# Program Evaluation of the Family Adoption Program for Medical Graduates in India: A Strengths, Weaknesses, Opportunities and Challenges (SWOC) and Stakeholder Analysis in a Medical College in Assam

## TL;DR

This study evaluates a program in India that connects medical students with families to improve community health understanding and finds it effective with some areas needing improvement.

## Contribution

The study provides a SWOC and stakeholder analysis of the Family Adoption Program in Assam, offering actionable insights for its improvement.

## Key findings

- 98.6% of students reported positive engagement with the program.
- Healthcare workers noted communication gaps and supply shortages.
- Families valued health education but wanted more continuity and screening tools.

## Abstract

Introduction: The Family Adoption Program (FAP), launched by India's National Medical Commission in 2019, connects medical undergraduates with families to understand community health challenges and social determinants affecting health in Assam. The aim of the study was to evaluate FAP through Strengths, Weaknesses, Opportunities and Challenges (SWOC) and stakeholder analysis at a medical college in Assam.

Methods: A mixed-method evaluation was conducted among 150 MBBS students, 150 adopted families, faculty, health workers, and community leaders from June to October 2025 using validated Google Forms, interviews, and focus group discussions.

Results: Among 150 students, 148 (98.6%) reported positive engagement and 146 (97.2%) cited the FAP as their first field-based exposure. All faculty (100%) supported FAP's Competency-Based Medical Education (CBME) alignment, though four (33.3%) students noted increased workload. Healthcare workers appreciated the gains in community awareness but highlighted communication gaps and supply shortages. Families valued health education but desired continuity and access to screening tools. The SWOC analysis identified strong engagement and community acceptance as strengths, while training gaps and logistical constraints were the primary challenges.

Conclusion: FAP effectively develops compassionate, community-aware physicians. Structured training, essential medical supplies, clear communication protocols, and stakeholder involvement can strengthen FAP as a model for community-based medical education across India.