i4We 2.0
Urban poor households in India are trapped in a compounding cycle: a healthcare system that responds only when things break down, preventive care that never reaches the doorstep, and out-of-pocket costs that push families deeper into poverty when they do seek help.
The scale of the challenge is significant. Non-communicable diseases now account for nearly 66% of all deaths in India, with conditions like diabetes, hypertension, and anemia rising rapidly, and largely going undiagnosed until they become crises. Nearly 57% of women aged 15–49 in India are anaemic, yet most will never receive a formal diagnosis within the primary care system.
For women in low-income communities, the barriers compound: caregiving responsibilities, limited mobility, low decision-making power, and a healthcare system that simply wasn't designed with them in mind. The result is that millions of people live with treatable conditions that quietly erode their health, their productivity, and their families' economic stability. The system is reactive, fragmented, and built around hospitals, not people. i4We is built to change that.
What is i4We?
Invest for Wellness (i4We) is Swasti's people-centred, community-driven, and digitally enabled Comprehensive Primary Healthcare model. It integrates communities, frontline health workers, digital health systems, telehealth platforms, AI-enabled diagnostics, referral networks, and social protection systems into a connected healthcare ecosystem that delivers preventive, promotive, curative, and continuous care.
At the heart of the model is the Community Wellness Facilitator (CWF), a trained, tech-enabled woman drawn from the same community she serves. Each CWF is anchored to approximately 150 households, building the kind of trust and familiarity that no clinic visit can replicate. She doesn't wait for illness to arrive. She goes to it.
Between 2018 and 2025, the programme has served over 1.4 lakh households and 3.02 lakh people, with 20 lakh instances of screening and treatment support for high-burden conditions. Communities have saved over ₹62 Cr and accessed ₹37 Cr worth of social protection schemes.
What We Offer
Integrated Care Pathway
CWFs deliver doorstep screenings using AI-IoT-enabled point-of-care diagnostics, finger-prick haemoglobin and blood glucose tests, BP measurement, and BMI assessment. An AI risk stratification engine flags high-risk individuals for priority follow-up. Every result is captured in real time on the digital platform.
Telehealth & Care Continuity
Express illness is treated through Swasti's in-house tele-care unit, staffed by multilingual clinicians, integrated directly into the CWF's workflow. Doorstep triage flows seamlessly into virtual consultation, prescription, and follow-up, all linked to the household's digital health record.
Financial & Social Protection
Households are enrolled in Ayushman Bharat and other government schemes, and linked to savings products and affordable credit. The goal: eliminate the out-of-pocket shock that pushes families into debt each time someone gets sick.
Women as First Responders
One woman per household is trained as a household-level health champion, a First Responder who carries preventive health knowledge into the family unit and sustains behaviour change between CWF visits.
CWF Livelihood
The model creates a dignified, income-generating livelihood for women through service fees, product sales, and financial services commissions, making community health work economically sustainable.
How It Works
i4We operates on a continuous Screen → Diagnose → Treat → Follow-up loop, backed by a digital platform that tracks every household's care journey in real time.
Map & Enrol
The CWF conducts a structured household survey using a mobile data capture tool, recording demographics, risk factors, existing diagnoses, and entitlements status. This feeds an AI-enabled risk stratification engine that determines each household's care pathway.
Screen
Doorstep point-of-care diagnostics identify at-risk individuals before conditions escalate, anaemia, diabetes, hypertension, vision, and reproductive health.
Diagnose & Refer
At-risk individuals are linked to confirmatory testing through a dual-channel referral ecosystem: public health facilities for free diagnostics, and Swasti-vetted private labs where households prefer speed or proximity.
Treat & Follow Up
Each enrolled household receives 4 to 5 visits over the project period, calibrated by risk stratification, to ensure treatment adherence, repeat screening, counselling, and continuity of care. No household drops out of the continuum.
Protect
Health education, insurance enrollment, and linkages to savings and credit products build the financial resilience that makes health gains stick.
Who We Serve
i4We focuses on vulnerable communities, urban low-income neighbourhoods, rural communities with limited access to formal health services, factory and worker settings in textile and garmenting clusters, and community-anchored micro-clinics. Across all settings, women are the primary focus: as beneficiaries, as CWFs, and as household First Responders.
Our Geographies
The model is being rolled out across Karnataka, Andhra Pradesh, Tamil Nadu, and Maharashtra — with active implementation in Bengaluru, Anantapur, Tirupur, and Kolhapur. Rajasthan is an active government engagement geography through the Health@Work and primary healthcare workstreams.
Our Impact — Q1 2026
Actual results from the i4We monitoring dashboard, January–March 2026.
Community members reached
Health screenings conducted
Newly diagnosed & moved to care
Conditions cured or managed
Self-Help Groups engaged
Vulnerable / ultra-poor families supported
Condition-wise breakdown
Treated
Screened
Diagnosed
Treated
Screened
Diagnosed
Treated
Screened
Diagnosed
Treated
Screened
Diagnosed
Every person identified as needing care in Q1 was moved into treatment within the same quarter - that screening-to-treatment link is the part of the model that actually changes health outcomes.
Join Us
Whether you're a funder, a healthcare provider, an insurer, or a government partner — there's a meaningful role in this ecosystem.