape in India is changing due to demographic and lifestyle factors. With a
younger population and increased risk factor exposure, infertility rates are rising. The total
fertility rate has declined over the years, making it challenging to address infertility. It requires
a multifaceted approach that considers medical, lifestyle, and societal interventions. Subhag
HealthTech introduces innovative solutions to tackle this complex issue.
Take Action Now: TFR Less than 2.0
The Infertility Challenge - A Problem
Statement (cont.)
Fertility Treatments in India: A Closer Look

India's approach to addressing infertility includes a range of treatments from basic interventions
to advanced reproductive technologies. While IVF has gained prominence, its accessibility and
affordability issues have led many to seek alternative solutions. Among these, Intrauterine
Insemination (IUI) stands out as a viable and less invasive option, particularly championed by
Subhag HealthTech.

The Advantage of IUI Over IVF

IUI offers a simpler, cost-effective alternative to IVF, making it an attractive option for a significant
portion of couples dealing with infertility. Notably, IUI is effective in addressing 50% to 70% of
male-related infertility issues, which constitute a considerable fraction of infertility cases. The
treatment is less physically demanding than IVF and can be administered without the need for
extensive medical intervention, making it a first-line treatment for many couples.
The Infertility Challenge - A Problem
Statement (cont.)
Accessibility and Regulation: Ongoing Challenges

Despite the potential of treatments like IUI, the landscape of fertility treatments in India faces
challenges of accessibility and regulatory oversight. The concentration of specialized fertility
clinics in major cities limits access for couples in smaller towns and rural areas. Moreover, the
affordability of even less invasive treatments remains a hurdle for many.

The regulatory environment for Assisted Reproductive Technologies (ART) in India is still evolving,
with a pressing need for quality standards and patient safety measures in fertility clinics. This lack
of regulation not only affects the consistency of care but also impacts the trust couples place in
fertility treatments.

Subhag HealthTech’s Emphasis on IUI

Recognizing the limitations of current solutions, Subhag HealthTech focuses on IUI as a

cornerstone of its approach to tackle infertility. By emphasizing IUI, Subhag aims to democratize
access to fertility treatments, making them more affordable and less daunting for couples across
India. This focus aligns with the broader need for treatments that can address the wide spectrum
of infertility issues without the financial and emotional toll associated with more invasive
procedures like IVF.

While IVF remains a critical option for specific infertility cases, the broader accessibility and
affordability issues underscore the importance of promoting and improving IUI treatments.
Subhag HealthTech’s innovative approach seeks to fill this gap, offering a beacon of hope for
couples navigating the complex journey of infertility.
Chapter 5: Subhag HealthTech's
Impactful Campaign and Case
Study
Subhag HealthTech's innovative campaign across India, especially in Tier II and Tier III cities, has
significantly transformed the infertility treatment landscape. By empowering gynaecologists with
their patented AndroWash technology, Subhag addresses the acute challenge of infertility with an
approach that’s both innovative and inclusive.

The Campaign Execution:

Subhag’s campaign was meticulously planned and executed, targeting areas where access to
specialized fertility treatments was limited. The initiative focused on training gynaecologists in
using the AndroWash technology, enabling them to conduct sperm washing and IUI treatments
within their clinics. This strategic move was aimed at overcoming the scarcity of andrologists,
which stands at only about 550 for over a billion population in India, thereby democratizing access
to fertility treatments.
Chapter 5: Subhag HealthTech's
Impactful Campaign and Case
Study
Addressing Technical Challenges:

The AndroWash technology by Subhag HealthTech is a game-changer in sperm washing, a critical

step in the IUI process. Traditional sperm-washing methods face challenges regarding sperm
viability during transportation. AndroWash enables on-site sperm processing, significantly
enhancing sperm survival rates. Moreover, unlike existing medical devices designed for handling
urine or blood cells, AndroWash is specifically optimized for sperm, ensuring higher efficiency and
improved outcomes in fertility treatments.

AndroWash V Conceive

Empowering Gynecologists and Expanding Treatment Accessibility:

The campaign has led to the establishment of numerous IUI clinics, significantly expanding
treatment accessibility. Gynaecologists across various states, including notable names like Dr P L
Dewangan, Dr Gulab Chandrakar, and Dr Neetu Jain, participated, bringing the benefits of IUI
treatments closer to couples in need. This empowerment has bridged the gap caused by the
limited number of andrologists, making fertility care accessible and affordable.
Chapter 5: Subhag HealthTech's
Impactful Campaign and Case
Study

The Impact:

The campaign's impact has been profound, with each event witnessing over 200 couples daily,
demonstrating the high demand and need for accessible fertility treatments. Success stories from
these camps, highlighted in local newspapers, have not only raised awareness but also showcased
the efficacy and impact of Subhag’s technology and approach.
Chapter 5: Subhag HealthTech's
Impactful Campaign and Case
Study
Subhag’s Sperm Wash Technology: AndroWash

AndroWash sets a new standard in sperm-washing technology. Its design and functionality cater
specifically to the nuances of handling live sperm cells, markedly improving the chances of
successful conception through IUI. Subhag's emphasis on this technology underlines their
commitment to addressing infertility with innovative solutions that are practical, effective, and
sensitive to the couples’ needs and challenges.

