Infant health

Here's a story about how members of the Changemakers community are using an innovative recipe to keep children alive and well in Haiti:

In the United States, the thought of peanut butter conjures images of lunchtime sandwiches, midday snacks, and the occasional sweet treat, but for children in underserved populations around the world, peanut butter means survival.

In Haiti, a super-fortified peanut butter called Medika Mamba, or “peanut butter medicine” in Haitian Creole, is helping severely malnourished children restore their health within three to five days.

Read more about this solution, or discuss this topic below.
 

Changeshop

This project also has a Changeshop where you can read more about its latest progress.
Go to Changeshop: Technology for Nutritional Research Project.

Technology for Nutritional Research Project

To scale up our nutritional research by providing our village nurses with tablet computers so that they can gather crucial data in identifying risk factors and causes of malnutrition, correlate which diseases run in parallel circles of malnutrition as well as provide nutrition counseling to mothers.

About You

Organization: HOPE Foundation for Women and Children of Bangladesh more ↓↑ hide↑ hide

About You

About Your Organization

Organization Name

HOPE Foundation for Women and Children of Bangladesh

Organization Website

Organization Country

n/a

Country where this project is creating social impact

United States, FL, Miami

Is your organization a

Non‐profit/NGO/citizen sector organization

Has the organization received awards or honors? Please tell us about them

Changeshop

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Technology for Nutritional Research Project

Year founded

1999

Stage

Scaling (the solution has passed the previous stages, and the next step will be growing its impact on a regional or global scale)

Elevator Pitch

To scale up our nutritional research by providing our village nurses with tablet computers so that they can gather crucial data in identifying risk factors and causes of malnutrition, correlate which diseases run in parallel circles of malnutrition as well as provide nutrition counseling to mothers.

Problem

Malnutrition is a huge problem in Bangladesh. The UN World Food Program estimates that 48.6% of Bangladesh's children under the age of 5 are chronically malnourished. These children suffer from such debilitating diseases as rickets, cleft lip/palate, preventable blindness, and brain and body growth retardation. Many are unable to remain in school due to their conditions and failure in school and are forced to drop out.

Solution

To qualitatively identify the main causes and risks of malnutrition in children under the age of 5 by providing our 9 rural village nurses with tablet computers to easily collect and enter valuable data which will be analyzed to develop solid answers. The village nurses will serve 50 families each to begin. Each nurse will provide nutrition counseling as well as teach mothers which nutritious vegetables to grow and how to do so successfully. This will prevent further children in those families from suffering, treat those children who have already succumbed to undernourishment and provide a community with the knowledge on how best to care for their children. HOPE will continue to train 20 more nurses to reach more regions and families.

Example

The Village Nurse enters a home in which one mother has 3 children, all of whom appear underweight and sickly. After examining each child, the nurse determines they are underweight and malnourished. The nurse asks the mothers what the children have eaten in the past 48 hours and enters it into the tablet. The nurse further inquires why the children are not receiving some of the basic food staples. The nurse enters this information and proceeds to provide vitamins and counsel the mother on how to feed her children. She leaves behind information on how to best grow nutritional vegetables and fruits for the kids. The information gathered is sent to HOPE. The nurse returns to follow-up with the family and ensure proper healing and growth.

Impact

Thus far HOPE has worked with 2 international physicians to conduct research at HOPE Hospital to assess the prevalence of undernourishment among children in Ramu. A study was conducted on 160 children aged 12 to 24 months. The child participants were given Vitamin A and Multivitamin syrup, and their parents were educated on nutrition and proper feeding techniques. There is a strong correlation between parents' educational levels and feeding habits. This has provided HOPE with the information to better develop our nutritional program and ensure that parents with lesser education are thoroughly educated. The study prevented 160 children from developing malnutrition-related diseases such as diarrhea, pneumonia, and the ultimate risk of malnutrition, mortality. Scaling up this project will help us reach 900 children given average family size of 4.4 to collect more data, educate, and prevent.

Marketplace

BRAC is addressing nutrition in Bangladesh through its "Sprinkles" Program by selling micronutrient powder (Pushtikona) through its community health workers as well as providing it for free to ultra-poor families. Their approach is mainly targeted at reducing anemia. HOPE's project is different in that we are teaching mothers proper feeding through crops that grow locally, and that any family can plant. We're also targeting very rural populations where only HOPE has access to. The main difference in our projects is that we are conducting research in parallel to treatment.

Sustainability Plan

Our village health nurses will charge .25 cents to the families they visit. This is a nominal price for the detailed examination, treatment and education they receive. The nurses become self-sufficient through their compensation, therefore HOPE does not need to to support them financially. When HOPE trains more nurses we will ensure funding from our donors. This project is completely self-sustaining.

Founding Story

Dr. Mahmood always recognized the lack of health care accessibility for the poor in Bangladesh and very soon after he began practicing, he set up HOPE Foundation. HOPE tirelessly raised money in order to build the 40-bed hospital that stands today. The hospital began as a rented 9-bed facility. Since the beginning, Dr. Mahmood has added specialized care services to the established maternal, child, and general health care. Whenever Dr. Mahmood identifies a treatable condition, he promptly develops a plan for addressing it and does not stop until he sees the project implemented and thriving. Recognizing the role this project could play in reducing child mortality and providing economic stability to nurses, he knew it would be successful.

Nutrients For All

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Where do you ensure the availability of nutrients?

Full nourishment foods, Human wellness and vitality.

If you had greater capacity, which additional sectors would you like your solution to target - either through expansion, partnership, or thought exchange?

Nutrient-rich farming.

How specifically would this added capacity help you improve the quality, efficiency, or sustainability of your existing product or service?

If HOPE had the added capacity to include nutrient-rich farming, we would implement community gardens in the villages we serve in order to ensure a surplus of healthy foods for our families. The goal of this program would be to include the children in maintaining the gardens, so that they become wholly aware of the foods that they should be eating. In the long-run, these children will have these concrete notions towards healthy foods embedded in them, and will serve their children the correct, nutritious foods. We want to interrupt the trend of malnutrition on a higher level.

Nutrient Economy

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How is your product or service connected to vitality for the people and planet?

Approximately 125 words left (1000 characters).

People need appropriate nutrients to grow, learn, and fight off disease. How do you measure, track, or make use of information about nutrient levels in your own work?

Approximately 100 words left (800 characters).

Considering the flow of nutrients from ecosystems to soil to farms to food to communities, what are the barriers to achieving vitality for people and the planet?

Other barriers you have identified

In your view, what developments need to happen in order to help overcome those barriers and produce a more nutrient rich and vital public and planet?

Approximately 125 words left (1000 characters).

What do you consider the most promising trends or evidence that indicates that the developments you described are emerging? Please elaborate.

Approximately 100 words left (800 characters).

Changeshop

This project also has a Changeshop where you can read more about its latest progress.
Go to Changeshop: Reality Gives and FMCH Dharavi Nutrition Program.

Reality Gives and FMCH Dharavi Nutrition Program

Reality Gives and FMCH (Foundation for Mother and Child Health) believes that early health care and balanced nutrition are critical for a child to reach his /her full potential and dreams of a world where the potential of each child is not limited by poor early health or malnutrition.

About You

Organization: Reality Gives and FMCH (Foundation for Mother and Child Health) Visit websitemore ↓↑ hide↑ hide

About You

First Name

Adina

Last Name

Goerke

About Your Organization

Organization Name

Reality Gives and FMCH (Foundation for Mother and Child Health)

Organization Website

Organization Country

India, MM, Mumbai

Country where this project is creating social impact

India, MM, Mumbai

Is your organization a

Non‐profit/NGO/citizen sector organization

Has the organization received awards or honors? Please tell us about them

FMCH received the Certificate of Merit by the AmeriCares Spirit of Humanity Awards.

Changeshop

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Name your entry

Reality Gives and FMCH Dharavi Nutrition Program

Year founded

2012

Stage

Growth (the pilot has already launched and is starting to expand)

This Entry is about (Issues)

Elevator Pitch

Reality Gives and FMCH (Foundation for Mother and Child Health) believes that early health care and balanced nutrition are critical for a child to reach his /her full potential and dreams of a world where the potential of each child is not limited by poor early health or malnutrition.

Problem

43% of Indian children below the age of five years are underweight because of chronic under-nutrition (UNICEF). Incorrect infant feedings practises, lack of knowledge about weaning, using packaged foods rich in sugar and salt as snacks to feed hungry toddler are some of the causes that can lead to chronic under-nutrition in urban slum children. Malnutrition can cause morbidity and limited cognitive and physical growth.

Solution

To address the issue of malnutrition in Dharavi, one of Asia's biggest slum, the community-based NGO Reality Gives collaborates with FMCH, an organisation dedicated to the eradication of malnutrition in children ages 0-6 years from economically under –privileged families, since August 2012. To reduce malnutrition, FMCH activities are focused on the most important determinants of malnutrition. This means emphasizing disease control and prevention activities, education to improve domestic child-care and feeding practices like one on one nutritional counseling, cooking demos, home visits and micronutrient supplementation.

Example

The little boy Shlok, born in the slums of Mahalaxmi, Mumbai, weighed only 3.3kg when he came to FMCH's first program site at 3 months old . He was lethargic, thin and in and out of hospital. Over two months FMCH have monitored and supported him and educated his mother about nutrition health care. Now, at 5 months old he weighs 5kg, is alert, active and developmentally on track for his age.

Shlok is a good example of how FMCH's activities can impact a child's development. With Reality Gives support and FMCH's competence we can reach out to similar cases in Dharavi and raise awareness amongst the mothers of the communities.

Impact

Since August 2012 87 kids have been registered at the FMCH Nutrition program in Dharavi. The team reported many individual success stories but an extensive evaluation won't be possible before completing one year of program implementation. We were FMCH's first experiment at partnering with other organisations and reaching their expertise beyond their sites at another slum area in Mumbai. Now they have developed a formal training program and have trained community health workers in Nasik, a nearby rural area. So our support for this pilot project has been a larger inspiration for the development of their organisation - and has a much larger impact than just our site.

Marketplace

Instead of fighting malnutrition by handing out nutritious food to children in our slum community, we tackle the issue at its roots - the missing knowledge of the mothers! Many mothers are very young and had to move to the city after marriage, leaving their female role models behind. They never got the chance to learn how to care for a child. FMCH offers cooking demonstration, handing out the low cost recipes to the mother, provides intensive counseling on every child's habits and needs and prescribes individual diet schedules. This way the mother can apply her new knowledge on every child.

Sustainability Plan

The costs of the Nutrition Initiative in Dharavi are very low because we focus on awareness raising instead of treatment. In the future we hope to implement FMCH's formal community health workers training program in Dharavi to incorporate local women to conduct the program with the support of Reality Gives and FMCH. This way we will also be able to reach out to more women at lower costs.

Founding Story

The Reality Gives Community Centre exists since 2007. Last year a women came to the space to talk about her issues. Her two year old daughter was severely malnourished, weighed about the same as a one year old, was pretty immobile and the mother had said that she had a heart problem that needed surgery. She also said that she and her husband were not interested in having the surgery because she was a girl child and they just wanted to be rid of the burden she was placing on them. Before we could go for a home-visit and decide on what to talk about(within one week) the girl passed away.

We decided we need to raise awareness of EVERY child's potential and how simple it can be to care for their development.

Nutrients For All

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Where do you ensure the availability of nutrients?

Human wellness and vitality.

If you had greater capacity, which additional sectors would you like your solution to target - either through expansion, partnership, or thought exchange?

Human wellness and vitality.

How specifically would this added capacity help you improve the quality, efficiency, or sustainability of your existing product or service?

If we would have a greater capacity we could reach out to more slum communities, within and beyond Dharavi. We could also expand from the nutrition to a higher level health program to ensure the well-being and healthy development of every child in Dharavi. That would include regular physician visits, vaccination and de-worming camps and micronutrient supplementation.

Nutrient Economy

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How is your product or service connected to vitality for the people and planet?

Approximately 125 words left (1000 characters).

People need appropriate nutrients to grow, learn, and fight off disease. How do you measure, track, or make use of information about nutrient levels in your own work?

Approximately 100 words left (800 characters).

Considering the flow of nutrients from ecosystems to soil to farms to food to communities, what are the barriers to achieving vitality for people and the planet?

Other barriers you have identified

In your view, what developments need to happen in order to help overcome those barriers and produce a more nutrient rich and vital public and planet?

Approximately 125 words left (1000 characters).

What do you consider the most promising trends or evidence that indicates that the developments you described are emerging? Please elaborate.

Approximately 100 words left (800 characters).

Reality Gives and FMCH Dharavi Nutrition Program

Reality Gives and FMCH (Foundation for Mother and Child Health) believes that early health care and balanced nutrition are critical for a child to reach his /her full potential and dreams of a world where the potential of each child is not limited by poor early health or malnutrition.

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Technology for Nutritional Research Project

To scale up our nutritional research by providing our village nurses with tablet computers so that they can gather crucial data in identifying risk factors and causes of malnutrition, correlate which diseases run in parallel circles of malnutrition as well as provide nutrition counseling to mothers.

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  • 0 followers
Changeshop

This project also has a Changeshop where you can read more about its latest progress.
Go to Changeshop: Nutrients for all through Multi-Micronutrient enriched salt.

Nutrients for all through Multi-Micronutrient enriched salt

The multiple micronutrient fortified salt developed by us, for the first time in the world, is a clinically and commercially proven way to provide micronutrients for all in the cheapest and guaranteed way. Our mission is to reach this salt to the needy particularly in developing countries.

About You

Organization: Sundar Serendipity Foundation Visit websitemore ↓↑ hide↑ hide

About You

First Name

Malavika

Last Name

Vinod Kumar

About Your Organization

Organization Name

Sundar Serendipity Foundation

Organization Country

India, TN, Chennai

Country where this project is creating social impact

India, TN, Chennai

Is your organization a

Non‐profit/NGO/citizen sector organization

Has the organization received awards or honors? Please tell us about them

Changeshop

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Name your entry

Nutrients for all through Multi-Micronutrient enriched salt

Year founded

1998

Stage

Scaling (the solution has passed the previous stages, and the next step will be growing its impact on a regional or global scale)

Elevator Pitch

The multiple micronutrient fortified salt developed by us, for the first time in the world, is a clinically and commercially proven way to provide micronutrients for all in the cheapest and guaranteed way. Our mission is to reach this salt to the needy particularly in developing countries.

Problem

Over 50% of women and children in developing countries suffer from iron, iodine, B12 ,folic acid , Vitamin A and zinc deficiencies. Anaemia causes decrease in productivity in adults and impairs cognition and learning in children and low birth weight in infants. Vitamin A and zinc deficiencies impair the immune system. B12 and folic acid deficiencies cause birth defects in the foetus. Food eaten by the poor is deficient in micronutrients.

Solution

Therapeutical solutions for multiple micronutrient deficiencies are not sustainable because of cost, logistic problems and lack of knowledge on micronutrient deficiencies. Salt is universally consumed by all. Hence salt is the best carrier to guarantee the reach of multiple micronutrients to all. We have developed for the first time in the world salt containing Vit A, iron, iodine , folic acid B12 and zinc at near RDA levels. We produce fortified crystal and powder salt. Our technology ensures that the micronutrients are stable in the salt during storage, during cooking and are bioavailable. Clinical trials have shown that the use of this salt increases productivity, memory, cognition,anthropometry and micronutrient levels in blood.

Example

We have done social marketing of this multiple micronutrient fortified salt in Kariapatty, Gandhigram and Tirupattur in Tamilnadu.We had worked with Kasturba hospital, Gandhigram to improve the micronutrient status of pregnant women.For more than a decade we have been giving this salt to St Thomas home , Kolkatta,where it is given to tuberculosis patients. Several residential schools in Chennai have been using this salt to improve the micronutrient status of children.With BAIF,we have done multicentric studies in Gujarat,Madhya Pradesh and Karnataka where our salt enriched with iron and iodine(DFS) was used. DFS was also used by tea pickers in plantations. Thousands of users of this salt have reported enormous benefits in improved health.

Impact

The multiple micronutrient fortified salt has improved statistically significantly the levels of iron, vit A,folic acid, B12 and zinc in the blood and urinary iodine proving that the micronutrients in our salt are stable and bioavailable. This salt has also improved anthropometry, memory and cognition in children. Our salt fortified with iron and iodine(DFS)has improved the productivity of tea pickers and reduced absenteeism due to fatigue in them. It has also improved the micronutrient status of pregnant women. Thousands of people who have used this salt have reported reduced fatigue, better ability to work, and decreased morbidity,especially in children.Since anaemia and other micronutrient deficiencies affect 50% of women and children and almost 25% of men too in India, and salt is universally used, the impact of combating micronutrient deficiencies through this salt is enormous.

Marketplace

We are the only manufacturers of the multiple micronutrient fortified salt in the world both in crystal and powder form. There are few manufacturers of salt fortified with iron and iodine(DFS)in pure powder salt but none in crystal salt which is used by the poor predominantly.The iron in our salt is highly bioavailable and all the other micronutrients are microencapsulated for stability and bioavailability. We have an Indian patent.We are targeting the poor with fortified crystal salt which nobody has done.Current method of giving Iron and folate tablets have not been able to combat anaemia.

Sustainability Plan

We have produced a film on our salt for nutrition education for the poor-see youtube link. Our experience shows that when they see the film and understand the role of micronutrients and that the fortified salt is the cheapest way of getting micronutrients-half US cent per person per day, they are willing to buy our salt.If seed capital is provided for Nutrition education,enabling buyers pull,at our pricing,financial sustainability can be ensured.

Founding Story

My father Mr K. Ramu of Sundar Chemicals Pvt Ltd was the pioneer who commercially made iron fortified salt in India in 1985. Since salt was universally used, he felt it would be an ideal vehicle to combat anaemia which was rampant in India then and now too. Universal iodisation became mandatory in late eighties, and hence we did our own Research to microencapsulate iodine so that it is stable along with iron in double fortified salt. We were the first company to launch commercially double fortified salt in India in 1992. Since 1998 we have been doing social marketing of the multiple micronutrient fortified salt. We are also pioneers in the manufacture of multiple micronutrient crystal salt for the poor since the poor use only crystal salt.

Nutrients For All

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Where do you ensure the availability of nutrients?

Full nourishment foods, Human wellness and vitality.

If you had greater capacity, which additional sectors would you like your solution to target - either through expansion, partnership, or thought exchange?

Full nourishment foods, Human wellness and vitality.

How specifically would this added capacity help you improve the quality, efficiency, or sustainability of your existing product or service?

Scaling up and added capacity with factories located in various regions would enable us to do social marketing on pan India basis reducing logistical cost of long distant movements.Thiswill enable us embark on All India movement for "Nutrients for all or Freedom from silent hunger" We have spent a million rupees in making a film on our fortified salt named Sundar health salt for Nutrition education and have also dubbed it in several regional languages with english subtitles. The seed capital/grant for nutrition education will create the pull from the buyers thus sustaining financial viability.

Nutrient Economy

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How is your product or service connected to vitality for the people and planet?

Approximately 125 words left (1000 characters).

People need appropriate nutrients to grow, learn, and fight off disease. How do you measure, track, or make use of information about nutrient levels in your own work?

Approximately 100 words left (800 characters).

Considering the flow of nutrients from ecosystems to soil to farms to food to communities, what are the barriers to achieving vitality for people and the planet?

Other barriers you have identified

In your view, what developments need to happen in order to help overcome those barriers and produce a more nutrient rich and vital public and planet?

Approximately 125 words left (1000 characters).

What do you consider the most promising trends or evidence that indicates that the developments you described are emerging? Please elaborate.

Approximately 100 words left (800 characters).

Nutrients for all through Multi-Micronutrient enriched salt

The multiple micronutrient fortified salt developed by us, for the first time in the world, is a clinically and commercially proven way to provide micronutrients for all in the cheapest and guaranteed way. Our mission is to reach this salt to the needy particularly in developing countries.

  • 0 tags
  • 0 followers

Saútil - Internet Portal and Health Services

The SAÚTIL is a a search engine created primarily to help people find information on the public health system. A simple guidance, with all the resources that SUS (the Brazilian national health system) provides to the population.

About You

Organization: Saútil - Internet Portal and Health Services Visit websitemore ↓↑ hide↑ hide

About You

First Name

Edgard Luiz

Last Name

Greco Morato

About Your Organization

Organization Name

Saútil - Internet Portal and Health Services

Organization Website

Organization Country

Brazil, SP, São paulo

Organization's Country of Operation

Brazil, SP, São Paulo

Type of Organization

For‐profit

Year of launch of the organization

2011

Years in Operation

Operating for more than 5 years

Has the organization received awards or honors? Please tell us about them

We want to hear about your “Aha!” moment. Share the story of where and when the founder(s) saw this solution’s potential to change the world.

The project was born during a brainstorm in a coffee shop, after its founders, a doctor and another industrial designer, decided to join their experiences working with medical management and communication to create a solution that could help population to being more aware of their health rights through IT.
A way to combine medicine and communication to help people on a large scale.

The information you provide here will be used to fill in any parts of your profile that have been left blank, such as interests, organization information, and website. No contact information will be made public. Please uncheck here if you do not want this to happen..

Innovation

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Name Your Entry

Saútil - Internet Portal and Health Services

Explain what the "innovation" is about, e.g., is it the idea and/or the model you use to accomplish the idea, or your understanding of the target population, etc.?

Saútil innovation was to apply information technology with a geo localized search engine, specifically for health resources.

Describe how your innovation model is distinct from any other organization in your field?

We know other organizations that treat health subject more generically - only informative material and content. Saútil goes beyond that, showing people where the resources are available and how to access them.

What type of operating environment and internal organizational factors make your innovation successful?

We are always updating our data research and new technologies, so that the final product is increasingly accessible.

How do you make sure you constantly innovate in light of (potential) external challenges, or your growth plan?

We maintain a high performance and motivated team so that any challenges or difficulties are overcome.

Business Model

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The systemic challenge you are trying to overcome (select one)

Realign the incentives in the public healthcare system in mature markets, or

Health area (target market) where the need is [select only one]

Primary healthcare services

Categories along the health continuum you are covering [select all that apply]

Prevention, Follow-up, Social integration.

Please describe in more detail: what problem are you trying to solve in the organization's specific context?

Access to information is the main problem that we propose to solve. Low-income populations have too much trouble finding information and guidelines that meet their needs. Our purpose is to facilitate access and guide people in what they need.

Stage that best applies to your solution [select only one]

Start-up and growth (pilot is successful and starting to expand)

Core strategies of your business model [select all that apply]

Approaches to behavioral change at the individual level, Patient-centered design.

If other, specify here:

Most relevant tools you are using to implement the strategies outlined above [select only two]

Technology, Education/training.

If other, specify here:

Please describe your solution in more detail

The search engine for health resources we created aims to facilitate access to health resources, bringing the result to the user in 3 simple steps. First, you search the name of the service you need (drug, vaccine, consultation, exam, materials, equipment, health facilities). In the second step, we ask in which city, region or district you want to find it. And the third step already brings the results of the geo locations and guidelines necessary to obtain the demanded service/resource.

What are your vision and overall objectives?

Our vision is to be the primary means of access to health resources for the population. We have an universe of over 140 million people who do not have health insurance in Brazil and need to use the resources available in the SUS (the Brazilian public health system). Our goal is to inform and guide an increasingly larger number of people through various platforms: Internet, telephone, in person.

What is your value proposition?

Aware, guide and facilitate access to health resources for the population.

Who is your customer(s)?

Companies with employees who do not have the benefit of the health plan, and individuals in general.

What approaches to you use to reach your customers?

We approach our clients stating that, through the correct guidelines and access to quality resources, individuals' well being will be optimized and they will have a better performance at work and in their personal life.

What are your primary activities?

Educating the population about their health rights and how to get them through the search service on the Internet, and by nurses on the phone.

Who are your peers and competitors? What problems could these players pose to your success or growth?

Today's competitors focus on health information, instead of access information. These competitors could hinder our growth if they begin to offer the same kind of guidance to access that Saútil does. But as the market is very big and we have been pioneers, our main concern is to provide quality service to people.

What other challenges - individual, organizational, or environmental – are you currently facing or might hinder future success of your business, and how do you plan to overcome those?

One challenge we have is the cultural barrier of low-income people, especially elderlies who do not have much access to technology. That's the reason why we provide the same kind of guidance by phone, so it is accessible to all.
We also have the challenge of showing the public that despite the difficulties in accessing, SUS also has positives points. Today the population has a widespread view that the SUS does not work. We can change that perception with the help from SUS itself and through partnership with government, which we do not have yet.

Briefly describe your growth strategy going forward

Our growth strategy is based on the expansion of facilities and access platforms. We know that in Brazil we have approximately 55 million users of the classes C and D (low/medium classes). On the other hand, we have more than 200 million enabled telephone lines.

What dimensions for growth are you currently targeting for your innovation [select all that apply]

New customer group(s), New regions(s).

What makes your business "ready" for growth?

To have all the access information compiled for research made ​​by our representatives, and also by the users through the search engine.

What are your key growth objectives?

Build a high performance service structure, scalable, to meet both an increasingly larger number of people, and also increasingly systematic research information.

What is your timeframe for growth, in the short and mid-term? What are the growth milestones and key activities going forward?

In the short term this year, we might have 50 thousand people served by Saútil. In the long term - 3 years - 1 million people.

Social Impact

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What has been the impact of your solution to date?

Today, we know the existence of people who obtained health resources through Saútil. One example is tha case published in magazines PEGN and Exame PME (some of the most prominent magazines focused on business and small/medium enterprises): a retired man needed two eyedrops to treat glaucoma and the medications that his doctor had prescribed costed R$ 180 (about US$90), and he could not afford it.
After a lot of searching without success, his daughter found Saútil on the internet and sent a message asking if the medicines were available in SUS. Our guidance was for her to ask the doctor to prescribe the recipe again, with the name of the active ingredient. She returned to the doctor who changed the recipe and after that she got the medicine for free in SUS.

What methods for quantification of social impact are you applying (if at all)?

We quantify and qualify the impact through testimonials sent to Saútil. We also stratify the amount of research in low-income neighborhoods.

Could your solution work in other geographies or regions? If so, where?

The solution already serves whole Brazil and can be replicated in other countries that have a similar model to the Brazilian.

What is your projected impact over the next 1-3 years?

In 1 year, we intend to impact 50 000 people as the example given above, and in 3 years, 1 million people

Sustainability

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Elaborate on your current financing strategy

Our current strategy is to achieve a faster revenue by selling advertising on the site and in the medium term through the sale of personalized service orientation, that can be really scalable.

Share of revenue generation in total income of organization (in percent)

100%

Direct sales to patients or other beneficiaries (in percent)

Online advertising and personalized guidance service that can be sold to businesses and retail.

Of the possible sources of these sales listed below, check all that apply to your current strategy

Private businesses.

Licensing fees, e.g., for technology/franchise model (in percent)

Of the possible sources of these licensing opportunities listed below, check all that apply to your current strategy

Private businesses.

Service contract with organizations, e.g., government, NGOs (in percent)

Of the possible sources of the service contracts listed below, check all that apply to your current strategy

Private businesses.

Explain your revenue generation strategy in more detail

We have two main sources of revenue. Online advertising and personalized guidance service that can be sold to businesses and retail. This second source has a very low value compared to a health plan and the price can be scalable according to the number of employees a company has. This product can also be sold at retail for people who cannot afford health insurance, but want to have a channel to receive guidance for their questions at a low cost.

Share of philanthropy in total income of organization (in percent)

We do not work with philanthropy.

Philanthrophy strategies you are using

Explain your philanthropic approach in more detail

We do not work with philanthropy.

Expand on your selections; explain how you will sustain funding over the next 1-3 years.

We have two main sources of revenue. Online advertising and personalized guidance service that can be sold to businesses and retail.

OPERATING IN THE AMAZON PROGRAM - Mobile Surgical Center in Isolated Indigenous Communities

For 10 years, Expedicionários da Saúde have been taking specialized medical treatment to indigenous or riverside geographically isolated communities, and doing so with high technology through a Mobile Surgical Center, social technology that enabled the completion of 20,944 medical consultations and performed 3,569 surgeries until today, improving the quality of life of its beneficiaries

About You

Organization: Associação Expedicionários da Saúde Visit websitemore ↓↑ hide↑ hide

About You

First Name

SILVANA

Last Name

NADER

About Your Organization

Organization Name

Associação Expedicionários da Saúde

Organization Website

Organization Country

Brazil, SP, Campinas

Organization's Country of Operation

Brazil, AM, comunidade indígenas isoladas no estado e ações complementares no Pará , Acre e RR

Type of Organization

Non‐profit/NGO

Year of launch of the organization

2003

Years in Operation

Operating for more than 5 years

Has the organization received awards or honors? Please tell us about them

• SMCC Prize - Medicina Cirúrgica de Campinas Surgical Medicine Society – X Paes Leme Prize http://www.smcc.com.br/2010/Eventos/X%20Paes%20Leme/materia.html
• Dr. Citizen 2004 Prize - Associação Paulista de Medicina
• Thank you letter on aiding Haiti from the institutional security Cabinet ( Presidency) Minister Jorge Armando Felix
• Golden Staff / 2009
• Fundação Banco do Brasil Social Technology Prize / 2007 -Finalist
• Citizen Project- CPFL /2003

We want to hear about your “Aha!” moment. Share the story of where and when the founder(s) saw this solution’s potential to change the world.

Doctors and friends were spending their vacations in Pico da Neblina, and wondered why simple surgical procedures were so complex in isolated indigenous communities. Since one could not transfer the patient to major centers, they thought about bringing specialized care to them! The Program Operating in the Amazon and the social technology Mobile Surgical Center were created. In 10 years, 24 expeditions were conducted.

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Innovation

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Name Your Entry

OPERATING IN THE AMAZON PROGRAM - Mobile Surgical Center in Isolated Indigenous Communities

Explain what the "innovation" is about, e.g., is it the idea and/or the model you use to accomplish the idea, or your understanding of the target population, etc.?

The public health agencies in the Amazon perform preventive and healing care with great difficulty, due to difficulties in accessing the communities. Treating severe cases and performing elective surgeries depend on moving the patients to the closest medical centers in the region, which can take days. There are also difficulties related with moving indigenous patients and their families to urban centers. The medical centers lack specialized care. They are commonly overcrowded and don't always have access to high tech. People end up drawn from social and productive life for not having access to relatively simple surgical procedures. EDS conducts anual high tech expeditions with voluntary doctors to perform surgeries. EDS believes that it is important to broaden the dialogue with the society as a whole - the government, communities, universities and other institutions - on the importance of having effective health care public policies for remote areas in Brazil, and our work seeks to contribute to this problem. It envolves volunteering, intersectoral partnerships (government, NGOs, businesses), participation of the beneficiary community, interdisciplinary and highly specialized technical teams, high technology and strong social impact. The Mobile Surgical Center, adapted to the needs of the community, structured with high-tech equipment and working inside indigenous communities. An innovative way of working, performed in Brazil for the first time by a ONG. A social technology that can be replicated and extended to other regions.

Describe how your innovation model is distinct from any other organization in your field?

There are similar projects operating in the region, particularly in the fields of primary health, examinations and consultations. Médicos sem Fronteiras (Doctors Without Borders) is an organization that we visited at the beginning of our work. Some of our processes have been adapted from their experience, but over the years we had to seek our own model, adequate to our size, profile and specially customized to the reality we face in the north of the country

What type of operating environment and internal organizational factors make your innovation successful?

Partnership with local agents to do the selection of the surgical cases, transportation and lodging for patients and postoperative follow-up. Partnership with local stakeholders who support the doctors' mobility in the area and the transportation of equipment and supplies. Community support to adequate infrastructure for the establishment of the Mobile Surgical Center or the existence of a local surgical center in good conditions. Support from companies: donation of equipments, drugs, supplies, transportation and sponsoring the logistics of each expedition, which takes about four months to be organized. Partnership with health professionals working in the regions where the program is implemented. Partnership with regional hospital when a risk factor is identified, Strong internal management control.

How do you make sure you constantly innovate in light of (potential) external challenges, or your growth plan?

With the support from the external consultancy agency Deloitte, we are developing a management and financial plan so we can be anually audited. We intend to have an Advisory Council to improve the governance of the organization. Development of an ethics and conduct code in order to consolidate the practices we today advocate and perform in the organization. Together with indigenous health care public agencies, we identified new areas with high demand for specialized medicine, and for this reason we extended our work to Pará, Acre and Roraima, proving that the social technology is appropriate for different realities.

This Entry is about (Issues)

Business Model

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The systemic challenge you are trying to overcome (select one)

Bring accessible healthcare to communities in emerging markets

Health area (target market) where the need is [select only one]

Other specialty care

Categories along the health continuum you are covering [select all that apply]

Detection, Intervention, Follow-up.

Please describe in more detail: what problem are you trying to solve in the organization's specific context?

Isolated indigenous communities in the Amazon receive primary and preventive health care from the government. Serious cases and elective surgeries depend on moving patients to distant medical centers. In the region, there is a high incidence of equatorial cataract, pterygium, hernias. Only the most severe cases are treated, and the waiting line is long. There are many difficulties related to moving the indigenous and their families to urban centers, which are very different from their natural habitat. There are hundreds of people drawn from social productive life for not having access to relatively simple surgical procedures. EDS, through the mobile surgical center's social technology, has transformed this reality with surgical expeditions, specialized medical care to the geographically isolated indigenous population.

Stage that best applies to your solution [select only one]

Scaling (growing impact on a regional or global scale)

Core strategies of your business model [select all that apply]

Patient-centered design, Redesign of the public healthcare system for more efficiency (in terms of processes, structure etc.), New/redefined roles for healthcare service provision, Unconventional partnerships (between traditional healthcare players and players outside healthcare).

If other, specify here:

Most relevant tools you are using to implement the strategies outlined above [select only two]

Technology, New skills, Education/training, Community financing, Others.

If other, specify here:

Alianças intersetoriais: governo, empresas e sociedade civil e forte apoio da imprensa

Please describe your solution in more detail

Partnerships involved in the expeditions' logistics: SESAI, FUNAI, Special Indigenous Sanitary Districts (DSEI), local municipalities, Ministry of Defence, the Brazilian Air Force, the Amazon Military Command, Leaderships of the indigenous community treated. All these partners contribute directly to facilitate the care provided in the community, from planning to execution. Also, from the point of view of promoting the work and cause, we have strong support of the national press and we already have international repercussions, with media vehicles such as "The Economist"

What are your vision and overall objectives?

Mission: Bring specialized medical care, especially surgery, to the indigenous and riverside population that live geographically isolated, with great quality of service and responsible management.
Vision: Create a reference model for specialized medical care to populations that are geographically isolated. Associação Expedicionários da Saúde / EDS is a Brazilian non-profit organization created in 2003 by a group of volunteer doctors, that aims to bring specialized medicine, especially surgical care, to indigenous peoples who live isolated in the Brazilian Amazon. It is a complementary service to health care public programs. It aims to prevent the patient and his family from traveling to urban centers, which is not always feasible.

What is your value proposition?

EDS' intention with its Social Technology is to put an end to the surgical demand of the Indigenous and Riverside Populations that live isolated from major medical centers in the Brazilian Amazon. The results achieved to date, the credibility and visibility of the project, demonstrate that we are on the right track. But this is an action that involves medical infrastructure, equipment and complex logistics, which requires the need for Expanding and Strengthening Partnerships.

Who is your customer(s)?

Indigenous populations isolated from the major medical centers in the Brazilian Amazon. At first, patients that require clinical and/or surgical care in the specialties of the medical expeditionaries team will be selected. Since February 2004, the organization provided 20,944 clinical treatments and performed 3,569 surgeries to indigenous peoples from the Brazilian Amazon. Also, in 2010, after the earthquake in Haiti, EDS sent 7 SOS Haiti teams, having performed 359 surgeries and 1,407 outpatient treatments.

What approaches to you use to reach your customers?

Mobilizing opinion leaders, identifying the region, diagnosis, demand profile are activities carried out with close involvement and support from SESAI, FUNAI, Special Indigenous SanitaryDistricts (DSEI), local municipalities and indigenous community leaders. Among the actions of sensitization and mobilization, there are partnerships with local health agents trained to perform screening (surgical cases selection and consultations). Patients are informed of the date when the collective surgical effort will be held and partners provide transportation and lodging.

What are your primary activities?

There are three annual expeditions to perform: surgeries, guidance for pre and postoperative care, special diagnosis and referral of the cases with which the team is not prepared to act in loco. Those expeditions take place in communities that have some structure to receive a large amount of people (patients, families, physicians, and logistics). Besides the general coordinators, there are coordinators per specialty: ophthalmology, general surgery, pediatric, orthopedics. The medical school at UNICAMP - University of Campinas, provides volunteer doctors, who orient the local teams on how to identify surgical cases in the offered specialties. Assessment, during and post expedition, of the results and the work processes involving all stakeholders.

Who are your peers and competitors? What problems could these players pose to your success or growth?

There are similar projects operating in the region, particularly in primary health care, examinations and consultations. Part of our processes have been adapted from the experience of some of these projects, but over the years we had to seek our own model, proper for our size, profile and customized to the reality we face in north of the country.Partners: medical volunteers, SESAI-Special Secretariat for indigenous health care, FUNAI - National Indian Foundation, DSEIs - Special Indigenous Sanitary Districts, local municipalities, Ministry of Defence, the Brazilian Air Force, the Amazon Military Command, Leaderships in the indigenous community.

What other challenges - individual, organizational, or environmental – are you currently facing or might hinder future success of your business, and how do you plan to overcome those?

achievement of the 26th EXPEDITION in August in the Yanomami region, the 27th November EXPEDITION in Raposa Serra do Sol. Have 90% of local staff trained and qualified by EDS to perform the patients' screening and specialized diagnosis. Continue with the SOS Haiti expeditions - so far we have conducted seven expeditions in 2010 with a total of 359 orthopedic and trauma surgeries and 1,407 outpatient treatments. Our biggest challenge in 2013 is to develop partnerships that contribute to the financial sustainability of our organization and the continuity of expeditions.
However, this is an action that involves medical infrastructure, equipment and complex logistics. Because of this, Expanding and Strengthening Partnerships is needed.

