The Solve Effect
What does it take to rewire a public health system from the inside out? In this episode of The Solve Effect, guest host Alexander Dale, Director of Global Programs at MIT Solve, sits down with Ruchit Nagar, co-founder of Khushi Baby. What began as a Yale classroom project—designing a NFC-enabled pendant to carry children's health records in rural India—has grown into CHIP, one of India's largest community-based digital health platforms. Used by over 75,000 community health workers across 48,000 villages, CHIP has tracked the health of more than 50 million people and identified over 10 million individuals with vulnerable health conditions. Tune in for a conversation all about: Starting with the community: The pendant wasn't designed in a classroom—it emerged from fieldwork, where Ruchit noticed the cultural significance of the black thread pendant worn to protect children. Learn how human-centered design shaped every stage of Khushi Baby's evolution. Scaling with and through government: Going from a 200-person study to a statewide platform in Rajasthan required more than good technology. Hear Ruchit's hard-won advice on earning a seat at the table with complex institutional stakeholders. Choosing hope: After more than a decade of navigating funding gaps, setbacks, and deferred salaries, Ruchit reflects on what keeps him going—and why manifesting your vision while staying flexible is the only way through. Full transcript available here [https://solve.mit.edu/articles/tse-ruchit-nagar].
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