A mandate is a promise.
Infrastructure is how it's kept.
ONRAV turns a government's public health mandate into systems that run — from the ministry that wrote the policy to the sub-centre that has to deliver it — with the technology to prove, in public, that it got there.
India has already built one of the largest digital identity systems for any sector, anywhere. The gap isn't ambition — it's how unevenly it lands, state by state.
One advisory. Four ways it gets delivered.
Sovereign & Institutional Public Health Advisory isn't an offering next to four others — it's the mandate the other four exist to serve.
Sovereign & Institutional Public Health Advisory
Technology Advisory
Strategic and data intelligence for how a health system should run — decision support for governments and their financing partners.
Tech Infra Advisory
Architecture, build, and integration of the platforms a programme runs on — state systems down to facility-level tools.
Financial Technology
Disbursement rails and treasury infrastructure that move public health funds traceably from budget line to beneficiary.
Training & Enablement
Building lasting technical capability into the people who run these systems — the frontline workers, administrators, and IT cells.
Four stages. One line of sight, top to bottom.
Every engagement moves through the same sequence — so a programme never loses the thread between what a government promised and what a clinic actually delivers. Read the full framework →
Mandate
Translate policy intent and budget into a technical specification funders, auditors, and implementers can all read the same way.
Architecture
Design the data systems and interoperability standards the programme will run on — built to outlast the government that commissioned it.
Deployment
Roll out across state, district, and facility levels, with the change management to get frontline health workers actually using it.
Accountability
Public dashboards and audit trails that let citizens, legislators, and auditors see whether the programme is doing what it promised.
This is what we build into every engagement — not a report delivered once, but a layer a ministry, an auditor, and a citizen can each open and check for themselves. State labels and figures above are illustrative of the interface, not a live client dataset.
Primary geography: India. Built for any federal health system.
Four kinds of institution, each carrying a different piece of accountability for a programme's outcome. See how we work with each →
State health departments & ministries
The primary client — owns the budget, the delivery mandate, and the political accountability when a programme underperforms.
Municipal corporations & urban health missions
Where national and state policy meets a city's actual health infrastructure — dense population, fragmented facility ownership.
National ministries & scheme bodies
Set the mandate for the country; need it credibly and consistently implemented across every state that adopts it.
Multilateral & bilateral health funders
Require independent, technology-backed assurance that the programmes they finance are actually delivering, not just reporting.
What we're publishing first.
Policy notes and technical briefings, not company news. Read the full briefs →
The Uttar Pradesh gap: what 15.3 crore ABHA accounts in one state reveals about the other twenty-seven
India's Ayushman Bharat Digital Mission crossed 90 crore ABHA health accounts in mid-2026. Uttar Pradesh alone accounts for over 15.3 crore of them, more than double Rajasthan or Maharashtra's 7.1 crore each. A national mandate produced wildly different state-level outcomes — and closing that gap is an implementation problem, not a policy one.
₹6.97 crore, one dead-patient roster, and the case for an audit trail that runs in real time
The CAG's audit of Ayushman Bharat–PM-JAY found ₹6.97 crore paid for treatment of patients the scheme's own database had already recorded as deceased, and 7.5 lakh beneficiaries registered against a single placeholder mobile number. A yearly audit finds these patterns after the money moves. A live accountability layer finds them before it does.
Two days to enter 200 patients: what a district health office needs from a system built without it
Frontline health workers report entering the same patient's data into as many as ten separate registers and apps, on systems built at the state or national level without a feedback loop showing them what any of it is used for.
Bring us a mandate. We'll bring the infrastructure.
For state, municipal, and national governments — and the funders backing them — ready to move a public health programme from policy to a system that runs, and proves it.
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