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Over 90,000 learners and 800 ECHO Programs in 39+ countries

The ECHO Institute works in New Mexico, the USA, in India through our partnership with the ECHO India Trust and across the globe by forming and supporting partnerships with over 250 organizations. Key to our success have been Initiatives focused on specific challenges and supported by strong partners.

We believe that ECHO Programs across the world address these Sustainable Development Goals:


Project ECHO® is a partnership model. ECHO Institute catalyzes the uptake of the ECHO Model by our replication partners, who implement ECHO learning communities to meet the needs of their people and reach their goals.

This map shows our current partner locations and the focus categories of the programs that run across our movement. You can explore where in the world certain groups of programs are run. For a more complete map, with details on each program and contact information, please explore our US and World dashboards.


Organizations replicating the ECHO model are called “hubs.” Some of these partners not only run their own ECHO programs, but also train other hubs in implementing the ECHO model; these are called "superhubs." They are a critical part of the team that is bringing ECHO to the world.


Under the leadership of Dr. (Col) Kumud Rai, Chairman and Dr. Sunil Anand, Executive Director, The ECHO India Trust team works with partners all across India.

ECHO India was started as a not-for-profit Trust in 2008. ECHO India has come a long way from its first collaboration with National Aids Control Organisation (NACO) and Maulana Azad Medical College (MAMC) on managing HIV Aids patients. Currently teleECHO™ clinics in India are run by 15 hubs to tackle different disease states like Addiction and Substance Use Disorders, Mental Health, Tuberculosis (MDRTB), Hepatitis C, Liver Diseases, Cancer Screening and Prevention, HIV, Palliative Care, Corneal Ulcers, Hypertension, Maternal & Child Health

To learn more about the work of ECHO India, please visit the website

Sanjeev Arora, M.D., a liver disease specialist at the University of New Mexico Health Sciences Center in Albuquerque founded the Project ECHO concept in 2003. He was determined that all patients in need of treatment should get it. Arora grew up and studied in India before moving to the US for residency and fellowship training in gastroenterology and hepatology.
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New Mexico

Since its inception in 2003, Project ECHO at the University of New Mexico Health Sciences Center has served as the homebased and research and development incubator for new and innovative teleECHO programs. Starting with the first program for hepatitis C, ECHO has developed over 40 teleECHO programs covering such wide areas as diabetes, HIV, TB, women's health, chronic pain, substance use disorders, behavioral health, rheumatology, community health workers, and career readiness for teachers and school counselors to name a few.

Programs started here in New Mexico have been replicated by universities and other organizations all over the world and have served as the inspiration for dozens of more teleECHO programs.


The ECHO Institute works together with partners on Initiatives to replicate and implement the ECHO Model in response to specific challenges.

GE Foundation

In 2012, GE Foundation funded a pilot in New Mexico focused on expanding access to mental health and substance use care in rural community health centers across the state. Soon realizing the model could be transformational for increasing access to primary care, GE Foundation began a five-year partnership to support the ECHO Institute with its goal of reaching 1 billion lives around the world.

Since the GE Foundation partnership began, Project ECHO has:

  • Launched 336 global HUBS, a 600% increase

  • Expanded to 38 countries, a 375% increase


In 2019 Project ECHO received a five-year collaborative partnership grant from Co-Impact that is enabling us to significantly expand our work with the ECHO India Trust to transform healthcare systems across India, bringing us closer to our goal of reaching 1 billion lives around the world.

Co-Impact is a new global collaborative of philanthropists pooling their expertise, networks, and resources to improve the lives of millions by enabling solutions and lasting change to challenging social issues at scale.

After a period of rigorous assessment by the Co-Impact team, Project ECHO has been selected from a pool of over 200 initiatives to receive an inaugural Co-Impact systems change grant, leveraging the ECHO Model to build the capacity of community health providers to provide life-saving health care to India's underserved populations.


With Bristol Myers Squibb Foundation we are Partnering to Change the Face of Cancer Care.