Briefly describe your growth strategy going forward

Develop diagnosis methodologies that can fasten up the process of identifying demand. Be able to act in two expeditions simultaneously and occasionally in situations of humanitarian aid. Enhance intersectorial alliances mechanisms. Expand partnership with the private sector. Improve internal Management and governance with specialized consultant agency (Deloitte)

What dimensions for growth are you currently targeting for your innovation [select all that apply]

New regions(s).

What makes your business "ready" for growth?

Support and credibility together with strategic partners in the public and private spheres, recognition of our work by the press and thought leaders. Significant results, being that until November 2012, 24 expeditions were carried out: a total of 3,569 surgeries and 20,944 clinical treatments. Improvement of internal management, governance processes and approved social technology

What are your key growth objectives?

EDS' intention with its Social Technology is to give an end to the surgical demand of the Indigenous Populations that live isolated from major medical centers in the Amazon. For this, we need support from institutional partners and financial resources to enable our expeditions.

What is your timeframe for growth, in the short and mid-term? What are the growth milestones and key activities going forward?

Perform three expeditions in 2013 - the one in April is already confirmed. Have 90% of the local staff trained and qualified by EDS, to conduct patient screenings and specialized diagnosis. Have enough resources to perform three expeditions in 2014. In a medium-term, continue with SOS Haiti expeditions. So far, we have conducted seven expeditions in 2010, with a total of 359 orthopedic and trauma surgeries and 1,407 outpatient treatments and we are seeking partners to enable the creation of an orthopedics-specialized hospital.

Social Impact

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What has been the impact of your solution to date?

The biggest impact is on the patient, but we benefit all the indigenous health care system, since EDS provides the team with technical training, also security procedure and postoperative orientation. The local government acknowledges the importance of the partnership, because this collective surgical effort is the only way to deal with repressed demand and delays in the referrals to the reference network. It avoids having to move patients to the cities, has high technology in treatment, just as specialists, and saves money, because the expedition otimizes public resources. With regards to the indigenous patients, recovering one's vision or getting rid of a disabling hernia, allows them to recover their self-esteem, get back to work, hunt and fish and improves the community's quality of life.

What methods for quantification of social impact are you applying (if at all)?

Number of treatments and surgeries performed per expedition. Report of the postoperative.Assessment reunion with the local health teams. Assessment reunion with the expedition medical team. Number of voluntary doctors that return to the program. Satisfaction and support provided by institutional partners. The partners involved evaluate the work performed and in a participative process contribute to the planning and improvement of the activities.
Spontaneous media: press coverage that reinforces the importance of the work done and gives credibility to the organization, facilitating the establishment of new partnerships.

Could your solution work in other geographies or regions? If so, where?

Yes, it was tested in Pará, Acre and Roraima and in Haiti afther the 2010 Earthquake. The Mobile Surgical Center is adapted to the needs of the community, structured with high tech equipments and specialized medical team. An innovative manner to work, for the first time utilized in Brazil by a NGO. A social technology that can be replicated and amplified to other regions, as we have already demonstrated,

What is your projected impact over the next 1-3 years?

EDS believes that it is important to broaden the dialogue with the society as a whole, the government, communities, universities and other institutions about the importance of Brazil having effective public policies to care for remote areas, since it is very difficult to promote the internalization of medicine. The mobile surgical center's social technology is demonstrably a good alternative to taking specialized medicine to geographically isolated regions.

Sustainability

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Elaborate on your current financing strategy

Presenting projects to private and public partners
Fund raising with partners
Events to raise funds

Share of revenue generation in total income of organization (in percent)

60% private resources, 30% public partnerships, 10% funds raised with individuals

Direct sales to patients or other beneficiaries (in percent)

Of the possible sources of these sales listed below, check all that apply to your current strategy

Licensing fees, e.g., for technology/franchise model (in percent)

Of the possible sources of these licensing opportunities listed below, check all that apply to your current strategy

Service contract with organizations, e.g., government, NGOs (in percent)

Government, not as a contract. Formal partnership propostion for punctual actions. No cash receivement

Of the possible sources of the service contracts listed below, check all that apply to your current strategy

Regional government, National government.

Explain your revenue generation strategy in more detail

Companies, embassies, consulates, Institutions and Foundations: financial resources, equipment, medications and inputs donations. Local and national government: logistic and transportation infrastructure, support team to enable the expeditions. Other resources in special individuals that enable the NGO's administration structure (rent, phone, salaries, etc)

Share of philanthropy in total income of organization (in percent)

60% companies, 30% public partnerships, 10% individuals and others

Philanthrophy strategies you are using

Diversified strategy.

Explain your philanthropic approach in more detail

Only through partnerships it is possible to enable such a complex surgical expedition. In this sense, without the government's operational support, for example through the FAB and Amazonia's Miliraty Command, we wouldn't have access to the communities bringing tons of equipments. So the feasibility of the project is related to partnership diversity and sources of resources, be it financial, material or human

Expand on your selections; explain how you will sustain funding over the next 1-3 years.

The results are expressive and the government considers the cost-benefit to be evident. There are no possibilities that the public managers would be able to make available such equipments and medical team as we have been doing. But is is necessary to improve partnerships and look for a broader autonomy, amplifying financial revenues to diminish the dependence on some aspects, such as transportation,

Project Four Leaf Clover

The objective of the Project is to provide women without family support with conditions to exert maternity. The support is given by the 'Social Mom", someone from the community, selected, trained and paid to operate next to the pregnant/mother with no family support, with clinical and social risk.

About You

Organization: Secretaria Municipal de Saúde de Sobral - Ceará Visit websitemore ↓↑ hide↑ hide

About You

First Name

Ana Cecilia S. L.

Last Name

Sucupira

About Your Organization

Organization Name

Secretaria Municipal de Saúde de Sobral - Ceará

Organization Country

Brazil, CE, Sobral

Organization's Country of Operation

Brazil, CE, Sobral

Type of Organization

Government entity

Year of launch of the organization

1940

Years in Operation

Operating for more than 5 years

Has the organization received awards or honors? Please tell us about them

1st Place in Free Subjects of IV the Integrated Brazilian Congress of Ambulatorial Pediatrics - Brazilian Society of Pediatrics - 2003
Honorable mention in the II National Shows of Family Health - Health Ministry 2004
Public administration and Citizenship Prize- Getúlio Vargas Foundation /Ford/BNDS Foundation - 2005
Honorable mention Bibi Vogel Prize - innovative actions supporting breast-feeding - Health Ministry - 2005
Millenium Development Goals Prize - 4th Goal - to reduce infant mortality - PNUD/Federal government - 2005
1st Place in the Social Innovation Prize - Economic Commission for the Development of Latin America and the Caribbean - Cepal and Kellog Foundation - 2007
Honorable mention in the Safe Maternity Prize - Organização Panamericana de Saúde - OPAS - 2011
1st Place in the APRECE Prize - Innovative City in the Reduction of Infant mortality category - Municipalities of the State of Ceará Association- ARECE - 2012
1st Place in the category Implemented Actions - 4th Prize Social Innovation Medical Services - Sanofi - 2012

We want to hear about your “Aha!” moment. Share the story of where and when the founder(s) saw this solution’s potential to change the world.

While analyzing infant and maternal deaths, a decisive factor is the lack of family support for care along the pregnancy and with the baby. Even though resting was necessary, the pregnant woman wouldn't rest, because there had to be someone to take care of the other kids and because of difficulties in taking care of the newborn or breast-feeding.
How to best support a woman in these situations? That's how the idea of the Social Mom came about, to support mothers.

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Innovation

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Project Four Leaf Clover

Explain what the "innovation" is about, e.g., is it the idea and/or the model you use to accomplish the idea, or your understanding of the target population, etc.?

The Project Trevo de Quatro Folhas (Four Leaf Clover) was implemented in 2001 in Sobral, a city in Ceará - Brazil, with 200.000 inhabitants, where most of them are low-income citizens. Its name (Four-Leave Clover) reflects the 4 operation phases: pregnancy, parturition and puerperium, birth and the 2 first years of life. The analysis of the infant and maternal deaths showed that the rest prescription could not be followed by mothers with no family support, and that is a risk factor to the premature childbirth.
If a mother that breastfed a newborn had to hospitalize another son, she would have to wean the newborn to stay with the hospitalized one. Many absences at the prenatal appointments occurred because the mothers didn't have someone to leave her children with.
The objective of the Project is to provide women with no family support, with conditions to exert maternity. This support is given by the 'Social Mom", someone from the community, who is selected, trained and paid to operate next to the pregnant/mother with no family support, with clinical and social risk, or with general difficulties in caring for herself and the baby. The social mothers are registered in a database and receive a daily equivalent of a minimum wage per worked day. The Health Unit identifies the women that need support from the Social Moms and forwards the solicitation to the Project team, that visits the family to evaluate their needs. The social mom takes upon herself the house and health care duties. The support is guaranteed by the Social Godfathers and Godmothers, people from civil society and enterprises that provide a monthly contribution to the Child and Teenager Municipal Fund, being able to discount this money from their income taxes,

Describe how your innovation model is distinct from any other organization in your field?

The government's propositions for reducting infant and maternal mortality are related to investing in technologies and equipments that improve care with the woman and the baby. However, infant and maternal deaths express a social questions and they happen mostly in low income families, that have no family support and cannot afford other options of care. The investments made by the government are very expensive and little effective. The most important aspect is to provide the woman with conditions to exert maternity. Another innovative aspect is involving the civil society through their financial contributions, as well as the discussions about the results in social events where all the ones involved in the project attend.

What type of operating environment and internal organizational factors make your innovation successful?

The project was initiated in December 2001 and the achieved results led to the municipality voting a law that made it Public Policy in 2010, which guaranteed governmental resources to complement the civil society financial contribution. The project has a team (nurse, social assistant and nursing technician) that has developed relevant experience in selecting and training social moms and in evaluating the families that need social support. The results have touched the emotional nerve of the civil society leading each time to a greater participation. The events attended by the mothers, social moms, godfathers, godmothers and the society in general contribute to the mobilization of the population and general participation.

How do you make sure you constantly innovate in light of (potential) external challenges, or your growth plan?

A source of information for innovations in the Project is the analysis of the Maternal and Infant Mortality Prevention Committee, also implemented in 2001, that gathers monthly to identify the factors leading to death so that new strategies can be developed, with the objective of lowering the quantity of deaths. A challenge that the project has been facing in it's growth is working with the mothers that use 'crack' (drug) - in guaranteeing the development of their intra uteri and the care after the babies are born. Another challenge is to provide better conditions for child development in the first two years of life, with trainings so that the social moms could be agents who stimulate the development in the first childhood.

Business Model

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The systemic challenge you are trying to overcome (select one)

Bring accessible healthcare to communities in emerging markets

Health area (target market) where the need is [select only one]

Maternal care

Categories along the health continuum you are covering [select all that apply]

Prevention, Intervention, Follow-up, Social integration.

Please describe in more detail: what problem are you trying to solve in the organization's specific context?

The reduction of maternal and infant mortality through supporting the women in exercising motherhood, Providing conditions so that mothers who have no family support and show clinical and social risk can take care of their pregnancy and baby. Through identifying situations that lead to abortions or premature childbirths, we try to intervene and avoid these events. Premature babies need special care that the primiparous with no adequate support cannot provide.

Stage that best applies to your solution [select only one]

Established (past the previous stages and has demonstrated success)

Core strategies of your business model [select all that apply]

New/redefined roles for healthcare service provision, Unconventional partnerships (between traditional healthcare players and players outside healthcare), Other.

If other, specify here:

Apoio às mulheres para o exercício da gravidez

Most relevant tools you are using to implement the strategies outlined above [select only two]

New skills, Education/training, Others.

If other, specify here:

New ways of caring with pregnant women and children

Please describe your solution in more detail

The innovative solution is the intense and differentiated care, to avoid avoidable maternal and infant deaths. It is a simple low-cost model that consists in training people from the community to help at risk mothers to have as safe pregnancy, breast-feed their babies and promote the development of the children. These assistants, Social Moms, are initially trained and accompanied with permanent education. The supervision is done by the project's nurse and by the health team of the Unity where the family is registered. The Social Mom stays in the family's house until necessary, working eight hours per day. She can accompany the other child during hospitalizations, so that the mother can nurse and breast-feed her baby.

What are your vision and overall objectives?

The model is centered in the vision that infant and maternal mortality have an important social component that the organicist biomedical model cannot take into account. Before a needy population, other factors are fundamental in determining the harms. The model uses as reference the social determinants of health according to the Dahlgren and Whitehead model to identify what are the main interventions to be done when aiming to reach better health, education and social development levels. The general objective is reducing infant and maternal mortality and provide adequate conditions for pregnancy and child development. Besides that, involving the civil society in the responsibility for the infant and maternal survival.

What is your value proposition?

Since this is not a traditional business, it is difficult to estimate a value proposition.
Below is a breakdown of the costs of the Project:
The cost of the Social Mothers in the period of 2001 to 2011, was on average U$ 24.191.91 per year.
The human resources are tied to Sobral's Municipal Secretariat of Health, as well as the costs from logistic and the infrastructure of the Project.

Who is your customer(s)?

The customers of the Project are the pregnant women, women in labor, mothers and children attended at Sobral's Primary Health Care that show clinical and social risk and are identified by the Family Health team, from Sobral's Basic Health. The Family Health teams are composed by 1 doctor, 1 nurse, 1 nursing technician and 4 to 5 Community Health Agents (CHA, members of the community who is responsible for the relations between people from the microarea and the Family Health teams of this microarea.

What approaches to you use to reach your customers?

There is a close contact between our team and the municipality Health Family teams.These professionals identify the pregnant women and mothers who need social support and forward a request to the Project, that visits the family to evaluate their conditions and needs.
To increase the number of participants, we promote the project in the media and through social events to get new partners.(social godfathers and godmothers and private companies) and so that the women in need can also request this support.

What are your primary activities?

Evaluation of the Social Mothers' work
Care services to the mothers, in the house and health care duties
Accompaning hospitalized children so that the mother can nurse her baby
Mobilizing social godmothers and godfathers and private companies that empathize with the project
Training and permanent educating Social Mothers
Analysis of the infant and maternal deaths of the municipality
Identifying new problems and new strategies to solve them
Evaluation of the activities developed by the project
Monitoring and evaluating the municipality's infant and maternal indicators

Who are your peers and competitors? What problems could these players pose to your success or growth?

In this Project we only have pairs and partners. The pairs are the health professionals who provide different health services in Sobral's Health Secretariat, specially the Family Health teams. The partners are the Social Godfathers and Godmothers, the solidary private companies, the Children and Teenager's Right Municipal Fund, the Tutelar Council, the city's Social Assistance Foundation. Given the characteristics of the Project, we do not have competitors, because we work together with all the health professionals of the city and count on the support of the municipal managers and the civil society.

What other challenges - individual, organizational, or environmental – are you currently facing or might hinder future success of your business, and how do you plan to overcome those?

We have not identified challenges that can hinder the future success of the Project, because we currently count on the support of the public managers and the federal government through "Rede Cegonha", that ensure us of the growth of the project.

Briefly describe your growth strategy going forward

Associate with the strategy of the Health Ministry's Rede Cegonha, a policy of the federal government that aims to improve the conditions of care of the pregnant women, the childbirth, the puerperium and the baby, with the objective of reducing maternal and infant mortality.
This network (Rede Cegonha) counts on great financial resources that are transferred to the municipalities for improving the hospital and ambulatorial structure.

What dimensions for growth are you currently targeting for your innovation [select all that apply]

New regions(s).

What makes your business "ready" for growth?

The team's experience, the consolidation of the work organization and the instruments utilized, the support of the municipal managers and the results achieved in reducing maternal and infant mortality. Moreover, the positive feedback of the women that received support from the Social Mothers. The proposal is to expand the project to neighboring municipalities that are part of the Northwest Region of the state of Ceará.

What are your key growth objectives?

Develop new strategies in the care of premature and low weight infants
Increase the number of Social Mothers
Increasing the number of Social Godfathers and Godmothers
Reduce premature childbirths and the birth of low weight babies
Early identification of women who need support of the Social Mother
Publicize the Project in the media
Eliminate avoidable maternal and child deaths

What is your timeframe for growth, in the short and mid-term? What are the growth milestones and key activities going forward?

In one year - increase the contribution of the partners and the number of Social Moms
In one year - implement the continuing education process of the Social Mothers
In three years - reduce infant mortality to 1 digit
In three years - eliminate avoidable maternal deaths
In three years - expand the project to other municipalities.

Social Impact

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What has been the impact of your solution to date?

The Infant Mortality Rate (IMR) that in 2001, the year of implementation of the Project, was 29.6, dropped to 13.6 deaths per thousand live births in 2012, a decrease of 55.4%, one of the lowest rates of Ceará. The Maternal Mortality Ratio (MMR) presents oscillations and is still a challenge. In 2001, the MMR was 27.9 / 100,000 live births, before the creation of the Committee on Maternal Mortality, when there was no investigation of women at childbearing age's deaths, which may have contributed to the underreporting of such deaths. In the years 2009 and 2010 there was no recorded maternal death. In 2011 the MMR was 94.3 / 100,000 dropping to 63.4 in 2012. All deaths were analyzed and classified as to their preventability, and intervention measures were proposed to avoid further occurrences. The early neonatal mortality rate was 68.7 in 2002, dropping to 52.2 per 1,000 live births in 2012.
The inclusion of a considerable number of women, Social Mothers, in the marketplace. Besides that, new jobs were created for these women who are being hired to take care of people by higher income families.
Altogether 21,007 families were accompanied. In its 11 years of Project, 3,723 women had the Social Mother support, being 563 of them pregnant women, 7 women in labour, 1,915 puerperal, and 1,238 mothers of children under-2-year-old.
A key aspect in the impact assessment are the reports of the pregnant women and mothers on the importance of the support gotten by the Social Mother and how this support was crucial for the survival of the infant and under-2-year-old children.

What methods for quantification of social impact are you applying (if at all)?

We use the epidemiological indicators to assess the impact of the measures taken: Maternal Mortality Ratio (MMR), Infant Mortality Rate (IMR); Proportion of live births of low weight (<2,500 g)
Rate of Premature Births; Early Neonatal Mortality Rate (TMNP
Number of pregnant women who entered prenatal care in the first trimester of pregnancy, number of pregnant women who underwent complete examinations in prenatal care.
Interviews with pregnant women and mothers who received support from the Social Mothers.

Could your solution work in other geographies or regions? If so, where?

We are thinking of expanding the project to municipalities in the Northwest region of Ceará, which has a population of 1,288,545 inhabitants and 47 small towns, which have a population with similar sociodemographic characteristics to Sobral. These municipalities have as secondary health reference, Sobral's health services.
In addition, the project has already been presented in other countries of South America and Mexico that have demonstrated interest in implementing this strategy. Currently Rede Cegonha intends to implement the project in the towns that participate in its network.

What is your projected impact over the next 1-3 years?

The infant mortality rate in Sobral today is 13.6 deaths per thousand live births. The projection for the next three years is to reduce this rate to one digit. The Maternal Mortality Ratio is 63.4 / 100,000 births and we intend to reduce it by eliminating all preventable maternal deaths.
Reduce the number of low weight newborns to 5%.
Extend the support of social mothers to all women who need it.

Sustainability

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Elaborate on your current financing strategy

Resources from the Social Godfathers, Godmothers and collaborating companies monthly contributions.
Budgetary resources from the local government due to the fact that the project is now a public policy approved by the Municipal Law
Strategy development to increase partners contributions, through promoting the Project in the media and social events with the civil society.
Waiting for Rede Cegonha's resources.

Share of revenue generation in total income of organization (in percent)

Not applicable

Direct sales to patients or other beneficiaries (in percent)

Not applicable

Of the possible sources of these sales listed below, check all that apply to your current strategy

Licensing fees, e.g., for technology/franchise model (in percent)

Not applicable

Of the possible sources of these licensing opportunities listed below, check all that apply to your current strategy

Service contract with organizations, e.g., government, NGOs (in percent)

Not applicable

Of the possible sources of the service contracts listed below, check all that apply to your current strategy

Explain your revenue generation strategy in more detail

The ultimate goal is to raise funds from the Federal Government's Rede Cegonha.
Increase contributions from Social Godfathers and Godmothers as well as collaborating companies.
Conduct social events that may lead to resources for the Project.

Share of philanthropy in total income of organization (in percent)

Not applicable

Philanthrophy strategies you are using

Explain your philanthropic approach in more detail

Not applicable

Expand on your selections; explain how you will sustain funding over the next 1-3 years.

Not applicable

Proyecto Lumen (Despertando la demanda de salud visual a través de la participación comunitaria)

For Lumen the vision is a fundamental right for the human being
It is a novel, eclectic, cost effective and socially acceptable project.
Lumen fights untiringly to surpass the blindness related to poverty.
Nobody knows that sees badly…
Lumen puts the community at the front of the visual health. I see, I see. What do you see? I see the world changing in front of my eyes…

About You

Organization: Proyecto Lumen Visit websitemore ↓↑ hide↑ hide

About You

First Name

Martin

Last Name

Guzman

About Your Organization

Organization Name

Proyecto Lumen

Organization Website

Organization Country

Venezuela, A, Caracas

Organization's Country of Operation

Venezuela, M, ANZOATEGUI, APURE, BOLIVAR, AMAZONAS

Type of Organization

Non‐profit/NGO

Year of launch of the organization

2009

Years in Operation

Operating 1-5 years

Has the organization received awards or honors? Please tell us about them

His founder and general coordinator, was chosen fellow of Ashoka 2012, as well as Fellow of MMH(Making More Health Initiative promoted by BI)

We want to hear about your “Aha!” moment. Share the story of where and when the founder(s) saw this solution’s potential to change the world.

My thesis for the postgraduate of Health Management at the UCAB was the project that today we know as Lumen. In 2007, I had contact with UNESCO Chair Visual Health and Development, which helped me to canalize the idea conceptually. Right now I am Regular Professor of this Chair in the IUO and two of my students read my work and developed the stage 1

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Innovation

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Name Your Entry

Proyecto Lumen (Despertando la demanda de salud visual a través de la participación comunitaria)

Explain what the "innovation" is about, e.g., is it the idea and/or the model you use to accomplish the idea, or your understanding of the target population, etc.?

The LUMEN Project assumes the deficits of quantity and quality of vision as a social problem. That’s why it considers the necessity to give access to visual health care for traditionally marginalized communities of the public policies. It considers the education as a central aspect. Being a health project, it is not a welfare approach, since it goes beyond the techno-centric to an anthropocentric perspective; it is cost-effective and has a high coverage. The innovation focus on the training of basic education’s teachers, as primary agents of visual prevention so that they can detect problems of vision among their students, and conform, coordinate and implement an inter, multidisciplinary and multi-sector social network to guarantee its viability, sustainability and permanence. In that way they also are able to obtain communitarian involvement by generating a permanent social phenomenon in primary visual attention. This network involves the academy sector, through optometry’s students working as promoters, teachers as natural leaders of its communities, the community, the specialists, during the decisive stage and the State as the principal manager and natural channeling of initiatives that lead to guarantee the preservation of the human vision. All of which it will promote the community’s organized specialized services, the blindness’ prevention and the frontal struggle against “blindness related to poverty.”

Describe how your innovation model is distinct from any other organization in your field?

The approaching solution to services of visual health problem, having as the axis articulation the sensitization and the education, aiming at the ametropia not corrected as social problem derived from the loss or null access to visual health services, constitutes an innovative conceptual valuation in Venezuela, that allows a best understanding of the situation.

What type of operating environment and internal organizational factors make your innovation successful?

The approaching solution to services of visual health problem, having as the axis articulation the sensitization and the education, aiming at the ametropia not corrected as social problem derived from the loss or null access to visual health services, constitutes an innovative conceptual valuation in Venezuela, that allows a best understanding of the situation.

How do you make sure you constantly innovate in light of (potential) external challenges, or your growth plan?

To consolidate and refine the methodology by the acquisition of experience and constant revision of the project’s management indicators to obtain major effectiveness and repeatability.
To finish all the stages of the project in the strip of the Orinoco and, if it is possible, to arrive at the Delta, where lives the majority of indigenous population without access to the services.
To strengthen the alliances with other projects of public or private health service, focused on the prevention helping in the collective achievement of a more preventive and less care attendant vision. Additionally, to create the first indicators of “Visual Health” in the region to be able to measure its behavior in normal and anomaly conditions.

Business Model

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The systemic challenge you are trying to overcome (select one)

Realign the incentives in the public healthcare system in mature markets, or

Health area (target market) where the need is [select only one]

Primary healthcare services

Categories along the health continuum you are covering [select all that apply]

Prevention, Detection, Intervention, Follow-up, Long-term care, Social integration.

Please describe in more detail: what problem are you trying to solve in the organization's specific context?

If we took as it bases 7000 million inhabitants, we will have for today that there are 366,1 million people with serious visual deficiencies and not corrected refracting defects in the world. 90% of them live in developing countries. Without including corrected presbyopia, the number ascends to 670 million people. According to the WHO, (Program 2020 for the blindness’ prevention) this number will be duplicated in 2020, if the suitable measures are not taken. If we consider that the tendency of demographic explosion in the PEVD is the major of the planet and that Latin America is part of this Geo-economic context, we will have a high incidence of not taken care visual morbidity causes

Stage that best applies to your solution [select only one]

Established (past the previous stages and has demonstrated success)

Core strategies of your business model [select all that apply]

Approaches to behavioral change at the individual level, Patient-centered design, Redesign of the public healthcare system for more efficiency (in terms of processes, structure etc.), New/redefined roles for healthcare service provision, Unconventional partnerships (between traditional healthcare players and players outside healthcare).

If other, specify here:

Most relevant tools you are using to implement the strategies outlined above [select only two]

New skills, Education/training, Others.

If other, specify here:

ejercicio del liderazgo comunitario

Please describe your solution in more detail

The planning of a solution to services of visual health problem, having as the axis articulation the sensitization and the education, aiming at the ametropia not corrected as social problem derived from the loss or null access to visual health services, constitutes an innovative conceptual valuation in Venezuela, that allows a best understanding of the situation and will surely produce a different result until now.
LUMEN developed a simple but effective methodology so that through devices of low technology and low cost, designed and validated by the technicians of the project, teacher will be able to detect visual deficits.
LUMEN developed a simple but effective methodology so that through devices of low technology and low cost, designed and validated by the technicians of the project, teacher will be able to detect visual deficits.

What are your vision and overall objectives?

That Venezuela at least assumes as state policy the visual screening applied by teachers in their role of Primary Agent of Visual Prevention, which will generate pressure on the health system, causing a sustained transformation towards primary health care.
To consolidate and refine the methodology by the acquisition of experience and constant revision of the project’s management indicators to obtain major effectiveness and repeatability, with the idea to turn it into a Health model.
To create the first indicators (non-epidemiologists) of “Visual Health” in the region to be able to measure its behavior in normal and anomaly conditions.
To generate a viral phenomenon of replication in the entire community, using the School as the epicenter.

What is your value proposition?

From the local point of view, it has a multiplying character since the individual object of the project (the school’s teacher), which in the promotional capacity and leadership role, as a APPV, will begin to create, often unconsciously, a replication phenomenon. In our experience, we have noted that teachers do not leave the kit at school, they take it to its house and screen their relatives. Those relatives understand that there is an easy way, known by teachers, to detect visual problems and tell other people awakening an expectation regarding visual subjects in the community. It encourages the primary care phenomenon in the community. It improves human and material resources and lowers the social costs.

Who is your customer(s)?

They are children of basic education between first to sixth grades, teachers’ community and the staff of scholar institutions in rural zones. Nevertheless, the project is easily adaptable to other types of social organization like “communal councils”, and other economic Geo-partners contexts.
The LUMEN’s object age group of action is from 4 to 15 years, which represents approx. 11 million inhabitants, in the national population of 29.718.357 for the year 2012. That represents the 37% of the total population of the country. Nevertheless it is necessary to consider that for the effects of the coverage this proportion must be extrapolated to 13% of the rural population focused initially by LUMEN.

What approaches to you use to reach your customers?

From the Public Health perspective, we work in the solution of a specific problem, the not corrected Ametropia sensitizing to the community regarding a particular matter of Health and stimulating it to also work in the solution. From the social point of view it address the structural components of poverty that is the low accessibility to Health services in this visual case. At the same time, it empowers the community with tools that were traditionally used by technicians and which by means of a simple methodology and easy understanding provide them with capacities that can directly reach the problem.directamente sobre la problemática.

What are your primary activities?

For stages I and II, there are workshops, one for the students of optometry and one for the teachers to be certificates as APPV. The result of this activity is the beginning of “waking up” of the demand of services of visual health, through the action of the Academy as a “starter engine”. Stage 1: teachers as “primary agents of visual prevention”. Stage 2: Screening performed by the teacher with support of LUMEN’s technicians (only for the first time), Installation of the Visual Health round table (construction of the demand), Beginning of Welfare Stage (Screening of opthalmopathy, made
by technicians). Resolution Stage (Delivery of corrections and reference to other levels) Measurement of Impact

Who are your peers and competitors? What problems could these players pose to your success or growth?

The more relevant initiative undertaken by the Venezuelan State regarding Visual Health, is the so called “Mission Miracle”. This operation or mission started in 2005, as “a project to fight against blindness and other ocular deficiencies” which does not make emphasis in the not corrected refracting defect, thus are not considered a threat for the project.

What other challenges - individual, organizational, or environmental – are you currently facing or might hinder future success of your business, and how do you plan to overcome those?

The main threat for the project not managed by the government, is that at any time they can be interpreted as hostile and disturbed it activities. That situation has never impacted the Lumen Project Lumen since it has the support of the local government, especially from the logistic point of view.

Briefly describe your growth strategy going forward

To create a new team per year (conformed by 7 people) to increase the operational range of action, since at the moment we are working with a single team which can affect more than 2500 people per year. With strategic alliances with another NGOs as Fe y Alegría or Maniapure Foundation, we can increase the geographic area of the Project.

What dimensions for growth are you currently targeting for your innovation [select all that apply]

New regions(s), New market(s)/country(ies).

What makes your business "ready" for growth?

A developed and validated methodology. At the moment, we are in the region of the Faja of the Orinoco and the goal is that the Project has national influence, through of strategic alliances with Private enterprises and another NGOs to create a social network around the matter of Visual Health.

What are your key growth objectives?

To wake up the demand of Visual Health Services and to generate the possibility that communities construct them. To bring about the modification of the state policies regarding the matter of Visual Health, in the particular and general scope, so that it has an approach more centered in the primary health care.

What is your timeframe for growth, in the short and mid-term? What are the growth milestones and key activities going forward?

Centered in the plan of annual growth of one team per year, it esteems that the capacity of the project’s influence will be duplicated once a year and we could infer that in five years we will have a capacity to affect more than 12,500 people per year. Nevertheless, an infinite matrix of growth would not represent a practical approach due to the logistic challenges that this represents.

Social Impact

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What has been the impact of your solution to date?

In its first two years, our program of visual health in rural schools has been implemented in the region of the strip of the Orinoco, specifically in the Monagas municipality of the Anzoátegui State, with the support of Total Oil and Gas Venezuela, within the framework of the agreement of “Local Human Development”. In collaboration with the mayor ship of this municipality, the project has been taken to the populations of Mapire, San Diego de Cabrutica and Zuata. Also, in alliance with the Foundation Maniapure Project, we took care of the populations of Urbana and Maniapure, Cedeño Municipality of the Bolivar State and with ASOPICA to the population of Pica, Pedro Camejo Municipality. During year 2011and what goes of 2012, we have trained and certificated 60 students of final year of optometry as LUMEN’s Facilitators, 144 teachers as Primary Agents of Visual Prevention, taken care of 2.044 children at school only in the Monagas Municipality of the Anzoátegui State. To the previous achievements it adds 65 children and adolescents in the population of the Goad, Pedro Camejo Municipality in alliance with ASOPICA and 440 in Maniapure and the Urbana, Bolivar State. Being installed 6 Round Tables of Visual Health in these places.

What methods for quantification of social impact are you applying (if at all)?

At this moment we are only quantifying raw data, such as number of screenings per year, number of trained teachers, amount of trained promoters, etc. We are also refining the method and the processes of work. At the moment, with the contest of an investigating team and one tesis expert, we work in the identification and validation of he indicators of management of the project. These results will serve us to consolidate the methodology and to guarantee its replication in other places.

Could your solution work in other geographies or regions? If so, where?

Yes, the Lumen Project is totally replicable, I would start by Latin America, for cultural and idiomatic reasons, but we have already received requests of India and Africa for the project to be implemented there.

What is your projected impact over the next 1-3 years?

To create a new team per year (conformed by 7 people) it would increase the operational range, since at the moment we are working with a single team that reaches to screen more than 2500 people in one year 1, trains 144 teachers as APPV and 60 students of optometry as promoters (present capacity, 1 team) In the second year it would reach 5000 screenings, 288 teachers APPV and 120 promoters, 7500 screenings, 432 APPV and 180 promoters in year 3. With strategic alliances it is desired to increase the geographic area of the Project. With the bancomunales is also anticipated we will be able to increase demand of Lume’s intervention, economically sustained by the own community.

Sustainability

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Elaborate on your current financing strategy

We are currently designing the Businesses Plan of the Project, with the main premise that the project must be of low budget and high impact, Until now the strategy has been that the directors have identified organizations that potentially can be allied of the project with vision at medium term, and with which can be obtained funding for their execution; having them for donations of equipment, optical devices and their processing, based on criteria of maximum economy, efficiency, transparency, honesty and sustainability, An annual budget with horizon is formulated to take care of at least 3 places for team which involves coordination and transportation expenses of volunteers and professionals, acquisition of equipment and its maintenance, administrative materials for the Kit of training and controls, snacks, managing expenses and Law taxes.
Se formula un presupuesto anual con horizonte de atender al menos 3 localidades por equipo, el cual comprende gastos coordinación, de movilización y viáticos de voluntarios y profesionales, adquisición de equipos y su mantenimiento, materiales para el Kit de capacitación y controles, refrigerios, gastos administrativos e impuestos de Ley,

Share of revenue generation in total income of organization (in percent)

Companies 58.86%, Foundations 35.62% and donations 5.52%, based on the distribution of year 2012

Direct sales to patients or other beneficiaries (in percent)

No contempla ventas directas

Of the possible sources of these sales listed below, check all that apply to your current strategy

Licensing fees, e.g., for technology/franchise model (in percent)

Of the possible sources of these licensing opportunities listed below, check all that apply to your current strategy

Foundations, NGOs, Private businesses, Regional government.

Service contract with organizations, e.g., government, NGOs (in percent)

94,48%

Of the possible sources of the service contracts listed below, check all that apply to your current strategy

Foundations, NGOs, Private businesses, Regional government.

Explain your revenue generation strategy in more detail

Our strategy of income generation is based on a conservative scheme of alliances and funds of programs of enterprise social responsibility. By means of formal agreements with companies, local governments and Ongs, obtaining the resources for operating of the project. We also incorporate the request of donations in money, equipment, materials, uses of physical spaces and logistical support to companies of the optical branch.

Share of philanthropy in total income of organization (in percent)

Philanthrophy strategies you are using

Diversified strategy.

Explain your philanthropic approach in more detail

In order to achieve Lumen’s goals, we need to build a large social network of support composed by universities, private enterprises, professionals, teachers, the State, students of basic school and their relatives. The idea is to generate a permanent social phenomenon towards the visual health as a social problem and to empower all the actors, at each level allowing participating them as key actors in the solution. With this, we try to generate a multidimensional social matrix that helps in the solution of a particular problem whose global impact resides in poverty overcoming.

Expand on your selections; explain how you will sustain funding over the next 1-3 years.

Socializing and spreading the results of the projects in diverse public places.
Tying the project at least to 4 companies of diverse branches, and 3 of the optical branch. Improving relationships with community organizations for the presentation of health initiatives’ proposals to different financial organizations.

Church World Service Indonesia Nutrition Rehabilitation Program

Location

Indonesia

An integrated approach to fight malnutrition, which includes: Therapeutic Feeding Center where care and treatment are provided for children with severe malnutrition; health and nutrition education sessions 

Changeshop

This project also has a Changeshop where you can read more about its latest progress.
Go to Changeshop: MYRO NUTRITION VENTURE.

MYRO NUTRITION VENTURE

MYRO NUTRITIONAL VENTURE PROVIDES SOLUTIONS TO MICRO-NUTRIENT MALNUTRITION. FORTIFYING STAPLE FLOURS & MAKING SPECIALLY FORMULATED READY TO USE FORTIFIED PEANUT BUTTER FOR OVER 500 MILLION CHILDREN & YOUNG WOMEN WHO ARE LIMITED BY EXPENSE & IMPRECISION TO ACCESS IRON, VITAMIN A & ZINC.

About You

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About You

First Name

michael

Last Name

iyanro

About Your Organization

Organization Name

MYRO NUTRITION VENTURE

Organization Website

Organization Country

Nigeria, OG, ABEOKUTA

Country where this project is creating social impact

Nigeria, OG, ABEOKUTA

Is your organization a

Hybrid

Has the organization received awards or honors? Please tell us about them

N/A

Changeshop

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Name your entry

MYRO NUTRITION VENTURE

Year founded

2012

Stage

Start-Up (a pilot that has just started operating)

This Entry is about (Issues)

Elevator Pitch

MYRO NUTRITIONAL VENTURE PROVIDES SOLUTIONS TO MICRO-NUTRIENT MALNUTRITION. FORTIFYING STAPLE FLOURS & MAKING SPECIALLY FORMULATED READY TO USE FORTIFIED PEANUT BUTTER FOR OVER 500 MILLION CHILDREN & YOUNG WOMEN WHO ARE LIMITED BY EXPENSE & IMPRECISION TO ACCESS IRON, VITAMIN A & ZINC.

Problem

According to a World Bank global health status report, malnutrition is the most pressing health problem implicated in the deaths of 16,000 children worldwide everyday & adversely affects the physical/cognitive development of generations of children. The consequential failure to tackle Malnutrition places it as a common underlying factor that continues to derail the achievement of all the 8 MDGs.

Solution

Staple Food fortification has been endorsed by the 2008 Copenhagen consensus as the least expensive/most reliable approach to address micro-nutrient deficiencies on a larger scale. The strategy uses staple flours & peanut butter concoction called RUTF (Ready to use Therapeutic Food) that is specially formulated to treat severely malnourished kids as delivery vehicles for the critical micronutrients, avail them through affordable retail distribution in rural, low market urban areas in smaller packs of $0.4 that the majority millions in the survival markets can access. The economy packs to the majority who live on $1-2 a day generate low unit margins but profitable volumes to ensure financial growth and scalable.

