Sunday, July 21, 2019

Emergency healthcare solutions to remote rural villages in India




Emergency healthcare solutions are accessible to remote rural villages in India


My Favourite Challenge is “How can we make healthcare solutions are accessible to remote rural villages in India with rocket speed”. Health care is one of the primary need in any civilized society and has always been given enough importance given in developed countries. But, in India still it is a distant dream of having accessible immediate health care. There are about 2.4 million Indians die due to treatable conditions every year, out of which 1.6 million died due to poor quality of care and remaining due to non-availability of health services as per the Lancet survey report 2016. The worst part is, we are behind to some of our neighbouring small countries like Bangladesh, Sri Lanka and Bhutan in Global Health access and Quality (HAQ) Index. We were placed in 145th position out of 195 countries in this Index

There are many ways to solve this problem. I selected below solution as it has high impact and low cost of initial implementation.

Solution
 Development of Mobile Application/Platform which provides information about the actions to be taken at emergency medical situations and helps to connect patient to doctors and also facilitate the dropping of medicines required through drones in emergency situation. Though smartphone reached many parts of our country, a dedicated helpline number will also be maintained to provide this information over phone. The idea here to use the platform based business model act as interface between doctors and patients and patients and drone suppliers.

Feels like Prototype: Story Board


Feel like Prototype:







 One day Low Cost Experiment

The following activities will be performed as part of my one day low cost experiment.

-          Develop a Mobile Application with minimal features i.e. Main page and another page which explains an action to be taken in case of sudden heart attacks using online free Mobile UI designer software.
-          Share that mobile application to few friends and families, which will also covers people staying in rural areas
-          Collect the feedback on application’s ease of use
-          Collect the suggestions to improve on overall concept and idea

Cost: The money required for to do this experiment is zero as infrastructure is already in place and only required 2 to 3 hours of human effort. I can take up that prototype development in my free time, so it does not cost anything.

Hypothesis testing: This experiment tests the hypothesis “emergency healthcare solutions are accessible to remote rural villages in India with rocket speed” is possible.

Success Measure: The experiment is considered as success if a person who sits in remote village sees value in this idea.

Low cost Production and distribution of desalinated sea water



My favourite challenge and experimentation
-Sai Sandeep Yelchuri

CHALLENGE: How can freshwater (desalinated water) be produced from the sea and distributed to every household at a minimal cost like electricity?

DESCRIPTION: With the continuous depletion of groundwater resources, unpredictable rainfall, and drying up of rivers, it is very important to find a sustainable alternative for finding freshwater. Having an enormous coastal line of 7516.6 Kms, India has a wonderful opportunity in the form of seas and an ocean. But, purification or desalination of this seawater is very costly. Considering the requirement(across various states) and their financial conditions, it is difficult to go ahead with the available technology. Even after processing the seawater, distributing it to every household across the country would be a herculean task. So, the idea is to look for a solution that can desalinate seawater and distribute it at a very low cost. For a metaphorical reference, we can look at how electricity is produced and distributed at a reasonable cost to every household and industrial facility.


SCOPE OF EXPERIMENT: As mentioned earlier, we identified two sub-problems within this challenge,
1. High cost of production
2. Difficulty in distributing across the country
Due to the paucity of time, I’ve picked up only the first problem for this experimentation exercise.
BRIGHT SPOT: For low-cost production, the main criteria to be considered are ‘Low cost of setup and maintenance’ and ‘Feasibility in implementation’.

Bright Spot 1[1]: Initially, I looked around if someone is doing something similar, at a very low cost. I came across an experiment performed by an Indian American high school boy, Chaitanya Karamchedu, who discovered a way to filter out salt from seawater at a meager cost using an absorbent polymer. Though it is an extraordinary idea that reduces the cost to a great extent, there is no mention of how to scale it, as the polymer used is costly and difficult to manufacture.

