Journal of Clinical and Biomedical Sciences
DOI: 10.58739/jcbs/v16i2.24.234
Year: 2026, Volume: 16, Issue: 2, Pages: 69-74
Review Article
Ashlesha Tawde Kelkar1, Prasad Waingankar2, Amit Kumar Dey3, S V Kulkarni 4
1Associate Professor, Department of Community Medicine, MGM Medical College and Hospital, Navi Mumbai, Maharashtra, India.
2Professor & Head, Department of Community Medicine, MGM Medical College and Hospital, Navi Mumbai, Maharashtra, India.
3Founder, Doctors AI, Department of Diabetology, Apollo Sagar Clinics, Kolkata, India.
4Professor, Department of Medicine, MGM Medical College and Hospital, Navi Mumbai, Maharashtra, India.
Received Date:28 November 2024, Accepted Date:19 June 2025, Published Date:15 June 2026
AI-driven solutions hold immense promise in transforming healthcare delivery in rural and tribal regions of India, where disparities persist despite advancements in the sector. This scoping review examines the role of AI tools in strengthening public health systems and improving healthcare outcomes in these underserved areas. A comprehensive literature search was conducted across PubMed, ScienceDirect, and Google Scholar, with studies screened using the "Covidence" tool. Thematic analysis of English-language articles published through December 2023 reveals that AI technologies can address critical gaps in healthcare access and service delivery. However, barriers such as inadequate digital infrastructure, limited technical expertise, and regulatory challenges hinder effective implementation. Collaborative efforts among policymakers, healthcare professionals, and technology developers are essential to overcoming these obstacles, with a focus on enhancing digital infrastructure, workforce training, and policy support. By optimizing resources, empowering healthcare workers, and streamlining service delivery, AI has the potential to revolutionize rural healthcare. This review provides key insights and recommendations to inform stakeholders and guide future AI-driven public health initiatives.
Keywords: Artificial Intelligence, Public health systems, Rural healthcare, Tribal regions, Healthcare equity
1. Krittanawong C, Zhang H, Wang Z, Aydar M, Kitai T. Artificial Intelligence in Precision Cardiovascular Medicine. Journal of the American College of Cardiology. 2017; 69 (21). Available from: https://doi.org/10.1016/j.jacc.2017.03.571
2. Lee EJ, Kim YH, Kim N, Kang DW. Deep into the Brain: Artificial Intelligence in Stroke Imaging. Journal of Stroke. 2017; 19 (3). Available from: https://doi.org/10.5853/jos.2017.02054
3. Hamet P, Tremblay J. Artificial intelligence in medicine. Metabolism. 2017; 69S Available from: https://doi.org/10.1016/j.metabol.2017.01.011
4. Guo J, Li B. The Application of Medical Artificial Intelligence Technology in Rural Areas of Developing Countries. Health Equity. 2018; 2 (1). Available from: https://doi.org/10.1089/heq.2018.0037
5. Kong M, He Q, Li L. AI Assisted Clinical Diagnosis Treatment, and Development Strategy. Chinese Journal of Engineering Science. 2018; 20 (2). Available from: https://doi.org/10.15302/j-sscae-2018.02.013
6. Shaheen MY. <I>Applications of Artificial Intelligence (AI) in healthcare: A review</I>. SciOpen Preprints. 2021.
7. Greenberg N, Docherty M, Gnanapragasam S, Wessely S. Managing mental health challenges faced by healthcare workers during covid-19 pandemic. BMJ. 2020; Available from: https://doi.org/10.1136/bmj.m1211
8. Das J, Daniels B, Ashok M, Shim EY, Muralidharan K. Two Indias: The structure of primary health care markets in rural Indian villages with implications for policy. Social Science & Medicine. 2022; 301 Available from: https://doi.org/10.1016/j.socscimed.2020.112799
9. Barik D, Thorat A. Issues of Unequal Access to Public Health in India. Frontiers in Public Health. 2015; 3 Available from: https://doi.org/10.3389/fpubh.2015.00245
10. Lall D, Engel N, Devadasan N, Horstman K, Criel B. Challenges in primary care for diabetes and hypertension: an observational study of the Kolar district in rural India. BMC Health Services Research. 2019; 19 (1). Available from: https://doi.org/10.1186/s12913-019-3876-9
11. Bhandari L, Dutta S. Health infrastructure in rural India. <I>India Infrastructure Report</I>. 2007:265-285.
12. Curioni-Fontecedro A. A new era of oncology through artificial intelligence. ESMO Open. 2017; 2 (2). Available from: https://doi.org/10.1136/esmoopen-2017-000198
13. Chen Y, Elenee Argentinis JD, Weber G. IBM Watson: How Cognitive Computing Can Be Applied to Big Data Challenges in Life Sciences Research. Clinical Therapeutics. 2016; 38 (4). Available from: https://doi.org/10.1016/j.clinthera.2015.12.001
14. Furukawa MF, King J, Patel V, Hsiao CJ, Adler-Milstein J, Jha AK. Despite Substantial Progress In EHR Adoption, Health Information Exchange And Patient Engagement Remain Low In Office Settings. Health Affairs. 2014; 33 (9). Available from: https://doi.org/10.1377/hlthaff.2014.0445
15. Blumenthal D. Launching HITECH. New England Journal of Medicine. 2010; 362 (5). Available from: https://doi.org/10.1056/nejmp0912825
16. Deliberato RO, Celi LA, Stone DJ. Clinical Note Creation, Binning, and Artificial Intelligence. JMIR Medical Informatics. 2017; 5 (3). Available from: https://doi.org/10.2196/medinform.7627
17. Esteva A, Kuprel B, Novoa RA, Ko J, Swetter SM, Blau HM, <I>et al</I>. Dermatologist-level classification of skin cancer with deep neural networks. Nature. 2017; 542 (7639). Available from: https://doi.org/10.1038/nature21056
18. Liu Y. <I>SIIM: Detecting cancer metastases on gigapixel pathology images</I>. 2017. Available from: https://arxiv.org/pdf/1703.02442.pdf
19. Ridley EL. SIIM: <I>AI poised to enhance all aspects of radiology</I>. 2017. Available from: www.auntminnie.com/index.aspx?sec=sup&sub=aic&pag=dis&ItemID=117495#!