Example

For many years malnutrition seemed like a hopeless problem. With the invention of (Ready to use Food) the treatment changed from an inpatient, very ineffective process to a very hopeful process. For the first time mothers could come to a community program and get little fortified packets of flour meal/peanut butter and take them home with them to treat their kids at home. MNV started just 9 months ago, with a dream of making RUTF and developing other products like it. We now supply NGOs and others, but we want to grow into new markets...especially developing consumer markets so we can supply more life saving food to our delivery partners. The entire global budget for RUTF is $150 million.

Impact

Since inception 9 months ago, We have saved 10,000 kids from severe acute malnutrition & we've Each day gotten closer to reaching our goal of reducing widespread Iron deficiency anemia, vitamin A, zinc,& folic acid deficiencies among millions of children & young women.
*We’ve contracted 234 farmers through their cooperatives to produce grain amaranth, moringa oleifera & mushroom.
*Introduced a new micro-nutrient packed seasoning premix with numerous health benefits packaged in 50g reusable dispensation bottles/100g sachets used to season any food just like with iodized salt.
* Installed an-all-important micro-nutrient fortification facility that proportionally dispenses micronutrients into flour during processing.

Marketplace

Social enterprises dedicated to bring health through nutrition to the poorest communities in developing countries already exist and the Honey Well Foods Company is a good example, but these initiatives remain limited. From our knowledge, there is no “social nutrition companies” developing tailor-made RUTF products for poor communities. The key specification that will distinguish our RUTF product from the individual compounds already available on the market will be the strong social, scientific and clinical background supporting the value of its formulation.

Sustainability Plan

As a social venture addressing a social objective, the financial tactics will consist in generating a symbolic dividend of 1 to 6% annually that will be re-invested to expand the company building of new facilities and improve the product. Various funders such as governments, private and public non-profit foundations, corporations and impact investors will be approached and asked to participate in the capital increase over time.

Founding Story

Michael Iyanro was born in a humble rural set up in kano town of Nigeria. His parents struggled to raise the 7 of them solely through subsistence farming for the entire part of his childhood years. This childhood experience facing manifestations of malnutrition shaped his thinking and planted in him the determination to steer his communities out of malnutrition, its devastating socio-economic effects and poverty into nutritional autonomy. When he earned his degree in Biology, he got a job where he tried in vain to convince the management to adopt some social aspects in the business to reach out to the poor. He eventually opted out to initiate & drive the concept he believed could reach out to the emerging markets, thus MNV was formed.

Nutrients For All

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Where do you ensure the availability of nutrients?

Healthy environments., Nutrient-rich farming, Full nourishment foods, Human wellness and vitality.

If you had greater capacity, which additional sectors would you like your solution to target - either through expansion, partnership, or thought exchange?

Healthy environments, Nutrient-rich farming, Full nourishment foods, Human wellness and vitality.

How specifically would this added capacity help you improve the quality, efficiency, or sustainability of your existing product or service?

For sustainable preventive healthcare strategies, micronutrient health remains the basic building block on which rests every socio-economic aspect, yet the most vulnerable people hardly access micronutrients. By focusing our attention on all of the above areas we will be able to steer our communities out of malnutrition ,it’s devastating socio-economic effects and poverty into nutritional autonomy.

Nutrient Economy

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How is your product or service connected to vitality for the people and planet?

Approximately 125 words left (1000 characters).

People need appropriate nutrients to grow, learn, and fight off disease. How do you measure, track, or make use of information about nutrient levels in your own work?

Approximately 100 words left (800 characters).

Considering the flow of nutrients from ecosystems to soil to farms to food to communities, what are the barriers to achieving vitality for people and the planet?

Other barriers you have identified

In your view, what developments need to happen in order to help overcome those barriers and produce a more nutrient rich and vital public and planet?

Approximately 125 words left (1000 characters).

What do you consider the most promising trends or evidence that indicates that the developments you described are emerging? Please elaborate.

Approximately 100 words left (800 characters).

MYRO NUTRITION VENTURE

MYRO NUTRITIONAL VENTURE PROVIDES SOLUTIONS TO MICRO-NUTRIENT MALNUTRITION. FORTIFYING STAPLE FLOURS & MAKING SPECIALLY FORMULATED READY TO USE FORTIFIED PEANUT BUTTER FOR OVER 500 MILLION CHILDREN & YOUNG WOMEN WHO ARE LIMITED BY EXPENSE & IMPRECISION TO ACCESS IRON, VITAMIN A & ZINC.

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Consultation with the community

"World Foundation for Prosperity and Autonomy" invites the creation of Centres for Community Consultation where local government, NGO and civil society participants can share their needs and resources.

About You

Organization: World Foundation for Prosperity and Autonomy more ↓↑ hide↑ hide

About You

First Name

Sandy

Last Name

Gershuny

About Your Organization

Organization Name

World Foundation for Prosperity and Autonomy

Organization Website

Organization Country

Canada, QC

Organization's Country of Operation

United States

Type of Organization

Please select

Year of launch of the organization

Years in Operation

Operating for less than a year

Has the organization received awards or honors? Please tell us about them

We want to hear about your “Aha!” moment. Share the story of where and when the founder(s) saw this solution’s potential to change the world.

Recently the European Commission put out a Call for Proposals dealing with the collaboration of local government, NGO's and civil society. We see this as a crucial step toward the poorest people being heard in their needs. Once the communication happens all will work together. We promote community consultation centres and focus on adequate nutrition for the young children and pregnant women.

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Innovation

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Name Your Entry

Consultation with the community

Explain what the "innovation" is about, e.g., is it the idea and/or the model you use to accomplish the idea, or your understanding of the target population, etc.?

Describe how your innovation model is distinct from any other organization in your field?

Tthe health of the children and women depends on the production and distribution of adequate nutrition. The model is an integrated rural development model run in the community by the participants on the basis of cooperation. Each person that starts up an agriculture business will follow moral leadership training to ensure that all work in harmony and focus on service
to the community. The agriculture model takes into consideration climate change challenges and allows each farmer to use his initiative to succeed. The model uses agroforestry, intercropping, indigenous planting techniques, among others. Families of children and pregnant or breastfeeding women receiving supplement will also become involved in initiating small agriculture businesses so that their incomes may increase. .

What type of operating environment and internal organizational factors make your innovation successful?

All decisions are based on a process of consultation between the different instances of the organization and project participants. Our international organization is consulting with local organizations for the planning and training components. The project itself begins with community consultation of local government, NGO and civil society representatives to ensure that the needs of all are heard. The consultation- action- reflection model allows for each step of our work to be evaluated by those involved and innovative ideas to be put into practice. Colloboration with international knowledge sharing organizations brokered by our organization allow people on community level to profit from newly generated discoveries. We rely on traditional knowledge that respects the environment.

How do you make sure you constantly innovate in light of (potential) external challenges, or your growth plan?

We collaborate with a local organization who assist ex-miners to rebuild their lives after leaving the mines. their participation will allow ongoing monitoring of progress. Reflection and consultation about each action undertaken is part of the process of development. We intend to have the participants in the project work involved in the reflection and consultation too. These participants will be invited to form marketing consulation groups so they can share ideas and continue to collaborate. Ongoing surveys of the nutritional status of the children and women will be undertaken by the local organization affiliated with World Foundation for Prosperity and Autonomy. We intend to establish an affiliation with the International Research Centres for Agriculture and Nutrition so that new knowledge can be constantly integrated into the local activities via the local organizations.

Business Model

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The systemic challenge you are trying to overcome (select one)

Bring accessible healthcare to communities in emerging markets

Health area (target market) where the need is [select only one]

Nutrition

Categories along the health continuum you are covering [select all that apply]

Prevention, Detection, Intervention, Follow-up, Long-term care, Social integration.

Please describe in more detail: what problem are you trying to solve in the organization's specific context?

Many children die of malnutrition related diseases, and many more are stunted for life due to inadequate protein intact in childhood. Adequate nutritional status of pregnant and breastfeeding women can ensure a better health state of the future generation and for their own health and for raising these children. It has also been shown that adequate nutrition for people living with AIDS can give them a longer and more productive life. We are particularly working on creating autonomy in economic growth by assisting participants in starting up small agriculture businesses that will provide the income necessary to buy foods not grown and provide other needs and possibly further education. Providing microfinance loans can eliminate a barrier to income generation activities of rural people.

Stage that best applies to your solution [select only one]

Start-up and growth (pilot is successful and starting to expand)

Core strategies of your business model [select all that apply]

Approaches to behavioral change at the individual level, New approaches to distribution of health products and services, Unconventional partnerships (between traditional healthcare players and players outside healthcare), New financing strategies for health, Other.

If other, specify here:

consultation of community members about their specific needs in terms of health and nutrition.

Most relevant tools you are using to implement the strategies outlined above [select only two]

Consultation, Community financing.

If other, specify here:

Please describe your solution in more detail

What are your vision and overall objectives?

Bring local governement, NGO's and civil society together to elucidate specific needs and skills available. Create collaborative project activities followed up by reflection and further consultation.
Income generation based on agriculture and the use of local resources. Marketing groups of community participants. Production and distribution of nutritional and health needs in the community. Monitoring by local organizations to ensure sustainable action.

What is your value proposition?

What is the value of the health and life of a child or a woman? Too many are dying from lack of resources and collaborative action. Assisting people to provide their own adequate nutrition and other needs has a long reaching effect on this and other generations of healthy citizens.

Who is your customer(s)?

People (primarily parents and gardiens of young children, pregnant or breatfeeding women) who have inadequate nourishment and those responsible for them.(government , NGO's )
Farmers and gardeners in the rural communities who can benefit from increased income, and those responsible for assisting them.

What approaches to you use to reach your customers?

Invitation to community meetings to consult about the project activities and share about needs and possible resources.

What are your primary activities?

Community consultation about needs. Invitation to community members to participate as cultivators or food supplement producers; training of participants in moral leadership, agriculture techniques, basic nutrition, small business management...

Who are your peers and competitors? What problems could these players pose to your success or growth?

What other challenges - individual, organizational, or environmental – are you currently facing or might hinder future success of your business, and how do you plan to overcome those?

People that see success and are not directly involved in it, tend to become jealous and try to destroy the activities and participants. The training within the participant group will create a strong collaborating mentality. Ongoing consultations among local goverment, NGO's and the community participants with ongoing invitiation to new participants is a first step. Open communication among all involved will hopefully reduce this kind of abuse from happening
Certain environmental practices such as burning the earth are much a part of the way of life of the community members. Ongoing educational workshops with possible participation of university and researchers can gradually bring in more environmentally friendly practices. The project invites people to cultivate organically.

Briefly describe your growth strategy going forward

Consolidation of the planning group; initial community consultation ; assuring that the community structures are working together in harmony; monitoring of participant marketing groups for constantly increasing sale of agricultural products; sharing of feedback so that all participants can improve their practices.
Project groups in other regions and in other countries can then be established

What dimensions for growth are you currently targeting for your innovation [select all that apply]

New regions(s).

What makes your business "ready" for growth?

When the planning group is communicating in harmony and each person taking responsibility for their role (in country 1) and the project is working smoothly with ongoing evaluations within the community, expansion to other areas in the country repeating the model will be possible.
In other countries the planning and action must follow the same guidelines, assuring communication with our NGO.

What are your key growth objectives?

From one project in Lesotho to ten district projects; an intial project in two other African countries in the next two years followed by expansion in each of these countries to project in each district of those countries. One initial project in a South American country followed by expansion in that country, as well as initial and further projects in Haiti. Communication among all these actions

What is your timeframe for growth, in the short and mid-term? What are the growth milestones and key activities going forward?

First project established within the next year; ten projects within the next two years. Ongoing monitoring to ensure stability. First projects in two African countries during the second year of running of the first in Lesotho. Assurance of the consolidation of our organization and all local organizations during this time. Expansion to districts of the two African countries during the third year of action (second year in those countries). Year four, a Haitian project; year five, a South American project. Ongoing evaluation of all project activities by feedback through local organizations to the NGO in Canada and periodic visits of WFPA staff. Communication among projects via a bimonthly newsletter or magazine. Eventually radio programming about project activities in each country.

Social Impact

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What has been the impact of your solution to date?

A small workshop to produce the food supplement was set up showing the interest of community women for the activity. Some community women involved children in the picking of leaves for the workshop. Farmers contracted to grow vegetables and herbs. The need for the moral leadership training became evident and communication begun with local organizations has taken much time to develop and is in progress. The impact at this stage is the learning being acquired by WFPA and the lcoal organizations in working together which will be invaluable when we soon begin the community consultations. The model for collaborative action is being set and we can build on this success in our future actions. interest and the need for the project activities have been established in several districts of Lesotho as preparation for the launching of the programme. Consultations with possible collaborators in other African countries are underway, as is a communication with an agriculture research centre. We calculate the impact in each country initially to touch 5000 children and pregnant or breastfeeding women, as well as 600 participant farming families.

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What methods for quantification of social impact are you applying (if at all)?

Consultation- reflection - action. Baseline surveys of nutritional status and of income level of participants. Evaluation of these variables after each year of the project. Health statistics from Health Ministries will show change in malnutriton and stunting levels of the children and women.

Could your solution work in other geographies or regions? If so, where?

.We believe this ation can be carried out, and should be, in any country of the world that has some land for cultivation The types of plants grown may have to be modified according to soil types, climatic conditions and possible innovative developments (like greenhouses for harsher climates or irrigation for very dry areas. The project is designed to be adapted to many situations and specifically focuses on water retention and agroforestry for improved agricultural production. In each country or region, the project participants can chose the kinds of plants that are most appropriate and can consult with the agriculture research centres about the best trees to use around vegetable plots. The innovation can be used in countries to prevent children dying before they are five years old

What is your projected impact over the next 1-3 years?

Beginning with the first project of 60 farming families; 500 children and 500 pregnant or breastfeeding women receiving supplement; 12 marketing groups selling produce
Ffollowed by:
Children receiving supplement in three countries- minimum 15,000.
Pregnant and breastfeeding women minimum 15,000.

Farmers and gardeners increasing income 1800 to start or (maybe many more)
Marketing groups in each country (12 groups of 5 people each) in each district for a total of 120. Healthy produce being sold in country by local stands, in hotels and restaurants, buying groups, etc increasing income to some extent for participants and providing healthy food for many purchasers who have the disposable income . Most important, community collaboration.

Sustainability

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Elaborate on your current financing strategy

We are seeking funding from aone Canadian source initially as a pilot project in Lesotho and from another that will allow actions in several countries.. At one point in the life of the project in Lesotho and in the other countries ,a small fee will have to be charged to families of the young children and the women receiving supplement. There is also a plan for the supplement to be packaged and sold outside of the project through pharmacies and other markets that will be developped by the participants and the local organizations in collaboration. The revenues from agricultural activities will first serve to pay back microfinance loans and then a small amount will be requested from each participant to continue paying the monitoring and assistance activities of the local NGO members. Rnning of the Canadian NGO WFPA is primarily based on offering the training programme to groups planning actions in the country or overseas.

Share of revenue generation in total income of organization (in percent)

50%

Direct sales to patients or other beneficiaries (in percent)

currently 0%

Of the possible sources of these sales listed below, check all that apply to your current strategy

Patients, Other beneficiaries.

Licensing fees, e.g., for technology/franchise model (in percent)

Of the possible sources of these licensing opportunities listed below, check all that apply to your current strategy

National government.

Service contract with organizations, e.g., government, NGOs (in percent)

Of the possible sources of the service contracts listed below, check all that apply to your current strategy

NGOs.

Explain your revenue generation strategy in more detail

Two funding applications will permit the initial project work in Lesotho and two African countries. Running the NGO in Canada requires the training workshop revenue which is $700. per person attending for a 9 day workshop.

Share of philanthropy in total income of organization (in percent)

50%

Philanthrophy strategies you are using

Diversified strategy.

Explain your philanthropic approach in more detail

Currently we are looking at funding sources from government related organizations. There is also a plan to initiate a series of fundraising events in Montreal, Canada,featuring local musicians and cultural foods. Certain government programmes that fund youth to travel overseas may also be accessed to increase the level of volunteer participants in the community monitoring and support work.

Expand on your selections; explain how you will sustain funding over the next 1-3 years.

Each of the funding applications are applied to projects of at least two years duration and may be renewable. Our training workshops are ongoing as new groups are invited to participate. We would like to see this particular training being offered to all organizations who send youth overseas as volunteers

By organizing the local (Montreal) fundraising activities we will also offer an opportunity to local musiciens to present their talent and attract funders to our events .

Ella's Monitor

SIDS is a leading cause of death yet it never happens in the hospital. Ella’s Monitor gives parents a real solution to SIDS with unparalleled comfort and accuracy. Far more than just a convenience, Ella’s Monitor represents the safety and security required by parents. With Ella's Monitor we can provide the security of a hospital in the home and save families from the touch of this silent killer.

About You

Organization: Seymour Innovative Engineering Visit websitemore ↓↑ hide↑ hide

About You

First Name

Peter

Last Name

Seymour

About Your Organization

Organization Name

Seymour Innovative Engineering

Organization Website

EllasMonitor.com

Organization Country

United States, AZ, Tempe, Maricopa County

Organization's Country of Operation

United States

Type of Organization

For‐profit

Year of launch of the organization

2012

Years in Operation

Operating for less than a year

Has the organization received awards or honors? Please tell us about them

We have currently received five separate grant awards and an initial investment to help make Ellas Monitor a reality. The investment includes incubation and support from MAC6 a new incubator in Tempe, Arizona. We have also received multiple grants from Arizona State University and are deeply involved in the Edson Entrepreneur Initiative. Finally we have been supported by the National Collegiate Inventors and Innovators Association (NCIIA) based in Hadley, Massachusetts. These partners have proven to be critical to our team's success to date, and will continue to be crucial to the realization of this life saving technology.

We want to hear about your “Aha!” moment. Share the story of where and when the founder(s) saw this solution’s potential to change the world.

On the morning of August 2, I woke to something no parent should have to endure. My daughter Eleanore had breathed her last. Ella passed away from a well known condition known as Sudden Infant Death Syndrome or SIDS.

SIDS is the leading cause of death for infants, but it never happens in the hospital. Ella's Monitor brings this safety home to save infants from this silent killer.

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Innovation

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Name Your Entry

Ella's Monitor

Explain what the "innovation" is about, e.g., is it the idea and/or the model you use to accomplish the idea, or your understanding of the target population, etc.?

Currently parents have only two real choices for monitoring their infants at home with reasonable accuracy. The first involves complicated hospital machines that are bulky, difficult to use, and require sticky electrodes - although they are highly accurate. The second is simply a stethoscope, with the obvious limitation of requiring the user to be awake and trained.

Despite this fact, almost all parents express concern over SIDS, particularly first time parents. Given that there are over four million new parents each year in the United States alone, and that over thirty percent of them are first time parents, there are a huge number of potential customers with an innate fear of SIDS and no solution.

Furthermore there are over 500,000 high risk infants born each year. These are infants with a known higher risk of SIDS, yet their parents have no real option to keep their babies safe.

The idea behind Ella's Monitor is to bring effective hospital monitoring directly to parents, rather than delivering a clinical monitoring solution to doctors and hospitals. This requires making the monitor itself extremely user friendly and removing all medical attachments, such as sticky electrodes. We have accomplished this by embedding the monitoring system within a traditional Onesie.

This onesie can wirelessly read out multiple vitals from a baby and ensure that they are breathing properly. Parents can then view this information and enjoy the peace of mind and security provided by such detailed vital sign information.

Describe how your innovation model is distinct from any other organization in your field?

Given the enormous spending in the consumer baby market, we are targeting parents directly with Ella's Monitor. Rather than trying to sell another medical device to a hospital or doctor, we want to sell a consumer device to the end user - without the need for a clinic or healthcare provider. This comes with some limitations, for instance we cannot describe Ella's Monitor as a medical device, but it comes with a unique ability to work directly with the end user.

This ensures a product that is both safe and easy to use, while achieving a price point that no traditional medical monitoring system can hit. The sub $100 price point is actually as critical to our success as the actual technology behind Ella's Monitor. Ultimately we are pursuing a large market of parents with a real need.

What type of operating environment and internal organizational factors make your innovation successful?

Our operating environment is similar to most start ups. We have a diverse and highly motivated group of young entrepreneurs that have had experience in a wide range of industries. This team is supported by the immense specialized knowledge within the university, as well as a group of key mentors and advisors with experience in both medical and business fields.

We are also benefiting from a unique relationship with a professional development firm that has aided in product design from the inception of Ella's Monitor, including that we not only offer an innovative device, but one that is professionally built and highly reliable.

How do you make sure you constantly innovate in light of (potential) external challenges, or your growth plan?

As a small university based start-up we are in an environment that forces constant innovation. We also belong to two different incubators (one embedded in the university system) that provide us with both substantial guidance and a clear directive to innovate.

Currently our innovation has taken on both a business development and product engineering focus. We want to not only build an innovative product that will save lives, we also want to build a new type of business that can deliver these kinds of products to the people who need them.

Our biggest asset in this innovation has to be our proximity to and involvement with Arizona State University. As one of (if not the) largest Universities in the country, ASU has provided a wealth of resources and a shear mass of interested people.

This Entry is about (Issues)

Business Model

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The systemic challenge you are trying to overcome (select one)

Realign the incentives in the public healthcare system in mature markets, or

Health area (target market) where the need is [select only one]

Other specialty care

Categories along the health continuum you are covering [select all that apply]

Prevention, Detection.

Please describe in more detail: what problem are you trying to solve in the organization's specific context?

SIDS is the leading cause of death for infants after one month. Despite this fact it has a zero clinical incidence, meaning that SIDS should be a non-existant condition, as it never happens in the hospital. Ella's Monitor brings the safety of hospital monitoring into the home in both a non-invasive and easy to use format that parents can afford.

By brining this monitoring to parents that desperately need it we hope to reduce and eventually eliminate the incidence of SIDS across the board. This low-cost onesie-based vital sign monitoring also has broader implications for improving infant health across the country and across the globe.

Currently no such system exists anywhere near our target price range of below $100. By hitting this mark we will give parents unprecedented security.

Stage that best applies to your solution [select only one]

Piloting (a pilot that has just begun operating)

Core strategies of your business model [select all that apply]

Patient-centered design, New approaches to distribution of health products and services, Unconventional partnerships (between traditional healthcare players and players outside healthcare).

If other, specify here:

Leveraging the consumer baby products market for infant healthcare

Most relevant tools you are using to implement the strategies outlined above [select only two]

Technology.

If other, specify here:

Please describe your solution in more detail

Ella’s Monitor solves the glaring problem of SIDS by bringing hospital grade monitoring into the home in both a non-invasive and easy-to-use format. Parents will no longer have to stay up at night worried about whether their baby is breathing, now they will know with certainty.

Ella’s Monitor consists of two critical components: a washable onesie with embedded sensors and a biomedical “brain.” The onesie eliminates the need for sticky electrodes or dangerous wires. It can be thrown up on, washed, or trampled on, and it snaps on no differently than any other onesie. As result, Ella’s Monitor requires no advanced training, just put on the onesie, turn on the monitor, and your baby is safe.

What are your vision and overall objectives?

Ella’s Monitor will give parents a real solution to SIDS with unparalleled comfort and accuracy. Far more than just a convenience, Ella’s Monitor represents the safety and security required by parents. With this technology we can provide the security of a hospital monitor in the home and save families from the touch of this silent killer.

Our ultimate vision and objective is to eliminate SIDS and extend the safety of the hospital to every home. However, our more immediate vision and objective is to create a great device that we ourselves can use. Ultimately we are looking for a product to ensure that our children our safe at night. Ella's Monitor solves this need for our team and can solve this need for millions of other parents.

What is your value proposition?

Our value proposition is quite clear: keep your baby safe from SIDS. The peace of mind and security delivered by Ella's Monitor means an end to sleepless nights spent checking on your baby or listening intently to baby monitors for sounds of breathing. The nervous energy currently put by almost all parents into worrying about SIDS will simply be a non-issue when you can receive real-time information regarding your babies health.

For parents of high-risk babies including those recently discharged from Neonatal Intensive Care Units, this value proposition is particularly strong. Over 500,000 infants are discharged from American NICU's each year. Each one has spent time on hospital monitors, but almost no parents are given an option to bring this monitoring home.

Who is your customer(s)?

Our customers are parents and anyone who purchases equipment for parents. Ultimately Ella's Monitor will be used by the parent, thus they represent our target consumers, however a great deal of baby care items are purchased by friends and family. At a target price point below $100, Ella's Monitor will offer both security and a necessary item for new parents.

What approaches to you use to reach your customers?

We will use to primary approaches to reach our customers. The first is direct marketing to parents, both through traditional channels and through social media. The second is to market directly to new parents through the hospital system, putting Ella's Monitor on their recommended list of things for new parents.

An entirely separate avenue to reach customers involves appealing to and working with the existing groups that deal with SIDS. These include Mothers In Sympathy and Support (MISS), First Candle, and the American SIDS Institute. These groups have a clear aligned goal in making SIDS a thing of the past, and also have direct contact with many parents who would not only use Ella's Monitor, but also be strong advocates for the technology.

What are your primary activities?

Are primary activities are product development, promotion of Ella's Monitor, and searching for additional funding opportunities beyond our existing investment and grants to further our efforts.

Who are your peers and competitors? What problems could these players pose to your success or growth?

Our two largest competitors are manufacturers of hospital grade equipment, such as GE, and manufacturers of consumer grade monitors such as Angel Care. In the case of GE are neither useful to or affordable by most parents. These large medical device companies have the capability to make a device such as Ella's Monitor, but none have endeavored to do so. This presents a potential risk to Ella's Monitor, thus we are seeking either to grow quickly with substantial investment or to partner with such a firm to ensure the success of Ella's Monitor before we can be outperformed by existing corporations. The manufacturers of consumer grade monitors simply are lacking in a reliable product. They present a risk from the other side of the equation, if they can build a more medical device.

What other challenges - individual, organizational, or environmental – are you currently facing or might hinder future success of your business, and how do you plan to overcome those?

The primary challenge faced by Seymour Innovative Engineering is to recruit the necessary talent to develop Ella's Monitor and to attract the necessary financing to build both the company and the device. To date we have had great success in both attracting taleng and initial investment, however, we will need success in both areas to continue our growth.

Briefly describe your growth strategy going forward

Our growth strategy is currently dependent on our product development. We are working with an established engineering firm to finalize the design on our first physical test units and plan to take delivery by the end of June. Throughout July and August we will be conducting user testing and validating our initial designs. From that point we will be seeking additional investment.

What dimensions for growth are you currently targeting for your innovation [select all that apply]

New customer group(s).

What makes your business "ready" for growth?

We have a highly motivated team with the initial hardware and software developed to make Ella's Monitor a strong contender in this vibrant consumer space of infant equipment. If we can stick to our plan we can not only make a strong business case for in-home infant monitoring, we can also help drastically reduce the incidence of SIDS and other conditions that afflict babies.

What are your key growth objectives?

Our key growth objectives involve hiring additional talent in the marketing and sales arena and electrical engineering, as well as attracting approximately 150k-200k in additional investment to build upon our existing grant funding of approximately 150k.

What is your timeframe for growth, in the short and mid-term? What are the growth milestones and key activities going forward?

Our timeframe for agressive growth is the fall of 2013 extending into the spring and summer of 2014. An alternative to this agressive growth may be acquisition or partnership within this same time frame. Growth or partnership will be required to transition from a small development operation to a business operating at scale with a consumer product on the market.

Our current business strategy involves multiple inflection points whereby we either execute certain growth strategies (hiring additional personell, contracting with vendors, licensing technologies, etc) or seek out strategic partnerships where these needs will be similarly met.

Social Impact

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What has been the impact of your solution to date?

To date we have attracted a tremendous amount of positive attention. The list of individuals who want to buy Ella's Monitor is thousands long and grows daily. Most of our impact to date has been through our involvement with MISS, Mothers In Sympathy and Support, an organization committed to aiding parents with the loss of a child.

The harsh reality of SIDS is that it is frighteningly common and incredibly damaging to the individuals involved. Our founder and President Peter Seymour knows this pain as well as any and his story has generated much of the initial impact of our work.

Ultimately parents who have experienced a loss to SIDS have an extreme need for a product such as Ella's Monitor to ensure their family's future safety and to deal with the sudden unexpected and unnecessary loss of a child. This group will be a great asset to our efforts to promote Ella's Monitor once we are ready to bring a device to market.

We have also had a significant impact in the Phoenix Metropolitan area in general. Peter's story and Ella's Monitor has appeared in every local news station as well as multiple newspapers. This positive media attention has generated a huge amount of interest, particularly from parents, in what Ella's Monitor does and how they can go about purchasing one.

All of this initial impact and interest has been received without any real effort for promotion or marketing from the team. Thus we are looking forward to having a product ready for agressive promotion.

Our ultimate impact, however, will be to save an infant that would otherwise have died.

What methods for quantification of social impact are you applying (if at all)?

Their are two easy methods to quantify our social impact: business success (e.g. sales) and testimonials. The best way to demonstrate that Ella's Monitor is having a social impact is simply to have a successful business in operation. This will demonstrate that parents have a real need for the technology and that Ella's Monitor solves this need adequately.

The best measure of social impact, however, will be testimonials. For anyone who has ever had a sick child, their number one concern is providing for the safety and security of that child. If Ella's Monitor can truly fill this need, it will be the highest measure of success. Such a testimonial will eventually include one where a child would otherwise have passed away. We can imagine no greater social impact than to save a child.

Could your solution work in other geographies or regions? If so, where?

Ella's Monitor could work in a variety of other regions and markets. Ultimately the technology is just an integrated vital sign monitoring system with wireless outputs and no need for skin contact-electrodes. Such a system, and it's off-grid nature, could have substantial impact in the developing world. We have also done extensive market research into end-of-life hospice and nursing home care as the next logical development step for Ella's Monitor.

What is your projected impact over the next 1-3 years?

Our projected impact over the next 1-3 years depends greatly on our development schedule and the success of future rounds of funding. However, in an ideal world, our plan is to have 150k units operating and in the market, at a minimum two years from August of 2013. This means having a wealth of data and user information that can be used to truly scale Ella's Monitor to an operational unit number in the millions.

Sustainability

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Elaborate on your current financing strategy

Our current financing strategy has been to appeal to two groups: grant foundations such as Ashoka and to angel investment groups. Currently we have received five regional and national grants to develop Ella's Monitor and have been finalists for a number of additional grant opportunities. We have also received two investment opportunities form angel groups to date, one of which we took to begin development of Ella's Monitor outside of a University research project setting.

Our near term financing strategy is to continue pitching for angel investment when necessary (scheduled for late summer 2013 currently) while also taking advantage of grant opportunities such as this one from Ashoka.

Long term we will either need substantial start-up capital to scale Ella's Monitor and establish distribution or pursue a strategic partnership with a group that can aid with this scale. This strategic partnership may also take the form of an acquisition.

As elaborated earlier in this submission, our current strategy is to evaluate all funding opportunities and potential partnerships based on key product and business development objectives already outlined, such as having completed initial user testing.

Currently the only revenue generated has been done through acquiring grants and sale of company stock (i.e. Angel Investment).

Share of revenue generation in total income of organization (in percent)

Direct sales to patients or other beneficiaries (in percent)

Of the possible sources of these sales listed below, check all that apply to your current strategy

Licensing fees, e.g., for technology/franchise model (in percent)

Of the possible sources of these licensing opportunities listed below, check all that apply to your current strategy

Service contract with organizations, e.g., government, NGOs (in percent)

Of the possible sources of the service contracts listed below, check all that apply to your current strategy

Explain your revenue generation strategy in more detail

Share of philanthropy in total income of organization (in percent)

Philanthrophy strategies you are using

Explain your philanthropic approach in more detail

Expand on your selections; explain how you will sustain funding over the next 1-3 years.

Financing will initially be found through conducting either one additional angel round or securing a large grant such as an SBIR. Pending successful completion of this first round, funding will likely come from two sources: product sales as well as a Series A Round to scale our operation.

East Meets West: Saving Newborn Lives through Appropriate Technology in Low-Resource and Inefficient Markets

East Meets West provides innovative solutions to challenging development problems. Their Breath of Life (BOL) program tackles infant mortality and morbidity by equipping hospitals with new, durable neonatal equipment appropriate for low resource settings coupled with staff training in neonatal care.

About You

Organization: East Meets West Visit websitemore ↓↑ hide↑ hide

About Your Organization

Organization Name

East Meets West

Organization Website

Organization Country

United States, CA, Oakland, Alameda County

Organization's Country of Operation

Vietnam

Type of Organization

Non‐profit/NGO

Year of launch of the organization

1988

Years in Operation

Operating for more than 5 years

Has the organization received awards or honors? Please tell us about them

• EMW has been awarded Charity Navigator’s highest rating—four stars—for the fourth year in a row, putting it in the top 6% of charities rated.
• EMW was recognized as Charity Navigator’s “Top 10 Charities Expanding in a Hurry” in 2012, growing revenue by over 35% in the last three years with sufficient capital for sustained growth.

We want to hear about your “Aha!” moment. Share the story of where and when the founder(s) saw this solution’s potential to change the world.

The Breath of Life program was initially developed in Vietnam, which had few hospitals treating sick newborns and existing medical devices were broken or unused. 99% of newborn deaths occur in the developing world, and the fact that the WHO estimates that 75% of medical devices fail within the first several years in low-resource environments spurred our interest in addressing this market failure.

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Innovation

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Name Your Entry

East Meets West: Saving Newborn Lives through Appropriate Technology in Low-Resource and Inefficient Markets

Explain what the "innovation" is about, e.g., is it the idea and/or the model you use to accomplish the idea, or your understanding of the target population, etc.?

East Meets West (EMW)’s fastest growing healthcare program is Breath of Life (BOL), which tackles infant mortality and morbidity by equipping hospitals with new, durable neonatal equipment appropriate for low resource settings and staff training in neonatal care. Some 54,000 babies are being treated each year through EMW-provided neonatal equipment.

The equipment suite developed in this way comprises resuscitaires (which double as open-care warmers), highly effective blue light-emitting-diode (LED) phototherapy for the treatment of jaundice (replacement lights not required for 50,000 hours – 5.7 years if used continuously), and continuous positive airway pressure (CPAP) for providing advanced respiratory support to sicker infants requiring oxygen supplementation. Initial training and equipping of Vietnamese national level hospitals was followed by the use of these hospitals as training centers for doctors and nurses from lower level hospitals, and the provision of equipment to those hospitals.

Since the program launch in 2005, East Meets West’s Breath of Life has been successful in addressing the issue of infant mortality in Vietnam through the provision of key medical equipment to hospitals and clinics, integrating these technologies into the medical system, training medical personnel (doctors, nurses and other medical practitioners) and working with local health authorities to increase the capacity of newborn care.

East Meets West's understanding of the "bottom of the pyramid" market allows BOL to replicate our work and make rapid, scalable impact in new areas.

Describe how your innovation model is distinct from any other organization in your field?

BOL’s innovative and holistic approach addresses the issue of “innovation pile up,” a problem in which lifesaving technology never reaches the intended beneficiaries. Our emphasis on working with strategic local partnerships, providing ongoing training to medical practitioners, local technical assistance, and regular monitoring and evaluation builds the capacity of public health systems in the developing world that lack the staff, training, or infrastructure to utilize these burgeoning innovations.

While there are other devices currently in the market, most notably the Rice University bubble CPAP, the Breath of Life device is not only low-cost, but built to be appealing and simple to use for medical practitioners. An innovation is effective so long as the beneficiaries make use of it.

What type of operating environment and internal organizational factors make your innovation successful?

East Meets West values partnerships with clinicians and medical professionals in local hospitals in Asia. Our experienced field staff work closely with doctors and nurses to provide appropriate training and gather feedback from these practitioners. The development of the Breath of Life suite of medical devices was the result of extensive testing and evaluation of the device with close involvement of the medical staff at the National OBGYN Hospital in Hanoi, Vietnam. It is the close collaboration with local medical staff that make the BOL program an innovation that is successful and sustainable.

How do you make sure you constantly innovate in light of (potential) external challenges, or your growth plan?

In recent years, EMW has expanded into eight countries throughout Asia and piloting in West Africa, so we have learned to adapt our programs to varying conditions and environments. Our public/private partnership with social enterprise Medical Technology and Transfer Services (MTTS) provides us a resource for R&D to test out new innovations and changes to our medical devices.

Business Model

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The systemic challenge you are trying to overcome (select one)

Bring accessible healthcare to communities in emerging markets

Health area (target market) where the need is [select only one]

Maternal care

Categories along the health continuum you are covering [select all that apply]

Intervention, Follow-up.

Please describe in more detail: what problem are you trying to solve in the organization's specific context?

East Meets West's mission is to find innovative solutions to challenging development problems. We attempt to address the severe lack of appropriate medical technology built for the developing world. These are devices that are low-cost, durable (resisting heat and humidity), use little to no consumables, have manuals in the local language, readily available technical assistance, local training for medical practitioners to properly operate the devices, and appropriate monitoring to evaluate impact.

Due to market failures, the "bottom of the pyramid" has been an untapped market for locally appropriate medical devices, and we feel that our suite of BOL equipment has and will continue to prosper in that niche.

Stage that best applies to your solution [select only one]

Scaling (growing impact on a regional or global scale)

Core strategies of your business model [select all that apply]

Patient-centered design, New/redefined roles for healthcare service provision, Unconventional partnerships (between traditional healthcare players and players outside healthcare).

If other, specify here:

Most relevant tools you are using to implement the strategies outlined above [select only two]

Technology, Education/training.

If other, specify here:

Please describe your solution in more detail

Breath of Life's solution to the lack of healthcare in emerging markets is to provide custom-designed, low-cost equipment to hospitals, and targeted training to medical personnel, to save the lives of infants suffering from common newborn pathologies. To ensure sustainability, BOL works to strengthen linkages with local health authorities to involve them in integrating these technologies into the larger health system.

When EMW provides a hospital in the developing world with the full range of Breath of Life equipment, this complex of innovative technologies constitutes a cost-effective, durable, low-maintenance NICU, or Neonatal Intensive Care Unit to effectively treat premature infants and other newborns with life-threatening health conditions.

What are your vision and overall objectives?