Learn More About AndroWash

Conclusion and Broader Impact:

Combining Subhag HealthTech's AndroWash technology with a strategic outreach campaign has
created a model for addressing infertility that could be replicated across other healthcare
challenges. The campaign has not only provided immediate relief to countless families but also
laid the groundwork for a more inclusive, accessible, and understanding fertility care ecosystem in
India.

Subhag HealthTech's campaign represents not just a success in terms of numbers but a significant
step forward in the way infertility is treated in India, making it a beacon of hope for future
healthcare innovations.

Campaign Highlights:

Empowering Gynecologists: Subhag’s campaign has focused on training and equipping

gynaecologists with AndroWash, enabling them to independently perform sperm washing and IUI
procedures. This initiative has been instrumental in bridging the gap caused by the limited number
of andrologists, who are only about 550 in number across India.

Addressing Sperm Viability: Traditional sperm washing and transportation methods have posed
significant risks to sperm viability. AndroWash technology allows for on-site sperm processing,
enhancing success rates by ensuring higher sperm survival rates.

Innovating Sperm Washing Technology: Existing medical devices for sperm washing are not
optimized for handling live cells, leading to decreased effectiveness. Subhag's AndroWash is
specifically designed for sperm washing, ensuring higher efficiency and better outcomes in
fertility treatments.
Chapter 5: Subhag HealthTech's
Impactful Campaign and Case
Study
Campaign Success:

Each campaign witnessed more than 200 couples visiting every day, with the two-day camps
significantly raising awareness and accessibility of fertility treatments.

Local Newspaper Coverage Placeholder: The campaigns received extensive coverage in local
newspapers, highlighting Subhag HealthTech's efforts to make fertility treatments more
accessible and affordable.

Notable gynaecologists and clinics across various states have been part of this campaign,
including:

Dr. P L Dewangan from Shreyansh Hospital, Arang

Dr Gulab Chandrakar and Dr Neetu Jain from Sai Naman, Tumgaon

Dr. Mochan Patel from Sriram Hospital, Jhalap

Dr. Somee Chandrakar from Soham Hospital, Mahasamund

Dr. Yogita Chandrawanshi from Chandrayan Hospital, Kawardha

Dr. Chetna Mishra from Chetna Care Hospital, Bemetara

Dr. Prajwal Soni from Soni Hospital, Abhanpur
Dr Raj Manhare, Dr Nisha Watti, and Dr Paridhi Jain, from Dani Care Hospital, Raipur

Dr. Ishpreet Kour from Shri Kalyan Hospital, Raipur

Dr Pooja Upadhyay from Upadhyay Hospital, Raipur
Chapter 6: Economic and Social
Implications of Subhag
HealthTech's Campaign
Subhag HealthTech's campaign, focusing on empowering gynaecologists with innovative
AndroWash technology for IUI procedures, has profound economic and social implications. The
initiative addresses the challenge of infertility, particularly male infertility, which can be effectively
treated with IUI, a fact underscored by the scarcity of andrologists and the technical limitations in
existing sperm-washing techniques.

Economic Implications:

Addressing the Skill Gap: The scarcity of andrologists in India creates a significant bottleneck
in infertility treatment. Subhag's AndroWash technology enables gynaecologists across India,
including those in government hospitals, to perform sperm washing and IUI, significantly
expanding the reach and accessibility of fertility treatments. This empowerment could lead to
an increase in the number of IUI procedures conducted, contributing positively to the
economic landscape of healthcare services.

Improving Treatment Outcomes and Efficiency: Traditional sperm washing methods pose
risks to sperm viability, impacting treatment success rates. AndroWash ensures on-site sperm
processing, enhancing success rates and, by extension, the cost-effectiveness of fertility
treatments. This improvement in efficiency can reduce the financial strain on couples seeking
treatment and potentially decrease the number of cycles needed to achieve pregnancy,
leading to economic savings at both individual and systemic levels.

Stimulating Economic Growth: By facilitating the establishment of IUI clinics across Tier II and
Tier III cities, Subhag's campaign contributes to economic growth in these areas. The clinics
not only provide essential healthcare services but also create employment opportunities and
stimulate local economies. Furthermore, the success of these clinics can attract further
investment into healthcare infrastructure and technology, promoting overall economic
development.
Chapter 6: Economic and Social
Implications of Subhag
HealthTech's Campaign
Social Implications:

Reducing Stigma and Enhancing Accessibility: The social stigma associated with infertility
often discourages couples from seeking treatment. Subhag's home-based IUI solution
addresses this issue by providing a discreet and comfortable option for couples, thereby
encouraging more individuals to seek help. Enhancing accessibility through local clinics
further ensures that more couples can avail themselves of fertility treatments without the
need for long-distance travel or facing the daunting prospect of specialized IVF treatments.

