Case Studies

Keeping a 500-Million User
Digital Health Platform
Always On

Enterprise PostgreSQL support for one of India's largest public health organizations; 200,000 transactions a day, zero tolerance for downtime

Overview

One of India's largest public health organizations; whose digital health platforms serve over 500 million registered citizens and process more than 200,000 transactions daily; relies on PostgreSQL for its mission-critical database workloads.

At this scale, even brief downtime can disrupt healthcare access for entire regions. The organization needed a partner with deep PostgreSQL expertise, enterprisegrade support, and rapid incident response. They chose Postgres1st.

The Postgres1st Approach

Postgres1st provides comprehensive enterprise support across the organization's production PostgreSQL environments; 24x7 incident response, performance tuning for sustained high-volume loads, high-availability architecture guidance, and ongoing advisory on upgrades, security patching, and capacity planning.

Working as an extension of the customer's internal teams, our engineers resolve database issues before they impact citizen-facing services; enabling open-source PostgreSQL to run at population scale with the reliability of proprietary enterprise databases, at a fraction of the cost.

Key Takeaways

The engagement demonstrates Postgres1st's core promise: nationally critical workloads can run on PostgreSQL when backed by the right expertise.

For government and public-sector organizations pursuing digital transformation with open source, this partnership is proof that PostgreSQL, supported by an Indian company with world-class Postgres depth; is ready for the most demanding healthcare-scale environments.

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