TERMS OF USE

This Terms of Use (‘Terms’) is an electronic record in terms of the Information Technology Act, 2000 and rules there under as applicable and the amended provisions about electronic records in various statutes as amended by the Information Technology Act, 2000. The Terms are published in accordance with the provisions of Rule 3 (1) of the Information Technology (Intermediaries guidelines) Rules, 2011 and Rule 4 of the Information Technology (Reasonable security practices and procedures and sensitive personal data or information) Rules, 2011 of Information Technology Act, 2000 amended through Information Technology Amendment Act, 2008 that require publishing the Terms of Use and practices for access and usage of any functional Application.

These Terms govern the use of the “Swasthya Nagaram” application for mobile and handheld devices (‘Application’), and the services provided through the same. By accessing the Application, whose ownership is jointly and severally vested with the International Union Against Tuberculosis and Lung Diseases  and Artificial Intelligence unit of Lords Education and Health Society (LEHS) under their brand name ‘Wadhwani AI’, (hereinafter referred to as ‘The Organization’, ‘we’, ‘our’ or ‘us’). These terms outline the rules, regulations, and conditions that the users of our Application (a “user”, “you”, or “your”) must adhere to when using the Application. This Application is operated and managed by LEHS. Please bring to our attention any content on the Application you believe to be inaccurate, inappropriate or in violation of these rules, by writing to us at coughagainsttb@wadhwaniai.org.

By using this application you expressly agree to have read, understood and consent to be bound by the Terms. 

You further represent that you will comply with these Terms and all applicable local, state, national and international laws, rules and regulations. You shall not use the Application if you are not competent to contract or are disqualified from doing so by any other applicable law, rule or regulation currently in force.

Please read these Terms carefully before you download, install, or use the Application. 

GENERAL TERMS

The headings of each section in these Terms are only for the purpose of organizing the various provisions under these Terms in an orderly manner and shall be used by you to interpret the provisions contained herein in a manner as may apply to you. Further, it is specifically agreed by you that the headings shall have legal or contractual value on your usage of the Application.

The use of this Application is solely governed by these Terms of Use, Privacy Policy that is uploaded on the Application. You expressly agree and acknowledge that these Terms of Use and Privacy Policy are co-terminus in nature and that termination of either one will lead to the termination of the other.

You unequivocally agree that these Terms of Use and the Privacy Policy constitute a legally binding agreement between us, and that you shall be subject to the rules, guidelines, policies, terms, and conditions applicable to your use of the Application, and that the same shall be deemed to be incorporated into these Terms of Use and shall be treated as part and parcel of the same. You acknowledge and agree that by clicking on the “I Agree” button, you signify your acceptance of these Terms, and your agreement to be bound by them and that your act of visiting any part of the Application constitutes your full and final acceptance of these Terms of Use and the Privacy Policy.

We reserve the sole and exclusive right to amend or modify these Terms, with prior notice to users, in which case, in order to continue using the Application, you will be required to accept the revised Terms. If you do not adhere to the changes, you must stop using the Application at once. Your continued use of the Application will signify your acceptance of the changed terms.

APPLICATION OVERVIEW

The Swasthya Nagaram Application application is a real time information management system that supports health service delivery under various Urban population level TB screening Projects.  It captures data across the entire service workflow from enumeration and recruitment, vulnerability and symptom assessment, Xray, molecular testing, and follow-up. To ensure continuity of TB related services with national TB notification and tracking systems such as Nikshay, the Application will interoperate with them. 

ELIGIBILITY

By accessing this Application, you confirm that you are residing in India and are above the age of 18 years and are a part of the healthcare service delivery team under the Swasthya Nagaram Project implemented by us. You shall only be considered as a valid and authorized user of this Application if you fulfill the requirement of this Clause in the manner described herein.

PRIVACY POLICY

We are firmly committed to protecting your privacy. Our privacy policy is available here.

PERMITTED USE OF THE APPLICATION

The Application may only be used by authorized community health volunteers and program personnel for TB screening, diagnosis coordination, and case management.

The User agrees not to:

• Copy, modify, adapt, decompile, reverse-engineer, or create derivative works of the Application;

   

• Use the Application or any of its content for commercial or non-programmatic purposes;

   

• Export or redistribute data, media, or code extracted from the Application without written permission.

The Organization may verify details furnished by you, and if any information furnished is found incorrect, false or misleading and if, in our opinion, you have violated any provision of these Terms of Use then we shall have the right to disable your access to the Application without any prior intimation. You shall indemnify and hold harmless the Organization, its subsidiaries, affiliates, and their respective directors, agents, and employees, from any claims made by any third party or penalty imposed due to your breach of these Terms or your violation of any law, rules, or the rights of a third party. 