While global under-five child mortality rates have been decreasing in recent decades, the rate of neonatal mortality has been on the rise. Annually, 43% of all child deaths occur in the first four weeks of life, the crucial neonatal period. Yet typically, newborn care is the branch of medicine with the least investment, research and innovation.

The Breath of Life program aims is to equip and empower medical institutions at all levels to provide appropriate, responsive newborn care, from national hospitals to regional facilities and clinics throughout the developing world. The strategy starts with the provision of equipment and training at the highest, most centralized level, then expanding out to train staff and supply facilities in more remote areas.

What is your value proposition?

East Meets West's Breath of Life (BOL) program develops customized, clinical solutions to significantly reduce neonatal mortality and morbidity in developing countries. Our value proposition is as follows:

Locally manufactured by MTTS (Medical Techology Transfer Service)
Instructions, controls, and manuals in local language
Replacement parts easily obtained
Accessible technical support and maintenance
Tested in conditions of actual use and appropriately adapted
Durable and low maintenance
Low-cost
Not reliant on expensive consumables
Warrantied (3 years, no questions asked)
Scalable for each country, hospital, clinic conditions

Who is your customer(s)?

Public and private neonatal hospitals and clinics in the developing world with high level of births, mortality and morbidity rates. Ministries of health, local and provincial governments.

What approaches to you use to reach your customers?

Contact with local doctors to become advocates of the BOL program. The appeal of the BOL suite of medical devices that are functional and incorporated with technical assistance and monitoring
CPAP to address respiratory distress syndrome (RDS)
LED phototherapy machine to treat neonatal jaundice
Infant resuscitation station
Portable “bilibed” to provide both phototherapy treatment and heat
Pulse oximeters to measure oxygen levels in the blood
Hand sanitizers

What are your primary activities?

Breath of Life concentrates its resources on designing and distributing equipment solely for the critical newborn period, because by supplying the basic package of equipment and providing first-rate training for the medical personnel who will use it, many lives can be saved.

BOL distributes equipment designed and produced by EMW technical partner MTTS (Medical Technology Transfer Services), which conducts its research and development in the field. Machines based on globally developed designs are designed for local conditions, tested in real clinics and hospitals, then adjusted. Local manufacture means manuals and controls in local languages and easy access to parts and technical help. BOL machines are durable, easy to use, and don't use expensive consumables— ensures sustainability.

Who are your peers and competitors? What problems could these players pose to your success or growth?

As EMW and BOL continues to grow, we expect that other medical device manufacturers will see the potential of addressing the urgent need of locally appropriate medical technology. We see this as encouraging, in that the BOL program model is flexible to work with other devices as appropriate. EMW's area of strength is our ability to identify market failures in the medical infrastructure, and make linkages to partners, funders and manufacturers to develop an impactful and sustainable health delivery system for newborn babies.

What other challenges - individual, organizational, or environmental – are you currently facing or might hinder future success of your business, and how do you plan to overcome those?

As with many NGOs, our challenge is to further scale our work with the limited resources (financial, human) available. We address this constraint by constantly looking for local partnerships that are aligned and mutually beneficial, where ever we choose to expand.

Briefly describe your growth strategy going forward

Our strategy is continue to identify markets that have a large potential for growth and impact (Myanmar, for example).

We continue to develop MTTS as a enterprise focused on effective and innovative solutions to medical device manufacturing and distribution.

What dimensions for growth are you currently targeting for your innovation [select all that apply]

New regions(s), New market(s)/country(ies).

What makes your business "ready" for growth?

Our BOL staff are actively looking to expand in other countries as appropriate, leveraging our experience and expertise in implementing BOL in eight countries to date.

What are your key growth objectives?

-number of BOL devices installed
-use and maintenance of devices in hospitals and clinics
-number of new countries to expand

What is your timeframe for growth, in the short and mid-term? What are the growth milestones and key activities going forward?

Short term (2 years): Expansion and establishment of BOL program to another region, such as West Africa, with local manufacturing and technical assistance.

Long term (5 years): Along with partnerships with private enterprise/local government/medical institutions, have a global presence in emerging markets to distribute, install and implement the BOL model.

Social Impact

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What has been the impact of your solution to date?

As of 2013, the Breath of Life Program treats over 54,000 babies each year through Breath of Life technologies operating in eight countries in Asia. We have distributed 650 Continuous Positive Airway Pressure (CPAP) machines and other neonatal medical devices to over 300 hospitals, and have intensively trained over 2,400 medical staff in advanced newborn care and the operation of BOL neonatal equipment.

What methods for quantification of social impact are you applying (if at all)?

Using rigorous impact evaluation, our Breath of Life team will quantify our impact using the proposed indicators:
• Inputs (machinery installation + training) delivered on time and within budget;
• Outputs (machine use) demonstrated through monthly monitoring;
• Mortality outcomes: Decrease in mortality by birthweight for inborn infants: a) 1000-1499g; b) 1500-1999g; c) overall; and
• Morbidity outcomes: Decrease in the number of exchange transfusions.

The proposed indicators are restricted to ensure that additional data collection required at the hospitals is restricted to the absolute minimum; data collectors will be employed at each hospital, and trained by our staff.

Could your solution work in other geographies or regions? If so, where?

Absolutely. In recent years the BOL program has since expanded to eight countries in South and Southeast Asia, including pilot programs in India, the Philippines, Myanmar and Benin. Experience with this expansion highlights the critical differences between countries, and has led us to conclude that the program is flexible enough to respond appropriately to local circumstances and challenges. Pilot programs allow BOL to identify local issues and develop relationships with local partners while establishing infrastructure for in-country training.

What is your projected impact over the next 1-3 years?

As BOL continues to expand in other countries and regions, we expect to replicate and scale the program to other emerging markets that are suitable for the BOL program. Part the assessment involves identifying local partners and champions in the medical community, the capacity of medical practitioners and local manufacturers, partnerships with ministries of health and other organizations to implement the program and bring it to scale.

Sustainability

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Elaborate on your current financing strategy

Breath of Life is currently primarily funded by private foundations and individual donors as well as international agencies. Our financing strategy is to create demand among low resource hospitals by installing these devices, primarily funded by philanthropy, to create future opportunities to purchase equipment and training through our private/public partnership with MTTS.

Share of revenue generation in total income of organization (in percent)

0%

Direct sales to patients or other beneficiaries (in percent)

1%

Of the possible sources of these sales listed below, check all that apply to your current strategy

Caregivers.

Licensing fees, e.g., for technology/franchise model (in percent)

0%

Of the possible sources of these licensing opportunities listed below, check all that apply to your current strategy

Service contract with organizations, e.g., government, NGOs (in percent)

Of the possible sources of the service contracts listed below, check all that apply to your current strategy

Regional government, National government.

Explain your revenue generation strategy in more detail

Our strategy is to partner with social enterprises such as MTTS, or larger corporations such as GE Healthcare, to provide locally appropriate medical devices in emerging markets. Part of the cost of the device would include funds to cover the training, technical assistance, monitoring and evaluation of the device use, which is EMW's core competency.

Share of philanthropy in total income of organization (in percent)

99%

Philanthrophy strategies you are using

Diversified strategy.

Explain your philanthropic approach in more detail

We work with foundation, individual and institutional funders to develop customized, clinical solutions to significantly reduce neonatal mortality and morbidity in developing countries. These donors are interested addressing neonatal mortality, innovative technologies, and social enterprise.

Expand on your selections; explain how you will sustain funding over the next 1-3 years.

We expect to take an increasing equity stake in promising social enterprises as we continue to deliver innovative healthcare solutions to emerging markets.

“Terenfom”: agriculture microcredit for nutrition programs intended to pregnant/breastfeeding women and OVC in Haiti.

Our current organization MSH is supporting 164 health facilities throughout the country to offer high quality health services to 40% of the Haitian population via the project SDSH (Santé pour le Développement et la Stabilité d’Haïti).

About You

Organization: Management Sciences for Health (MSH) Visit websitemore ↓↑ hide↑ hide

About You

First Name

Aurelie

Last Name

Jousset

About Your Organization

Organization Name

Management Sciences for Health (MSH)

Organization Website

Organization Country

United States, VA, Arlington, Arlington County

Organization's Country of Operation

Haiti, Port-au-Prince

Type of Organization

Non‐profit/NGO

Year of launch of the organization

1971

Years in Operation

Operating for more than 5 years

Has the organization received awards or honors? Please tell us about them

Yes (but data incomplete).

We want to hear about your “Aha!” moment. Share the story of where and when the founder(s) saw this solution’s potential to change the world.

While driving back home from the Port-au-Prince airport after a week of holidays in Mexico, Aurélie felt sad for the umpteenth time watching the tough reality of Haiti that strikes anyone just by looking in the streets. Since she arrived in Haiti, she is convinced that developing agriculture is the key to boost the Haitian economy and reduce some health issues.

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Innovation

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Name Your Entry

“Terenfom”: agriculture microcredit for nutrition programs intended to pregnant/breastfeeding women and OVC in Haiti.

Explain what the "innovation" is about, e.g., is it the idea and/or the model you use to accomplish the idea, or your understanding of the target population, etc.?

The idea is to invest in agriculture to address malnutrition issues and boost agriculture sector at the same time via public-private partnerships (PPP) between small size farms, the Ministry of Health (MOH), NGOs and the Ministry of Agriculture (MOA).

Microcredit will be offered to farmers who could invest to produce specific local food products and in return they will be obliged to supply a proportion of their production to associated health facilities for the nutrition programs already implemented and intended to pregnant/breastfeeding women and OVC (Orphans and Vulnerable Children). The farmers will also need to reimburse the funds as per microcredits programs.

Describe how your innovation model is distinct from any other organization in your field?

There are several nutrition programs in Haiti mainly funded by World Food Program (WFP) . Due to the current malnutrition and poverty situation, it is very likely that those programs will run for many years ahead. Nevertheless, currently there is no integrated agro-health and microcredit programs combining efforts from the Ministry of Health (MOH) and Ministry of Agriculture (MOA) in Haiti to impact the agriculture industry and the health systems together. Suggesting a program involving the MOH and MOA via microcredit is a sustainable approach that could benefit two different sectors and reduce the dependence to international funds.

What type of operating environment and internal organizational factors make your innovation successful?

MSH is a renowned organization in Haiti which was able to develop strong relationships with the different stakeholders and the community. Since MSH is directly supporting health facilities handled by NGOs or MOH, MSH’role is also to advocate for public health change policy with strong data evidence to the MOH and other major stakeholders via SDSH and another project of MSH called LMG (Leadership, Management and Governance). Owing to this expertise, MSH teams will be able to implement a new program including a new Minister, the MOA, to ensure the success of Terenfom. Due to the serious economic and sanitary situation, the country will get important funds from international organizations for many years ahead. Funding will not represent the major challenge for the success of this project.

How do you make sure you constantly innovate in light of (potential) external challenges, or your growth plan?

This project is innovative in itself by its new PPP strategy combining microcredit and two different ministries. Though it is very hard to implement new projects in Haiti due to the very complex situation, the abundance of stakeholders and high influence of politics, it is also very important to remain flexible and be able to adjust to the field situation and any possible changes, such as potential natural disasters or politic instability. MSH is present in Haiti for 26 years and has a strong expertise in public health project management in Haiti. The MSH team has developed a high flexibility ensuring the success of the innovative project Terenfom.

This Entry is about (Issues)

Business Model

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The systemic challenge you are trying to overcome (select one)

Bring accessible healthcare to communities in emerging markets

Health area (target market) where the need is [select only one]

Nutrition

Categories along the health continuum you are covering [select all that apply]

Intervention, Social integration.

Please describe in more detail: what problem are you trying to solve in the organization's specific context?

Haiti suffers from an extreme poverty that highly impacts the population health. According to UNICEF, the percentage of population below international poverty line of USD 1.25 per day is 55%, the half is illiterate, less than 7% of GDP is invested in health and the Global Hunger index for 2012 was 30.8 (“extremely alarming”). According to the WFP, 6.7 million people are food insecure with the half of the food coming from imports. WFP data reports that 23.4% of children suffer from chronic malnutrition. This project aims to use differently funds currently allocated to agriculture and nutrition programs. By investing in agriculture via microcredits to produce food products for malnourished people, this project could bring a sustainable solution to agriculture and health.

Stage that best applies to your solution [select only one]

Idea (poised to launch)

Core strategies of your business model [select all that apply]

Redesign of the public healthcare system for more efficiency (in terms of processes, structure etc.), New/redefined roles for healthcare service provision, New approaches to distribution of health products and services, Unconventional partnerships (between traditional healthcare players and players outside healthcare), New financing strategies for health, Other.

If other, specify here:

Agriculture and microcredit.

Most relevant tools you are using to implement the strategies outlined above [select only two]

Consultation, Others.

If other, specify here:

Public private partnerships (including Ministry of Health)

Please describe your solution in more detail

The project is based on 2 pillows:
-Microcredit offered to farmers: microcredit will be offered to farmers to help them start their production.The farmer will need to reimburse this credit like any other microcredit programs in order to enable the sustainability of the project.
- Agreement between the farmers and associated health facilities: the farmer will be obliged to dedicate a percentage of his production to the associated health facilities for its nutrition program.
A pilot study needs to be done during a period of one year for products such as rice, beans, corn, oil, sugar and banana. The second year, the farmers will increase its production. The third year, the farmer will diversify its production and/or produce transformed products such as corn cans, beans cans or banana chips

What are your vision and overall objectives?

Our vision is to address malnutrition affecting vulnerable population in Haiti by boosting the agriculture sector which will be eventually also profitable to the national economy. The overall objectives are to bring sustainable solutions to Haiti for agriculture and malnutrition.

What is your value proposition?

Our value proposition is to use already available funds in an innovative way to promote local economy and address health issues.

Who is your customer(s)?

There are two categories of customers (beneficiaries): the farmers and the targeted population for nutrition programs which include pregnant/breastfeeding women and OVC.

What approaches to you use to reach your customers?

The project will reach the customers via already existing stakeholders: the ones working with the farmers for the agriculture part and the ones in health facilities for the nutrition part.

What are your primary activities?

Our current organization MSH is supporting 164 health facilities throughout the country to offer high quality health services to 40% of the Haitian population via the project SDSH (Santé pour le Développement et la Stabilité d’Haïti). Our technical support includes data management strengthening, capacity building, expansion of health services, quality services strengthening, etc.

Who are your peers and competitors? What problems could these players pose to your success or growth?

There are other organizations playing similar roles in Haiti but their network is less widespread geographically than the SDSH project of MSH. SDSH supported facilities are mainly located in very remote areas unlike many of the sites supported by other competitors. The LMG project of MSH is directly supporting MOH which brings a specific privileged position to MSH compared to other organizations. Indeed, MSH is the only organization handling 2 big projects combining direct health facilities support (SDSH project) and MOH strengthening (LMG).

What other challenges - individual, organizational, or environmental – are you currently facing or might hinder future success of your business, and how do you plan to overcome those?

The Haiti context is very influenced by politics. The MSH expertise should be able to overcome the possible conflicts.

Briefly describe your growth strategy going forward

It is first necessary to implement a pilot study over a period of one year. Based on the results, a specific work plan will be defined for the years hereafter.

What dimensions for growth are you currently targeting for your innovation [select all that apply]

New customer group(s).

What makes your business "ready" for growth?

The pilot study has not been planned yet due to other commitments for the current ongoing program till July 2013.

What are your key growth objectives?

The key growth objectives are to expand the project to more farmers and supply a bigger quantity of food products in order to support a higher number of beneficiaries for nutrition programs.

Eventually, the project should allow the farmers to export their raw or transformed food products to neighboring countries.

What is your timeframe for growth, in the short and mid-term? What are the growth milestones and key activities going forward?

From July to September 2013: meetings with the different stakeholders, terms of reference defined and signed by the stakeholders, selection of farmers and health facilities.
From October 2013 to September 2014: pilot study implementation (milestones to be defined with the stakeholders).
From October 2014 to September 2015: scale-up implementation (milestones to be defined with the stakeholders).
From October 2015 to September 2016: scale-up implementation (milestones to be defined with the stakeholders).

Social Impact

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What has been the impact of your solution to date?

The study pilot has not been planned yet due to other commitments for the current ongoing program till July 2013.

What methods for quantification of social impact are you applying (if at all)?

In order to assess the social impact of the project to farmers, several indicators usually used in microcredit and agriculture programs will be defined with the different stakeholders such as income, income increase, etc. Similarly, for the impact on nutrition, several indicators will be defined such as number of beneficiaries per category, increase of number of beneficiaries per category, etc.

Could your solution work in other geographies or regions? If so, where?

It is likely that this program could be implemented in regions where similar issues occur : low employment rate, high illiteracy rate, weak industrial task, high agriculture potentials, malnutrition, high rural areas, presence of international aids.
Example: African countries (Ivory Coast, Togo, Malawi,etc) , Latin America countries ( Peru, Bolivia, Honduras, El Salvador, etc), Asian countries (Cambodia, Lao, India, etc)

What is your projected impact over the next 1-3 years?

The projected impact will be precisely defined with the stakeholders and will depend upon the indicators defined for the pilot study.

Sustainability

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Elaborate on your current financing strategy

There are several funders involved in agriculture and nutrition programs in Haiti. It would be necessary to submit a proposal to get initial funds. However one of the objective of the program is to help the farmer to become financially independent, sell its production to MOH or NGOs with official contracts and eventually to export to neighboring countries.

Share of revenue generation in total income of organization (in percent)

100% of our total income comes from USAID.

Direct sales to patients or other beneficiaries (in percent)

0%, food products are free to malnourished beneficiaries.

Of the possible sources of these sales listed below, check all that apply to your current strategy

Other beneficiaries.

Licensing fees, e.g., for technology/franchise model (in percent)

Health facilities (NGOs, MOH)

Of the possible sources of these licensing opportunities listed below, check all that apply to your current strategy

Service contract with organizations, e.g., government, NGOs (in percent)

Of the possible sources of the service contracts listed below, check all that apply to your current strategy

Explain your revenue generation strategy in more detail

Due to the very serious economic and sanitary situation in Haiti, the country will get important funds from many international organizations for many years ahead. Therefore funding will not represent the major challenge for the success of this project. However, the sustainability of the project via the microcredit system will allow the reduction of funds over the years.

Share of philanthropy in total income of organization (in percent)

100% by international organizations.

Philanthrophy strategies you are using

Diversified strategy.

Explain your philanthropic approach in more detail

Agriculture and nutrition programs are already implemented and covered by international organizations.

Expand on your selections; explain how you will sustain funding over the next 1-3 years.

The nutrition and agriculture programs in Haiti will be covered for many years by international organizations. However the sustainability of the project via the microcredit system will allow the reduction of funds over the years.

NCF Philippines: Collaborative Journey Towards Comprehensive Cleft Care

The Noordhoff Craniofacial Foundation Philippines, Inc. or NCFPI is a non-profit organization dedicated to make excellent and comprehensive cleft and craniofacial treatment and care accessible to Filipinos especially the indigents by establishing sustainable world-class craniofacial centers in the Philippines operated by a team of empowered Filipino professionals.

About You

Organization: Noordhoff Craniofacial Foundation Philippines, Inc. Visit websitemore ↓↑ hide↑ hide

About You

First Name

Mildred E.

Last Name

Maranan

About Your Organization

Organization Name

Noordhoff Craniofacial Foundation Philippines, Inc.

Organization Website

Organization Country

Philippines, Paranaque

Organization's Country of Operation

Philippines, Manila

Type of Organization

Non‐profit/NGO

Year of launch of the organization

2006

Years in Operation

Operating for more than 5 years

Has the organization received awards or honors? Please tell us about them

Certificate of Appreciation as Partner of Tahanang Walang Hagdanan, Inc. (Another non-profit organization)

We want to hear about your “Aha!” moment. Share the story of where and when the founder(s) saw this solution’s potential to change the world.

The Noordhoff Craniofacial Foundation Philippines, Inc. (NCFPI) was inspired by Dr. Samuel Noordhoff, mentor of Dr. Glenda de Villa who had a scholarship at the Chang Gung Memorial Hospital in Taiwan from 2001 to 2002. In 2003, she formed a craniofacial team in Our Lady of Peace Hospital in the Philippines and since then, NCFPI has treated more than 2,000 indigent cleft and craniofacial patients.

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Innovation

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Name Your Entry

NCF Philippines: Collaborative Journey Towards Comprehensive Cleft Care

Explain what the "innovation" is about, e.g., is it the idea and/or the model you use to accomplish the idea, or your understanding of the target population, etc.?

(A) NCF Philippines’ journeys towards comprehensive cleft care follows a collaboration framework that links 1)the Outcomes with its 2) Core Values/Foundation. In between the two are 3) the Contextual Factors unique to realize NCFPI's vision. The framework is grounded in 4) Multi-disciplinary Cooperation. (B) Most of the 3,500 to 4,000 cleft children born every year in the Philippines remain untreated due to lack of financial means and access to hospitals. The government could only attend to primary health care, hence cleft and craniofacial treatment are not easily available. NCFPI shares the vision of Dr. M. Samuel Noordhoff who believes that any child with cleft lip and palate deserves the best possible treatment regardless of the family’s financial condition. (C) From the outset, different professionals brought in their competences and became volunteers for Our Lady of Peace Craniofacial Center, NCFPI’s first craniofacial center which was started due to the help of founding partners—NCF in Taiwan and in U.S.A. ChangGung Memorial Hospital provides the needed training and continuing education for its volunteer doctors. (D) Grounded in diversity, the collaboration work among founding partners was sustained due to the steadfast commitment of all volunteers to the vision of quality and comprehensive cleft treatment be made accessible to all especially indigent patients. Volunteers of NCFPI believe that success in the team lies in 1) technical competence—commitment to competent work, ongoing education, and continuing care, and 2) respect and heartfelt concern for the patients.

Describe how your innovation model is distinct from any other organization in your field?

While there exist groups doing mission-type of cleft and craniofacial care, we opt to have one-stop-action centers where patients can be treated regularly. Continuing efforts then to look for funding for treatment and scholarship of volunteer professionals enable the vision for complete and quality cleft care for patients to be sustainable. These extend to find collaborators who will also address other ancillary needs of cleft and craniofacial patients beyond surgery: dental, orthodontic & prosthodontic, speech therapy, pediatric-genetic consult, and other social services for the patients including family support groups. We also endeavor through our networking to advocate the social acceptance of our patients. All activities including research and development are motivated by patient care.

What type of operating environment and internal organizational factors make your innovation successful?

We identify six Process Factors that contribute to a successful collaborative work:
(1) Understanding the Beneficiaries. We constantly think on how to provide viable solutions to problems of patients in their treatment. We have the Smile Jeep Project so patients who are so poor can come to the center..
(2) Community Development. We engage other groups in the community to helpand keep good relations with them.
(3) Effective Leadership. NCF Philippines benefit from the inspiration and example of Dr. M. Samuel Noordhoff and has a working board which closely coordinates with its Executive Director.
(4) Communication. There is openness and clear communication within the team and the collaborators.
(5) Research and Evaluation. Research work is on-going among our service-programs.

How do you make sure you constantly innovate in light of (potential) external challenges, or your growth plan?

We recognize four Contextual Factors that would help us grow amidst challenges:
(1) Connectedness. To keep linkages with key collaborators who advocate the same vision as NCFPI so as to share best practices.
(2) History of Working Together & Teamwork among its partners and collaborators.
(3) Resources.To keep enhancing these four types of capital: environmental, in-kind, financial, and human. Environmental resource refers to the current environmental setting (in the hospital, community, or political climate) affecting the collaboration. We emphasize that human capital is the most important asset in the collaboration
(4) Keep Catalysts in View. Main catalysts for the collaboration are the craniofacial patients in the Philippines who lack quality care: they motivate us to innovate.

Business Model

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The systemic challenge you are trying to overcome (select one)

Bring accessible healthcare to communities in emerging markets

Health area (target market) where the need is [select only one]

Other specialty care

Categories along the health continuum you are covering [select all that apply]

Prevention, Detection, Intervention, Follow-up, Long-term care, Social integration.

Please describe in more detail: what problem are you trying to solve in the organization's specific context?

In our country, we are trying to change perception and attitudes towards cleft and craniofacial patients. Considering that they are not "urgent", care for them may be only scheduled periodically or during missions. Yet cleft and craniofacial patients need continuing comprehensive quality care. We also want that parents be pro-active and partners in the treatment of their children. As cleft and craniofacial cases are not mere mission cases: follow through at home and by the cleft team is very much needed. We envision that people could access care without restrictions of time or mere reliance on missions and educate people to work for this and not to depend on dole-outs. Patients and professionals will endeavor to help each other in a multidisciplinary care approach and not surgery only.

Stage that best applies to your solution [select only one]

Start-up and growth (pilot is successful and starting to expand)

Core strategies of your business model [select all that apply]

Approaches to behavioral change at the individual level, Patient-centered design, Redesign of the public healthcare system for more efficiency (in terms of processes, structure etc.), New/redefined roles for healthcare service provision, New approaches to distribution of health products and services, Unconventional partnerships (between traditional healthcare players and players outside healthcare), New financing strategies for health.

If other, specify here:

Most relevant tools you are using to implement the strategies outlined above [select only two]

Technology, Education/training.

If other, specify here:

Please describe your solution in more detail

Technology: We see this as having the right means and methods in patient care. Hence equipment and instrument have to be available. The Patient Medical Record System has to be computerized completely to make services efficient and research including appraisal of treatment protocols accurate. This will enable us to sustain and share best practices.
Education and Training of Volunteers and Staff will redound to better care and services for the patients. At the same time, it would be ideal to impart empowering ideas for our patients to make all cure and healing synchronized in the person. Investing to enhance the volunteers expertise, and keep their interest to give their time and energy will realize the shared vision and is essential for sustainable collaboration of partners.

What are your vision and overall objectives?

NCFPI envisions to make comprehensive and craniofacial care accessible to Filipinos by empowering Filipino professionals in the delivery of competent treatment that meets international standards for cleft lip, cleft palate, and craniofacial patients. With this, NCFPI aims to establish sustainable craniofacial centers in the Philippines led by teams of medical and allied medical specialists and professionals who are trained and equipped to provide world-class craniofacial services to Filipinos especially the indigents. This is done by strengthening all cleft programs of services and communicating the extension of their services to our target customers. This work has to be properly supported by effective administrative processes and internal organizational coherence.

What is your value proposition?

The motto of the foundation is "Love makes whole".  NCFPI commits itself to the following core values:
Heartfelt Concern: compassionate, holistic care given to its beneficiaries including advocacy for their social acceptance in society
Committed Teamwork: specialists are consistently available and dependable to resolve medical problems faced by patients
Comprehensive & Continuing Care: patients receive cleft care and treatment in a multi-disciplinary setting from birth till adulthood
Competent Practice: professional treatment that meets international standards including critical assessment of results through research.
Family-oriented Approach: involves the family especially the parents in the treatment process of their children
Camaraderie: promotes cheerful, positive, collaboratio

Who is your customer(s)?

Our customers are the cleft and craniofacial patients in the National Capital Region of the Philippines and all those who can come to us for treatement either for primary or secondary surgery and other ancillary care for cleft patients.

What approaches to you use to reach your customers?

Noordhoff Craniofacial Foundation Philippines, Inc. (NCFPI) calls for an Integrated Marketing Strategy (IMS) that weaves together plans and activities at the national, regional and community levels. The objective is to increase market base and penetrate through effective (i.e., in cost and method) means of communication.
1. Associations/Outreach: Includes conferences, sponsorships, various networks and groups, businesses. 2. Web Presence: Information and resources. 3. Earned (Free) Media Coverage generation & publicity through promotional efforts & good public relation. 4. Paid Media-Direct Advertising or thru an Ad Agency - if there is a sponsor. 5.Direct Mail - Print/Electronic include newsletter & other marketing collaterals. 6. Face-to-face meeting- Relationship Cultivation

What are your primary activities?

We provide Primary and Secondary Cleft Surgeries, Cleft Orthognathic Surgery , Craniofacial Surgery and other Ancillary Services like Orthodontic treatment (Pre-operative naso-alveolar molding or NAM, Quadhelix, Braces), Alveolar bone grafting, Pediatric and Genetic medical consult, Pediatric and General Dentistry, Speech Therapy, Prosthodontic works, Mothers' Class and other Social Services for the patients and their family. We also have transportation and food subsidy for indigent patients including board and lodging linkages during treatment. All these are done by linkages with individuals or charitable groups willing to help cleft patients.

Who are your peers and competitors? What problems could these players pose to your success or growth?

Peers and competitors are those do the same surgical treatment. If their work is not done well, we can repair the work they did but the expense will be greater and this is more costly in all aspects for the patients. The solution to comprehensive and complete care is not fostered as people think that treatment is only for primary sugery.

What other challenges - individual, organizational, or environmental – are you currently facing or might hinder future success of your business, and how do you plan to overcome those?

On Resources. In a short span of time, NCFPI became more known and has more patients. It found itself in need of these four types of capital: environmental, in-kind, financial, and human. Environmental resource refers to the current environmental setting (in the hospital, community, or political climate) affecting the patients and the foundation.We emphasize that human capital is the most important asset in the collaboration. Personnel need more management training and systems in the organization have to be institutionalize. Need for more space and facilities was seen.

Briefly describe your growth strategy going forward

(1) Real People Impacts: the actual number of more lives changed by the treatment.(2) Policy Development. Pursue cooperation with government in terms of instituting policies supportive of the collaborative efforts for cleft care(3) Systems Development. Services have expanded beyond primary surgery and the organization’s systems are developing.(4) Resource Development. Get more volunteers /donors

What dimensions for growth are you currently targeting for your innovation [select all that apply]

New customer group(s), New regions(s).

What makes your business "ready" for growth?

We can say this is the case if the volunteer professionals could treat patients anytime. This means having dedicated venues of services that our solely ours and not shared with the hospital's other departments. Then, the presence of adequate volunteers to help patients and the readiness of the administrative staff to support the growth of patients cared/treated.

What are your key growth objectives?

1. We endeavor to treat 600 patients by 2013 where each surgeon can operate 150 per surgeon.
2. Increase in the Ancillary Services by:
a. Having a volunteer dentist and orthodontist daily
b. Having Speech Pathologists daily
3. To establish Well baby programs for malnourished/sick children
4. To have more personne & bigger facilities for the Administrative unit the foundation

What is your timeframe for growth, in the short and mid-term? What are the growth milestones and key activities going forward?

Growth for one to two years: NCFPI Operating 2 craniofacial centers
Growth for three to five years: Expanding advocacy in the Philippines through linkages with new volunteers and expansion for additional 2 centers in Luzon.

Social Impact

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What has been the impact of your solution to date?

(1) Real People Impacts: more than 2000 patients treated in NCR for complete cleft care
(2) Systems Development. Patients’ medical records and photos integrating all aspects of treatment are now being computerized and stored electronically.
(3) Resource Development. New collaborations initiated increase in grants from other donors like Smile Train led to the establishment of the Smile Train Craniofacial Center, the first to offer comprehensive care to craniofacial patients in Manila

What methods for quantification of social impact are you applying (if at all)?

We monitor the number of operated patients and their improvement after each procedure of care has been provided. We are currently assessing results of treatment in surgery, orthodontics, dental, and speech therapy. Yet we still need to see and study how to quantify impact of our social work in society.

Could your solution work in other geographies or regions? If so, where?

We think that it could work in developing countries where the citizens are willing to study abroad yet go back to their country to start a craniofacial center. This happened with Taiwan when they got trained abroad, they developed their services in Taiwan. This happened as well to the NCFP scholars when they studied in Taiwan and used their knowledge to serve cleft patients in Manila.

What is your projected impact over the next 1-3 years?

We endeavor to better serve more cleft patients and spear head a national drive for cleft care awareness. We would like that people associate the Noordhoff craniofacial team to such like a seal of good health care where what the best is for the patient is the reference for key decisions.

Sustainability

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Elaborate on your current financing strategy

Financial strategy has to be an on-going efforts to optimize available funding solicited for treatment and matched it with the procedures done. We are looking to funding-syndication to cover increasing costs of surgery. We intend to get more funders yet be able to be more developing the financial capacity of the Foundation. This requires getting more personnel too for NCFP.

Share of revenue generation in total income of organization (in percent)

5%

Direct sales to patients or other beneficiaries (in percent)

Of the possible sources of these sales listed below, check all that apply to your current strategy

Friends and family, Patients, Caregivers, Private businesses, Other beneficiaries.

Licensing fees, e.g., for technology/franchise model (in percent)

0%

Of the possible sources of these licensing opportunities listed below, check all that apply to your current strategy

Service contract with organizations, e.g., government, NGOs (in percent)

0

Of the possible sources of the service contracts listed below, check all that apply to your current strategy

Explain your revenue generation strategy in more detail

Share of philanthropy in total income of organization (in percent)

95%

Philanthrophy strategies you are using

Diversified strategy.

Explain your philanthropic approach in more detail

1. Accessibility of Holistic Care 2. Public Awareness and Social Acceptance 3. . Improve Quality of Medical Treatment: Achieving all this three move donors to give more to the cause.

Expand on your selections; explain how you will sustain funding over the next 1-3 years.

We will still depend on the main funder for cleft surgery. The marketing and relationship cultivation has to be sustained while doctors need to treat more patients. These two will greatly lead for a continuous donation flow for NCFPI. The private patient sector group will grow slowly but constantly as more people will get to know successful treament of many patients.

Maternova's disruptive business model

Maternova has created the first e-commerce platform connecting medical device innovations and end users. Our goal is to rapidly disseminate information and life-saving products at an equitable pace in order to speed the reduction of maternal mortality and morbidity. Our platform combines content, commerce and collaboration for a highly practical, efficient new business model in global health.

About You

Organization: Maternova, Inc. Visit websitemore ↓↑ hide↑ hide

About You

First Name

Allyson

Last Name

Cote

About Your Organization

Organization Name

Maternova, Inc.

Organization Website

Organization Country

United States, RI, Providence, Providence County

Organization's Country of Operation

United States, RI, Providence County

Type of Organization

For‐profit

Year of launch of the organization

2009

Years in Operation

Operating 1-5 years

Has the organization received awards or honors? Please tell us about them

World Summit on Entrepreneurship Global Hot 100 Enterprise (2012), Live Plan Boost Business Plan challenge Grand Prize Winner (2012), Pitch NYC Global Finalist (2012), Pipeline Fellowship finalist (2013), Bloomberg Businessweek 'Top 25 Social Entrepreneurs' (2012), Cartier's Women's Initiative Finalist (2011). Mass Challenge finalist (2011).

We want to hear about your “Aha!” moment. Share the story of where and when the founder(s) saw this solution’s potential to change the world.

Maternova's aha moment occurred in while working in Indonesia alongside a team funded by USAID, Meg Wirth's colleague - an Ob/Gyn by training - died in childbirth, trying to solve the problem to which she succumbed. We have made it our life's work to ensure innovations and lifesaving devices disrupt the distribution model and make it to end users, so that no more women die.

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Innovation

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Name Your Entry

Maternova's disruptive business model

Explain what the "innovation" is about, e.g., is it the idea and/or the model you use to accomplish the idea, or your understanding of the target population, etc.?

Globally, an incredible 99% of maternal deaths occur in developing countries (WHO). Almost 300,000 women and 2 million infants die around the time of childbirth due to largely preventable causes. “An estimated 74 per cent of maternal deaths could be averted if all women had access to the interventions for preventing or treating pregnancy and birth complications, in particular emergency obstetric care” (UNFPA). Simple technologies and protocols save lives, and more are being developed -- specifically designed for and with low-resource settings as a target market—each year. Individual scientists and innovators often spend two or more years after clinical trials just searching for a commercialization partner, due to high barriers to innovation uptake in low-resource settings. Brilliant clinicians and procurement agents in LMIC are unaware of the existence of life-saving new technologies. What has been missing is an accessible, trusted online marketplace where these two parties can meet, purchase and test innovations and collaborate. Maternova was created to be this space. The group Women Deliver named Maternova ‘1 of the 50 best ideas for women’ globally in 2012.
Information about the existence of disruptive technologies and ready access to them are two barriers to delivery of innovations to those who need them most. An online e-commerce platform allows the inventors of technologies to skip over multiple hurdles and years of searching for a commercialization partner. We find the innovators, follow them and then become a commercialization partner to assist them.

Describe how your innovation model is distinct from any other organization in your field?

Maternova is the only trusted source and aggregator for low-tech medical innovations dedicated to maternal, neonatal and child health. Our Innovation Index is the result of three full years of in depth research and planning. We go a step further and offer direct access to cutting edge technologies on the first e-commerce platform for maternal and newborn health technologies. And to complement the content and commerce, we promote collaboration online.

The selection process for our innovation index is a proprietary formula that considers sustainability, efficacy, cost effectiveness, global relevance and ability to scale quickly. Maternova combines the three critical 'C's' of: Content, Commerce, and Collaboration for our members to research, procure, test and review products in the field.

What type of operating environment and internal organizational factors make your innovation successful?

We are a very nimble organization and able to adapt and adjust to meet market demands while focusing on the scientific and social impact and ROI our products deployed in the field have, We spend a great deal of time cultivating on-going long term relationships with clients. Our collaboration platform offer the opportunity to provide a social networking/clinical trial forum for people to work together in any number of ways. Whether it's focused on a specific technology, or sharing best practices, Maternova rapidly accelerates the dissemination of lifesaving information into the field - to save more lives.

How do you make sure you constantly innovate in light of (potential) external challenges, or your growth plan?

We have many great plans for the future. Because we are a platform for multiple innovations we always have the option to drop one product that isn't selling well or to replace it with something better/faster/cheaper that comes along. In addition our domain expertise in the field of maternal and newborn health puts us at the cutting edge of researching new technologies--in fact we have been published in major journals on the subject.

We learn as we go and we constantly reiterate. Our prototype for our first proprietary product, along with mobile capabilities will allow us to further engage end users in both commerce along with conversations. Maternova also has a keen interest in child health, and pharma ( select products) may be an option for our marketplace in the future.

Business Model

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The systemic challenge you are trying to overcome (select one)

Bring accessible healthcare to communities in emerging markets

Health area (target market) where the need is [select only one]

Maternal care

Categories along the health continuum you are covering [select all that apply]

Prevention, Intervention, Follow-up, Social integration.

Please describe in more detail: what problem are you trying to solve in the organization's specific context?

