“A technology only solution isn’t going to get us anywhere,” says Shelly Saxena.
He’s referring to the growing number of social enterprises and development initiatives that use mobile phones and telemedicine to deliver healthcare in India. 
“Whether you’re poor, middle class, or wealthy, you want to see a doctor, and you would prefer to see that doctor in person,” he says.
That’s why Saxena developed Sevamob, a hybrid solution to solve India’s healthcare woes– a mobile clinic that arrives on wheels, stays camped out for the duration of the checkups, provides the patient with test results and even basic treatments, and then leaves.
Saxena who worked at IBM and is well-versed in technology became passionate about healthcare when his mother who lives in Lucknow, India was misdiagnosed and her treatment, subsequently, was delayed.  The fact that she couldn’t get timely, and accurate care, frustrated him.
Saxena, who has been living in the US since 1998, had been traveling back and forth between India and Atlanta.  He was quite familiar with the challenges in getting decent healthcare outside of India’s major cities: lack of doctor and tech-savvy clinics who valued data, and inadequate medical equipment.  But how to solve this?  Telemedicine alone, SMS campaigns and mobile health wasn’t going to cut it.
Saxena says he could have just set up a tech-based health enterprise.  “But who would I sell the technology to?”
Instead, he realized he had to be the service-provider.  In 2012, Sevamob started its mobile van services.  Rather than purchasing the vans and decking them out, he rented the vehicles by a local agency or even Uber, and then filled them with diagnostic equipment.  But sending them to individual residences became costly.
“People are willing to pay 60 to 100 Rs. for a consultation.  But is that cost-effective?” he asks.
Turns out, it isn’t.  That’s largely why it’s so hard for any development agency, NGO, or social enterprise to deliver healthcare to communities outside urban areas.  The transaction costs are too high, Saxena says.
Sevamob pivoted from offering consultations to individuals to groups.  Now, they sell their services to private corporations, social enterprises, and development agencies — anyone who can band together a group of about 60 people or more and pay a service fee.  

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