Karma: How Karma Built a Scalable Private Primary Healthcare Model for Rural India

This case study explores how Karma Primary Healthcare developed and scaled a technology-enabled healthcare model to improve access to quality primary healthcare in rural India. Using telemedicine, community-based paramedics, and a digital care platform, Karma addresses doctor shortages, affordability, and trust barriers in underserved communities. The publication highlights Karma’s dual scale strategy—direct delivery through its own telemedicine centers and indirect delivery through partnerships with NGOs, CSR initiatives, and public health actors. It also outlines key lessons on scalable systems design, sustainability, financing models, community engagement, and balancing profitability with social impact. The resource provides practical insights for organizations seeking to scale health and social impact interventions sustainably