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Introduction to Hemophilia in India

Hemophilia is a rare inherited bleeding disorder in which the blood does not clot properly due to a deficiency or absence of essential clotting factors, resulting in spontaneous hemorrhages into joints and long-term musculoskeletal disabilities.

~1,36,000+
Estimated Patients in India (2nd Highest Globally)
~24,000+
Total Officially Identified & Registered
Only ~15-20%
Diagnosis Rate (Over 80% Live Undiagnosed)
< 5%
Have Regular Access to Preventive Prophylaxis
The Indian Diagnostic Challenge

Bridging the 80% Unidentified Detection Gap in India

While India is home to nearly one-fourth of the world's hemophilic population, over 80% of individuals remain undiagnosed due to a severe shortage of specialized coagulation assays at district levels. Unrecognized bleeding into knees, ankles, and elbows is frequently misidentified as orthopedic trauma, leading to preventable joint fusion, physical deformity, or fatal internal hemorrhages.

Because hemophilia follows an X-linked recessive pattern, it manifests overwhelmingly in males, while females function predominantly as carriers who transmit the gene.

Spontaneous Bleeds
Joint Hemarthrosis
Early Joint Crippling
Trauma Hemorrhage
~80-85% of Cases
Hemophilia A
Deficiency of Clotting Factor VIII
~15-20% of Cases
Hemophilia B
Deficiency of Clotting Factor IX
Severity Grading in Blood Plasma % of Normal Factor Level
Mild Hemophilia 5% – 40%
Moderate Hemophilia 1% – 5%
Severe Hemophilia < 1% (Frequent Spontaneous Bleeds)

Six Pillars of Hemophilia Interventions

A structured community-to-hospital model addressing every critical gap from missed identification to specialized clinical care, medicine supply, and patient dignity.

01

Finding Haemophilia Patients

Running active detection drives across tier-2/tier-3 talukas, deploying screening coagulation tests at PHCs, and bridging India’s 80% undiagnosed patient gap through state-wide verified registries.

Grassroots Screening Camps
02

Dedicated Day Care Centres

Upgrading district hospitals with dedicated infusion recliner beds, 24/7 cold-chain units, emergency resuscitation kits, and specialized post-bleed physiotherapy to stop permanent joint arthropathy.

Rapid Bleed Infusion Units
03

Medicine Availability in Govt Centres

Collaborating with state medical procurement corporations and funding emergency buffer stocks of Factor VIII & IX concentrates to eliminate catastrophic stock-outs during acute bleeding episodes.

Zero Stock-Out Buffer Reserve
04

Awareness of Genetic Issues

Conducting local-language education for school teachers, rural families, and grassroots ASHA/ANM health workers. Training clinicians to avoid fatal intramuscular injections or contraindicated blood thinners.

ASHA & Physician CMEs
05

Social Welfare to Haemophilia Patients

Providing travel conveyance allowances for indigent families visiting treatment hubs, educational scholarships for affected children, disability pension registrations, and livelihood assistance.

Direct Relief & Transport Subsidies
06

Genetic Counselling

Providing pedigree mapping, subsidized mutation testing, pre-marital carrier identification, and non-judgmental psycho-social counseling to at-risk families to prevent intergenerational trauma.

Pedigree Mapping & Carrier Testing

Aligned with UN Sustainable Development Goals

Our hemophilia healthcare and social welfare framework systematically aligns with the United Nations 2030 targets.

01
No Poverty
03
Good Health & Well-Being
04
Quality Education
10
Reduced Inequalities
11
Sustainable Communities
17
Partnerships for Goals