P39 milestones

From convening to measurable impact.

Nine sequential milestones structure the journey from launch to evidence of healthcare impact at the population level. Each milestone has a defined output and a defined owner.

Act I

Convene the network.

Stand up the governance structures and the people who will hold them.

M01 - M03 · 3 of 9

  1. 01

    Form District Coordination Committees

    Replicate the Kochi model across all districts. Each committee includes trade association leaders, community foundation leaders, and IMA leaders.

  2. 02

    Form the SPV

    Resolutions sought from IMA State and IMA Cochin to form an SPV, with foundation reps and trade leaders as ex-officio members.

  3. 03

    Anchor IMA District Leadership

    IMA district leaders nominate an anchor and team. Specialist association leaders form the basis of the specialist panel.

Act II

Map the gaps, build the response.

Inventory what's missing, then route resources and capacity to close it.

M04 - M07 · 4 of 9

  1. 04

    Map Healthcare Gaps

    A district-by-district inventory of where care does not reach, falls short, or duplicates.

  2. 05

    Budget the Gaps

    Convert the gap inventory into financial requirements per district and care category.

  3. 06

    Mobilise Resources

    Secure the three resource categories required to operate: funds, people engagements, materials.

  4. 07

    Deploy to Build

    Convert resources into operational footprint: capacity, staffing, capability.

Act III

Prove it at the population level.

Operational reporting and societal indicators that the model can be held to.

M08 - M09 · 2 of 9

  1. 08

    Report Care Coverage

    Track operational performance: volume, efficiency, quality.

  2. 09

    Measure Societal Impact

    Track population indicators: poverty from out-of-pocket expense, dignity, children/elderly reach, death at home, reduction in unnecessary C-sections.

100-day plan

Six immediate actions to begin operating.

01

Identify a pilot location

Diverse demographic representation; demonstrates the model across socio-economic strata.

02

Map human resources & community networks

Inventory of healthcare professionals, volunteers, and community institutions in the pilot geography.

03

Build the digital infrastructure framework

Coordination dashboard and EMR + CMR integration, leveraging Open Health Care Network.

04

Develop training modules

Training across the Star Model: HCPs, community workers, residents’ associations, trade volunteers.

05

Form the multi-stakeholder coordination forum

The formal forum that holds the model accountable across the five stakeholder groups.

06

Design volunteer engagement & resource mobilisation

Volunteer onboarding pathways, role definitions, and a structured resource mobilisation plan.

Resourcing

Five categories that fund the operation.

Leadership Team Cost
Compensation and operating support for the core team accountable for delivering the mission across districts.
IMA Capacity Building
Investment in the five capabilities under Track Four: capacity mapping, speciality distribution, information systems, leadership, inventory.
Operating Cost
Recurring expenses for district coordination committees, family clinics, neighbourhood systems, and field operations.
Digital Infrastructure
Build and maintenance of the coordination dashboard, EMR/CMR integration, and home-monitoring technology.
Patient Sponsorships
Direct sponsorship of care for patients who cannot afford it, structured under the cross-subsidy principle.
What comes next

Hear who shaped this roadmap.

The voices, frictions, and convictions of the clinicians, policy-makers, and community leaders who showed up to the lab.

Voices from the lab