The Lifeline Express or Jeevan Rekha Express is a mobile hospital train run by the Impact India Foundation. It was developed in collaboration with the Indian Railways and Health Ministry and has been funded by Impact UK, international charitable sources, Indian corporate houses and individuals. It started on 16 July 1991; so far the service has benefitted 400,000 Indians in the remotest rural parts of the country over the course of approximately ninety-three projects.
The Lifeline express was started to provide on-the-spot diagnostic, medical and advanced surgical treatment for preventive and curative interventions for disabled adults and children for outreach into inaccessible rural areas where medical services are not available; offered using the Indian Railway Network which is the largest in the world comprising about 63,500 kilometres of tracks. In addition to providing access to these much needed service, the Lifeline express seeks to improve the efficiency of the existing local government and voluntary health infrastructure and services, as well as providing initiative and encouragement for the local bodies to get involved in all aspects of the programme and provide follow-up services after the train has left.