Why Prevention Needs Engagement Engineering
Over 70% of India's disease burden is attributable to preventable conditions — yet preventive healthcare utilisation in rural India remains critically low. The barrier is rarely access; it's motivation. People don't attend annual checkups, miss vaccine appointments, and skip chronic disease follow-ups because there's no immediate visible reward for staying healthy.
MedhAnkura's preventive care gamification platform applies proven behavioural economics and game design principles to change this dynamic fundamentally.
The Ayuvu Health Score Index
Every patient in the Four Healths network has a dynamic, longitudinal Health Score — a composite metric tracking preventive care compliance, chronic disease management, lifestyle factors, and health screening currency. The score is visible to patients in the Ayuvu app and updates in real time.
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Annual Health Checks
Points awarded for completing all age-appropriate preventive screenings on schedule.
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Vaccination Compliance
Full family immunisation records tracked and rewarded, with automated reminders for upcoming doses.
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Chronic Disease Control
Patients with diabetes, hypertension, and COPD earn score improvements for controlled biomarkers at each review.
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Community Challenges
Village-level health challenges creating peer motivation and social accountability for collective behaviour change.
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Family Health Leaderboards
Gamified family health competition encouraging intergenerational health behaviour change.
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Benefit Unlocks
Higher Health Scores unlock premium MedPass and Ayuvu Bharosa benefits — creating a tangible financial incentive for sustained engagement.
Integration with Financial Plans
The Health Score is directly integrated with MedPass and Ayuvu Bharosa subscription pricing — patients with consistently high Health Scores receive lower premiums and expanded benefits. This creates a positive feedback loop: healthier behaviours → better scores → lower costs → more engagement.