Tele-Enabled Comprehensive School Based Health Centers: Making the Pediatric Care Continuum Possible for the Urban Poor

In urban India today, AddressHealth offers primary and first-contact medical care, dental treatment, vision services, health education, nutrition, psychosocial health and chronic disease interventions to 40,000 urban children through its chain of integrated clinics and comprehensive school programs, with a goal of reaching one million children in low-income schools by 2019. The onsite program in schools is delivered by nurses, supported by a multidisciplinary child health team and a technology platform that includes televideo links and electronic school health records. In urban India, 40% of children are undernourished;15 % are overweight; 20% have vision issues (half of which go uncorrected); one in eight have psychosocial issues (almost all of which go unaddressed), while 50% have dental caries.