You hereby acknowledge that the Organization or its affiliates, officers and representatives shall not be responsible for any costs, damages, liability, or other consequence of your use of the Application. You further agree and allow the Organization to use your data for storage, research and betterment of this Application.

HOW TO USE THE APPLICATION

Prerequisites

The Application can be installed on any smartphone with the following minimum specifications:

• Android smartphone running OS version 7 and newer.
• A working microphone on the smartphone.
• Internet connectivity on the smartphone.

Authentication

The Application authenticates the HCW using an OTP delivered on the registered mobile number via SMS.

Data Entry

The Application registers and authenticates the HCW using personal information, NTEP programmatic information (location and level posting), and OTP delivered via SMS (as detailed in the Privacy Policy).

Personal, symptomatic, and vulnerability  data of the subject needs to be entered, as per the instructions provided in the form.

Before recording any information you have to ensure that the User provides Individual consent via a signature on the application.

The cough sounds on the Application, you shall ensure the following do’s and don’ts for each subject:

DOs

• Obtain informed consent from all individuals being screened, after explaining the procedure in the individual’s preferred/local language.
• Record the sounds in a well-ventilated and noise-free area.
• Ensure that both the health staff and the individual being screened(subject) is wearing a mask throughout the process.
• Hold the smartphone at an arm’s length/3-feet distance from the individual’s face.
• Follow infection prevention protocols (as per national guidelines) at the time of using the App.

As per the algorithm of the application you will either

• Set up an X-ray appointment for the individual /Enter sample details of any sputum sample collected 
• Ensure entry of Nikshay ID as directed by the application
• Ensure referral and diagnosis of all presumptive TB cases.

DON’Ts

• Do not screen individuals who do not offer consent.
• Do not collect any cough sounds without following the recommended infection control protocols.
• Do not register individuals falling under the exclusion criteria.
• Do not let the subject directly cough into the smartphone. 
• Do not connect any external audio input device, e.g., headphones, earphones, external mic.

DISCLAIMER OF WARRANTIES

Though efforts are made to ensure that the information and content provided as part of the Application are correct at the time of inclusion on the Application, there is no guarantee to the accuracy of the information. We do not make representations or warranties as to the fairness, completeness or accuracy of the information on the Application. There is no commitment to update or correct any information that appears on the Internet or on the Website/ Application. Information is supplied upon the condition that the persons receiving the same will make their own determination as to its suitability for their purposes prior to use or in connection with the making of any decision.

User Obligations and Conduct

Users must:

• Maintain the confidentiality and security of their credentials;
• Use the Application in a lawful and ethical manner;
• Obtain verifiable informed consent before collecting personal or health-related data from any individual.

The User acts as a data processor or data agent on behalf of the program and must follow all programmatic and legal obligations related to privacy, consent, and data security.

 Data Collection, Ownership & Use

All data collected through the Application, including personal identifiers, symptom records, audio samples, and diagnostic outcomes, are the property of the organization and the relevant public health authority 

Data may be securely transmitted to national systems (e.g., Nikshay) for programmatic follow-up and treatment adherence, in accordance with applicable Indian public health laws and program mandates.

Users may not access, download, export, or retain patient data for personal use or outside the intended scope of work.

Third-Party Tools and AI Integration

The Application integrates AI tools and third-party platforms (Qure and Nikshay portal). These are licensed to the Provider and subject to separate agreements.

The Provider makes no warranties regarding the accuracy, availability, or results produced by any third-party service or algorithm integrated into the Application.

Confidentiality and Security

Users are responsible for protecting the confidentiality of any patient or system information accessed through the Application.

Any suspected data breach, device loss, or unauthorized access must be immediately reported to the program’s data protection officer or designated supervisor.

Termination and Revocation

We reserve the right to suspend or terminate access to the Application at its discretion, including (but not limited to) breaches of this Agreement or misuse of the platform.

Upon termination, the User must cease all use of the Application and delete any stored data.

Limitation of Liability

The Application is provided “as is” for public health use, without warranties of any kind—express or implied—including but not limited to fitness for a particular purpose, non-infringement, or uptime guarantees.

We shall not be liable for any loss of data, delay in diagnosis, misclassification by AI tools, or any damages arising from the use or inability to use the Application.

 Contact

For queries, support, or to report concerns, please contact: coughagainsttb@wadhwaniai.org