20. Mesko B. The role of artificial intelligence in precision medicine. Expert Review of Precision Medicine and Drug Development. 2017; 2 (5). Available from: https://doi.org/10.1080/23808993.2017.1380516
21. Komorowski M, Celi LA. Will Artificial Intelligence Contribute to Overuse in Healthcare?*. Critical Care Medicine. 2017; 45 (5). Available from: https://doi.org/10.1097/ccm.0000000000002351
22. TM Capital. <I>The next generation of medicine: artificial intelligence and machine learning</I>. 2017. Available at www.tmcapital.com/wp-content/uploads/2017/11/TMCC20AI20Spotlight20–202017.10.2420vF.PDF
23. Kim HS, Cho JH, Yoon KH. New Directions in Chronic Disease Management. Endocrinology and Metabolism. 2015; 30 (2). Available from: https://doi.org/10.3803/enm.2015.30.2.159
24. Peters BS, Armijo PR, Krause C, Choudhury SA, Oleynikov D. Review of emerging surgical robotic technology. Surgical Endoscopy. 2018; 32 (4). Available from: https://doi.org/10.1007/s00464-018-6079-2
25. Goher KM, Mansouri N, Fadlallah SO. Assessment of personal care and medical robots from older adults’ perspective. Robotics and Biomimetics. 2017; 4 (1). Available from: https://doi.org/10.1186/s40638-017-0061-7
26. Friedman E. Computer-assisted medical diagnosis for rural Sub-Saharan Africa. IEEE Technology and Society Magazine. 2009; 23 Available from: https://doi.org/10.1109/mts.2009.934143
27. Adepoju IO, Albersen BJ, De Brouwere V, van Roosmalen J, Zweekhorst M. mHealth for Clinical Decision-Making in Sub-Saharan Africa: A Scoping Review. JMIR mHealth and uHealth. 2017; 5 (3). Available from: https://doi.org/10.2196/mhealth.7185
28. Olajubu EA, Odukoya OH, Akinboro SA. LWAs computational platform for e-consultation using mobile devices: Cases from developing nations. Technology and Health Care. 2014; 22 (4). Available from: https://doi.org/10.3233/thc-140828
29. South China Morning Post. <I>A look at how China is using technology to improve rural access to quality health care</I>. 2018. Available from: www.scmp.com/tech/article/2135880/look-how-china-using-technology-improve-rural-access-quality-health-care. Accessed April 24, 2018.
30. Caprara R, Obstein KL, Scozzarro G, Di Natali C, Beccani M, Morgan DR, <I>et al</I>. A Platform for Gastric Cancer Screening in Low- and Middle-Income Countries. IEEE Transactions on Biomedical Engineering. 2015; 62 (5). Available from: https://doi.org/10.1109/tbme.2014.2386309
31. Escalante HJ, Montes-y-Gómez M, González JA, Gómez-Gil P, Altamirano L, Reyes CA, <I>et al</I>. Acute leukemia classification by ensemble particle swarm model selection. Artificial Intelligence in Medicine. 2012; 55 (3). Available from: https://doi.org/10.1016/j.artmed.2012.03.005
32. Kunhimangalam R, Ovallath S, Joseph PK. A clinical decision support system with an integrated EMR for diagnosis of peripheral neuropathy. Journal of Medical Systems. 2014; 38 (4). Available from: https://doi.org/10.1007/s10916-014-0038-9
33. Oliveira AD, Prats C, Espasa M, Serrat FZ, Sales CM, Silgado A, <I>et al</I>. The Malaria System MicroApp: A New, Mobile Device-Based Tool for Malaria Diagnosis. JMIR Research Protocols. 2017; 6 (4). Available from: https://doi.org/10.2196/resprot.6758
34. Strasser R, Kam SM, Regalado SM. Rural Health Care Access and Policy in Developing Countries. Annual Review of Public Health. 2016; 37 (1). Available from: https://doi.org/10.1146/annurev-publhealth-032315-021507
35. Guo J, Li B. The Application of Medical Artificial Intelligence Technology in Rural Areas of Developing Countries. Health Equity. 2018; 2 (1). Available from: https://doi.org/10.1089/heq.2018.0037
36. Bajpai N, Wadhwa M. <I>Artificial Intelligence and Healthcare in India</I>. ICT India Working Paper. 2021. https://csd.columbia.edu/sites/default/files/content/docs/ICT%20India/Papers/ICT_India_Working_Paper_43.pdf
37. Pradhan K, John P, Sandhu N. Use of artificial intelligence in healthcare delivery in India. Journal of Hospital Management and Health Policy. 2021; 5 Available from: https://doi.org/10.21037/jhmhp-20-126
38. The Ayushman Bharat Digital Mission. <I>Building Digital Health Ecosystem</I>. Government of India. Available from: https://abdm.gov.in/
This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Published By Sri Devaraj Urs Academy of Higher Education, Kolar, Karnataka
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