Bright Spot 2[2]: After extensive research over the internet, going through various research papers and news articles, I came across an article published in the ‘Journal for Water Science & Technology,’ by a few young scientists in Egypt. These researchers used a process called ‘Pervaporation,’ which is a two-step process of filtering and vaporizing. The filtering is done using a polymeric membrane, while the vaporizing, and consequently condensation produces freshwater.
Although pervaporation as such is not new, it was associated with quite an expensive and complicated membrane production. This is probably the reason why it has not been put into full use. But this team of scientists developed a new type of membrane, which is salt-attracting and is embedded with Cellulose acetate, aka fibre from wood pulp. This idea of using the Wood pulp as a membrane appeared to a Bright spot for me, as it is very cheap and easy to make, and also highly efficient. Though not implemented yet in a larger setup, the second solution seems to be very promising.
For more information on the bright spots, refer the Additional Notes section and References.

SOLUTION (Chosen for experimenting): The solution chosen for experimenting is based on the second bright spot mentioned above. We use the Pervaporation method using ‘Wood Pulp’ as a membrane for filtering out salt from water. Though the cost of the membrane is lowered, the energy required for the process is still costly and is a limited resource. So, as an alternative to the traditional energy sources, we plan to use the solar panels for the energy requirements.

STORYBOARDS:
Before

After


LOOKS-ALIKE PROTOTYPE:


1-DAY EXPERIMENT:
What hypothesis will it test: The current solution is aimed at creating a new process that will desalinate seawater at a low cost. There are two parts in/ the solution that should be validated:
• Whether the current process works in producing freshwater from seawater.
• Whether the process we designed results in lower cost desalination(per Cu. Metre) compared to the existing industrial processes.

What will we do:

To conduct this experiment, we can follow the process(shown above) given in the research paper published[2].  


This is a laboratory experiment and we just need to procure the required apparatus and chemical (Cellulose acetate). As per the description given in the research paper, this experiment can be certainly completed in one day.

Important difference:
In an actual industrial setup, the source for the electric heater in step 4 and Leibig condenser in step 7 and 8 is the solar panels installed on the plant.




Cost of experiment:
It is best to approach a University/research laboratory for conducting this experiment. It will reduce the costs to only the cost of Chemical required (cellulose acetate) and rentals.
If we want to conduct the experiment on our own, as per online sources the following are the costs for the material required:
Material
Price(in Rs)
Cellulose acetate
158
Leibig condensor
91
Cooling centrifuge
(You can use other cooling methods like a small cooling chamber that can reduce costs to near 1000)
1000
Air blower
449
Thermometer
107
Total
1804
*Please refer to the appendix to find the references for each price[3]
As it is an experiment, we are considering the costs of energy required is negligible
Measuring the success: Currently, the success can be measured on the two-hypothesis mentioned above:
1.     Is the process, producing freshwater from salty seawater? You can use Salinity sensors[4] available in the market to detect the change. If the salinity is low, we can confirm that the process is working and can consider the first part as a success.
2.     Is the process producing 1 Cubic meter of freshwater at a low cost compared to the traditional desalination processes used in industries? If the cost of production(per cubic meter) is less than $1, the industry-standard neglecting energy costs, we can consider the second part as a success.
ADDITIONAL NOTES:
Bright Spot 1: The polymer used filters out the 90% of the water molecules that are not bonded to the salt, as opposed to the existing methods that tried to break the bonds between Water and salt molecules (that constituted 10%).

Bright Spot 2: The new membrane used is not only very cheap to make, but it is also highly efficient. According to the researchers, it can handle highly concentrated seawater, and remove contaminants. What is more, it is not only useful in terms of freshwater production, it can also be used for capturing environmental pollutants and salt crystals.


REFERENCES

1. Bright Spot1:
https://www.indianeagle.com/travelbeats/portland-indian-chaitanya-karamchedu-makes-saltwater-drinkable

2. Research Paper:

https://pdfs.semanticscholar.org/3bde/7ff2a17fb442ce24a2efba8a315c881c98b2.pdf

3. Costs of materials for experiment:

  1. https://www.sterlitech.com/cellulose-acetate-membrane-filters.html
  2. https://www.indiamart.com/proddetail/leibig-condenser-200-mm-15836435988.html 
  3. https://www.amazon.in/dp/B01GFTEV5Y/ref=cm_sw_em_r_mt_dp_U_2XjnDbBEA7MRX
  4. https://www.moglix.com/aeronox-500w-air-blower-an20/mp/msn2qreqc5takp?gclid=EAIaIQobChMIgNW73sDG4wIVziMrCh0EyAI3EAQYASABEgJPM_D_BwE
  5. http://tiny.cc/lk709y