Globally, 99% of maternal deaths occur in developing countries. Simple, life-saving technologies designed for low-resource settings are developed at an increasing pace, more affordably than ever before. Unfortunately, most of these technologies are slow to reach clinicians in the countries that need them most. A large proportion of infant and maternal mortality could be avoided if clinicians in developing countries knew about technologies that already exist and were able to access them. Maternova has built an online global marketplace to speed access to innovations once they have undergone pilots and regulatory clearance and to introduce them to clinicians, Ministries of Health, private hospitals and distributors. A single, constantly updated marketplace for innovations.

Stage that best applies to your solution [select only one]

Established (past the previous stages and has demonstrated success)

Core strategies of your business model [select all that apply]

Approaches to behavioral change at the individual level, Patient-centered design, Redesign of the public healthcare system for more efficiency (in terms of processes, structure etc.), New approaches to distribution of health products and services, Unconventional partnerships (between traditional healthcare players and players outside healthcare).

If other, specify here:

Most relevant tools you are using to implement the strategies outlined above [select only two]

Technology, Consultation, Education/training.

If other, specify here:

Please describe your solution in more detail

Our solution cuts layers of red tape and speeds the distribution of life-saving innovations. With our e-commerce platform we make it easy for those supporting, planning and supplying health systems around the world to track cutting edge 'frugal innovation' and buy what they need online in customizable quantities. We have some inventory but drop ship from multiple locations around the globe.
Using online tutorials, sms-text based messaging systems and our online collaboration platform will bridge the gap from the point of information origin and the end-user. Our solution also harnesses the power of trusted social networks and encourages feedback on technologies from the end user, a core stage in commercialization that is missing in much of global health.

What are your vision and overall objectives?

We know that one robust, intuitive portal where stringently screened medical innovations can be discovered, procured, and incorporated into a health system's device eco-system can save lives and money. Medical solutions exist to solve maternal health issues, and more are developed every month. It is our mission to help commercialize these breakthroughs and expedite their use in the field, providing user groups, user feedback loops and thereby generating even more great ideas for saving lives. We can accomplish this using product + technology+ storytelling + social networks + education. Our platform creates a complete ecosystem for accomplishing this vision: empower health workers, deploy innovations and save more lives more quickly. We aim to impact 6 million lives by the end of 2015.

What is your value proposition?

Maternova's value proposition is to make saving the lives of our global mothers affordable, accessible, and effective by providing the first trusted source and e-commerce platform in the global health space. We accelerate the dissemination of innovation and demonstrate a substantial return on investment over traditional interventions. On average Maternova products yield $13 saved for every $1 spent.

Who is your customer(s)?

Our early adopters have been traveling clinicians and health care professionals and non-profit health care organizations providing direct care in the most remote areas of the world. Now we are seeing a surge in interest from Governments, Ministries of Health, larger hospitals and clinics. We are also now on the UN procurement supplier lists. The end user of most of our technologies are the health providers on the frontlines of global health care.

What approaches to you use to reach your customers?

Traditionally Maternova has used grassroots guerilla marketing anchored by a strong social media presence. Word of mouth is a strong marketing tool for us as well--one clinician to another is the most powerful recommendation. We also do some inbound marketing along with modest Google Adwords. Our own blog is kept very fresh and current, which attracts viewers from 170 countries. We work with brokers who work with governments and also do a lot of dedicated research time seeking out opportunities for bidding.

As we grow, we will be able to send free product samples, present at trade shows and increase our search engine optimization online (in multiple languages). A major area of experimentation over the next year will be mobile marketing, especially in Rwanda and Tanzania.

What are your primary activities?

Our primary activities focus on a) marketing and selling 'best in class' technologies to aid in childbirth; b) storytelling about entrepreneurs and end users of the technology c) researching and uncovering the most innovative medical innovations that are uncommercialized or in the early stages of research and development. We are now acting as a 'pull' mechanism with entrepreneurs coming directly to us because commercializing complementary products in one place makes so much sense.

Who are your peers and competitors? What problems could these players pose to your success or growth?

Maternova currently doesn't have any direct competitors. Of course this could change, but our head start is considerable. We would most likely look to partner with any competition, or absorb them. There are some companies like Laerdal and WomanCare Global that could be seen as competitors but they sell complementary technologies. In general, most global health technology companies we see as potential suppliers for the marketplace.

What other challenges - individual, organizational, or environmental – are you currently facing or might hinder future success of your business, and how do you plan to overcome those?

That's an easy question to answer. Our company is globally recognized, yet we are incredibly resource constrained. Our funding has been limited largely due to funders incorrectly believing we are not bootstrapped. We are in true dire need of working capital if we are going to continue what we have sacrificed years to build. We are actively working to obtain a line of credit against receivables.

Briefly describe your growth strategy going forward

We have been able to establish several distribution contracts that are exclusive altogether or geographically exclusive. Moving forward, we plan to make that the prerequisite for our endorsement and showcase in our marketplace.
Additionally, we have developed a prototype for our first proprietary product.
Also, we have begun securing distribution partners and customs agents overseas.

What dimensions for growth are you currently targeting for your innovation [select all that apply]

New customer group(s), New regions(s), New market(s)/country(ies).

What makes your business "ready" for growth?

We already have the global traction, and one solid year of sales and revenue generation with our number of customers and average size of orders growing. Our 'test' period for market viability has proven successful. We are registered with the FDA, and also registered as a vendor for procurement on the UN Global Marketplace. Our business model has been vetted and our assumptions have been proven.

What are your key growth objectives?

Maternova wants to be the first and best e-commerce platform, mobile purchasing hub and collaboration ecosystem for maternal health. We aim to move to 100 products sold into 100 countries through key partnerships. Using these strategies we will move to cash flow positive in 2014. Once we generate a profit, we can then invest in more technologies and invest in midwifery schools.

What is your timeframe for growth, in the short and mid-term? What are the growth milestones and key activities going forward?

We are experiencing rapid growth right now in Q2 of 2013. In the short term we need to secure a line of credit to allow us to respond to 2-3 major government tenders (very large volume orders). By 2014, we plan to have better translation services for all content on our website, along with our mobile presence being partially ramped up to generate revenue. Another major investment in our platform in early 2014 will build out more collaboration capability, engage more users and allow more creative marketing of new products. By 2015 we aim to have 500,000 registered users and be doing $5.2M in sales.

Social Impact

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What has been the impact of your solution to date?

The social impact of Maternova has been huge. We have impacted over 73,500 lives with our products to date. We have visitors from over 170 countries, have engaged over 85,000 users and helped commercialize over 25 products and get them to the most remote corners of the world including East Timor, Guatemala, Uganda, DRC, Tanzania, Palestine, Gaza, Honduras, Mali and Thailand.

What methods for quantification of social impact are you applying (if at all)?

In some ways we use an easy formula: product * number of uses = people impacted. Our social impact model takes each product sold and deployed and estimates the number of end users impacted. We discount our calculations based upon a) whether the end user provided some evidence that the product was actually used and b) some discounted rates of misuse or non-use. We also use customer feedback and reports from the field.

Could your solution work in other geographies or regions? If so, where?

Our solution can work globally and does. We are not constrained by geography. We would need to build out our translation capabilities. Our strongest presence has been in Uganda, Tanzania, and Haiti. However, we've sold successfully into 26 other countries.

What is your projected impact over the next 1-3 years?

Our goal is to touch 6 million lives by 2015 and we are currently on track to do that. We will have 100 products in our marketplace. Our proprietary product will be fully commercialized.

Sustainability

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Elaborate on your current financing strategy

Maternova started with a very small grant from the S.E.VEN fund and then a grant from the Macarthur Foundation. We then spent about a year in extreme bootstrapping mode, refining our business model and participating in two startup accelerators, the CHANGE Accelerator and the MassChallenge Accelerator out of Boston. Based upon our market research we expanded our projections and our scope--most importantly we expanded the range of products we sell.

We refined our financing strategy and fundraised for a seed round of equity financing which closed in 2012 and which included 3 small social investors. Our goal is to secure another 500k in funding either via investment or lines of credit against receivables. That working capital will allow us to get to scale much more quickly. Our current financial projections show us reaching cash flow positive in 2014.

Share of revenue generation in total income of organization (in percent)

100

Direct sales to patients or other beneficiaries (in percent)

50%

Of the possible sources of these sales listed below, check all that apply to your current strategy

Individuals, Caregivers, Private businesses, Other beneficiaries.

Licensing fees, e.g., for technology/franchise model (in percent)

0

Of the possible sources of these licensing opportunities listed below, check all that apply to your current strategy

Service contract with organizations, e.g., government, NGOs (in percent)

50%

Of the possible sources of the service contracts listed below, check all that apply to your current strategy

Foundations, NGOs, Private businesses, Regional government, National government, Others.

Explain your revenue generation strategy in more detail

Maternova is first and foremost an online distributor of medical technologies, devices and supplies. We carefully select a subset of products and develop relationships with entrepreneurs and suppliers. Maternova established favorable pricing terms with exclusive distribution rights in certain geographic territiories. Then we add in our own profit margin. Our collaboration platform can be sold on a subscription basis as a second revenue stream on top of the product revenue. We started by working with smaller NGO's, hospitals and clinics but we are now targeting much larger groups as well. Maternova is also gaining traction with government tenders. Currently we are the finalist (trial currently underway) for a statewide program in India.

Share of philanthropy in total income of organization (in percent)

1%

Philanthrophy strategies you are using

Single strategy.

Explain your philanthropic approach in more detail

Unfortunately, we have not been able to be as giving as we would like to be. We do, however, donate products to select groups when asked. In the future, I'd love to create overseas opportunities for women who would like to run microfranchises. There are many protocols and products that can be created using locally sourced materials (infant warming is one). We'd love to help lift women out of poverty and impact communities.

Expand on your selections; explain how you will sustain funding over the next 1-3 years.

Maternova plans to have 100 products available in our marketplace. We'll provide an easier alternative for procurement officers seeking to build out their maternal and newborn health programs. Our current projections show us as reaching cash flow positive in 2014. We already have several hundred customers and our orders are growing in both number and average size of order.

Our proprietary product(s) will also be generating revenue.

Mother Bles Birthing Clinic (MBBC)

Mother Bles Birthing Clinics (MBBCs) are networks of PhilHealth accredited birthing health facilities which started in the Leyte Province, and are now fast-spreading in the Philippine Archipelago. The program aims to provide poor pregnant women with accessible and affordable maternal and infant health care services.

About You

Organization: KaKaK Foundation Visit websitemore ↓↑ hide↑ hide

About You

About Your Organization

Organization Name

KaKaK Foundation

Organization Website

Organization Country

Philippines

Organization's Country of Operation

Philippines

Type of Organization

Non‐profit/NGO

Year of launch of the organization

2010

Years in Operation

Operating 1-5 years

Has the organization received awards or honors? Please tell us about them

Galing Likha-Kalusugan (GLK) Award

After validating their researches done, the Philippine Institute on Developmental Studies (funded by Bill Gates and Rockefeller Foundation) and CHMarket Innovations awarded the KaKaK Foundation that supervises and facilitates the operation of MBBCs as one of the top 3 market health innovators among other more than 50 health projects around the Philippines.

Specifically, the GLK Award is a distinction given to public and private organizations that best exemplify the highest level of innovation in the country's health marketplace.

Department of Health- Philippines Best Practice Awardee (KaKaK Foundation)

This award is given to organizations considered as health innovators towards the realization of the mission and vision of the Department of Health.

Sr. Eloisa David (Individual Category) as Bayaning Pilipino Finalist for MBBC

The Bayaning Pilipino Award is an award given by the ABS-CBN Network and the Ugat Foundation of the Ateneo de Manila University, which recognizes dedicated and determined Filipinos in the field of public service. Thus, because of the success of the MBBC and her other endeavors, she was conferred as such.

We want to hear about your “Aha!” moment. Share the story of where and when the founder(s) saw this solution’s potential to change the world.

Back in 2010, alarmed by the increasing maternal and infant mortality in the province of Leyte, and with strong belief of Governor Carlos Jericho L. Petilla and Sister Eloisa David, OSB on the concept of Public-Private Partnership (PPP), the Mother Bles Birthing Clinic (MBBC) Initiative was put into existence.

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Innovation

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Name Your Entry

Mother Bles Birthing Clinic (MBBC)

Explain what the "innovation" is about, e.g., is it the idea and/or the model you use to accomplish the idea, or your understanding of the target population, etc.?

Being in a third world country of 92 million populace, serving an affordable, accessible, and quality, prepartum, intrapartum, and postpartum care remain to be a very big challenge.

Thus, to bridge this gap, and so to continually respond to Millennium Development Goals 4 and 5, which are to reduce child mortality and improve maternal health respectively, the MBBCs’ prototype of establishment, operationalization, and sustainability under the context of PPP is the answered innovation. Specifically, this is to increase the number of health facilities and make them accessible to the indigent mothers, and so increasing facility based deliveries.

MBBCs are networks of PhilHealth-accredited birthing facility, which started in the province of Leyte, and are now fast-spreading in the Philippine Archipelago. MBBCs apply an apolitical and profit-oriented approach to provide maternal health services under a PPP model. It requires no or little government funding as it utilizes currently under-utilized government's Rural Health Units (RHUs) and Barangay Health Stations (BHSs), such that minimizing costs for the use of local materials, skills, and resources.

At present, the organization is capitalizing on paying the PhilHealth (social health insurance) premiums of poor mothers that are not covered by the local and national government, so as to assist them for the cost of their maternal and infant health services upon their pregnancy and delivery.

Describe how your innovation model is distinct from any other organization in your field?

Compared to other profit-generating entities offering maternal and infant care, MBBC is a unique innovation because it is run as a business entity while providing social services to the people.

In this approach, MBBC harnesses the comparative advantages of the following sectors through PPP: KaKaK Foundation Inc., private practicing midwives, the local capacity of municipal and provincial governments and other government agencies.

More so, unlike other non-income generating organizations delivering the same services, MBBC sustains its own and is not fully dependent on the donations, sponsorships, and dole outs from the government and non-government organizations.

What type of operating environment and internal organizational factors make your innovation successful?

With MBBC utilizing the PPP model, the collaborative approach of involving public institutions/ organizations with the causes of private partners makes it a successful, feasible, and sustainable innovation.

The structured approach bound under the “contract-add-operate” modality stipulated on the Memorandum of Agreements between partners is being used to greatly establish the roles of each partner, thus clearly establishing points of authorities, responsibilities, and accountabilities.

Furthermore, being anchored under the principal administration of a private entity, which is the KaKaK Foundation, the initiative is being freed and or delineated from any unnecessary political intentions.

How do you make sure you constantly innovate in light of (potential) external challenges, or your growth plan?

Internal check and balances through monthly accomplishment reporting are being done so as to assess and evaluate the performance of each facility, and so detecting possible threats existing or potentially arising within the system. Accreditation from the PhilHealth also assures that the facilities are of good quality and standard.

Furthermore, the continuing education and trainings being participated by the MBBC staff also keep them up to beat regarding the new trends, updates, and innovations that can be applied in the MBBC system so as to continually improve and assure its growth as a health service delivering facility.

Business Model

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The systemic challenge you are trying to overcome (select one)

Bring accessible healthcare to communities in emerging markets

Health area (target market) where the need is [select only one]

Maternal care

Categories along the health continuum you are covering [select all that apply]

Prevention, Detection, Intervention, Follow-up.

Please describe in more detail: what problem are you trying to solve in the organization's specific context?

With a maternal mortality rate of 162 out of 100,000 live births and an infant mortality of 25 per 1,000 live births, the Philippines has a long way to go on meeting the 2015 Millennium Development Goals.

Using the collaborative PPP model, MBBCs gear towards the betterment of the status of maternal and infant health in the country. It also aims to lessen the congestion of pregnant patients on hospitals and decrease, or eventually stop, the practice of home-based deliveries.

On the same context, being able to deliver on a decent and quality facility, the women are being empowered as their human dignity is preserved.

Stage that best applies to your solution [select only one]

Established (past the previous stages and has demonstrated success)

Core strategies of your business model [select all that apply]

Approaches to behavioral change at the individual level, Patient-centered design, Redesign of the public healthcare system for more efficiency (in terms of processes, structure etc.), New/redefined roles for healthcare service provision, New approaches to distribution of health products and services, Unconventional partnerships (between traditional healthcare players and players outside healthcare), New financing strategies for health.

If other, specify here:

Most relevant tools you are using to implement the strategies outlined above [select only two]

Technology, New skills.

If other, specify here:

Please describe your solution in more detail

Being strategically located on areas needing complementary aid/ support, MBBC networks countrywide provide accessible, affordable, quality, and safe facilities for maternal and infant health services

Through the prioritization of those economically constrained clients sponsored by various insurances or government programs, more MBBCs’ income can be generated to support the facilities’ operation and to build more facilities.

The PPP model of the MBBC is also a good way to increase awareness of both the private and public sector regarding the existing problems in maternal and infant care, and so soliciting more support for its improvement and sociopolitical responses.

What are your vision and overall objectives?

Vision: An ideal facility for quality maternal health care service that is committed to respect and promote the legitimate rights of every mother.

Mission: It shall provide accessible, affordable, and quality health service for mothers during pregnancy, delivery, and as well as post natal care.

Philosophies:
“That in all things, GOD may be glorified.”
“Of all the rights of women, the greatest is to be a mother.”

General Objective:
To provide accessible and affordable maternal and infant health care services to the poor through the establishment of a network of birthing clinics.

What is your value proposition?

MBBCs serve as socially-oriented institutions providing holistic and quality maternal and infant health care services. The facilities serve as supports and front liners to prevent the build-up of patients in existing local hospitals, government and private, in the delivery of maternal and infant health care service.

Thus, with the assured quality of service, the maternal and infant mortality rate can be controlled to meet the MDGs set targets and each mother and child will be aptly treated, and so making them a possible asset for the betterment of the society’s human resource.

Who is your customer(s)?

Being a pro-poor targeting organization, MBBC caters and prioritizes the poorest among the poor pregnant mothers and their infants who are most vulnerable to maternal and infant deaths due to the possibility of unsafe home deliveries.

The male partners of the mothers, their families, and significant others are also considered as clients as there are regarded to play a very vital part in the whole pregnancy and delivery experience.

What approaches to you use to reach your customers?

Primarily adapting a community-based approach, to easily reach their target clienteles, the MBBCs are strategically located in densely populated poor areas, with high maternal and infant mortality incidences, and with other four to five adjacent barangays that could possibly be service recipients.

Aside from various advertisements and promotion activities such as IEC materials distribution by the MBBC staff, the commissioned midwives also coordinate with the barangay’s Community Health Teams to track all the pregnant mothers in the community, and refer them accordingly to the clinics. Field works are being done by the MBBC staff.

What are your primary activities?

Implementing a holistic program, the key implementation steps for MBBC establishment involve: barangay selection with high maternal mortality rate; appraisal and clinic renovation; consultation and negotiation with local government unit; manning and training of midwives; licensing and accreditation under Philhealth; operation and supervision by KaKaK.

With 24-hours, 7 days a week available services, MBBC offers: prenatal care; nutrition and family planning; newborn care and screening; care for malnourished mothers and children; PhilHealth enrollment assistance; postnatal care; guidance counselling and catechism; live birth registration; free marriage validation for unwed couples; and free baptismal assistance for infants.

Who are your peers and competitors? What problems could these players pose to your success or growth?

At MBBC, the considered allies are the volunteers, professional, individuals, organizations, and community people, particularly the members of the Community Health Teams, and referral institutions interested and involved on increasing the health care service for the mother and infant and in support and in complement of the operations of the facilities.

On the other hand, MBBCs see other non-government organizations (NGOs) applying the same or nearly the same program as a threat only on the manner of financial sponsorship and or competition on the possible funding sources, as other birthing clinics are connected to and funded by foreign organizations.

What other challenges - individual, organizational, or environmental – are you currently facing or might hinder future success of your business, and how do you plan to overcome those?

Situated on densely populated areas, one of the recurrent problems that the implementers are encountering is the place where the facility will be built. Thus, in the Memorandum of Agreement, one of the set responsibilities of the local government unit is to find for an available lot for the facility.

Also, in a deliberately growing health service delivery network, lack of manpower becomes a problem. Thus, scholarships, particularly for the midwives to-be, are being supported by the surplus funds of the MBBCs. Furthermore, volunteerism, affiliations, and more employment are also to be implemented so as to supplement this lacking.

Briefly describe your growth strategy going forward

All the revenues of the MBBCs shall be directed to support the operations, improvement, and establishment of more facilities. More so, the organization shall use various media so as to flaunt the success of the innovation to inspire other stakeholders to support the drives and causes of the advocacy.

What dimensions for growth are you currently targeting for your innovation [select all that apply]

New customer group(s), New regions(s), New market(s)/country(ies).

What makes your business "ready" for growth?

With the successful implementation of MBBC in the province of Leyte, and along with the fact that this innovation is deliberately spreading up to the different places in the Philippines prove that is more ready for growth in terms of operationalization.

What are your key growth objectives?

The MBBCs’ key growth objectives are as follows:

• Establishment of partnerships to pharmaceutical companies and laboratory equipment providers.
• Augmentation of MBBC staff, particularly designating a resident physician per facility.
• Engagement on researches for the tracking and evaluation of all MBBC facilities and services.
• Establishment of more MBBCs in the country.

What is your timeframe for growth, in the short and mid-term? What are the growth milestones and key activities going forward?

In three-six months, MBBC will invest on staff development, capacity building, and trainings to develop their personnel more on the field of recording and reporting, research, and community immersion. MBBC will also commence the coordination to the DOH for its Doctors to the Barrio (DTTB) Program for aiding them on the need of physicians.

In a year, partnerships to various pharmaceutical companies and laboratory equipment providers shall be established to be able to expand the services of the MBBC facilities.

True enough, in the course of time, more MBBCs shall be opened in the country, or in other countries, with the same PPP model.

Social Impact

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What has been the impact of your solution to date?

The main goal of MBBC is for the poor families to have access to affordable, quality, and safe maternal and infant health services, from prepartum, intrapartum, and postpartum preparations and interventions.

On that context, this boils down to the statistics that upon the entry of MBBC in a particular area, a considerable improvement in their maternal and infant care and vital health figures are being consistently noted.

Furthermore, because of the increase in sponsorships and social health insurance coverage, the out-of pocket payments of the patients continually decline as well.

Aside from the increase in number of clinics, improvement on service delivery, such as Newborn Screening Test installations are also being facilitated and implemented to almost all the MBBCs in the country. And as proof of clients’ behaviour change, 95% of the mothers undergo the ideal four prenatal visits prior to delivery.

The success of the PPP model of MBBCs shall enable other advocacy implementers to adapt the said modality without any form of complexity.

Thus, with the realization of all these efforts that MBBCs and partners put into this cause, no mother or infant shall die needlessly because of childbirth, particularly because of expensive and inaccessible maternal and infant health services.

What methods for quantification of social impact are you applying (if at all)?

Generally, the success of this innovation can be fathomed in quantity and quality through the increase in total number of clients and facilities established.

Through the years, MBBCs services expanded from 1 province to now 11 provinces with 58 clinics countrywide in the Philippines. The figures show 21% (12 facilitates), 41% (24 facilities), and 38% (22 facilities) MBBC establishment from 2010 to 2012 respectively. Presently, 122 personnel and volunteers are employed and trained to support its operations.

Upon its establishment on 2010-up to February of 2013, their service deliveries continually increase with a cumulative figures of 15,327 prenatal visits, 3,832 facility-based deliveries, and 228 referrals since then.

Could your solution work in other geographies or regions? If so, where?

Presently, MBBCs are already operating in several regions, provinces, and municipalities in the Philippines. On the context of experience and inferential analysis, this innovative model can work in any geography and or locale as long as the health partners in that particular milieu are very much willing to support the causes of MBBCs.

Hence, still, the prioritization of the establishment of the facilities shall still be dependent on the maternal and infant mortality cases, needs of the community, population density, and though apolitical in nature, political will for its implementation, operationalization, and sustainability.

What is your projected impact over the next 1-3 years?

In the next three years, with the increase on number of clinics, facility-based deliveries shall also escalate, and lesser home deliveries shall occur. On this circumstance, improvements in health care shall be demonstrated through the figures of improved maternal and infant mortality.

More MBBCs in the country shall be established upon the awareness of health partners on the success of this model’s implementation, and so encouraging replication in their locales.

This will reduce the unhealthy practices on pregnancy and delivery, and so ensuring the health of women and babies, thus creating healthier families, communities, and countries at large.

Sustainability

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Elaborate on your current financing strategy

The operations of the MBBCs are primarily financed by their respective revenues from their health services, particularly mostly from the PhilHealth payments (national and local government insurance) of their patients, and some out-of-pocket and in-kind payments. To further lessen the out-of-pocket payments, KaKaK Foundation started to pay the PhilHealth Premiums of poor mothers not enrolled by the national and local government.

Hence, on a positive note, through the years, the initiative has become financially viable due to the increase in the membership of PhilHealth and Department of Social Welfare and Development’s (DSWDs) 4Ps Program Sponsorship, and increase in the patronage of the municipal, provincial, and national governments.

The cost of the establishment of facilities is minimized, because KaKaK Foundation taps and refurbishes, if available, the existing local resources materials, and skills in the targeted area, particularly their Rural Health Units and Barangay Health Stations. Also, the salary expenses of the staff, particularly the midwives are performance-based which makes it more justifiable and maintainable expense.

On the aforementioned aspects, the midwives and the assigned staff of the MBBCs facilitate and supervise the financial and economic matters.

Share of revenue generation in total income of organization (in percent)

95%

Direct sales to patients or other beneficiaries (in percent)

95% of the non-philanthropic revenues of MBBCs comes from the patients' service payments.

Of the possible sources of these sales listed below, check all that apply to your current strategy

Patients.

Licensing fees, e.g., for technology/franchise model (in percent)

No licensing fees are generated as revenues by MBBCs.

Of the possible sources of these licensing opportunities listed below, check all that apply to your current strategy

Service contract with organizations, e.g., government, NGOs (in percent)

No fees from service contracts are generated as revenues by MBBCs.

Of the possible sources of the service contracts listed below, check all that apply to your current strategy

Explain your revenue generation strategy in more detail

The non-philanthropic revenues, consisting of 95% of the total income of MBBCs, are mostly dependent from the service payments of their clients. 75% of MBBCs' total income comes from the PhilHealth indigent members and or to those patients currently enrolled under the Department of Social Welfare and Development's (DSWD) Pantawid Pamilyang Pilipino Program (4Ps Program), Thus, they are availing the Maternal Care Packages (MCPs) of the social health insurance and or the program respectively.

On the other note, the remaining 15% is from out-of-pocket payments, either non-PhilHealth or paying clients, and the remaining 10% is from in-kind payments, where the clients are remunerating certain amount considering their socioeconomic capabilities.

Share of philanthropy in total income of organization (in percent)

5% of MBBCs total revenue comes from philanthropic means.

Philanthrophy strategies you are using

Diversified strategy.

Explain your philanthropic approach in more detail

For non-sponsored poor clients, any recompense (whether in monetary or donations in kind) that they could afford is being accepted as service compensation.

With the surplus revenues of MBBCs, as determined by KaKaK Foundation, the premiums of the selected mothers on the lower economic strata are being paid so as to make them viable for insurances’ claims.

More so, other surplus funds of the MBBCs are being realigned for the following causes: midwifery scholarships under the “study now, pay-later” scheme or service contracts; construction of public school buildings (Mother Bles Learning Centers) ; and improvement of Information Technology Equipment of selected recipient schools.

Expand on your selections; explain how you will sustain funding over the next 1-3 years.

MBBCs shall embark on enrolling poor mothers not covered by the government or self-insurance. The facilities can actually be revenue centers, through the universal PhilHealth coverage program.

In this regard, the finances of the MBBCs in the coming years will largely be from the insurance or program claims, revenues from out-of pocket payments, and outsource sponsorships (government and non-government agencies) and grants.

As proven thru the existing MBBCs, this business model is very sustainable on the aspect that all the revenues of the facilities go for its maintenance, operations, and improvement per se.

Watsi | fund low-cost, high-impact treatments for people in need.

Throughout the world people are dying of treatable illnesses because they cannot afford basic medical care. Watsi connects you with patients in serious need of low-cost medical care and enables you to fund high-impact treatments. We believe non-profits should be impactful, innovative, efficient, and transparent. Watsi is built upon these principles.

About You

Organization: Watsi Visit websitemore ↓↑ hide↑ hide

About You

First Name

Howard

Last Name

Glenn

About Your Organization

Organization Name

Watsi

Organization Website

watsi.org

Organization Country

United States, CA, San Francisco, San Francisco County

Organization's Country of Operation

United States, CA, San Francisco, San Francisco County

Type of Organization

Non‐profit/NGO

Year of launch of the organization

August 23, 2012

Years in Operation

Operating for less than a year

Has the organization received awards or honors? Please tell us about them

2012 GSVC People's Choice Award
2012 Huffington post IgniteGood Winner
2012 Proving Ground Social Impact Award
2013 Computerworld Honors Laureate
First non-profit in Y Combinator
Named one the 7 "most amazing" and "best startups" by mashable, TechCrunch post Y Combinator Demo Day
http://mashable.com/2013/03/26/y-combinator-demo/

http://techcrunch.com/2013/03/26/top-y-combinator-startups/

We want to hear about your “Aha!” moment. Share the story of where and when the founder(s) saw this solution’s potential to change the world.

Chase Adam was sitting on a bus in Costa Rica while serving in the Peace Corps. A woman entered the bus with a red folder; he immediately thought she was selling something. By the time she reached him on the back of the bus her bag was full of money. Chase then looked at the folder and realized she was asking for money to pay for her son's medical care. It was then the idea for Watsi was born.

The information you provide here will be used to fill in any parts of your profile that have been left blank, such as interests, organization information, and website. No contact information will be made public. Please uncheck here if you do not want this to happen..

Innovation

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Name Your Entry

Watsi | fund low-cost, high-impact treatments for people in need.

Explain what the "innovation" is about, e.g., is it the idea and/or the model you use to accomplish the idea, or your understanding of the target population, etc.?

The innovation in Watsi's case is applying a proven model of crowdfunding into an area of dire need of change, non-profit healthcare. Non-profits have long been held back by inefficient operations and an unwillingness to change. The crowdfunding model applied by Watsi isn't new; both Kiva and Kickstarter have made waves in the non-profit and for-profit spaces. However, Watsi is tapping into the characteristics of giving that are most effective - a personal, direct, and tangible connection to your charitable gift.
Along with an enjoyable giving experience, Watsi assures each donor that 100% of their gift goes directly to funding the medical treatment of the patient of their choice. In fact, Watsi even goes to great length to gain the trust of its donors by providing a public transparency document that includes all of its profile and transaction details. Watsi's innovative approach to providing life-changing medical care is poised to shift the way in which healthcare non-profits work entirely.

Describe how your innovation model is distinct from any other organization in your field?

Watsi is the first global crowdfunding platform for medical treatments. Whereas most non-profit healthcare organizations solicit donations for an anonymous group of beneficiaries by way of a general fund, Watsi directly connects patients and donors, making the giving experience more direct, personal and tangible than ever before.
However, funding treatments for people in need is only half of our mission. Enabling individual patients to tell their stories to the world is the most magical and innovative element of the Watsi approach. We hope that by continuing to give patients a voice, we will foster a sense of connection that transcends national, social, and financial boarders, and makes the world a more familiar, open, and equitable place for all.

What type of operating environment and internal organizational factors make your innovation successful?

Watsi employs three major organizational values that have led to its success thus far: technology, efficiency, and transparency. As Watsi continues to scale operations it will build back-end systems to allow Medical Partners to more effectively exchange information on patient profiles, and allow Watsi staff to automate traditional internal processes, such as, accounting, funds disbursements, and patient updates. By doing so, Watsi will utilize technology to become a more efficient organization.
Transparency will always be a core value. Watsi prides itself on providing as much public information on our operations as possible. Currently, Watsi shares links to screenshots of all patient profile transfers, organizational metrics and financials statements straight out of Quickbooks.

How do you make sure you constantly innovate in light of (potential) external challenges, or your growth plan?

A major external challenge is increased demand for profiles. As Watsi has seen growth, due diligence and manual data entry for profile information have become time consuming for staff. Watsi sees technology as the key to solving these hurdles in scalability.
Providing additional technology services to our Medical Partners, beyond fundraising for their patients, such as remote healthcare consulting for Doctors, remote care for patients, and cloud-based medical records, Watsi will enable the exchange of profile data and due diligence to become more streamlined, Also, these technology-based services will be implemented internally, allowing our staff to rely less on time consuming data entry, and more on how we can continue to innovate as an organization.

Business Model

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The systemic challenge you are trying to overcome (select one)

Bring accessible healthcare to communities in emerging markets

Health area (target market) where the need is [select only one]

Acute care (hospitalization, etc)

Categories along the health continuum you are covering [select all that apply]

Detection, Follow-up.

Please describe in more detail: what problem are you trying to solve in the organization's specific context?

Around the world people are dying of treatable illnesses because they cannot afford basic medical care. We believe that every person deserves access to medical care, regardless of their nationality, religion, or socioeconomic status. We envision a world where people no longer die from conditions that society has the knowledge, resources, and power to treat. Watsi is not a charity. Watsi is a non-profit startup bringing the world together to provide access to a fundamental human right.

Stage that best applies to your solution [select only one]

Start-up and growth (pilot is successful and starting to expand)

Core strategies of your business model [select all that apply]

Approaches to behavioral change at the individual level, Patient-centered design, Redesign of the public healthcare system for more efficiency (in terms of processes, structure etc.), New approaches to distribution of health products and services.

If other, specify here:

Most relevant tools you are using to implement the strategies outlined above [select only two]

Technology, Others.

If other, specify here:

Transparency

Please describe your solution in more detail

Watsi connects you with patients in serious need of low-cost medical care and enables you to fund high-impact treatments. With Watsi you can donate as little as $5 to directly fund life-changing medical care for people in need.

We believe non-profits should be impactful, innovative, efficient, and transparent, and we built Watsi on these principles. Watsi is a community, not just an organization. We are young, dynamic, and serious about using technology to connect people and change lives.

We invite you to join us and change the world, one treatment, one person, and one life at a time.

What are your vision and overall objectives?

Watsi's vision is global access to basic healthcare. In doing so, Watsi hopes to enable medical care for a million people worldwide.

What is your value proposition?

In a world where one billion people cannot afford vital healthcare treatments, Watsi is the first peer-to-peer organization that focuses exclusively on healthcare financing in developing countries. Through utilizing a unique online donation platform, Watsi donors can connect with underserved patients from around the globe and directly fund life-changing medical treatments in a way that has never been done before.

Who is your customer(s)?

Watsi targets users that are socially-minded, interested in online innovation, and looking for a direct way to make a positive impact in the world. Watsi donors care about making the world a better place, but also want to understand how their actions are having a meaningful impact. Most importantly, they are tired of the traditional non-profit models and look for something innovative, impactful, and transparent.

What approaches to you use to reach your customers?

We leverage the internet and the power of social networking to make it easy for people to support patients from around the world that are in need of medical care. The most direct way for people to support a patient is to make a donation towards their treatment on Watsi.org. However, we also make it fun and easy for people to engage in other ways, such as by sharing patient profiles via social media, submitting stories to our blog, and by volunteering with Watsi. Currently, Watsi is active on Facebook and Twitter, and has seen traction from specific blog posts created to update our audience about important campaigns.

What are your primary activities?

The Watsi process has five simple steps:
1. Upload: Medical Partners upload profiles of underserved individuals in need of serious medical care.
2. Connect: Donors browse profiles on Watsi.org and connect with a person who they would like to support.
3. Fund: Donors give to fund a life-changing medical treatment for the patient of their choice.
4. Transfer: 100% of the contribution made by the donor is sent directly to the Medical Partner to provide the patient the specified treatment.
5. Update: After the treatment is provided, donors receive a personal update about the outcome of the treatment.
Aside from the medical partner-facing work, our team spends its time on institutional fundraising, marketing, and web development efforts.

Who are your peers and competitors? What problems could these players pose to your success or growth?

There exist a number of online platforms that successfully utilize a charitable peer-to-peer model. There are also online platforms, such as giveforward.com, that successfully facilitate fundraising for medical care. While online fundraising for medical care and the peer-to-peer model are both proven concepts, no organization has combined the two to enable donors to directly fund medical treatments for underserved populations in developing countries. However, there are also many very impactful non-profit organizations that provide a pleasurable donating experience such as Kiva, Vittana, charity: water, and donorschoose. Currently, these organizations have years of experience, developed resources, and recurring funding streams that an organization at our stage of development does not have.

What other challenges - individual, organizational, or environmental – are you currently facing or might hinder future success of your business, and how do you plan to overcome those?

Our primary challenge is managing growth. Since our launch in August of 2012, Watsi has seen 30% week over week growth. These are great numbers, but without an influx of capital to scale operations fast, momentum will slow. A challenge as a non-profit is being able to raise capital effectively with few resources. As the non-profit fundraising arena is competitive, we will need to acquire some of this scarce capital on an ongoing basis.
Another challenge is around creating the internal systems in place to foster sustainable growth. We are in the process of creating a Board of Directors, which will greatly increase the level of governance of our organization and ensure that we have top talent advising and making decisions on the direction of the organization.

Briefly describe your growth strategy going forward

Going forward, Watsi plans to raise a large philanthropic round of capital to: hire necessary staff to add site features, strengthen our Medical Partnership network, and promote Watsi's brand worldwide. Watsi also will focus on creating the internal systems to foster scalability in a sustainable way, developing strong Board governance, and building new web products that attract and maintain users.

What dimensions for growth are you currently targeting for your innovation [select all that apply]

New regions(s), New market(s)/country(ies).

What makes your business "ready" for growth?

Since our launch in late August of 2012, we have processed $200,000 in donations, funding medical care for 250 patients in 13 countries. In the process we have seen donations increase 30% every week. With this amount of success over our first six months of operations, Watsi needs operational funding to expand operations.

What are your key growth objectives?

To raise a million USD over the next two years that wil allow us to properly scale to provide medical care for a million people in need.

What is your timeframe for growth, in the short and mid-term? What are the growth milestones and key activities going forward?

In the next year we project a million USD donated on Watsi's site serving 2,000 patients abroad. To be able to accomplish our goal, we need to hire a few more employees to scale operations in the short-term. During this process we also hope to expand our Medical Partner network to provide care in more needed areas worldwide.