Empowering Women and Couples: Infertility can lead to significant psychological and social
distress, particularly for women. By providing accessible and effective treatment options,
Subhag's campaign empowers women and couples with the choice and means to pursue their
dreams of parenthood. This empowerment can have profound effects on individuals' self-
esteem, mental health, and overall quality of life.

Promoting Awareness and Education: The success of Subhag's campaign, highlighted

through local newspaper coverage and success stories, raises awareness about infertility and
available treatments. This increased awareness can lead to earlier intervention, better
outcomes, and a broader understanding of infertility issues, contributing to a more informed
and empathetic society.

Subhag HealthTech's campaign not only addresses the technical and accessibility challenges in
infertility treatment but also brings about significant economic and social benefits. By
empowering gynaecologists with AndroWash technology and promoting IUI as an effective
solution, Subhag is paving the way for a more inclusive, economically vibrant, and socially
empathetic approach to fertility care in India.
The Ask: Strategic Partnerships and
Government Collaboration
Subhag HealthTech's journey in revolutionizing infertility care through its innovative AndroWash
technology and IUI treatments has laid the groundwork for a significant transformation in the
healthcare landscape. To further this mission, Subhag HealthTech seeks strategic partnerships
and collaboration with government bodies, underlining a comprehensive proposal aimed at
enhancing the accessibility and effectiveness of infertility treatments across India.

Initiating IUI Clinics in Public Hospitals

Subhag HealthTech proposes the establishment of IUI clinics within public hospitals, leveraging its
patented AndroWash technology and V conceive kits. This initiative aims to democratize access to
advanced fertility treatments, ensuring that couples, regardless of their economic status or
geographical location, have the opportunity to pursue their dreams of parenthood.

Collaborative Awareness Campaigns

Awareness regarding infertility and the available treatment options remains limited, contributing
to the stigma and challenges faced by couples seeking help. Subhag HealthTech requests
permission to run comprehensive infertility awareness campaigns in partnership with relevant
government bodies. These campaigns would aim to educate the public, address societal stigma,
and highlight the accessible solutions provided by Subhag HealthTech, thereby fostering a
supportive environment for couples dealing with infertility.

Training and Capacity Building

Recognizing the skill gap in sperm washing techniques and IUI procedures among gynecologists
and lab technicians, Subhag HealthTech commits to providing specialized training programs.
These programs are designed to equip healthcare professionals with the necessary skills and
knowledge to effectively use AndroWash technology, ensuring high-quality care and treatment
outcomes.

Financial Support for Campaigns

To ensure the success and sustainability of these initiatives, Subhag HealthTech seeks financial
support from the government to cover the campaign costs. In return, Subhag commits to
providing the human resources, technology, and expertise required to implement these programs.
This financial support would enable widespread outreach and impact, making fertility treatments
more accessible to a broader segment of the population.
Chapter 7: Strategic Partnerships
and Government Collaboration
Addressing Regulatory and Training Gaps:

The collaboration could also focus on addressing regulatory gaps and enhancing the quality of
care through:

Regulatory Framework: Establishing a robust regulatory framework for fertility treatments,

ensuring quality control and patient safety.
Capacity Building: Investing in capacity building for healthcare professionals, including
gynaecologists and lab technicians, ensuring they are well-equipped to utilize technologies
like AndroWash effectively.

Strategic partnerships and government collaboration are pivotal for scaling Subhag HealthTech's
impact, making fertility treatments more accessible and affordable. By combining Subhag's
innovative solutions with government support and public healthcare infrastructure, there's
potential to significantly advance the cause of reproductive health across India. This collaboration
not only addresses the immediate challenges of infertility but also contributes to the broader goal
of ensuring equitable healthcare access, emphasizing the importance of fertility health in public
health agendas.
Chapter 8: Conclusion
The journey of Subhag HealthTech
1 Inception 2 AndroWash 3 Economic and
From its inception to
Technology Social
By focusing on the
Implications
its impactful
campaigns across innovative AndroWash The economic and
India, exemplifies a technology and social implications of
profound commitment empowering these initiatives are
to addressing the gynaecologists to far-reaching, extending
challenge of infertility. provide IUI treatments, beyond the immediate
Subhag has initiated a beneficiaries to
paradigm shift in the influence broader
accessibility and societal attitudes
affordability of fertility towards fertility issues.
care, especially in Tier
II and Tier III cities.

4 Strategic 5 Success Stories 6 Democratizing

Partnerships The success stories
Access
Through strategic emerging from The company’s efforts
partnerships and Subhag’s campaigns to democratize access
potential are a testament to the to fertility treatments
collaborations with potential of innovative reflect a deeper
government bodies, technologies and understanding of the
Subhag HealthTech is approaches in challenges faced by
not only addressing the transforming couples across India,
current gaps in healthcare. offering them not just
infertility treatment medical solutions but
but also paving the way hope and a chance at
for a more inclusive parenthood.
healthcare ecosystem.

7 Expanding Reach
As Subhag HealthTech continues to expand its reach and refine its solutions, its journey
offers valuable insights into the power of innovation, collaboration, and commitment in
addressing healthcare challenges.

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