4. Salinity Sensor:
https://www.pce-instruments.com/english/measuring-instruments/test-meters/salt-meter-pce-instruments-salt-meter-pce-pwt-10-det_5852847.htm?_list=kat&_listpos=1





Mass Adopt Mysore-ism across India



In “The waste of a Nation” by Harvard University Press, Assa Doron and Robin Jeffrey discuss the trash problem of India, go testing hypotheses and prove that this was in the making for decades – Consumer Capitalism, Urbanisation and population growth that went beyond the holds of the administration in terms of the support ecosystem. Yet, In an interview with the authors[1], they still point out the bright spots, that are still very much active in the system – The traditional recycling system (Kabaadi), the inherent Frugal nature of the Indians and the Labour availability.

To corroborate the readings, I was skimming through some literature and found an interesting Working paper[2]on Solid Waste Management in India. While, India still recycles a higher percentage of its waste than the Global Average of 15%, the major problem is the uselessness of a still large share, simply because they’re unsegregated. So, The solution that I want to propose to the problem of waste management in India is “Segregate and Collect at Source and Incentivize the Stake holders”. Studies[3]say that 50-60% of the waste are in general wet waste that can be converted to organic manure, another 20% is recyclable solid waste. So, considering Delhi for an example, out of the 10,000metric tonnes of waste the city generates now, 1000-1500 only needs to actually go to the landfills in place of the current 4500-5000metric tonnes if there’s proper segregation.

Why emulate Mysore? It’s among the cleanest cities in India and more interestingly 95% of Mysore’s waste are collected at source. Ideas are in the air, they need to be formally integrated into a sustainable business model and implemented on-ground.

The Challenge:
How to do effective waste management and contribute to a litter free India?

Solution:
The AHA Moment:
I was thinking through a solution and happened to watch the waste disposal scheme in the apartment I live in. There’re separate buckets to collect the waste and the waste collectors move them in to associated containers. Being a decently educated society, I expected this procedure to be working perfect and called up the recycling agent to check up how the returns are. I was shell-shocked to find that, irrespective of the three different buckets with clear instructions on where to put what, they’re able to get money only for 20 – 30% of the waste collected.  The reason - it’s all dumped together on to the loading trucks as I could watch, the very next day. The waste goes to another Segregation centre, where it’s separated again and they use only the wet waste that they can extract out, and the rest (recyclable solid waste + Nonre-cyclabe garbage) goes to a landfill. Such a rampant wastage of energy happens among an educated upper-middle class Gated Community and the only reason I could garner was the lack of proper incentive to see the process through. This AHA moment led to structuring and stream-lining of my thoughts towards incentivising and alerting the source about this happening.

Feels Like Solution:




> Mobile APP to aggregate all the stake holders.
>Segregate the garbage at source and the quality of Segregation shall be used to generate Grade Points
> Payment Platforms to be included to transfer cash backs - thus getting benefits of increased customer participation through CSR engagement.

Looks Like Prototype:

Protoype - 3 levels


1.     Waste Collection :- Different Coloured Buckets - Actual Photo
2.     Mobile UI Wire frame Interface :- 
Before : The ECOSEG UI interface - data to sorting location
After: Sorting Location Supervisor to link up the quality with the customer ID and send the data to the payment platform.
3.     The payment platform credits the necessary cash balance to the account of the respective customers.

Low Cost Experiment
Hypothesis: - 

Incentivizing the stake holders will lead to increased quality of waste segregation at source.

Experiment: - 

1.     Select my apartment as the test-base
2.     Arrange for the Estate Manager to convey to the agents about the importance of not mixing up the garbage boxes.
3.     Arrange for a small tip for the collection agents and see if the loading happens more efficiently.
4.     Observe the process for the next day.
Cost of Experiment:-
Ø Practically Zero, as the association funds are available for disposal. The Estate Manager can be convinced of the same.
Assumptions: -
Ø The Estate manager would be co-operating impartially with the test.   
Measure of Success: - 
Ø There would be no mixing of already segregated waste while loading on to the truck. They would be properly loaded and watched for by the loaders, without any supervision.
> Confirmation from the Recycling agent that the apartment quality of segregation is well above his requirement.