The intelligence layer for care that cannot wait.
Akashic Life reads pregnancy risk on a health worker's basic phone, at the visit, with no signal. The mother's record reaches the health centre the moment a bar appears.
[01] The three delays
The care that saves a mother exists,but it reaches her too late.
Most maternal deaths are preventable. They happen in the time lost between a danger sign and the right hands: deciding to seek care, reaching it and receiving it.
Home
Where the danger starts
Health centre
The nearest clinic
District hospital
Where she can be treated
Deciding to seek care
Swelling and headaches pass for normal. Nobody has measured her blood pressure.
Reaching care
The hospital that can treat her is hours away, and there is no signal to call ahead.
Receiving care
She arrives with no record, and the hospital starts from nothing.
Home
Where the danger starts
Deciding to seek care
Swelling and headaches pass for normal. Nobody has measured her blood pressure.
Health centre
The nearest clinic
Reaching care
The hospital that can treat her is hours away, and there is no signal to call ahead.
District hospital
Where she can be treated
Receiving care
She arrives with no record, and the hospital starts from nothing.
Treatment begins
The three delays model: Thaddeus and Maine, Social Science and Medicine, 1994
What is at stake.
- World Health Organization, 2025260,000
women are estimated to have died during and after pregnancy and childbirth in 2023, almost one every two minutes.
- World Health Organization, 2025~75%
of maternal deaths come from five well-known complications, among them severe bleeding and high blood pressure.
- Sample Registration System, 2020 to 202288
maternal deaths for every 100,000 live births in India. The global goal for 2030 is under 70.
The delays are not medical. They are systems, and systems can be rebuilt.
[02] How it works
Read the risk at the visit,then carry one record all the way to care.
A health worker records what she sees and measures. Akashic Life reads the risk on the phone, sends the record up when there is signal and brings the answer back.
Read the risk
at the visitThe model runs on the phone itself. It reads a full antenatal screen on the spot, with no network, no lab and no specialist within reach, and says how likely the pregnancy is to turn dangerous.
Carry the record
upwardThe moment a bar appears, the record is sent in a compact form over text message or mobile data. It lands as one record, and the health centre and the district read that same record.
Close the loop
back to herThe answer travels back down the same path. The referral facility is expecting her, and the health worker sees that her referral was received.
Read the risk
at the visit
Carry the record
upward
Close the loop
back to her
The model runs on the phone itself. It reads a full antenatal screen on the spot, with no network, no lab and no specialist within reach, and says how likely the pregnancy is to turn dangerous.
The moment a bar appears, the record is sent in a compact form over text message or mobile data. It lands as one record, and the health centre and the district read that same record.
The answer travels back down the same path. The referral facility is expecting her, and the health worker sees that her referral was received.
[03] What changes
The referral chain collapsesinto a single visit.
The screen that once needed a clinic, a lab and a journey back now happens at the doorstep, inside the visit she was already having.
She is caught before the emergency
Severe risk is flagged at the visit, not on the day of the emergency. The window that decides the outcome is the one the system now sits inside.
It works where nothing else does
No broadband, no lab, no specialist within reach. The whole screen is read on the handset a frontline worker already carries.
One mother, one record
The health worker, the primary health centre and the district hospital read the same record, not three versions of her that someone reconciles later.
The district view is finally live
Every reading rolls up, anonymised, as it arrives, so administrators watch risk build in a block instead of reading about it a month later.
[04] At the visit
No signal at the doorstep,and the risk is still read before the visit ends.
Take one antenatal check-up in a village with no bars. The health worker records what she measures, the phone reads the risk and the record waits for signal.
Antenatal check-up
Meena
Third trimester · second pregnancy
- Blood pressure
- High
- Haemoglobin
- Low
- Swelling of face and hands
- Yes
- Headache and blurred vision
- Yes
High risk
Refer now
High blood pressure with headache and blurred vision.
Saved on this phone.
Sends when there is signal.
At the doorstep
Read in the visit, saved offline.
When a bar appears
Sent by text or mobile data.
At the referral unit
Her record is there before she is.
Expected today
Meena
High risk · referred at her visit
1At the doorstep
Read in the visit, saved offline.
2When a bar appears
Sent by text or mobile data.
3At the referral unit
Her record is there before she is.
Expected today
Meena
High risk · referred at her visit
The phone flags the risk. A clinician makes the call.
[05] Every level
One mother's readingreaches every level that can act on it.
Her record rises as each visit syncs, so the district and state see risk building while there is still time to send people and supplies.
Home · Health worker
Who needs care first?
Meena, third trimester
Referred at her visit
Her visits, on her phone
Health centre · Medical officer
Who was referred and has not arrived?
Meena, referred today
Not yet at the referral unit
The centre's referrals
District · District health officer
Which block is building risk?
The eastern block
High-risk readings rising
Every centre, anonymised
State · State programme officer
Where should supplies go next?
The western districts
Low haemoglobin readings rising
Every district, anonymised
Named only to those who care for her. Anonymised for everyone above.
[06] Built on Akashic
The reading on the phone is new,but the foundation under it runs at national scale.
Akashic already reconciles records for two national programmes. Akashic Life runs on the same Master Data and Governance, and adds Machine Learning on the phone.
2 billion+
dose records reconciled
National Immunisation Registry
187 million+
enrolments resolved
National Learning Platform
Akashic Life
Taken to the point of care
AkashicOne governed foundation
Master Data
Her visits, one record
Governance
Access, lineage and audit
Machine Learning
Risk read on the device
2 billion+
dose records reconciled
National Immunisation Registry
187 million+
enrolments resolved
National Learning Platform
AkashicOne governed foundation
Akashic Life
Taken to the point of care
Master Data
Her visits, one record
Governance
Access, lineage and audit
Machine Learning
Risk read on the device
[07] QUESTIONS
Questions health leaders askbefore the first district.
What programme officers, medical advisers and technical teams ask before Akashic Life reaches their health workers.
At the visit
- Does Akashic Life diagnose?
- No. It reads the risk from what the health worker records and shows who needs to be seen first, with the reason in plain words. A trained clinician makes every clinical decision.
- What does a health worker need?
- A basic Android phone of the kind frontline workers already carry. The screen is read on the phone itself, so the visit never waits for a network.
- What happens when there is no signal?
- The reading and the record stay on the phone. When a bar appears, the record is sent in a compact form over text message or mobile data and lands as one record at the health centre and the district.
Above the visit
- Who can see a mother's record?
- The people responsible for her care, by role. Districts and the state see anonymised, aggregated figures, and every view keeps its lineage and an audit trail, as in every Akashic deployment.
- How is it different from a reporting app?
- A reporting app collects data for later. Akashic Life reads the risk at the visit and sends the record onward, so the data serves the mother first and the report second.
Care that cannot wait should not have to.
Bring one block where high-risk pregnancies are found too late.
Figures in [01]: World Health Organization, maternal mortality fact sheet, April 2025; Sample Registration System special bulletin, Office of the Registrar General, India, 2020 to 2022. Figures in [06]: Akashic customer stories. The visit and the screens on this page are a sample.