Social Impact

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What has been the impact of your solution to date?

As a non-profit organization that guarantees that 100% of donations go directly to financing life-changing healthcare treatments, Watsi’s social impact is clear. If people at the base of the pyramid gain access to healthcare, they will live healthier and happier lives and become stronger contributing members of society.
Outputs include: Families with more productive members, More people able to join the workforce, Increased disposible income, Healthy, working parents will earn money to send children to school.
Outcomes include: Higher awareness of healthcare financing gap in developing world, Less lives devastated due to treatable illnesses, Competitive incentives for local institutions to cater to healthcare needs of the poor.

Looking at social impact vs overhead, we have raised over $200,000 for 250 patients in about 7 months while spending about $71,000 on operations. Even in the nascent stages of our organization, the Social ROI is $2.80 gained in treatment funding for every $1.00 spent on operations; almost a 3:1 ratio.

What methods for quantification of social impact are you applying (if at all)?

Watsi will maintain a Metrics section in the transparency document in which key metrics will be automatically updated and aggregated, greatly aligning to our value of transparency. These metrics will help communicate our social impact to donors and will be used to drive internal decision-making. Such metrics will include, but not be limited to, the following:

• Total number of lives impacted to date
• Total donations made (# and $)
• Percentage of women treated
• Types of medical treatments
• Countries served
• Number of Medical Partners
• Number of donors
• Percentage of patients under the age of 18

Could your solution work in other geographies or regions? If so, where?

Watsi has been successful throughout Asia, Africa and Latin America. Current areas in which Watsi does not operate include North America and Europe. While many nations in this region do not currently fit our model, there are still opportunities to expand and test our solution in countries in impoverished areas in Eastern Europe and Mexico.

What is your projected impact over the next 1-3 years?

As one billion people cannot afford basic healthcare, the demand for high impact medical treatments in developing countries is enormous. In addition, the global health organizations with whom we partner do not have the capacity nor the funds to support this demand. If Watsi is able to secure the funding needed in order to build the platform to sustain high levels of traffic, we project an ability to reach over one hundred thousand patients over the next three years and a total of 1 million patients over the next 5 years.

Sustainability

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Elaborate on your current financing strategy

Watsi separates its operational funds from its mission funds. Mission funds are collected on the site and earmarked specifically for their intended profile. 100% of the funds intended for each profile are collected on the site. The, once we receive an update of care, we transfer the entire balance of the profile to our Medical Partner. Operationally, Watsi currently relies on grants, private contributions, and cause marketing to pay our salaries, hosting fees, travel, and other core operational expenses. In the first few years of operations, Watsi plans to raise the majority of its operational funding through grants and private contributors. However, Watsi plans to become financially sustainable through operational tips (in addition to the donation amount processed on the site), cause marking partnerships, and product licensing of our platform.

Share of revenue generation in total income of organization (in percent)

51

Direct sales to patients or other beneficiaries (in percent)

0

Of the possible sources of these sales listed below, check all that apply to your current strategy

Licensing fees, e.g., for technology/franchise model (in percent)

0

Of the possible sources of these licensing opportunities listed below, check all that apply to your current strategy

Service contract with organizations, e.g., government, NGOs (in percent)

0

Of the possible sources of the service contracts listed below, check all that apply to your current strategy

Explain your revenue generation strategy in more detail

The majority of our revenue generation has come from grants and private contributions. We have raised $200,000 to date, and plan to raise a total of $1,000,000 to financially sustain us over the next couple of years. To reach our goal, we plan to apply for appropriate grants and competitions. Also, we plan to solicit funds from foundations that desire to make an impact where technology meets healthcare in the non- profit space.

Share of philanthropy in total income of organization (in percent)

49

Philanthrophy strategies you are using

Single strategy.

Explain your philanthropic approach in more detail

Watsi's philanthropic approach is to post profiles of low-cost, high-impact medical treatments for underserved populations abroad. Once a profile is fully funded and treatment has been given, Watsi will send 100% of the funds collected for the profile to the Medical Partner. Donors will receive an update on the treatment, thus creating a cycle in which donors enjoy their experience so much that they come back to donate again. We believe that Watsi's core values of impact, innovation, efficiency, and transparency set it apart from other non-profits.

Expand on your selections; explain how you will sustain funding over the next 1-3 years.

As previously noted, 100% of donations directly fund treatments on Watsi's site. Despite our model, Watsi seeks to become financially sustainability by year three of operations. We plan to do so through operational tips on the site, recurring donations, active cause marketing, and licensing of our products. Recurring donations will allow a relatively predictable stream of revenue on both our donations and tips.
During Watsi's first two years of operations, Watsi will rely heavily on grants and individual private contributions from high net worth individuals to sustain the organization's operations. However, by year two, Watsi expects to offer product licensing as a consistent stream of revenue to supplement tips, grants, and private contributions. While we are receiving close to 14% (of the donation value) in tips, we understand from industry research that as our organization grows in scope and scale, this number will decrease to around 6%. Due to an expectant decrease in the percentage value of tips, we plan to add many new cause marketing partnerships. Recently, we have had success finding partnerships with companies. Offscreen magazine, Swish, and Teespring have raised around $15,000 for Watsi.

e-patient

Primary-care for e-patient: E-patient instantly connects patients with their Family Medicine Specialists.
-e-appointments:Patients and doctors can schedule and manage appointments.
-e-monitoring: Patients can track chronic conditions (e.g.blood glucose)
-e-mailing: Patients can receive care outside of the clinics and doctors can reach patients easily at any time (e.g.during epidemic outbreaks)

About You

Organization: e-hastam Visit websitemore ↓↑ hide↑ hide

About You

First Name

Zelal

Last Name

Akbayin

About Your Organization

Organization Name

e-hastam

Organization Website

Organization Country

Turkey, IST, istanbul

Organization's Country of Operation

Turkey, IST

Type of Organization

Not registered

Year of launch of the organization

Years in Operation

Operating for less than a year

Has the organization received awards or honors? Please tell us about them

We want to hear about your “Aha!” moment. Share the story of where and when the founder(s) saw this solution’s potential to change the world.

Since 2009 I’m a Family Doctor, have 4000 patients in total, and see 80 daily. Some patients visit the clinic regularly while others seldom request health-services. Long waiting hours inconveniences patients and lead to tensions. Monitoring chronic conditions is also problematic. Experiencing these, I developed e-hastam, which provides an easy and free access to preventative health-services.

The information you provide here will be used to fill in any parts of your profile that have been left blank, such as interests, organization information, and website. No contact information will be made public. Please uncheck here if you do not want this to happen..

Innovation

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Name Your Entry

e-patient

Explain what the "innovation" is about, e.g., is it the idea and/or the model you use to accomplish the idea, or your understanding of the target population, etc.?

Creating an effective patient-doctor communication environment is the key idea by which e-hastam transforms the preventative health systems. E-hastam brings together three critical elements of 21st Century’s communication style to produce three crucial outcomes that are transformative for health-systems. The innovation that e-hastam promises extends on the power of information and communication technologies (ICT). Specifically, in e-hastam:
•e-appointments enable patients and doctors to schedule and manage appointments
•e-monitoring enables tracking patients with chronic conditions over time and provide routine preventative health services (e.g. diabetics and vaccines)
•e-mailing allows patients to receive care outside of the doctor’s office and doctors can reach patients easily at any time (e.g. during epidemic outbreaks)
These ICT features accomplish the following outcomes:
•Time-Conscious: Our motto is to provide quality care with the necessary time each patient needs. With e-hastam patients do not need to wait for prolonged hours and doctors can tailor their time based on the needs of the individual patients.
•Economically Smart: Ineffective patient-doctor communications is a substantial burden on the health budget. E-hastam eliminates costs related to patients taking sick days and saves costs related to chronic conditions (e.g. type 2 diabetes, hypertension.)
•One-Stop-Shop: Patients and doctors access all services from one place. E-hastam provides an easy and free access to preventative health-services and creates a positive patient-doctor relationship.

Describe how your innovation model is distinct from any other organization in your field?

Currently, there is no transformative model providing easy and free online communication platform like e-hastam at the primary-care level in Turkey. Some private hospitals provide e-mail and appointment services. However, these are at a cost and only available for patients who can afford care from these institutions. E-hastam is unique for three reasons. 1) Majority of Turkey’s population receive health-services in primary-care clinics by Family Medicine Specialists. E-hastam targets those patients and doctors and also is the first such service in its kind. 2) e-hastam provides an easy and free access and improves time management, patient-doctor relationships, and management of chronic conditions. 3) These provide significant economic benefits and quality in preventative health-care.

What type of operating environment and internal organizational factors make your innovation successful?

Four people from different professions contributed with their expertise: a family medicine specialist, a health-care provider, a software developer, and a quantitative researcher. Our innovation’s success stems from the need sensing capacity of our team. Once the need for e-hastam was realized, we envisioned the benefits e-hastam would deliver. Together we created a prototype and coordinated the work through e-mails and face-to-face meetings. Everyone demonstrated commitment by working in their time and cooperated on several activities including receiving feedback from different stakeholders and designing research proposals to evaluate e-hastam’s promises. With flexibility and adaptation we constantly improve and change e-hastam based on the feedback and expectations of our stakeholders.

How do you make sure you constantly innovate in light of (potential) external challenges, or your growth plan?

Needs sensing is one key element of our growth strategy against challenges and future goals. We use needs sensing to achieve progress in three areas: product improvement, market development, and sustainability. E-hastam’s mission is to provide a service that is of great value to the society. With this mission, we constantly evaluate e-hastam and get feedback from key stakeholders. Also, building and maintaining a market is a constant challenge. We overcome this with strategies including marketing e-hastam to other family medicine specialists and seeking funding from foundations to scale-up and reach out to more primary-care clinics. Lastly, sustainability is addressed by creating ideas on how to generate revenue for the monetary needs and establishing partnerships to enhance outcomes

Business Model

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The systemic challenge you are trying to overcome (select one)

Bring accessible healthcare to communities in emerging markets

Health area (target market) where the need is [select only one]

Primary healthcare services

Categories along the health continuum you are covering [select all that apply]

Prevention, Detection, Follow-up, Long-term care, Social integration.

Please describe in more detail: what problem are you trying to solve in the organization's specific context?

The problem that e-hastam offers to solve is the ineffective and inefficient patient-doctor communication at the primary-care level in Turkey. Turkey has a population of 73 million and every person is assigned a Family Medicine Specialist (FMS). On average, each FMS provides primary-care to 3500 patients. Management of 3500 patients is a complicated task when FMSs lack necessary resources. Main concerns include long waiting hours, increased tension between patients and doctors, difficulty monitoring patients with chronic conditions, and difficulty providing preventative care to populations at high risk such as infants, children, and new mothers. Lack of effective communication platforms hinders delivery of routine checkups, immunization, and personalized counseling on healthy lifestyles.

Stage that best applies to your solution [select only one]

Start-up and growth (pilot is successful and starting to expand)

Core strategies of your business model [select all that apply]

Approaches to behavioral change at the individual level, Patient-centered design, Redesign of the public healthcare system for more efficiency (in terms of processes, structure etc.), New/redefined roles for healthcare service provision, New approaches to distribution of health products and services, Unconventional partnerships (between traditional healthcare players and players outside healthcare), New financing strategies for health.

If other, specify here:

Most relevant tools you are using to implement the strategies outlined above [select only two]

Technology, Consultation.

If other, specify here:

Please describe your solution in more detail

E-hastam uses three elements of digital technologies to transform the patient-doctor communication. Specifically, in e-hastam:
e-appointments allows for scheduling and managing appointments
e-monitoring allows tracking patients over time for chronic conditions
e-mailing allows patients to receive care outside of the clinics and doctors to reach patients at any time (e.g. during epidemic outbreaks)
Major outcomes are:
Time-Conscious: Doctors can manage appointments, and thus personalize the care based on the specific needs of each patient.
Economically Smart: E-hastam reduces costs related to patients taking sick days and by better managing the chronic conditions.
One-Stop-Shop: Access to services is from one place. E-hastam is easy, free and creates a positive experience for all.

What are your vision and overall objectives?

The vision of e-hastam is to instantly connect patients with doctors and enhance the quality of primary-care services. We believe that people thrive and meet their full potential when they are physically healthy. Thus, our objective is to provide them with a simple and free online communication platform which will enable to manage their health needs more effectively. In the short-term, our aim is to improve the patient-doctor experience, increase quality of primary-care, and significantly reduce the cost of primary-care services. In the long-term, our purpose is to reach out to a wider community, improve e-hastam to its highest potential, and ultimately make it available to everyone in the world for free.

What is your value proposition?

E-hastam: Start managing your health today!
-Connect with your doctor
-Set-up appointments anywhere at any time
-Monitor your health status
E-hastam provides valuable tools for patients and doctors to manage and support a healthy life-style with a reduced cost.

Who is your customer(s)?

Currently, our customers are primarily the Family Medicine Specialists and their patients. The Turkish Ministry of Health is also one of our key stakeholders since it will benefit from e-hastam to a great extent.

What approaches to you use to reach your customers?

We reach out to our customers via two approaches: face-to-face meetings and online communication tools:
-Face-to-Face: We visit primary-care clinics and meet with both Family Medicine Specialists and patients to introduce our product and receive feedback. At these meetings, we chat with patients and develop networks with doctors.
-Website: We use the website to make announcements about changes and new features. -Customers can reach us with questions or concerns through the contact form.
-E-mail: We send newsletters and brochures via email to keep in touch and inform about our product.
-Twitter,Facebook,LinkedIn: We use social media tools to constantly stay in touch with our customers and partners.
-Surveys: We regularly send customer satisfaction surveys for feedback and improvement.

What are your primary activities?

E-hastam’s primary activities are:
-e-appointments:Patients and doctors can schedule and manage appointments.
-e-monitoring:Patients can keep a journal of their chronic conditions. For example, hypertension patients can record their daily values and monitor progress over time. Other data capturing capabilities include recording blood glucose levels, medication times, weight, and children’s immunization schedules. Doctors can analyze this data to identify the patients who need intervention on their conditions.
-e-mailing:This allows for patients to receive care outside of the clinics and doctors to provide easy and fast for consultation and make medical announcements.
-e-health:Patients can access to up to date health information through e-health dictionary and educational health media.

Who are your peers and competitors? What problems could these players pose to your success or growth?

Currently, there is no transformative model providing easy and free online communication platform like e-hastam at the primary-care level in Turkey. Some private hospitals provide e-mail and appointment services. However, these are at a cost and only available for patients who can afford care from these institutions. E-hastam is thus unique and first such service in its kind. However, competitors may emerge in the e-health market quickly. We plan to keep our edge through the e-monitoring system which gives the power of collecting and analyzing health data. Our key supporter in the field is the Turkish Ministry of Health. They support digital innovations and we plan to partner during the implementation stage to reach out to primary-care clinics nationwide.

What other challenges - individual, organizational, or environmental – are you currently facing or might hinder future success of your business, and how do you plan to overcome those?

The challenges that we may face are two-fold. First, patients and doctors may resist to the technological changes. They may, therefore, adopt e-hastam in a slower pace. We plan to overcome this challenge by providing training sessions and personal assistance to customers who needs the most help in technology. Second, technology changes in a rapid pace. Keeping e-hastam up to date and meeting the needs of our customers is our priority. However, this effort may require constant revenue. We plan to generate this revenue through applying funding from foundations and Turkish Ministry of Health. We will also plan to partner with organizations that will assist us in producing ideas on how to generate revenue using the advantages of being an online platform.

Briefly describe your growth strategy going forward

For growth, we proactively act on three areas:
Product improvement: We are working with a software developer to meet the needs of our customers.
Market development: We advertise e-hastam through several channels to expand into new markets.
Sustainability: We write proposals and establish partnerships on generating revenue in the e-health market.

What dimensions for growth are you currently targeting for your innovation [select all that apply]

New customer group(s), New regions(s), New market(s)/country(ies).

What makes your business "ready" for growth?

E-hastam was piloted in Istanbul by 5 Family Medicine Specialists and 3586 patients. Positive impacts of e-hastam were evidenced by the reduction of daily number of patients by half, from 80 to 40 daily for each doctor. This led to improved patient-doctor relationships and screening of patients who never sought services before. We perceive all these as an evidence for readiness to growth.

What are your key growth objectives?

-have e-hastam used in every primary-care clinic in Turkey
-increase the number of people who receive primary-care services
-identify at risk patients for developing chronic conditions and promote healthy life-style changes
-reduce the economic burden significantly on the health budget through a well-managed preventative-care system
-generate revenue for sustainability

What is your timeframe for growth, in the short and mid-term? What are the growth milestones and key activities going forward?

April-September 2013: In six months, we will hear back from our funding applications.
April 2013-March 2014: In one-year, we plan to expand into one eight of all primary-care clinics in Turkey (approximately 500). At this time, we will work on improving e-hastam’s features for better customer experience by adapting new ideas and the state-of-art technologies. Also, the privacy of our customers is very important for us. We will establish a team for improving the security measures of e-hastam. Additionally, we will experiment with revenue generating ideas using the advantages of e-health.
April 2014-March 2015: We will continue expanding into new primary-care clinics with the support of Ministry of Health. Also, we will evaluate the first year and revise our business and growth plan.

Social Impact

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What has been the impact of your solution to date?

We piloted e-hastam in Istanbul with five FMSs and 3586 patients. The evaluation suggested three positive impact: 1)The number of patients visiting the clinic reduced by half for each FMSs, from 80 to 40, 2)Both patients and doctors reported increased satisfaction. While doctors could provide more time for each patient, patients had more access to their doctors to consult on medical issues. 3)Doctors identified patients who never have requested services before and inquired them on their health.
The pilot suggested three positive indicators for the cost analysis. Because patients plan their visits ahead of time and can consult via e-mail, the costs of paid sick time and traveling to-and-from clinics reduced substantially. Also, since doctors monitor chronic conditions, prescription records, and immunization schedules, health resources and public health are managed better. We estimate statistically significant positive impact on the health budget when e-hastam is implemented nation-wide.

What methods for quantification of social impact are you applying (if at all)?

We evaluate the social impact using three approaches.
1)We surveyed stakeholders before and after using e-hastam during the evaluation of the pilot. Doctors and patients reported on the frequency of doctor-visits, e-mail consultations, improved health status due to the e-monitoring, paid sick days, and travel costs. We also interviewed with a subset of participants on the ease of use of e-hastam and its performance.
2)We are constantly in contact with users via our website, twitter and facebook pages. We examine comments to improve services or respond to user questions.
3)We examine the statistics of e-hastam’s website to inquiry on the server traffic and determine most popular features.
4)We have a pending research proposal to examine the impact of e-hastam on health outcomes.

Could your solution work in other geographies or regions? If so, where?

The only infrastructure that e-hastam requires is access to Internet and computers. Thus, effectively, e-hastam can be implemented in any region as long as there is access to Internet and computers. However, we believe e-hastam would deliver the biggest social impact in developing countries where primary-care systems are still emerging and where the health budgets are tight. Since Turkey is one of the role model countries in Middle East and North Africa, we envision that it would be a smoother process to have e-hastam implemented in those regions initially, such as Iraq, Egypt, and Tunisia. Once these countries adopt the system, e-hastam can expand into new regions. However, as e-hastam expands the system should be improved to meet the needs of these new communities.

What is your projected impact over the next 1-3 years?

In three years, we envision that e-hastam will significantly improve the health status of the general public on measurable health indicators such as life expectancy, infant mortality, chronic disease prevalence, hospitalization, mental health status, and health related behaviors (physical activity, nutrition, addictions). Improvement on these measures will translate into significantly less health-care spending and will positively impact the quality of life in many areas. Improved public health will have many indirect effects. For example, with healthier children the drop-out rates from high school will decrease. We project significant returns on these key outcomes because e-hastam can be easily scaled-up with access to Internet and computers, which are widely available in most regions.

Sustainability

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Elaborate on your current financing strategy

During the development of e-hastam for the first time and at the piloting phase, our financing primarily depended on personal funds and volunteer work. However, now that e-hastam has completed its pilot, we are expanding into new primary-care clinics and generating revenue by having Family Medicine Specialists (FMSs) purchase annual memberships at a fee. Once the doctors pay their annual dues they become a member and their patients use e-hastam for free, at no cost. For e-hastam to stay active, the FMSs need to renew their membership annually and pay the annual dues. We envision that 60% of our revenue will come from annual fees. However, having a diverse revenue generation portfolio is key to our success. Our goal is to generate several revenue streams to reduce reliance on one source of revenue. Thus, in addition to annual fees, our second revenue generation strategy is to allow for professional e-advertising to Healthcare Professionals using the e-hastam’s platform. These e-advertises will only be visible to doctors and we expect to generate 30% of our revenue from this source. Lastly, our third strategy is to seek governmental and philanthropic funds, which in total will make the remaining 10% of our revenue.

Share of revenue generation in total income of organization (in percent)

90%

Direct sales to patients or other beneficiaries (in percent)

Membership fees & Professional e-Advertising to Healthcare Professionals: 90%

Of the possible sources of these sales listed below, check all that apply to your current strategy

Private businesses, Other beneficiaries.

Licensing fees, e.g., for technology/franchise model (in percent)

Doctor Membership Fees:60%

Of the possible sources of these licensing opportunities listed below, check all that apply to your current strategy

Private businesses, Regional government, National government.

Service contract with organizations, e.g., government, NGOs (in percent)

Of the possible sources of the service contracts listed below, check all that apply to your current strategy

Private businesses, Regional government, National government.

Explain your revenue generation strategy in more detail

Membership fees (60%): FMSs are highly likely to purchase memberships because: 1)The government encourages digital solutions and provides partial funds for such purchases. 2)E-hastam is first and only such online platform in its kind. 3)After the pilot, many FMSs already requested information on purchasing options and became members.
e-Advertising (30%): For sustainability e-hastam needs a diversified income. Thus, we will use the advantages of being an online platform and focus on generating revenue by allowing e-advertises to health care professionals.
Government and Philanthropic Funding (10%): Such funds will be sought for research and development purposes. They help e-hastam to scientifically assess its outcomes and provide services that are of great value to the society.

Share of philanthropy in total income of organization (in percent)

10%

Philanthrophy strategies you are using

Diversified strategy.

Explain your philanthropic approach in more detail

Part of our purpose is to connect patients to their doctors through an easy and free online platform that offers several useful tools. However, membership fees and e-advertising may not cover e-hastam’s all costs, in particular the costs related to scientifically showing the impact of e-hastam. Thus, we first plan to use philanthropic funding for the purposes of conducting rigorous scientific research. Second, when opening-up to new markets partnering with foundations is key for introducing e-hastam to new communities. Local foundations may be very resourceful in enhancing our understanding of the communities’ specific needs. They can also help us form strong relationships with the community at a faster pace. Thus, we plan to use philanthropic funding during such market development efforts

Expand on your selections; explain how you will sustain funding over the next 1-3 years.

Funding will be sustained through a cycle of market penetration, market and partnership development, improving the product through research and development, implementing e-advertisement strategies to healthcare professionals, and ultimately scaling up the project.
The purpose of all these activities is first to maintain the yearly subscribers in the existing markets, second to increase the rate of new customers in new markets, and third to work on product development and offer an improved product with new features to both existing and new markets. All these efforts eventually facilitate project’s scaling-up.
One of our major goals is to keep the cost of annual subscription as low as possible for doctors and provide e-hastam for free to patients. Thus, generating revenue through e-advertises to healthcare professionals is key for accomplishing these goals. Also, as we move forward, based on the changing needs and dynamics of the market, we will evaluate and revise our sustainability model.

Sustainable solution to primary health care problems in rural India

We provide primary health care to the downtrodden and poor people residing in remote villages.Poor people residing in these remote villages where we offer these facilities either have no access to such services or the services are not affordable. Our aim is to reach out to those people who cannot afford to spend money for quality healthcare, our model of work is designed to meet their ends.

About You

Organization: Rural Health Care Foundation Visit websitemore ↓↑ hide↑ hide

About You

First Name

Anant

Last Name

Nevatia

About Your Organization

Organization Name

Rural Health Care Foundation

Organization Country

India, WB, Kolkata

Organization's Country of Operation

India, WB, Kolkata

Type of Organization

Non‐profit/NGO

Year of launch of the organization

Rural Health Care Foundation

Years in Operation

Operating 1-5 years

Has the organization received awards or honors? Please tell us about them

It is always a humbling experience when our work is appreciated by people and organisations. Some of the awards that we have received over a period of time are as follows:

1. AmeriCares India awarded the Certificate of Merit to our founder Mr. Arun Nevatia in recognition of outstanding contribution towards healthcare for society.

2. UN has selected the success story of Mr. Arun Nevatia for a publication of UN Volunteers.

3. RHCF was awarded the Social Enterprise Of The Year Award at the 3rd Annual India Leadership Conclave & Indian Affairs Business Leadership Awards 2012.

4. RISHAB JAIN (Leader - Youth Brigade) received YOUTH AWARD from Govt. Of India for his extra-ordinary contribution to Society from RHCF platform.

5. ARUN NEVATIA (Trustee - RHCF) finalist at INDIA VOLUNTEER AWARDS, 2011 initiated by APEEJAY GROUP.

6. ARUN NEVATIA (Trustee RHCF) received SALAAM BANGAL AWARD 2011 initiated by ABP GROUP.

7. Our Model was One of the Winning Entries at 3rd IDIYA CHALLENGE COMPETITION, 2011 organised by INDIAN SCHOOL OF BUSINESS, Hyderabad.

8. Won Mahindra Spark The Rise Award Season 2 Round 1 in Award Section.

9. We were invited to attend the Innovator-Investor Conference organised by World Health Care Congress in Washington, DC

10. We are also recipient of "Karmaveer Puraskaar" by iCONGO.

We want to hear about your “Aha!” moment. Share the story of where and when the founder(s) saw this solution’s potential to change the world.

In a trip to Mayapur a lady beggar requested Arun to arrange a Cataract surgery for her. He arranged the surgery and in the next trip she offered him (2 cents) to buy sweets which she had begged. Arun saw God in her face and from that day he decided that he will dedicate his life to the poor and he gave up his successful construction business and started working for the health care for the poor.

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Innovation

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Name Your Entry

Sustainable solution to primary health care problems in rural India

Explain what the "innovation" is about, e.g., is it the idea and/or the model you use to accomplish the idea, or your understanding of the target population, etc.?

The idea of providing a sustainable solution to the primary health care problems in rural India may seem challenging. Our innovation is not in the idea itself but in the implementation as well. We have four primary health centers running in rural areas where such quality services were not available previously either due to government failure to deliver such services or the existence of quacks more interested in minting money. Our centers have amply demonstrated that such services can be made affordable to the rural poor with the help of generic medicines and maintaining a supply chain of near expiry medicine. This model is sustainable and we are able to create a large social impact which is amply demonstrated by increasing number of footfalls in our centers over the years.

Describe how your innovation model is distinct from any other organization in your field?

Currently our centers are located in the remote villages of West Bengal and some of the villages where we operate have government primary health care center units but such centers are mismanaged and are always short on medicines.Apart from such centers the primary health services of such remote villages in rural India is left at the fate of unqualified quacks who do more harm to the health of rural India than good. Our organisation does not have any competition as such and the distinctness of our centers is making it possible for the rural population to have affordable and quality healthcare facilities within their reach.

What type of operating environment and internal organizational factors make your innovation successful?

We operate in an rural setting environment where the understanding of the needs of the rural poor become utmost important. The main aspect for the success of our model is the ability to keep our costs low and passing over the benefit to the rural poor as a result of which these services become affordable for them. It is in this regard that the internal organisation factors play a prominent role. The qualification and years of work experience and business background of the trustees is one of the major enabling factors in ensuring the sustainability of the organisation.

How do you make sure you constantly innovate in light of (potential) external challenges, or your growth plan?

The model as it stands today is the result of years of hard work and innovative changes made in the model over the period of time . The board of trustees are passionate to increase the number of centers over the next few years in order to widen the social impact. The urge to improve the primary health scenario of the rural India has constantly motivated us to innovate in order to create a model that is sustainable and replicable.
Our founder Mr Arun Nevatia has discontinued his successful businesses and devoted his entire time in the running of the organisation. With his help and support from our dedicated trustees and volunteers we are able to constantly innovate to meet various challenges head on.

Business Model

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The systemic challenge you are trying to overcome (select one)

Bring accessible healthcare to communities in emerging markets

Health area (target market) where the need is [select only one]

Primary healthcare services

Categories along the health continuum you are covering [select all that apply]

Detection.

Please describe in more detail: what problem are you trying to solve in the organization's specific context?

In rural India people live in abject poverty and are not able to afford primary healthcare. The primary health centers set up by the government are mismanaged and are not able to deliver the expected results.
78% of Indian population stays in rural area with only 2% of human resources deployed in healthcare services. 80% of expense in health care is beyond the reach of villagers. Public health care delivery system is low quality & inefficient.

In such a scenario our mission is to eradicate the lack of health care facilities in rural India through the deliverance of affordable quality health care by opening primary health care units in those remote villages where health care delivery system of the state is sparse.

Stage that best applies to your solution [select only one]

Established (past the previous stages and has demonstrated success)

Core strategies of your business model [select all that apply]

Patient-centered design, Redesign of the public healthcare system for more efficiency (in terms of processes, structure etc.), New approaches to distribution of health products and services.

If other, specify here:

Most relevant tools you are using to implement the strategies outlined above [select only two]

New skills.

If other, specify here:

Please describe your solution in more detail

To achieve our objective we have opened four centers at four different locations namely, Mayapur, Kusumgram, Swarupnagar, Namkhana. At each of these centers we have four departments running namely General Medical Department, Eye Department, Dental Department, Homeopathy department. The patients are charged Rs 50/- (90 cents) for which they are provided with medical checkup and also seven days free medicine.We have been successful in keeping our costs low by maintaining an efficient supply chain of generic and near expiry medicines.

Besides catering to varied basic healthcare problems, our centers also arrange for cataract surgeries in association with Rotary Eye Hospitals. We are also in collaboration with Smile Train Foundation at CMRI, Kolkata for Cleft lip/palate surgeries

What are your vision and overall objectives?

Our vision is to open hundreds of units in the remotest corners of India. Our feasible vision includes the opening of 50 more centers in the next 10 years at various rural places in India. Our immediate vision comprises setting up 20 to 25 similar Health Centers to be opened in the backward areas of rural Bengal and a mobile hospital to give basic medical services at the door step of the poorest of poor.

Our mission is to eradicate the lack of health care facilities in rural India through the deliverance of affordable quality health care by opening primary health care units in those remote villages where health care delivery system of the state is sparse.

What is your value proposition?

Our value proposition is to address the basic need of primary health care services in rural areas. These services are non existent in rural areas and our main objective is to make such facilities affordable and available to the people residing at the bottom of the socioeconomic pyramid. We have identified a huge need for the rural healthcare facilities especially in remote areas where such facilities are non existent and not affordable. We propose to address this issue by opening of our centers at such locations with four departments Eye, Homeopathy, Dental and General Medicine. A nominal amount of Rs 50 (90 cents) is charged against which the patient is allowed a check up from a doctor and seven days medicine based on the medication prescribed by the doctor.

Who is your customer(s)?

Our beneficiaries (we do not believe in calling them customers) are the poor people residing at the bottom of the socioeconomic pyramid and dwelling in remote villages where the quality primary health care facilities are either non existent or not affordable. Over the years we find that following is the distribution of patients across department
General Medicine - 57%
Eye - 23%
Dental - 10%
Homeopathy - 10%

The age group of our patients is as follows:
0-5 years - 3%
5-12 years - 7%
12-60 years - 68%
Above 60 years - 22%

Gender wise break up:
Male - 33%
Female - 67%

What approaches to you use to reach your customers?

Before opening of any new center we advertise in the radius of 50 km about our upcoming center. The primary modes of our advertisement is distribution of hand bills and making announcement in and around the area . After a center is up and running we believe in more of word of mouth advertisement where in the patients who receive good treatment at our centers encourage their friends and relatives to visit our center and this is how our organisation has been growing year on year.

What are your primary activities?

We have 4 departments running simultaneously in each of our centers- General Medicine, Eye, Dental and Homeopathy. These services not only include the diagnostics of the patient but also providing of generic medicines. The Primary healthcare services offered through these centers are affordable to the poor which is amply demonstrated by the increasing footfalls in each of the center.

Besides catering to varied basic healthcare problems, our centers also arrange for cataract surgeries in association with Rotary Eye Hospitals. As of now approximately 5000 successful cataract surgeries have taken place. About 100 Cleft lip/palate surgeries for children have been conducted free of cost through Smile Train Foundation at CMRI, Kolkata.

Who are your peers and competitors? What problems could these players pose to your success or growth?

The environmental conditions in which we operate, it is difficult to ensure the sustainability of the organisation and as a result of this we do not face any competition. The need for such services in rural India is huge and we would encourage the government to improve the management of its primary health care centers and also to any other individual or organisation who would help to make rural India a healthier place to live in. We do not have competition not because of choice but because of the circumstances under which our organisation operates.

What other challenges - individual, organizational, or environmental – are you currently facing or might hinder future success of your business, and how do you plan to overcome those?

The major challenges that we face is to get donation for starting of new centers. Also there have been few instances where we had started a center in a particular location but have to change later on in order to serve more people. We want to set up centers in location where the impact is maximum. Identification of such a location and getting a place on rent in such a location is a challenge.
As per the regulations there must be an MBBS doctor at each of the centers. We face certain challenges in finding such individuals, however, our experience suggests that the hiring of such an individual may take some time but eventually we are able to find the right person for the job.

Briefly describe your growth strategy going forward

Over the years we have made our model sustainable. We need donations only in the initial capital expenditure stage when we open a new center in a new location. The growth strategy is to raise funds for opening of new centers and making the operations sustainable.. Any surplus from any of the centers that accrue can be ploughed back into the working of the organisation.

What dimensions for growth are you currently targeting for your innovation [select all that apply]

New regions(s), New market(s)/country(ies).

What makes your business "ready" for growth?

The success of our four centers that are currently fully functional and having a huge social impact in rural areas amply corroborates that our model is sustainable and replicable. There is a need for these facilities in rural India and we believe that our model can help to serve this need and benefit millions of people living below the poverty line.

What are your key growth objectives?

Each center that we open in the rural area has an impact radius of around 50 km. In order to impact more lives and provide basic healthcare facilities to rural population residing at the bottom of the socioeconomic pyramid in each of the next three years we plan to set up a new center in every quarter thus spanning a total of 12 centers in three years each located in a different village.

What is your timeframe for growth, in the short and mid-term? What are the growth milestones and key activities going forward?

In the short term we plan to open one new center every quarter thus opening up of a total of 12 centers in the next three years. In the next 5 years we want a total of 50 fully functional centers.

Main Activities to replicate the model:
-Identification of four such locations where the impact of opening up of a new center would be beneficial to a larger section of the rural poor.
-Hiring and Training of doctors and support staff of running of the center.
-Improvement in the supply chain of medicines

The growth milestones would be to ensure that all the centers are operating at least at 90% of their capacity which is about 6000 patients per month.

Social Impact

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What has been the impact of your solution to date?

In rural India the families are large and the economic condition is poor so when the sick get affordable healthcare near their home, the family as a whole get to save their hard earned money which is diverted to other expenditures like education and better nutrition for their children. Due to our presence even serious illness is diagnosed specially for women at an early stage which in turn saves them from going into the vicious cycle of apathy and misery. The presence of our centers has also resulted in local quacks closing down their shops which is beneficial to the rural residents both financially and in terms of their health.

Because of the large footfall local retailers set up their shops to serve the visiting patients which in turn improves their economic condition. Local transporters also benefit because of the same reasons. We also add to the sale figures of pharmaceutical companies because of our medicine inventory.

The direct beneficiaries of our facilities are the sick rural populace around our centers. We have treated more than 600000 patients so far in all our four centers. More than 25000 patients are treated every month. We also provide employment to the doctors and support staffs approximately 10 people per centers.

What methods for quantification of social impact are you applying (if at all)?

Quantitative Measures:
• Number of Patients Treated per day in each of the centers: Since its inception more than 600000 patients have been treated so far in all our centers. On an average more than 25000 patients are being treated every month in all our centers.

• Number of cataract and cleft lip/palate operation done: More than 4600 cataract operation have been done in association with Rotary Eye Hospital and over 150 cleft lip/palate operations have been performed in association with Smile Train Foundation.

• Number of spectacles sold at subsidized rates: Around 20000 spectacles have been provided to the needy at subsidized rates besides providing wheel chairs, artificial limbs, and blankets to the needy patients.

Could your solution work in other geographies or regions? If so, where?

Our model is replicable and can work in emerging markets where the primary health care services provided by the government is a failure. New centers such as ours can be opened in any rural area of all emerging and underdeveloped economies where the provision of such services is either sparse or non-existent. However to ensure that the model is sustainable the center should be opened in areas which are densely populated.

What is your projected impact over the next 1-3 years?

Over the next three years we would like to grow from four centers to twenty centers thus impacting the lives of millions of people living below the poverty line. The new centers would open in new villages thus making the primary health care facilities available to such remote places where such quality services are either not affordable or non existent. Currently we treat around 25000 patients per month at our centers, with twenty centers we can treat approximately 150,000 patients per month. Each center covers a radius of 50 kms and opening of 20 new centers will help us to a large extent in reaching out to those remote villages where such facilities are still non existent.

Sustainability

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Elaborate on your current financing strategy

We meet our funding requirements through voluntary donations by various institutions and individuals who have belief in the good work that we are doing. In the past we have received voluntary donations from reputed organizations such as Lotus Trust, Mumbai and Birla Academy of Art And Culture, Kolkata. Recently we have collaborated with Giveindia.org through which we receive online voluntary donations albeit of smaller amounts. We have a sustainable model and the beneficiaries contribute around 78 - 80 % of our cost of operations. We need funding only for the capital expenditure at the time of opening up of a new center.

Share of revenue generation in total income of organization (in percent)

77.87

Direct sales to patients or other beneficiaries (in percent)

100

Of the possible sources of these sales listed below, check all that apply to your current strategy

Patients.

