The Orissa Trust of Technical Education and Training (OTTET) has announced plans to roll out telemedicine centres in villages across the state-the ninth largest in India. The project aims to establish telemedicine centres in 51,000 villages covering the whole of Orissa within the next three years. The initiative will take modern healthcare delivery to the doorsteps of the rural populace and generate employment for educated youth in the state. The project will be executed through a public-private partnership involving the Orissa state government and Sanjay Gandhi Post-Graduate Institute of Medical Sciences (SGPGI), Lucknow. The project aims to instil training and skills in IT-based health delivery. Orissa hopes the facilities will generate jobs for 100,000 health workers, and the same model could later be expanded to urban areas where there is high unemployment. Telemedicine activities first began in Orissa in 2001, and this marks the latest stage in their roll out.