The Problem
Many women never reach a doctor for SRH issues because travel, cost, and shame stop them at the clinic door. English-only apps and long forms fail Hindi, Marathi, Telugu, and Hinglish users—and low-literacy users need voice, not walls of text. Sensitive period and infection details require private, audit-ready consent; NGOs cannot run programs on WhatsApp chat, Excel rosters, YouTube videos, and paper prescriptions without losing trust when calls fail, records disappear, or one busy evening floods a helpline.
Our Approach
- 01
Shipped phone-first telehealth—video or voice consult from home—with appointment history, reports, and digital prescriptions in one account; India telephony via Exotel plus Twilio/Zoom/Meet, scheduler-driven auto-calls at slot time, call recording to S3, doctor availability, and Google Calendar sync so operations run on schedules, not manual callback lists.
- 02
Built full vernacular product surfaces—i18n across web and mobile, translation and transliteration APIs, OpenAI and multi-language NLP, Microsoft speech-to-text for voice—plus Myna Bolo chat/voice, Jaankari courses, and doctor booking labeled for care on the mobile, not a translated Western app.
- 03
Implemented health-grade access control: OTP phone login, JWT on REST and WebSocket, bcrypt for staff and doctor passwords, Helmet and validated APIs with Sequelize ORM, HTTPS everywhere, RBAC (user / doctor / admin / AIHS), and versioned consent per language and type (consentVersion + userConsent) for audit-ready NGO programs.
- 04
Designed the peak-load backbone—microservices on PostgreSQL (RDS) as system of record, Redis for cache and job queues, dedicated scheduler service for calls, notifications, and period jobs, ElasticSearch for search and logs, Winston structured logging, New Relic and Slack alerts, PM2 on AWS Mumbai with health checks.
- 05
Automated trust at scale—reminders, retry flows when calls fail, prescriptions as PDF on S3, follow-up slots, period and appointment notifications, Firebase push—so missed calls and lost records do not break program credibility.
- 06
Unified the NGO journey on one engineered system—learn → ask (chat/voice) → book doctor → prescription → follow-up → track period → refer a friend—with Next.js web and React Native mobile, Figma-aligned accessible UI (v2 homepage), Mixpanel analytics, and referral QR—product, DevOps, and design as one stack for Myna Mahila Foundation.
Outcome
M-Health runs in production as foundation software: vernacular AI and courses, private telehealth, consent-aware data, and cloud-native ops on a single platform—replacing fragmented chat, spreadsheets, and paper with one journey NGOs can operate, observe, and scale.