Licensing fees, e.g., for technology/franchise model (in percent)

Of the possible sources of these licensing opportunities listed below, check all that apply to your current strategy

Service contract with organizations, e.g., government, NGOs (in percent)

Of the possible sources of the service contracts listed below, check all that apply to your current strategy

Explain your revenue generation strategy in more detail

At each of our centers the patients are charged Rs 50/- (90 cents) for which they are provided the facilities of getting diagnostic from a doctor and seven days medicines as prescribed by the doctor. There are patients who are below the poverty line and cannot afford to pay Rs 50/-.(90 cents)

Share of philanthropy in total income of organization (in percent)

100%

Philanthrophy strategies you are using

Single strategy.

Explain your philanthropic approach in more detail

The facilities that we have made available to the rural villages have been set up with philanthropy at the heart of these activities. The nominal charge that is collected from the patient is to recover the cost of operations. The patients who are below the poverty line and are not able to pay the nominal amount are never refused treatment. The surplus if any generated is ploughed back to recover the deficit of other center. About 100 Cleft lip/palate surgeries for children have been conducted free of cost through Smile Train Foundation at CMRI, Kolkata. To facilitate poor, needy and physically challenged patients around 150 Wheelchairs have been distributed. In their aid, around 2000 blankets have also been distributed.

Expand on your selections; explain how you will sustain funding over the next 1-3 years.

As per the provisions of the proposed companies act which has been passed by the lower house of the parliament it is mandatory for prescribed companies to spend 2% of their net profit for corporate social responsibility (CSR). After this provision comes into effect it is estimated that around INR 273 million ( approx. 4.93 million USD) would be invested in these projects . Our organisation fulfills all the criteria to qualify for CSR activities. We believe that a substantial amount of this sum would be allocate to our organisation by various organisation. This would be in addition to the voluntary donations that we receive from individuals, organisations and Giveindia.org.

We are also exploring opportunities of collaborating with organisation wherein we can help them in rural marketing and charge them for our services. We have a large proportion of rural population visiting our centers, approximately 25000 patients per month and with the increase in number of centers this number is bound to increase many fold. The funds raised through these can be ploughed back for opening of new centers and running of operations.

Mister Sister Mobile Clinics Namibia

Location

Windhoek West
Namibia

Mobile primary care clinics serving isolated rural populations in Namibia. The clinics are a public private partnership run by an NGO (Pharmaccess Namibia). The Government provides drugs and vaccines, with operating costs covered by a combination of user fees, monthly capitation payments made by rural employers to cover their workers, donor funding, and local private sector fund raising. The clinic vans are licensed by the Ministry of Health but owned and maintained by an NGO, Pharmaccess Namibia which hires and supervises staff.

Campamento Urbano: modelo franquiciable de atención a niños con sobrepeso y obesidad

Centro de atención para niños con sobrepeso y obesidad tipo 1.

About You

Organization: Fundación Mídete Visit websitemore ↓↑ hide↑ hide

About You

First Name

Ahtziri Alejandra

Last Name

González García

About Your Organization

Organization Name

Fundación Mídete

Organization Website

Organization Country

Mexico, DIF, Distrito Federal

Organization's Country of Operation

Mexico, MEX, Distrito Federal

Type of Organization

Non‐profit/NGO

Year of launch of the organization

2007

Years in Operation

Operating 1-5 years

Has the organization received awards or honors? Please tell us about them

We want to hear about your “Aha!” moment. Share the story of where and when the founder(s) saw this solution’s potential to change the world.

Fundación Mídete surge en respuesta al gran aumento de los índices de sobrepeso y obesidad que se han registrado en México en los últimos años. Su fundador, Xiuh Tenorio, quien padeció obesidad mórbida, comprometido con la causa crea la Fundación en 2007 ante la necesidad de tener una institución para impulsar cambios a nivel sistema para la promoción de hábitos saludables.

Innovation

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Name Your Entry

Campamento Urbano: modelo franquiciable de atención a niños con sobrepeso y obesidad

Explain what the "innovation" is about, e.g., is it the idea and/or the model you use to accomplish the idea, or your understanding of the target population, etc.?

"Campamento Urbano" es un centro integral de tratamiento de sobrepeso y obesidad tipo 1 dirigido a niños de 6 a 12 años. En este espacio se les da atención nutricional, médica y psicológica para que logren bajar de peso, así como educación para que puedan adoptar estilos de vida más saludables y evitar que vuelvan a tener el problema. El tratamiento se lleva a cabo de manera lúdica, haciéndolo más fácil para los niños.
Los programas duran de 6 a 24 meses y requieren que los niños asistan por medio día, tres veces por semana. Se proveen dos comidas diarias y los niños también cuentan con un espacio para hacer sus tareas. Cada centro tiene la capacidad de atender a 50 niños de manera simultánea, con dos turnos.
El modelo es franquiciable, por lo que se garantiza su replicabilidad. Asimismo, combina una fórmula que involucra a sociedad civil, industria privada y gobierno, innovando en el área de alianzas multisectoriales.

Describe how your innovation model is distinct from any other organization in your field?

A nivel de atención, el tratamiento es lúdico y no se percibe como una "clínica", haciéndolo más efectivo para los niños.
En cuanto a modelo de negocios, es franquiciable y se puede contar con la flexibilidad de situarse en zonas de diverso nivel socioeconómico, adaptando las tarifas que tienen que pagar la familias.

What type of operating environment and internal organizational factors make your innovation successful?

Los centros son operados por especialistas en obesidad infantil. Para la estandarización de procesos, se cuenta con estrictos manuales operativos y clínicos que guían el correcto funcionamiento de los centros, los cuales han sido desarrollados por expertos en sistemas de franquicias sociales, así como médicos especializados en el tratamiento de estos padecimientos. Entre los manuales se encuentran el de recursos humanos, códigos de ética, publicidad y tratamiento clínico.

How do you make sure you constantly innovate in light of (potential) external challenges, or your growth plan?

Invertimos en investigación y damos puntual seguimiento a los cambios en el panorama del sobrepeso y la obesidad, logrando comprender los nuevos desafíos y así haciendo las adaptaciones correspondientes. Buscamos poder tener presencia en las zonas donde los índices son más elevados.

Business Model

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The systemic challenge you are trying to overcome (select one)

Bring accessible healthcare to communities in emerging markets

Health area (target market) where the need is [select only one]

Nutrition

Categories along the health continuum you are covering [select all that apply]

Prevention, Intervention, Follow-up.

Please describe in more detail: what problem are you trying to solve in the organization's specific context?

Atención integral a niños de 6 a 12 años que padecen sobrepeso y obesidad tipo 1 en México.

Stage that best applies to your solution [select only one]

Idea (poised to launch)

Core strategies of your business model [select all that apply]

Approaches to behavioral change at the individual level, Patient-centered design.

If other, specify here:

Most relevant tools you are using to implement the strategies outlined above [select only two]

New skills, Consultation, Education/training.

If other, specify here:

Please describe your solution in more detail

Se da atención a los niños en un centro lúdico donde reciben apoyo médico, psicológico, de educación y nutricional. Asimismo, en este espacio realizan actividad física y reciben dos comidas al día.

What are your vision and overall objectives?

Basándonos en altos códigos éticos y proveyendo tratamiento clínico de la mejor calidad, buscamos ser la institución líder en el tratamiento de la obesidad infantil.
Nuestros objetivos son:
- Reducir el peso de los niños que atiendan a nuestros centros, teniendo un efecto positivo en su salud.
- Contribuir con la reducción de los índices de sobrepeso y obesidad infantil en México.

What is your value proposition?

Centro accesible, práctico y efectivo para reducir el peso de niños con sobrepeso y obesidad tipo 1.

Who is your customer(s)?

Niños de 6 a 12 años que padecen sobrepeso y obesidad tipo 1.

What approaches to you use to reach your customers?

Usamos un enfoque multisectorial que incluye vinculación con instituciones públicas como Secretaria de Educación Pública y DIF (Desarrollo Integral de la Familia), así como promoción en medios de comunicación, asociaciones de padres de familia y escuelas.

What are your primary activities?

Tratamiento integral contra el sobrepeso y la obesidad tipo 1 que incluye atención nutricional, psicológica y clases de actividad física. Servicio de comedor y cuidado de niños.

Who are your peers and competitors? What problems could these players pose to your success or growth?

No existe ningún otro modelo de negocio o programa similar que atienda de manera integral a este grupo de edad.

What other challenges - individual, organizational, or environmental – are you currently facing or might hinder future success of your business, and how do you plan to overcome those?

El costo de la inversión inicial es alto, por lo que aún tenemos que conseguir al primer inversionista. Sin embargo, estamos diversificando nuestras opciones, buscando alternativas como programas de gobierno.
Asimismo, la estandarización del proceso clínico ha sido un gran reto que estamos resolviendo con consultoría de médicos bariatras especializados en pediatría.
Finalmente, en México existe un ambiente obesigénico que dificulta la promoción de hábitos saludables, por lo que como Fundación también estamos impulsando políticas públicas encaminadas a un cambio cultural más favorable para la salud.

Briefly describe your growth strategy going forward

El primer centro será monitoreado estrictamente como prueba piloto. Después de esto, se podrá comercializar la franquicia.

What dimensions for growth are you currently targeting for your innovation [select all that apply]

New customer group(s).

What makes your business "ready" for growth?

Actualmente existe una alta demanda de servicios de tratamiento de sobrepeso y obesidad infantil. El modelo está listo para empezar la prueba piloto, solamente tenemos que finalizar la parte legal y conseguir el apoyo de inversionistas.

What are your key growth objectives?

Incrementar el número de centros de atención, llegando a atender a 300 niños anualmente.

What is your timeframe for growth, in the short and mid-term? What are the growth milestones and key activities going forward?

A corto plazo, esperamos abrir el primer centro en 2013. Todo 2014 sería tiempo de monitoreo de la prueba piloto. A partir de 2015, buscamos la apertura de 3 centros anualmente, con presencia en diferentes estados de la República.

Social Impact

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What has been the impact of your solution to date?

Aunque los centros todavía no están en operación, hemos logrado un impacto en la promoción de cambios a nivel sistema que promueven estilos de vida más saludables, lo cual hará que nuestro modelo tenga mayor éxito.

What methods for quantification of social impact are you applying (if at all)?

A nivel individual, se medirá la reducción de IMC de los niños que sean atendidos. A nivel sistema, se hará un monitoreo general del progreso de todos los niños.

Could your solution work in other geographies or regions? If so, where?

Sí, el modelo puede ser replicado en toda la República.

What is your projected impact over the next 1-3 years?

Finalizar el tratamiento de al menos 400 niños.

Sustainability

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Elaborate on your current financing strategy

Con el fin de atraer inversionistas, se posicionará el modelo a través de una campaña de difusión masiva en medios como: revistas, televisión, radios, prensa escrita, ferias de franquicias, eventos de recaudación, entre otros.

Share of revenue generation in total income of organization (in percent)

Nómina 15%, gastos operativos-admistrativos: 10%, gestión de proyectos: 75%.

Direct sales to patients or other beneficiaries (in percent)

20% pacientes, 80% socios, donaciones y otros similares (varía en cada centro).

Of the possible sources of these sales listed below, check all that apply to your current strategy

Individuals, Patients, Caregivers, Private businesses, Other beneficiaries.

Licensing fees, e.g., for technology/franchise model (in percent)

No hay tarifas de licencia, sin embargo se contempla una tasa anual de 3.5% por regalías y .5% por publicidad.

Of the possible sources of these licensing opportunities listed below, check all that apply to your current strategy

Foundations, NGOs, Private businesses, Regional government, National government, Others.

Service contract with organizations, e.g., government, NGOs (in percent)

Información confidencial

Of the possible sources of the service contracts listed below, check all that apply to your current strategy

Foundations, NGOs, Private businesses, Regional government, National government, Others.

Explain your revenue generation strategy in more detail

Las organizaciones franquicitarias deberán pagar una cuota de inscripción y membresía para poder obtener una franquicia de Campamento Urbano, junto con el cobro de una tasa anual del 3.5% y del .5% por difusión. Por otra parte los niños que estarán inscritos en el Campamento urbano deberán pagar la inscripción y mensualidad establecida, además de la continua difusión para el incremento de socios y donadores.

Share of philanthropy in total income of organization (in percent)

Nómina administrativa: 10%. Servicios de consultoría: 20%. Gastos operativos: 10%. Gestión de proyectos: 60%.

Philanthrophy strategies you are using

Diversified strategy.

Explain your philanthropic approach in more detail

El modelo de Campamento Urbano puede permitir las donaciones de dinero o en especie para su operación, por lo tanto, se pueden reducir las cuotas para los pacientes.

Expand on your selections; explain how you will sustain funding over the next 1-3 years.

Manteniendo y fortaleciendo el plan de difusión e incrementando el número de niños que se inscriban en cada Campamento Urbano. Esperamos establecer al menos 5 centros.

Changing the Game: Redefining Innovation

We build a portfolio of microfinance institutions and cooperatives whose leaders are committed to integrating health into their service offerings. Global Partnerships' team works with partners to develop business models for health services that can be delivered on a market sustained and scalable basis. And we make grants to fund the costs required to make progress and demonstrate results.

About You

Organization: Global Partnerships Visit websitemore ↓↑ hide↑ hide

About You

About Your Organization

Organization Name

Global Partnerships

Organization Country

United States, WA, Seattle, King County

Organization's Country of Operation

Nicaragua, MN, Managua

Type of Organization

Non‐profit/NGO

Year of launch of the organization

1994

Years in Operation

Operating for more than 5 years

Has the organization received awards or honors? Please tell us about them

We want to hear about your “Aha!” moment. Share the story of where and when the founder(s) saw this solution’s potential to change the world.

The information you provide here will be used to fill in any parts of your profile that have been left blank, such as interests, organization information, and website. No contact information will be made public. Please uncheck here if you do not want this to happen..

Innovation

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Name Your Entry

Changing the Game: Redefining Innovation

Explain what the "innovation" is about, e.g., is it the idea and/or the model you use to accomplish the idea, or your understanding of the target population, etc.?

Global Partnerships affirms that financial services are an important tool for poor microentrepreneurs who struggle daily to operate businesses and households with scarce resources, we believe that microfinance institutions (MFIs) and cooperatives can play an even greater role in addressing global poverty. What is required is innovation – pioneering new business models that MFIs and cooperatives can use to broaden their service offerings and deepen their impact. The innovation is the delivery channel as microfinance institutions and cooperatives around the world reach populations at the base of the pyramid, that are too often inaccessible by the public health system. MFIs can serve as a powerful and fully sustainable channel to address these challenges, by leveraging an existing infrastructure to reach people living in poverty, often in remote areas. The benefits include the following: 1) particularly in cases where credit is delivered via a group-based methodology, the services delivery mechanism already in place enables regular (bi-weekly or monthly in most cases) “touch” with tens of thousands of poor women; 2) the best MFI credit officers already have a relationship with clients based on trust that is only reinforced by taking on intimate health-related concerns; 3) geographically, a client’s branch office is often just as close as the nearest health facility; and 4) the fact that MFIs are financial services providers enables them to design creative savings and payment mechanisms to help client overcome the access barriers related to liquidity.

Describe how your innovation model is distinct from any other organization in your field?

GP's model is distinct in several ways: 1) we build on the strengths of MFIs and cooperatives to disseminate health information, screen for disease at existing distribution points, identify existing services, create alliances with local providers, and create financial services that align health care expenditures with the cash flow realities of poor households; 2) we provide a rigorous focus on business models that can be market-sustained and scaled; 3) we invest different types of capital, including low cost loans and start-up grants, tailored to meet the needs of our partners and the requirements of business plans; and 4) we leverage learning from across our regional portfolio about what's working in other parts of the world.

What type of operating environment and internal organizational factors make your innovation successful?

Global Partnerships (GP) applies a comprehensive screening and due diligence process to all MFI and cooperative candidates. Part of these processes is a proprietary social performance rating that credits those organizations with robust and relevant non-financial services programs, as well as those that deliver those packages sustainably, at scale, with higher ratings. As a result of these pre-existing relationships with MFI and cooperative partners in the region, GP staff have identified a potential pipeline of partners who have a vision for distinguishing themselves in the market with non-financial services, and in some cases, some experience with delivering education or limited health services, either directly or indirectly through alliances.

How do you make sure you constantly innovate in light of (potential) external challenges, or your growth plan?

We are constantly testing, monitoring and evaluating the assumptions of our business models. To ensure that we are continually innovating and adapting we have put key processes in place to ensure we are able adapt as necessary. To this end we have quarterly reporting requirements that measure key indicators of success, monthly calls with our partners, and on-site technical assistance once a quarter,

Business Model

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The systemic challenge you are trying to overcome (select one)

Bring accessible healthcare to communities in emerging markets

Health area (target market) where the need is [select only one]

Primary healthcare services

Categories along the health continuum you are covering [select all that apply]

Prevention, Detection, Intervention, Follow-up.

Please describe in more detail: what problem are you trying to solve in the organization's specific context?

The links between poverty, health, and development are well established. Poverty impacts an individual’s health, including the ability and opportunity to engage in health-seeking and health-promoting behavior. At the same time, poor health can deepen poverty by diminishing an individual’s ability to be economically productive and through catastrophic health costs. Apart from economic barriers, poor households face additional structural barriers that result in a lack of access to, and utilization of, effective and affordable health education and services. Often, it is the poor, particularly the rural poor, who must incur additional costs to travel long distances to reach the nearest health facility.

Stage that best applies to your solution [select only one]

Start-up and growth (pilot is successful and starting to expand)

Core strategies of your business model [select all that apply]

New/redefined roles for healthcare service provision, New approaches to distribution of health products and services, Unconventional partnerships (between traditional healthcare players and players outside healthcare), New financing strategies for health.

If other, specify here:

Most relevant tools you are using to implement the strategies outlined above [select only two]

Consultation, Community financing.

If other, specify here:

Business model development and implementation

Please describe your solution in more detail

Global Partnerships works closely with identified microfinance institution and cooperative partners to develop and scale sustainable business models for providing essential, high quality health services, which generally includes some combination of education, early detection exams, primary level medical consults,and other products and services such as basic medicines. Not only do we provide the knowledge capital to help develop sustainable business models, but we supply the seed capital necessary to bring the organization from pilot to scale. We anticipate that the business models of our partner organizations will demonstrate that health outcomes are improving for clients and that the business models will be financially sustainable by the end of the project (roughly three years).

What are your vision and overall objectives?

Based on early success in developing a revenue-sustained model for delivering health education, diagnostics, and low cost services through the village bank model in Nicaragua, Global Partnerships has launched a $2.6 million initiative aimed at expanding health services with six partners in six countries by June 2015. Our initial goal is to create business models that directly and sustainably bring essential health services to more than 100,000 people, most of them low income women, with the potential to scale to reach millions.

What is your value proposition?

We provide direct technical assistance to develop sustainable business models for delivering health services and well as the necessary seed capital to bridge the gap between the start-up and scale of services.

Who is your customer(s)?

Our customers are microfinance institutions (MFI) and cooperatives whose leaders are committed to integrating health into their service offerings. MFIs and cooperatives already serve millions of people living in poverty, and we believe can serve as effective, low cost and market sustained channels for expanding access to health education, disease screening, consultations and essential medicines.

What approaches to you use to reach your customers?

Global Partnerships becomes aware of potential Health Services Fund (HSF) partners because they have been screened as candidates for GP's Social Investment Fund based on their programmatic and financial profile. The HSF focuses on identifying partners that have aligned missions, institutional commitment and capable management to develop sustainable and scalable business models. We anticipate that within the upcoming year and as our portfolio of partners grows we will reach future customers through conferences and publications about the success of the models.

What are your primary activities?

After we select a partner and complete a due diligence visit we move forward to develop a business model for delivering health services. The model includes: a definition of a high impact core health services package, low-marginal cost operational strategies and its associated cost-revenue structure, a detailed implementation plan, financial sustainability projections, and a monitoring and evaluation plan. Once the model is complete our partners pilot while we closely monitor key indicators of success and provide the gap in necessary funding, as the model is designed to be financially sustainable at scale, Once the pilot is complete we have adapted the model and develop detailed expansion plan and move forward to expand/scale the program.

Who are your peers and competitors? What problems could these players pose to your success or growth?

There are other organizations and institutions that deliver education modules via the village bank channel or offer additional non-financial services along with financial services in order to attract and retain clients, therefore, the idea is not necessarily new to microfinance practitioners or donors in the region. However, there are few, if any, organizations that have achieved a holistic sustainable business model approach to their programs that allows them to offer services sustainably at scale.

What other challenges - individual, organizational, or environmental – are you currently facing or might hinder future success of your business, and how do you plan to overcome those?

We are currently piloting in three countries (Haiti, Honduras, Ecuador), and scaling in one country (Nicaragua). Each model requires constant monitoring as we find ourselves continually adapting as new information is learned or as assumptions of the model are tested. We are currently a team of two full staff and in order to maintain the level of engagement and quality we'll have to add additional staff.

Briefly describe your growth strategy going forward

We currently have four partners and aspire to have 6 partners in the next year. We are actively adding potential partners into our pipeline and starting to perform due diligence visits to see if we have aligned goals and vision.

What dimensions for growth are you currently targeting for your innovation [select all that apply]

New regions(s), New market(s)/country(ies).

What makes your business "ready" for growth?

We are currently piloting and scaling in four countries and have learned a great deal about business models that work and that can be replicated in other markets.

What are your key growth objectives?

We want to build a diverse, yet strategic portfolio of partners that allows us to share and replicate best practice.Our goal is to create business models that directly and sustainably bring essential health services to more than 100,000 people, most of them low income women, with the potential to scale to reach millions.

What is your timeframe for growth, in the short and mid-term? What are the growth milestones and key activities going forward?

We currently have four partners and aim to have six partners that are reaching more than 100,000 people with sustainable, quality health services by June 2015. In the mid-term are striving to catalyze additional interest by other MFIs, Cooperatives as well as other stakeholders to implement and/or enable the implementation of similar sustainable health services business models in other contexts. In order to achieve this we are participating in conferences to bring awareness around our work and writing up case-studies to highlight best practices and lessons learned.

Social Impact

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What has been the impact of your solution to date?

GP is achieving target goals at the expected rate. Half-way in to our three year goals, GP has active grant investments with four partners in four countries, including: Pro Mujer (Nicaragua), Fonkoze (Haiti), COMIXMUL (Honduras), and ESPOIR (Ecuador). We have developed detailed business models for all four partners with made initial grant investments of over $330,000. Pro Mujer in Nicaragua has scaled part of its model to all of its 5 branches in the last 12 months. Fonkoze launched its pilot program in the last six months, COMIXMUL launched its pilot in January 2013 and ESPOIR launched its pilot in March 2013. As of December 2012 our partners had reached 32,766 people with health services and were tracking towards sustainability.

Fonkoze is a good example of what our programs look like, as the health program will leverage Fonkoze's existing 46 branch offices with include 1,800 village banks (close to 60,000 women clients) across the most rural and isolated communities to deliver monthly preventive education and screening, focused on prevalent conditions particularly anemia, malnutrition, hypertension, and diabetes, and access to primary care consults with existing providers for clients and their families. Fonkoze's health program is unprecedented in terms of its ambitions for scale and sustainability

What methods for quantification of social impact are you applying (if at all)?

We require our partners to submit quarterly financial and programmatic reports. After every submission we have a call with each partner to walk through any questions we might have and brainstorm ideas to overcome any challenges. We also do on-site technical assistance with each partner once every quarter. These visits are an opportunity to see the programs in action and to work through any challenges they might be facing. We have found that it allows us to make necessary changes to the models in "real time".

Could your solution work in other geographies or regions? If so, where?

Yes. Honestly, it would work in any county that has functioning MFIs or cooperatives. We are currently only working with MFIs and cooperatives in Latin America and the Caribbean, but are starting to think about how this model could be used in other contexts and settings.

What is your projected impact over the next 1-3 years?

We hope that our partners will be reaching well over 100,000 people with quality, sustainable health services. We also hope that we have six partners that have demonstrated the ability to provide high-quality, low-cost health services sustainably at scale (we define scale as reaching at least 50% of their client base).

Sustainability

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Elaborate on your current financing strategy

Global Partnerships current financial strategy is to cover our costs through earned income and philanthropic contributions grants.

Share of revenue generation in total income of organization (in percent)

42%

Direct sales to patients or other beneficiaries (in percent)

0%

Of the possible sources of these sales listed below, check all that apply to your current strategy

Licensing fees, e.g., for technology/franchise model (in percent)

0%

Of the possible sources of these licensing opportunities listed below, check all that apply to your current strategy

Service contract with organizations, e.g., government, NGOs (in percent)

0%

Of the possible sources of the service contracts listed below, check all that apply to your current strategy

Explain your revenue generation strategy in more detail

Global Partnerships manages investment funds and generates earned income in this capacity. Operating costs for our Health Services Fund is covered in part by these earned revenues as well as philanthropic gifts and grants.

Share of philanthropy in total income of organization (in percent)

58%

Philanthrophy strategies you are using

Diversified strategy.

Explain your philanthropic approach in more detail

Global Partnerships' philanthropic approach is to engage like-minded foundations, individuals and corporations through targeted appeals, events, and foundation applications. We have a retention rate for current donors 10% above the industry average.

Expand on your selections; explain how you will sustain funding over the next 1-3 years.

Global Partnerships is half-way through a three-year strategy to raise $8 million dollars for operating support and $2 million to be used as seed capital to unlock innovation and scale programs in multiple countries with selected partners. To date we've raised more than 50% of the $10 million.

Additionally, Global Partnerships continues to manage and develop investment funds through which we collect management fees as earned income. Global Partnerships has recently launched our fifth fund and have a track record of paying back our investors in full and on time.

DR. ABRAHAM SAGOE

1. Adequate & comprehensive biodata compilation of every patient
2. Staff should be welcoming & accommodating to clients
3. Service times should be flexible, tailored for most patients. Clients' comfort assured
4. Flexible pricing system
5. % for referrers
6. Community outreaches (for poor)

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Providing affordable primary healthcare services to rural poor through a sustainable model.

We continuously strive to ensure availability of quality and affordable primary healthcare facilities to poor people who reside in rural areas and are not able to either afford such services or do not have access to such services. These people who reside at the bottom of the socioeconomic pyramid are served by our centers located in such areas where the government primary health care services are a failure and quality health care services are sparse and not affordable.The most innovative aspect of our model is to make the primary health care services affordable to the rural population.

About You

Organization: Rural Health Care Foundation Visit websitemore ↓↑ hide↑ hide

About You

About Your Organization

Organization Name

Rural Health Care Foundation

Organization Country

India, WB, Kolkata

Country where this project is creating social impact

India, WB, Kolkata

Is your organization a

Non‐profit/NGO/citizen sector organization

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Project description

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Name Your Entry

Providing affordable primary healthcare services to rural poor through a sustainable model.

Select the stage that best applies to your solution

Established (past the previous stages and has demonstrated success)

What problem is your organization committed to solving? In particular, share what is innovative about your approach.

We continuously strive to ensure availability of quality and affordable primary healthcare facilities to poor people who reside in rural areas and are not able to either afford such services or do not have access to such services. These people who reside at the bottom of the socioeconomic pyramid are served by our centers located in such areas where the government primary health care services are a failure and quality health care services are sparse and not affordable.The most innovative aspect of our model is to make the primary health care services affordable to the rural population. We have an expertise in managing the supply chain of near expiry medicines, we procure such medicines at very cheap price and pass on the cost advantage to the people who cannot afford costly medicines.

What are your organization's top three priorities in the next year?

The top three priorities of our organisation in the next year is
1. To create a lager impact by opening of more centers in rural areas where the poor people do not have access to such services at affordable rates. We would like to open one new center in every quarter of the next year.
2. To build a sustainable model to ensure such services can be made available o more people who live at the bottom of the socioeconomic pyramid.
3. Since its inception more than 550000 patients have been treated so far in all our centers, Our priority is to serve more and more of patients each year.

Your project

Project Support

Need #1

Consumer/Audience Acquisition

Need #2

Staffing Capabilities

Based on your first choice of the eight technical categories you selected above, what is your specific project need? Please be specific!

We open our new centers in locations which are situated in rural areas and where the healthcare services are either non-existent or are not affordable. However, in order to ensure that we have a sustainable model we need to have a certain number of patients visiting our centers per month. In the past we have faced situations wherein we opened a center in a new location, however due to low number of patients we had to shift the center to some other place where we could have a greater impact. As stated earlier our model is tested and we have been been successful in providing quality primary healthcare facilities to the rural poor at affordable rates, however, in order to scale our model we need to better identify the locations which would have the maximum social impact apart from making our model sustainable. We believe that the diligent human resource of American Express can help us find solution to this problem.

What three characteristics or qualities do you prioritize in working relationships/partnerships?

1.

Passion for the work we do.

2.

Honesty

3.

Action- Oriented

Will support from American Express be focused on your organization overall or a specific product/service? Please describe.

We are in the growing phase wherein we want to reach out to more people who reside in rural areas and are in absolute need of quality primary health care services. We would like to collaborate with American Express in this regard to help us meet our objective of serving more people by opening up of new centers in more villages in rural areas. Thus the focus would be on the overall organisation and creating a more wider social impact. We are also in the process of making it a sustainable model and professional insights from the American Express would also help us to achieve this objective.

Have you focused on the above area previously? If so, please explain, including whether you have worked with outside consultants before.

We have been committed to our mission of eradicating lack of rural heath care services for the past 4 years. Initially our focus was to ensure the success of our model and with time and a lot of efforts we have been able to build successful model. Now that we know that our model is a successful and replicable model we have shifted our focus on making it scalable and sustainable. We have not worked with any outside consultants before, however with the help of qualified trustees and volunteers who are respected professionals in their respective fields we have been able create wide social impact

Are you able to commit 3-5 hours/wk over 10-12 weeks?

Yes

Are you able to meet virtually or at a convenient in-person location?

Yes

Are you able to meet in the city where your organization is based?

Yes

Impact

Rank your three intended outcomes of this project:

1.

Bridging the gap between demand and supply (government facilities) in basic primary health care.

2.

Access to primary health care in spite of insufficiency of funds.

3.

Eradication of primary health care problems.

What has been the impact of your solution to date?

Some of the quantitative measures that help us to determine the social impact of our activities are:

Number of Patients Treated in our centers: Since its inception more than 550000 patients have been treated so far in all our centers. On an average more than 18000 patients are being treated every month in all our centers.

Number of cataract and cleft lip/palate operation done: More than 4600 cataract operation have been done in association with Rotary Eye Hospital and over 150 cleft lip/palate operations have been performed in association with Smile Train Foundation.

Number of spectacles sold at subsidized rates: Around 17850 spectacles have been provided to the needy at subsidized rates besides providing wheel chairs, artificial limbs, and blankets to the needy patients.

What is your project future impact after receiving professional support from American Express?

Currently we have four centers operational in the rural areas of Bengal, with only one having ECG facilities. We plan to introduce these facilities in the other centers as well. Our mission is to open a new center every quarter in the next 5 years. We plan to make this model self sustainable so only the initial set up costs needs to be funded. With the support received from American Express we plan to open up new centers in other prospective areas of Bengal first and then we plan to move into other states. The professional support from American Express will help us to scale our operations thus benefiting a lot of people in dire need of primary health care services.

Healthcare Apps for New Parents

MobiStine is a start up company specialized in developing trusted healthcare applications (Apps) on smartphone for new parents in Arabic language as the 1st segment. Beside the apps, we will build dedicated healthcare social network to share the experience. Will include for the 1st time Human Sense Detection Technology, to prevent/ alert women doing risky or unhealthy actions even during sleeping.

About You

Organization: MobiStine Visit websitemore ↓↑ hide↑ hide

About You

First Name

Husni

Last Name

Abu Samrah

About Your Organization

Organization Name

MobiStine

Organization Website

Organization Country

Palestinian Territory

Organization's Country of Operation

Palestinian Territory

Type of Organization

For‐profit

Year of launch of the organization

2011

Years in Operation

Operating 1-5 years

Has the organization received awards or honors? Please tell us about them

Yes.
- Best Business Plan in Palestine by INTEL international.
- Grant from PICTI (Palestine ICT Incubator).
- Prize from First Hi Tech Hub- Palestine
- Among 3 winners at BiD Network, The Netherlands.
- Among top 5 paid medical apps.
- Among top 5 free lifestyle apps.

We want to hear about your “Aha!” moment. Share the story of where and when the founder(s) saw this solution’s potential to change the world.

When I had my first baby, she used to cry most of time, we took her to doctors but with no result, until my married sister came & checked how my wife prepare extra milk (milk powder) she got shocked as my wife was feeding the baby with diluted milk, instead of 4 spoon of milk powder she put 1.5!!
We want to create innovative smartphone apps to teach & help new parents in their new lifestyle.

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Innovation

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Name Your Entry

Healthcare Apps for New Parents

Explain what the "innovation" is about, e.g., is it the idea and/or the model you use to accomplish the idea, or your understanding of the target population, etc.?

MobiStine is about developing a new interactive mobile solution for the Arab World (population: 380 M) Trusted healthcare applications (apps) for new parents in Arabic language. The apps will be fully talking and interactive with alerts, reminders, daily tips, daily exercise, nutrition guide, sexual guide, etc. We will include for the first time in the Arabic market, a new technology which is Human Sense Detection, to help the pregnant avoid doing any risky actions and help the doctor later to diagnostic her case in accurate way.
The apps will include GPS to locate the nearest medical clinic, pharmacy, targeted shopping centers related to pregnancy and baby stuff, etc. In addition, we will build Arabic language healthcare social network to act as support group for parents to share their experience. We will introduce for the first time, MobiCare, which is a rating system, where pregnant or new parents can write reviews and rate the service they got from the medical clinics and hence, we will change the world and change the culture as we will make medical clinics compete between each other to provide better healthcare services for new parents in specific and the community as a whole!.
Our apps will be of two models, paid apps and free apps to enable the maximum number of new parents use our apps and get benefited from.
We have partnership with leading medical and healthcare institutions.
In English, there are over 150 apps but in Arabic there are only 5 very simple & static apps! Arab new parents is our first segment, however, we will move to other languages later.

Describe how your innovation model is distinct from any other organization in your field?

Currently, MobiStine is first and only company in MENA specialized in developing Arabic language trusted healthcare apps on smartphone. We will also introduce for the first time in the Arabic market, human sense technology for pregnant to avoid doing any risky or unhealthily actions during their work or even while sleeping (gives immediate alerts). We will include GPS to locate the nearest medical clinic, doctors, pharmacy, etc. We will include also (through GPS) shopping centers related to pregnancy and baby stuff. Beside all, we will build dedicated healthcare social network (in Arabic) to act as support group.

In short, our solution will be a one-stop shop, everything related to new parents needs!

What type of operating environment and internal organizational factors make your innovation successful?

The new parents by nature are inexperienced couples and they lack trusted healthcare info related to their new lifestyle. Arab culture is different, the couples feel shy to talk or ask about pregnancy stuff, hence, the apps will be a great wizard for them.

We have a great Advisory Board of gynecologist, maternity hospitals, healthcare institutions, business and marketing stuff and others who will add a great value to the solutions we provide.

How do you make sure you constantly innovate in light of (potential) external challenges, or your growth plan?

The biggest problem in the Arab market is the huge shortage and lack of Arabic content on the web which equals to <3% only while Arabic is the 5th language on the internet.
We will have a continuous R&D team to keep updating our offering and adding new technology and features to make sure we are ahead of our competitors. Currently, we have over 25 Apps on iTunes, so we have a solid experience, we are pretty sure, we can be always better and ahead of others. We have plans for hundreds of features to include in our solutions even the English apps do not have such features. Our main assets are our great team who is working together hard and do believe we can do it.

Business Model

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The systemic challenge you are trying to overcome (select one)

Bring accessible healthcare to communities in emerging markets

Health area (target market) where the need is [select only one]

Maternal care

Categories along the health continuum you are covering [select all that apply]

Prevention, Detection, Intervention, Follow-up, Long-term care, Social integration.

Please describe in more detail: what problem are you trying to solve in the organization's specific context?

Arab new parents suffer from the shortage of trusted information related to their new lifestyle, pregnant women lack the knowledge related to pregnancy and they always feel so scared from delivery, there are so many Caesarean cases due to improper practices. The culture for the Arab pregnant, they do feel shy to ask about stuff related to pregnancy and so they do need a trusted source of information to guide them and answer their concerns.
Our solution and technology will alert pregnant immediately up on doing risky practices and will also help her avoid disease or minimize their effects if happened.
We will have dedicated healthcare social network as support group to share their experience. Apps will include GPS to locate the nearest hospital, medical clinic, etc.

Stage that best applies to your solution [select only one]

Start-up and growth (pilot is successful and starting to expand)

Core strategies of your business model [select all that apply]

Approaches to behavioral change at the individual level, Redesign of the public healthcare system for more efficiency (in terms of processes, structure etc.), New/redefined roles for healthcare service provision, New approaches to distribution of health products and services, Unconventional partnerships (between traditional healthcare players and players outside healthcare), Other.

If other, specify here:

Building healthcar awarness for pregnant (women care) and child care

Most relevant tools you are using to implement the strategies outlined above [select only two]

Technology, Education/training.

If other, specify here:

Please describe your solution in more detail

We will have a one-stop shop as follows:

1) Smartphone Apps in Arabic (niche market): fully talking and interactive apps, full of human sense detection, alerts, reminders, daily tips, daily exercise, sexual life guide, fetus changes and development, labor courses, etc.

2) Human Sense Detection Technology: to prevent or alert the pregnant do any risky actions during work or sleep.

3) Healthcare social network: dedicated social network for new parents in Arabic language to act as support group and share experiences.

4) MobiCare: a rating system where patients can write reviews and rate the healthcare services they got from the medical clinic, which should improve the services.

5) GPS facility: to locate nearest hospital, medical clinic, pharmacy, shopping center (targeted).

What are your vision and overall objectives?

We develop paid as well as free apps (with ads) on all smartphone devices, and so we generate revenue from both income streams. We have several partnerships with international ad agencies to integrate ads from advertisers.

Below is a list of main revenue stream:

• Direct sales: (download from the iTunes and other smartphone stores).
• Retails sponsorship: through Ad banners related to pregnant and baby stuff.
• Retail partnership: to have percentage on sales come through us (baby and mother stuff), TBD.
• Hospitals and medical clinics partnership: we can create a list (inside the app) of recommended clinics/ hospitals for delivery and mom/baby care, in return, we will have a deal from them, TBD.
• Margin from sales from the shopping centers we include in apps.

What is your value proposition?