The goal of this partnership is to bring high-quality care to patients living in places in the US and Africa where cancer specialists are not easily accessible.

ECHO and the Foundation are united in their commitment to health equity and to improving cancer health outcomes for these vulnerable populations and ensuring that the advances in the continuum of cancer prevention, treatment and care will have optimal and equitable benefit.

Diabetes and Endocrinology

With The Leona M. and Harry B. Helmsley Charitable Trust we are Partnering to Increase Access to Diabetes and other Endocrinology Care

In 2014 we started a four-year program that could serve as a national model for providing best-practice, specialized care for the more than 25 million Americans living with diabetes and others suffering from hormonal disorders.

The Endocrinology TeleECHO Clinic (Endo ECHO) addresses the widespread need for greater access to complex diabetes care and specialized endocrinology treatment, especially among publicly-insured and uninsured patients.

Access to Specialty Care

With Merck & Co., Inc., Kenilworth, NJ, USA Foundationwe are Partnering to Increase Access to Specialty Care for Complex, Chronic Conditions in India and Vietnam

Starting in 201, Project ECHO has been working to improve access to specialty care for complex, chronic conditions, such as hepatitis C, HIV, tuberculosis, diabetes and mental health conditions in underserved communities in India and Vietnam.

Community Health Workers

Project ECHO is applying the ECHO Model™ in several innovative care-delivery models, supporting primary care teams that are involved in providing specialized patient care. This allows the clinical teams to gain expertise rapidly and provide greatly expanded patient access to care.
To support and improve the skills of CHWs, we developed ECHO® Community Health Worker training models for several health and medical conditions, based on the needs of providers and underserved communities around New Mexico

ECHO Global Health Initiatives in HIV, TB, Health Security

The Global HIV ECHO Initiative is a collaboration with the US Centers for Disease Control and Prevention (CDC) and other partners aiming to improve care and treatment of the estimated 37 million people living with HIV (PLHIV) worldwide. The initiative currently focuses on high burden countries in Sub-Saharan Africa, Central Asia and Latin-America supported through the President's Emergency Plan for AIDS Relief (PEPFAR).

US Department of Defense/DHA

The Global HIV ECHO Initiative is a collaboration with the US Centers for Disease Control and Prevention (CDC) and other partners aiming to improve care and treatment of the estimated 37 million people living with HIV (PLHIV) worldwide. The initiative currently focuses on high burden countries in Sub-Saharan Africa, Central Asia and Latin-America supported through the President's Emergency Plan for AIDS Relief (PEPFAR).

Indian Health Service

Project ECHO, the Indian Health Service (IHS) and the New Mexico AIDS Education and Training Center (NMAETC) began a collaboration in 2013, to bring HIV and hepatitis C virus (HCV) care and treatment to American Indian/Alaska Natives (AI/AN) throughout the United States. This collaboration created teleECHO clinic sessions specifically for clinicians serving these communities.

Quality Improvement (QI)

Quality Improvement (QI) has been and can be integrated into the ECHO model in a variety of different ways. Whether with the goal of teaching quality improvement science, improving and measuring implementation of best practices, or reducing disparities in care, this use of the model is innovative and relatively new.
We are developing a small team to support this application of the ECHO model, and are here to help in any way we can as you embark on this journey. At the ECHO Institute we are testing use of the model for QI, as we know partners are also doing, and are actively working to gather and share information to better understand what works and recommendations for future implementers.

Opioid and Pain Related ECHOs

Different ECHO programs around the world are using evidence-based approaches with a focus on case-based learning to help develop healthcare professionals’ confidence and familiarity with opioid- and pain-related topics. There are many opioid- and pain-related ECHO programs that offer no-cost teleECHO sessions.

New Mexico Peer Education Project

The New Mexico Peer Education Project provides quality health education and encourages positive behavior change in prison settings, which creates an extraordinary opportunity to improve not only the health of the incarcerated, but also the health of their families and communities.

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