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Healthcare Access
Completed

Karnali Healthcare Access Program

Privacy-Preserving Medical Identity for Remote Communities

Karnali Province (10 districts)
15 months (March 2023 - May 2024)
1,634 participants
Project Overview

A groundbreaking healthcare initiative providing privacy-preserving medical identity verification for remote Karnali communities, enabling 1,634 residents to access healthcare services while protecting sensitive medical information.

The Challenge

Remote Karnali communities faced significant barriers accessing healthcare due to lack of formal medical records, privacy concerns about sharing health information, and limited digital infrastructure in mountainous terrain.

31%
Healthcare Access Rate
18%
Medical Record Availability
67km
Average Distance to Clinic
42%
Digital Literacy Rate
Veridity Solution

We developed a healthcare-specific zero-knowledge system allowing patients to prove medical eligibility and insurance coverage without exposing sensitive health conditions or personal medical history.

Medical Eligibility Proofs

Verify insurance coverage and treatment eligibility without revealing conditions

Remote Clinic Integration

Connected 23 remote health posts and 5 district hospitals

Health Worker Training

Trained 156 community health workers on privacy-preserving verification

Emergency Access Protocol

Rapid verification system for emergency medical situations

Implementation Timeline

Phase 1: Healthcare Partnerships

3 months
  • Partnership with Karnali Province Health Ministry
  • Integration with 23 health posts and 5 hospitals
  • Community health worker recruitment
  • Medical privacy protocol development

Phase 2: System Adaptation

4 months
  • Healthcare-specific ZK-proof development
  • Medical record digitization support
  • Offline synchronization for remote areas
  • Emergency verification protocols

Phase 3: Community Deployment

5 months
  • Patient registration and verification setup
  • Community health worker training
  • Healthcare provider integration
  • Emergency response system testing

Phase 4: Health Outcomes Tracking

3 months
  • Healthcare access impact assessment
  • Patient satisfaction evaluation
  • Provider efficiency analysis
  • Privacy protection validation
Impact & Results

The Karnali healthcare pilot dramatically improved medical access while maintaining strict patient privacy, demonstrating the life-saving potential of zero-knowledge identity systems.

1,634
Patients Verified
Successfully accessed healthcare with privacy protection
+118% vs target
78%
Access Increase
Improvement in healthcare access rates
+47% vs baseline
92%
Privacy Satisfaction
Patients satisfied with medical privacy protection
New metric
45min
Average Verification
Time to verify eligibility and access care
-73% vs traditional
"मेरो स्वास्थ्य समस्याको बारेमा कसैलाई भन्नु नपरेर पनि उपचार पाउन सकिन्छ। यो धेरै राम्रो लाग्यो।"
English: "I can get treatment without having to tell anyone about my health problems. This felt very good."
दोल्मा लामा (Dolma Lama)
Mother of 3, Jumla District
Key Learnings

Medical Privacy Critical

92% of patients cited privacy as main factor in seeking care

Emergency Protocol Success

Zero delays in emergency care due to verification issues

Community Health Worker Impact

Local health workers key to adoption and trust building

Offline Capability Essential

83% of verifications happened during network outages

Next Steps
Scale to all mountainous provinces nationwide
Add telemedicine verification capabilities
Integrate with national health insurance system
Develop medical emergency response network