The big one is Arabic language over the English ones.
Existing Arab competitors currently address only one or 2 aspects of MobiStine value proposition. Competitors include: Few Arab individual developers, Health websites and very few smartphone apps.

We are the first company in MENA to be specialized in developing Trusted Arabic healthcare apps. We have an agreement with leading international medical associations, so data is trusted and accurate. Moreover, we will enjoy competition as we are sure we can always do it better and provide better services to our users.

Moreover, we are the only who will offer human sense detection to prevent pregnant from doing any risky actions while working or even sleeping.

Who is your customer(s)?

- New parents, includes:
- Pregnant
- Husband.
- Adults.
- Medical clinics
- Pharmaceutical companies
- Shopping centers (who sell pregnant and baby stuff).

What approaches to you use to reach your customers?

Our apps will be sold mainly through the online App stores and their 100s of distributor channels all over the world.
MobiStine Marketing Strategy will focus on and utilize the following tools to attract clients:
• Advertising campaigns and promotions (E-marketing campaigns using digital media and social networks like Facebook, Google ads and others for getting more downloads of our apps.
• Article writings in specialized and related journals, blogs, forums, LinkedIn targeted groups, etc.
• Partnership with Pharmaceutical companies and medical devices to have sponsorship ads.
• Partnership with hospital, medical clinics, medical laboratories and the like for ads sponsorship.
• Partnership with NGOs and other institutions that have same target market as ours (who focus on pregnant

What are your primary activities?

- Develop and keep updating the smartphone Apps.
- Build the healthcare apps.
- GPS, adding and updating clinics, doctors, shops, etc.
- Marketing activities of our apps and solution

Who are your peers and competitors? What problems could these players pose to your success or growth?

Our peers (Ecosystem):
- Hospitals, medical clinics and doctors
- Insurance companies
- Medical Labs
- Shopping centers that sell pregnancy and baby stuff
Our competitors:
- Few healthcare website
- 5 smartphone apps
I don't think the above peers (Ecosystem) will pose real problems for us as they will be with us and want us to succeed, since they get value from our apps. This value is direct and indirect; we promote their clinic and we create awareness for patients. There will be win win situation with them.
As for the competitors: There are very few Arabic trusted healthcare websites, they are not even designed for mobile use and so, they may pose some minor problems if they decide to do a mobile version, however they are general ones and not focused on the new parents as ours

What other challenges - individual, organizational, or environmental – are you currently facing or might hinder future success of your business, and how do you plan to overcome those?

If the (few) Arabic healthcare websites or individuals decide to create a smartphone apps in Arabic for new parents, however, as we are currently the first and only company specialized in this, so first comer is first winner, also, it is not easy to establish partnerships with leading medical organizations to make the apps fully trusted and accredited. In addition, we have a solid advisory board with R&D to keep enhancing and creating more value and benefit to our users especially we have developed over 25 smartphone apps and so we learned a lot in terms of user experience and how to attract users. Our team believe we can always be better.

Briefly describe your growth strategy going forward

We will release free as & paid version of the smartphone app, to enable to maximum number of users to use our apps, once they use it, we are sure they will stick with us due to the value they get day by day. We will include ads in the free apps and so we get income from both revenue stream. We will have sponsorship ads as 3rd revenue stream where our ecosystem will be delighted to do ads with us

What dimensions for growth are you currently targeting for your innovation [select all that apply]

New customer group(s), New regions(s), New market(s)/country(ies).

What makes your business "ready" for growth?

70% or Arabs are young and our solutions is targeted to youth who are likely to have smartphones and they do lack the trusted healthcare info related to their new lifestyle including child care and how to plan for next baby which is a problem in the Arab world as they keep on having new baby one after the other. Moreover, mHealth is estimated to be $ 38.8 billion by 2016.

What are your key growth objectives?

Partnership with big pharmaceutical companies and medical & healthcare organizations, NGOs who support healthcare issues in addition to governments who fund and support healthcare awareness.

We will do the smartphone on iOS (iPhone) and Android and later to other platforms (Blackberry, Nokia and Windows phone).

What is your timeframe for growth, in the short and mid-term? What are the growth milestones and key activities going forward?

We need 4-5 months to release our first smartphone app for pregnant, 2 months for awareness and baby planning app, 1 month for building social healthcare network. 6-10 months to have a matured GPS ready to located the nearest medical clinics, hospitals, doctors, pharmacies and shopping centers targeting pregnant and baby stuff.

We will do regional workshops and events for professional and those who work in the medical and healthcare sector to introduce the first solution of its kind in the Arab world.

Social Impact

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What has been the impact of your solution to date?

Currently, we have developed over 25 apps in Arabic in health and personal use and we have hundreds of thousands of users who are using our apps. Some of our existing apps were among top 5 (in fact the first of the top 5) paid medical apps in Kuwait and top 5 free lifestyle apps in Saudi Arabis (KSA).
From the feedback we receive from our users, it helped them and created a strong healthcare awareness for them and for their families. Our apps help to avoid diseases or at least minimize their effects if occurs.

By now, have a database of almost 20,000 email addresses from those who send us their emails to add them in our newsletters to acknowledge them for any new app we develop. We receive over 100 emails everyday from those users who use our apps.

The impact will be: Arab pregnant and new parents will have easier and healthier pregnancy and life. To avoid disease/ minimize their effect, through trusted healthcare information on smartphone and dedicated healthcare social network in Arabic.

What methods for quantification of social impact are you applying (if at all)?

Through our healthcare social network, we will build a rating system where users will write reviews and rate the healthcare services they receive from medical clinics.

We will run periodic surveys to our users to hear their feedback, comments and impact so as to have a quantitative KPIs to keep enhancing. We do concentrate on the user experience and their valuable feedback to keep improving, we will make medical clinics compete between each other to provide better healthcare services to the new parents in specific and other patients and community as a whole.

Could your solution work in other geographies or regions? If so, where?

Sure, we did a market research and decided to start with the new parents apps in Arabic market since it is a niche and untapped market as there are no similar apps exist. Once we are done with the Arabic segment (market) we will partner with local selected organization ((for culture issues)) to duplicate our solution in other languages and will start with the most needed and untapped countries/ market. So, we could have our apps localized into multiple languages including English, to make other nations benefited.

What is your projected impact over the next 1-3 years?

- Reduce the risky and unhealthy practices by pregnant women.
- Provide better healthcare services by medical centers.
- Create healthier families.
- Better baby care.
- Better pregnant and women care.
- Create a scientific and healthy culture for baby planning.
- Avoid disease or minimize their effects.

Sustainability

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Elaborate on your current financing strategy

During the last 19 months, it has been self financed. Currently, we are talking with potential investors who showed interest to invest and partner with us to make this happen. We are exploring different options and once we decide and choose the right investor (who will provide added value service beside the money), we will start immediately.

On the WORST scenario, if we did not get investment, I will execute my crazy backup plan.. do you want to hear it? well, it is to sell my home, yes sell my home and I told my family once we succeeded (and we will), I will buy you a palace in stead of the flat. I know it is crazy but I will go for it as I do belief in it!!

Share of revenue generation in total income of organization (in percent)

98%

Direct sales to patients or other beneficiaries (in percent)

90%

Of the possible sources of these sales listed below, check all that apply to your current strategy

Friends and family, Individuals, Patients, Caregivers, Private businesses.

Licensing fees, e.g., for technology/franchise model (in percent)

0%

Of the possible sources of these licensing opportunities listed below, check all that apply to your current strategy

NGOs, Private businesses, Regional government, National government.

Service contract with organizations, e.g., government, NGOs (in percent)

10%

Of the possible sources of the service contracts listed below, check all that apply to your current strategy

Foundations, NGOs, Private businesses, Regional government, Others.

Explain your revenue generation strategy in more detail

Our revenue generation will have the below main revenue streams:

1) Paid apps: the price for each app will range from $ 1-4).
2) Ads revenue from free apps: we integrate ads inside the app through leading international ad agencies and networks.
3) Revenue from sponsorships ads: from pharmaceutical companies, medical clinics, baby milk producers, baby stuff manufacturer.
4) Sales margin from shopping centers: sales that come through our apps and solutions to shopping centers that sell pregnant and baby stuff.
5) Healthcare outsourcing projects: for government, NGOs, companies who want to develop medical/ healthcare systems.

Share of philanthropy in total income of organization (in percent)

2%

Philanthrophy strategies you are using

Diversified strategy.

Explain your philanthropic approach in more detail

We got a grant of $ 5K in cache after winning with a business plan, other than that, we never had a cache money. However, we got some in-kind support it terms of training, consultation and alike.

Expand on your selections; explain how you will sustain funding over the next 1-3 years.

We will have more investors to come in as we gave share and equity. However, we will need just one year (after the development) to get the breakeven point and later we will be having revenues which should cover the expenses and have enough net income.
But our door is always opened for investors and new ideas moving into new segment or localizing the apps into other language since it will cost us very little since the core data and technology already there.

traditional medicine offers affordable and effective health care

Approximately 50 words left (400 characters).

About You

Organization: RAO.V.KOLLURI Visit websitemore ↓↑ hide↑ hide

About You

First Name

kolluri

Last Name

venkateswara rao

About Your Organization

Organization Name

RAO.V.KOLLURI

Organization Website

Organization Country

India, AP, Hyderabad

Organization's Country of Operation

India, AP, Hyderabad

Type of Organization

Non‐profit/NGO

Year of launch of the organization

1960

Years in Operation

Idea phase

Has the organization received awards or honors? Please tell us about them

No

We want to hear about your “Aha!” moment. Share the story of where and when the founder(s) saw this solution’s potential to change the world.

Traditional Medicines are effective,proven and affordable and have no side effects. Traditional medicines like Ayurveda and Sidhha are known for several thousands of years and have a divine blessing.Medicinal route powders is the basis for these medicines.Effective cure for Diabetes and blood pressure. Homeopathy is another proven low cost medicine. Small funds can help many people.

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Innovation

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Name Your Entry

traditional medicine offers affordable and effective health care

Explain what the "innovation" is about, e.g., is it the idea and/or the model you use to accomplish the idea, or your understanding of the target population, etc.?

Innovative changes in the health care to benefit the masses and to provide low cost , effective and proven health solutions by encouraging to use traditional health care systems like Ayurveda, Sidha , Naturopathy , Yoga and Homeopathy for general medical care where operations and surgery is not required. Presently , modern medicine system that is being used to serve medical needs is expensive and out of reach of majority of the population at least in the developing countries . The child mortality and mall nutrition is in alarming levels in most of the developing countries and sub Sahara Africa. To help and solve the situation ,and make usage of the traditional systems popular , there is a need to educate the masses, governments with the help of few NGOs to get going homeopathic, Ayurveda and other traditional medical centers to be operative in remote villages and also get good number of medical practitioners trained from available Medical colleges for the traditional medicine. Ayurveda is a proven system for the past several thousand of years and the medicine has no side effects. Yoga coupled with the traditional medical system provides development of a sound mind , body system and good health at at practically no cost or a very very low cost. Homeopathy is another effective low cost medical system.This system originally originated from Germany and is also well developed in India. This system is also very effective providing good health care.

Describe how your innovation model is distinct from any other organization in your field?

Present modern medical system is expensive and is out of reach of many in developing and poor African countries. Health care is minimal and not available at many places. There is a need to provide proven, effective and economical medicines to serve the needy. Traditional medicines like Ayurveda and sidha are known for several thousands of years. They are based of medicinal plant root powders and have no side effects.Known to be best in cure of diabetes and blood pressure etc. There are instances of cure or prolongation of cancer when no radio therapy is administered.
Homeopathy is another effective medicine , economical, effective and with long lasting results.It started in Germany ans now widely used in India. Proper training and set up of facilities is essential.

What type of operating environment and internal organizational factors make your innovation successful?

Traditional medicine should be made available at all places rural and urban. Existing hospitals could be used . or else health centers could be establishes. Even mobile hospitals could be used to cover remote areas. Local village level bodies could be involved in distribution of medicine and coordinate with the medical practitioners.

Medicine is economical and easy to administer and as such it could be easier to expand its services to many places easily.

How do you make sure you constantly innovate in light of (potential) external challenges, or your growth plan?

Traditional medicines like Ayurveda and Sidha are known for ages. More we make use of them , more we know about them by experience. The medicine is made from root powders of medicinal plants and the cure is permanent. Homeopathy is practiced beginning from Germany and in several countries , including in India. There could not be many external challenges to these medicines.

Business Model

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The systemic challenge you are trying to overcome (select one)

Bring accessible healthcare to communities in emerging markets

Health area (target market) where the need is [select only one]

Primary healthcare services

Categories along the health continuum you are covering [select all that apply]

Prevention, Intervention, Follow-up.

Please describe in more detail: what problem are you trying to solve in the organization's specific context?

Health care systems do not cover most of the public in many developing and poor countries. In result many have no access to modern medicine and suffer from child deaths , mall nutrition and suffer without any medical help.In many villages , there are no health care centers and hospitals and the doctor patient ratio is very high. When there is a need , availability of a qualified doctor is a dream
Out of the traditional medicines, Ayurveda is being practiced from times immemorial .and known to have come from DHANVANTARI which has a divine blessing. Medicine is made out of root powers of medicinal plants and the cure is inexpensive and is very effective and long lasting. There are established colleges to train qualified doctors. Thre is a need to establish base hospitals.

Stage that best applies to your solution [select only one]

Idea (poised to launch)

Core strategies of your business model [select all that apply]

Patient-centered design, Redesign of the public healthcare system for more efficiency (in terms of processes, structure etc.), New approaches to distribution of health products and services, New financing strategies for health.

If other, specify here:

Most relevant tools you are using to implement the strategies outlined above [select only two]

Consultation, Education/training.

If other, specify here:

Please describe your solution in more detail

To provide health care units in each village or at least create a separate wing in each hospital or set up mobile units to cover as many remote villages as possible . To train number of qualified doctors in Traditional medicine. Encourage Yoga exercises which shall help in avoiding deceases and also cure certain deceases like diabetes and blood pressure etc. Yoga directs the mind and body in the right direction and helps in many respiration problems. Traditional medicine coupled with Yoga shall offer excellent results at very minimal and affordable cost. Governments and the NGOs can several more people with the same amount and help in a better life.
Homeopathy is another effective traditional medicine well known in India which can be used.
To popularize and help its use.

What are your vision and overall objectives?

Vision is to help the needy to have affordable and effective medicine when and where it is needed and easy to be administered. At a low cost health care could be provided to many and also serve the health needs which other wise could not be met by many poor nations. This will ensure better life and reduction of child mortality , better health and removal of mall nutrition. Medicine without side effects is a boon to the community in remote villages since there will be no facilities to antidote any reaction within time.
There are many cases which could be cures in Ayurveda and Homeopathy which otherise are not curable in modern medicine. traditional medicine is based on the indications and the case history of the patient. Routine health care is possible by the patients.
.

What is your value proposition?

Money spent on health care shall get 100 times extra benefit to the public and shall bring in a socio economic development in the community and ensure a longer and better life. It shall also grant longevity . Properly introduced and serviced system shall ensure serving many who could not have reached to any medical health care in time. The effect has an immense valsue which is difficult to be measured.

Who is your customer(s)?

Entire community in all developing and poor countries. Even some of the affluent people who can afford cost shall also be the patients since Traditional medicines can offer a medical cure which could not be cured otherwise. Many results are long lasting. Yoga bring in the mind and body into condition and make it work effectively resulting in a good health. Some of the papers attached shall give details

What approaches to you use to reach your customers?

1. Government agencies / Government Hospitals
2. Private hospitals
3. NGOs
4. Social service organizations like Lions , Rotary and Red Cross etc. and
5. Village Panchayats and Other local bodies.

What are your primary activities?

To approach various governmental and non government bodies
as stated above and try to impress on then the need , effect and the benefit.
At the impleovernmental bodies for the help.mentation stage to involve our Lions clubs to take an active part in the service and
also encouraage other non g

Who are your peers and competitors? What problems could these players pose to your success or growth?

The competition can be from the present modern medical system. But the cost wise there shall be no problem.

NEXT PROBLEM SHALL BE TO CONVINCE THE PUBLIC TO FOLLOW A TRADITIONAL SYSTEM OF MEDICINE AND CHANGE OVER.

TO work with the political system and convince them to fund , organize , train doctors and to implement the scheme and make it effective.

To take along with us the other NGOs.

What other challenges - individual, organizational, or environmental – are you currently facing or might hinder future success of your business, and how do you plan to overcome those?

1. Acceptability at community level.
2. Political and Governmental acceptability to implement the programmes in full scale.
3. Setting up of health care centers in remote areas.
4. Awareness in community

Briefly describe your growth strategy going forward

1. Create an awareness campaign
2. Coordinate with the Governmental agencies and NGOs
3. Work for political support
4. Create an atmosphere of usage of Traditional medicines
5. Propagate the success messages in curing the deceases by use of traditional medicines and their
cost benefits.

What dimensions for growth are you currently targeting for your innovation [select all that apply]

New customer group(s), New regions(s).

What makes your business "ready" for growth?

1. Already proven medicines
2. Economy
3. effective cure
4. No side effects
5. easy to administer
6. Can be used in line with other medicines in some cases
7..Can reach remote areas
8. Medicine from local medicinal plants

What are your key growth objectives?

1.To make sure that the medicine reaches the needy in remote areas.
2. To provide affordable medicine when and whee needed.
3. To provide health care to people who would go without medical attention otherwise.
5. To cover as many area as possible and to make as many as possible benefited.

What is your timeframe for growth, in the short and mid-term? What are the growth milestones and key activities going forward?

1. To start implementation as early as possible.
2. To achieve short term benefits while aiming at long term , sustainable and a permanent
solution.

Social Impact

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What has been the impact of your solution to date?

Traditional medicines are being practiced in several places but in a small way.
Many villagers use them but at a very small level. They have to be educated and medicine
has to be provided in the Government hospitals and also in the private hospitals and at
the health centers of NGOs.

What methods for quantification of social impact are you applying (if at all)?

Normal statistics like any other health care have to be taken to find the effectiveness.
Mere fact of many people being treated and benefitted shall be the proof.

Could your solution work in other geographies or regions? If so, where?

Yes. All most in all parts of the world.
The restriction are conditions of growth of the medicinal plants.
They are mostly tropical plants.
Other countries may have to import basic medicines.

What is your projected impact over the next 1-3 years?

shall improve health care by 25 % more , if proper care and actions required are taken. In a 10 year period 85% implementation could be expected.

Sustainability

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Elaborate on your current financing strategy

When compared to the present state finance budgets for health care , this amount is very
nominal. Depending on the results , more funds could be allocated in the budgets.
For implementation of these schemes by NGOs thea re are several donors prepared to fund.
In India , in the Finance bill 2013 , there is requirement of the industry to spend 2% of their net income
for social responsibility. If a proper case is made out and commence implementation, Fundding should no face a problem.

Share of revenue generation in total income of organization (in percent)

50% from Government subsidy , 25% from contributions out of social responsibility and balance 25% from collection on medicines.

Direct sales to patients or other beneficiaries (in percent)

25%

Of the possible sources of these sales listed below, check all that apply to your current strategy

Patients, Private businesses.

Licensing fees, e.g., for technology/franchise model (in percent)

No

Of the possible sources of these licensing opportunities listed below, check all that apply to your current strategy

Others.

Service contract with organizations, e.g., government, NGOs (in percent)

Government 50% AND Ngos 25%

Of the possible sources of the service contracts listed below, check all that apply to your current strategy

NGOs, Private businesses, Regional government, National government.

Explain your revenue generation strategy in more detail

We assist in the implementation and do not directly handle the helth care.

Share of philanthropy in total income of organization (in percent)

we use groups and service organizations like Lions and Rotary etc for support and implementation,

Philanthrophy strategies you are using

Diversified strategy.

Explain your philanthropic approach in more detail

As explained above , we shall explain and make the members of the Lions Clubs and the other service
organizations like Rotary etc involve in the exercise. This will enable us to secure man powere and also
rise donations for the purpose. This group also shall be able to influance the Goverment and other Industrial establishments.

Expand on your selections; explain how you will sustain funding over the next 1-3 years.

1. Clubs and individual contributions.
2. Collection of sponsorship
3. Discuss with the Government
4. Discuss with the other NGOs and Industrial donors

Shwas Lena Hai ("to take a breath")

Shwas Lena Hai, which means "to take a breath," is the only wearable sensor to detect signs of respiratory distress in infants, which causes 648,000 annual deaths in India. These tragedies can be avoided with the sensors developed by HITLAB and Zansors. Shwas Lena Hai is novel, low-cost sensor tech that alerts parents to seek medical help with beeping sounds when the infant breathes irregularly.

About You

Organization: HIT Lab Visit websitemore ↓↑ hide↑ hide

About You

First Name

Cole

Last Name

Manship

About Your Organization

Organization Name

HIT Lab

Organization Website

Organization Country

United States, NY, New York

Organization's Country of Operation

United States, NY, New York

Type of Organization

Non‐profit/NGO

Year of launch of the organization

2006

Years in Operation

Please select

Has the organization received awards or honors? Please tell us about them

We want to hear about your “Aha!” moment. Share the story of where and when the founder(s) saw this solution’s potential to change the world.

An “Aha!” moment occurred when Cole Manship of HITLAB realized that the existing relationships that HITLAB has with Indian partners could be connected with new wearable sensor technologies from Zansors. HITLAB and Cole saw new ways to help parents and infants of India with technology. HITLAB and Cole took the time to talk with partners in India and at Zansors to validate the “Aha!” idea.

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Innovation

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Name Your Entry

Shwas Lena Hai ("to take a breath")

Explain what the "innovation" is about, e.g., is it the idea and/or the model you use to accomplish the idea, or your understanding of the target population, etc.?

HITLAB and Zansors are developing the only wearable sensor to detect symptoms of respiratory distress that is designed for a resource constrained environment. This offering is a joint venture called Shwas Lena Hai meaning “to take a breath” and Project Shwas henceforth. Every year 1.8 million children under the age of five die from respiratory distress. In India alone, WHO estimates that annual mortality from respiratory distress among infants exceeds 648000. Many of these deaths can be prevented by known, simple, and affordable low cost interventions and home-care. Project Shwas has identified an innovative model to alleviate unnecessary childhood deaths from respiratory distress in which novel, low-cost, sensor technologies can be used by parents in India with newborns and infants living in rural and poor regions. The sensor patch measures the respiratory rate, breathing patterns, and quality of breathing. Proprietary algorithms will be able to detect the earliest signs of breathing complications. The simple, easy-to-read LED display and “beeper” alert parents when poor breathing is detected. Using this system, parents will be alerted of potentially life-threatening breathing problems at the earliest signs of complications. Our solution will save lives by providing parents with a long enough window to seek appropriate medical treatment before their child stops breathing.

Describe how your innovation model is distinct from any other organization in your field?

Project Shwas connects sophisticated sensor technologies and education pamphlets to parents living in India who want to feel empowered in the care of their newborn or infant. The innovation is that parents receive an experience from both the sensors and education material. HITLAB’s model qualifies the sensor technology by ensuring the semiconductor-based sensors are designed with technical precision, fabricated with high-quality, and tested. HITLAB’s knowledgeand network in India ensure that the educational material and sensor solutions are adapted to a consumer product that can be meet price points and sustain in resource-constrained areas. HITLAB will ensure that the sensor solution includes the following features: used at home, low-cost, wearable on infant, wireless, easy-to-use.

What type of operating environment and internal organizational factors make your innovation successful?

HITLAB is a for profit company with a not-for-profit mission to promote social good based on its three core values of innovation, partnership, and evidence-based research. HITLAB has two locations that provide a global awareness; located at 1) Columbia University Medical Center in New York City and 2) located on the campus of the Indian Institute of Technology (IIT) in Delhi. Stan Kachnowski, Director of HITLAB, has an appointment at IIT-Delhi enhancing this proposal’s network in India. HITLAB participates in partnerships with many diverse organizations to understand health needs in developed and emerging regions: Johnson & Johnson, Wellpoint, American Diabetes Association, etc. HITLAB is working with a sensor technology small business called Zansors to develop the sensor patch.

How do you make sure you constantly innovate in light of (potential) external challenges, or your growth plan?

HITLAB’s diverse team allows it to constantly innovate. The team consists of engineers, business managers, data scientists, economists, public health professionals, and clinicians, who share ideas and review programs to ensure adaptability and growth. As part of its activities, HITLAB has evaluated many different types of technologies to prepare and assess technology trends and stay current. Some of these technologies include activity monitoring, mHealth, electronic health records, clinical trial social networking tool assessment, and online self-care platform. HITLAB produces publications that allow it to stay current in a changing world.

Business Model

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The systemic challenge you are trying to overcome (select one)

Bring accessible healthcare to communities in emerging markets

Health area (target market) where the need is [select only one]

Primary healthcare services

Categories along the health continuum you are covering [select all that apply]

Prevention, Detection, Intervention, Follow-up, Long-term care.

Please describe in more detail: what problem are you trying to solve in the organization's specific context?

Child mortality in India is a major issue to be solved based on the UN’s Millennium Development Campaign. In 2010 WHO reported, 1.8 million infants die before age 5 in India and 7.6 million world-wide. Respiratory distress in India is a major cause of death for infants with 648k annual deaths due to respiratory distress. Many parents do not know the signals of respiratory distress before it is too late. Additionally, parents in India especially resource-constrained settings do not have access to home monitoring devices available to parents in developed parts of the world. 75% of infant mortality in India arise from specific high-risk states: Uttar Pradesh, Bihar, Madhya Pradesh, Rajasthan, Andhra Pradesh, Orissa, Assam, and Gujarat.

Stage that best applies to your solution [select only one]

Piloting (a pilot that has just begun operating)

Core strategies of your business model [select all that apply]

Approaches to behavioral change at the individual level, Patient-centered design, Redesign of the public healthcare system for more efficiency (in terms of processes, structure etc.), New approaches to distribution of health products and services.

If other, specify here:

Most relevant tools you are using to implement the strategies outlined above [select only two]

Technology, Education/training.

If other, specify here:

Please describe your solution in more detail

Our low-cost, disposable wearable micro-sensor technology can help prevent the deaths of the 645,000 children under the age of five who die annually of respiratory distress in India. Project Shwas addresses India’s high neonatal and post-neonatal mortality rate by monitoring the quality of the respiratory system in the home environment using simple to use wearable sensors. This endeavor is in-line with the goals of UNICEF through their Integrated Management of Newborn and Childhood Illness (IMNCI) program, which encourages home-based care solutions. The algorithms being developed will be capable of alerting parents at the earliest signs of respiratory complications, giving them additional time to seek life-saving medical care.

What are your vision and overall objectives?

The vision is to empower parents in India to utilize low-cost technologies designed for resource poor environments to reduce infant and childhood mortality relating to respiratory distress. The overall objectives include 1) developing products using technologies that are high-quality and low-cost in rural health settings; 2) educating parents about respiratory distress and infant mortality; 3) creating a distribution system where products are accessible to masses.

We want to empower a new segment of the Indian population to be health consumers of services for their infants. These individuals will have both the access and spending power to purchase affordable consumer health products that are of sophisticated sensor technologies.

What is your value proposition?

HITLAB and its partners will offer parents in India with a wireless wearable sensor patch to monitor the breathing of their child to serve as an alert monitor when infant stops breathing. The embedded algorithm on the sensor collects objective, standardized breathing data to determine good, mediocre, or poor breathing with outputs of LED color displays of green, yellow, and red, respectively. The consumer sensor product will be low-cost and accessible to Indian parents who currently do not have technology tools to prevent infant respiratory distress and infant mortality. The combination of education and technology provides an entire experience for parents.

Who is your customer(s)?

Project Shwas will focus on customers such as state governments, local clinics in the states, Indian healthcare delivery systems, NGOs, and parents with disposable income to purchase the proposed product. In Year 1, the focus is to complete a pilot in state of Assam so the customer is Assam's Ministry of Health and its leading hospital, Guwahati Neurological Research Centre. Project Shwas will identify local health clinics in Assam to serve as customers too. Project Shwas will also identify customers who have vast health delivery networks in India like Apollo Hospitals. In Year 2, the Project Shwas will focus on high-risk states besides Assam. In Year 3, full awareness, marketing, and advertising can focus on customers like parents expecting children or with infants.

What approaches to you use to reach your customers?

Project Shwas has its own network to reach its customer however certain organizations can help bring awareness. For example, Project Shwas can get the help of Save the Children’s Smita Baruah who is Director of Global Health Policy and Advocacy. Project Shwas will reach customers by getting its educational material and sensor product to be perceived like any other consumer product. An ideal partner may be an Indian consumer company selling baby/infant products as a distributor. These firms already have access and contact with parents and the educational material and sensor patch can be co-marketed. HITLAB can be innovative and even partner with a firm like Coca-Cola to help extend reach into rural areas and bring awareness of the sensor patch and educational material.

What are your primary activities?

There are five primary activities. First, educational material about infant mortality and respiratory distress need to be developed that will accompany the sensor products. Next, the sensor product has to be designed, fabricated, and tested. Thirdly, pilot testing of the program and experience from the educational material and sensor products must be completed. Fourthly, research and connections with the Indian government and NGOs must be made when bringing to products into the country. Finally, the full ramp-up of the education and product distribution must take place.

Who are your peers and competitors? What problems could these players pose to your success or growth?

Current competitors are baby monitoring firms like Fisher-Price who currently do not cater to resource-constrained regions like India to address infant mortality especially respiratory distress. Also these types of firms do not have expertise in mobile health sensor technologies. Other NGOs like the Gates Foundation may deploy technologies addressing respiratory distress. The saturation or contact of the same Indian partners or individuals may make it harder for the implementation of Project Shwas.

What other challenges - individual, organizational, or environmental – are you currently facing or might hinder future success of your business, and how do you plan to overcome those?

HITLAB manages many different programs besides this proposal. The proper attention and focus is required for a project like this where overseas coordination is required. Success can be ensured with an assigned, formal project manager so that all objectives and day-to-day activities are addressed.

While India's economy is growing, we don't know if the growth will sustain. Project Shwas assumes consumer spending empowerment where they can afford consumer health products. These parents can be of any socio-economic background and any educational level in India but the product will be priced at <$20 US or lower assuming consumer can afford this - similar to throw-away cell phones available in India.

Briefly describe your growth strategy going forward

Invest in educational programs and partnering with marketing providers. These programs require making parents aware of the need for home-testing of respiratory distress to prevent death. Awareness can start as posters or pamphlets in pediatric clinics and other health clinics. Foster partnerships with local clinics, NGOs (Save the Children), and health delivery systems (e.g. Apollo Hospitals).

What dimensions for growth are you currently targeting for your innovation [select all that apply]

New customer group(s), New regions(s), New market(s)/country(ies).

What makes your business "ready" for growth?

Project Shwas has a full prototype that can measure respiratory rate, breathing rhythms, and quality of breathing. The prototype adheres to the “lean startup” methodology being a minimum viable product. India is considered a growing economy with a new middle class in all socio-economic groups and adopting technologies like cell phones. Healthcare for newborns/infants will be in high demand.

What are your key growth objectives?

The first objective is to partner with the state of Assam in Year 1 and then create local awareness and education about respiratory distress and home monitoring systems at pediatric and health clinics in Assam. The next objective will be to reach out to other state governments in India and leading health delivery networks like Apollo Hospitals to ramp-up in Year 2 and 3.

What is your timeframe for growth, in the short and mid-term? What are the growth milestones and key activities going forward?

In Year 1, the goal is to produce 100 units of the sensor monitoring units and then test with 20 – 50 infants in Assam, India as a pilot study. Also, Project Shwas will develop initial awareness and educational materials to be placed in approved clinics in Assam to help parents understand the importance of respiratory distress and home monitoring. Finally, Project Shwas will cultivate strong relationships with Indian state governments, health delivery systems like Apollo Hospitals, and NGOs like Save the Children. In Year 2 and 3, Project Shwas will have expanded into at least two other high-risk infant mortality states. The selection will be determined by feedback from Indian government, NGOs, partners, etc. Also, in Year 2 and 3, Project Shwas will be able to produce thousands of units.

Social Impact

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What has been the impact of your solution to date?

To date, Zansors has developed a minimum viable product capable of monitoring respiration rate, breathing rhythms, and quality of breathing. Once piloted and taken to market, our product will begin having an immediate impact by providing parents of children with a tool to address respiratory distress in the home especially for the first 28 days. Project Shwas has no impact at the moment because it is new and disruptive. HITLAB and its partner Zansors have been conducting internal development. HITLAB needs the current time to coordinate with its India office to not only organize the optimal education program for respiratory distress and infant mortality, but HITLAB wants to optimize the value proposition in order for the pilot and full launch to be successful. Also, HITLAB and Zansors are optimizing the wearable sensor patch. The impact will occur when the education material and wearable sensor are in the hands of parents.

What methods for quantification of social impact are you applying (if at all)?

Project Shwas will measure social impact primarily by the diffusion of the product throughout India. The diffusion across India will be highly influenced by the ability of the product to be adopted by partnering clinics and health delivery systems in India and also average consumers. An indirect method of social impact can be to measure the discussion on social media like Facebook regarding the solution. A continued promotion and praise of the solution will indicate the social impact as a new entrant/solution. Also, HITLAB will conduct surveys and observational research with users to determine satisfaction levels from parents as users. Parents can provide rating on usefulness of the program in order for HITLAB and Zansors to fine-tune the offering.

Could your solution work in other geographies or regions? If so, where?

Yes, the education material on respiratory distress and infant mortality and the wearable sensor patch monitoring system can be scaled to other resource-constrained areas such as Africa. Project Shwas is designed to be flexible and scalable for other regions of the world. A successful demonstration in India, which is resource-constrained in many areas, provides strong chance to sustain in other emerging regions.

What is your projected impact over the next 1-3 years?

Project Shwas is focused on India, where 648k children die each year of respiratory distress and the impact will be the parents in India with newborns/infants. We will start with an initial focused pilot, and then expand into the eight high-risk states of India: Uttar Pradesh, Bihar, Madhya Pradesh, Rajasthan, Andhra Pradesh, Orissa, Gujarat, and Assam. In Year 1, the launch of a pilot in Assam will allow good user testing and user experience from parents relating to the education material and sensors. In Year 2, full scale education, advertising, and awareness of the program will begin. In Year 3, full deployment into the remaining high-risk states and throughout the country can begin with distribution partners. By year 3 we will have capacity to supply a volume of at least 2M units.

Sustainability

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Elaborate on your current financing strategy

Project Shwas is a joint venture of HITLAB and Zansors. HITLAB brings both the operational and leadership of the venture while Zansors is a sub-contractor with expertise in wearable sensor technologies. HITLAB conducts hundreds of technology assessments and its mission is to create philanthropic, global outcomes. HITLAB has strong and deep relationships with both angel investors and venture capitalists (VC) in New York City and India. HITLAB plans to utilize the winnings from this competition to fund further development of the device’s algorithms and launch a preliminary, small-scale pilot on 25 to 50 at risk children. Leveraging the results of the feasibility pilot, HITLAB will then seek investment of approximately $200,000 from an angel investor in the Indian Angel Network (with which HITLAB has deep connections) to refine the product, develop educational materials, and establish strategic partnerships with health clinics and distribution centers in Assam. By year 3, as the project expands beyond pilots conducted in Assam, we anticipate that project will be self-sustaining.

Share of revenue generation in total income of organization (in percent)

80

Direct sales to patients or other beneficiaries (in percent)

40

Of the possible sources of these sales listed below, check all that apply to your current strategy

Individuals, Patients, Caregivers, Private businesses.

Licensing fees, e.g., for technology/franchise model (in percent)

30

Of the possible sources of these licensing opportunities listed below, check all that apply to your current strategy

Foundations, NGOs, Private businesses, Regional government, National government.

Service contract with organizations, e.g., government, NGOs (in percent)

30

Of the possible sources of the service contracts listed below, check all that apply to your current strategy

Foundations, NGOs, Private businesses, Regional government, National government.

Explain your revenue generation strategy in more detail

Project Shwas is an idea incubated at HITLAB. HITLAB and its partner Zansors are operational entities receiving funding from their respective sponsors and investors. As the Project ramps-up in Year 1 and 2, it will seek growth capital from investors. Project Shwas’ overall goal is to create a product that generates revenue through direct to consumer sales to independently sustain the Project. HITLAB and Zansors are developing the product at a cost that is low enough to achieve a price point that can be easily reached by parents of at risk infants in India. The technology will become increasingly affordable from scaling. While initial testing and product refinement will require investment capital, we anticipate the project to have achieved sufficient scale to be self-sustaining by Year 3.

Share of philanthropy in total income of organization (in percent)

20

Philanthrophy strategies you are using

Diversified strategy.

Explain your philanthropic approach in more detail

HITLAB seeks to improve the quality, affordability and accessibility of healthcare worldwide by investigating the innovative use and clinical effectiveness of information and communications technology. In partnership with others whose missions align with ours, we independently and ethically research and communicate the role technology can play in improving the provision and outcomes of healthcare.

Expand on your selections; explain how you will sustain funding over the next 1-3 years.

HITLAB has deep relationships with the Indian Angel Network. HITLAB will leverage these and other relationships to secure the funding required for Project Shwas and to run the necessary pilots. HITLAB will then leverage the results of these pilots to secure additional seed funding. Seed funding will be used to secure marketing and distribution channels, develop marketing materials, After the product is ready for market, HITLAB will do a soft launch through a strategically selected partnering hospital. By the end of year 3 we anticipate to be self-sustaining.

Transforming community response to malaria in Nigeria: Role of Patent Medicine Vendors

Friends Africa is an indigenous, independent pan-African organization. It is an independent, innovative, multi-sectoral organization with credible and committed Board of Directors across Africa. The Friends Africa story is a story of commitment from Africa towards Africa, small incremental increases showing entrepreneurial rigor in the midst of challenges.

About You

Organization: Friends Africa (Friends of the Global Fund Africa) Visit websitemore ↓↑ hide↑ hide

About You

First Name

Akudo

Last Name

Anyanwu Ikemba

About Your Organization

Organization Name

Friends Africa (Friends of the Global Fund Africa)

Organization Website

Organization Country

Nigeria, LA

Organization's Country of Operation

Nigeria, LA

Type of Organization

Non‐profit/NGO

Year of launch of the organization

2006

Years in Operation

Operating for more than 5 years

Has the organization received awards or honors? Please tell us about them

Yes, Friends Africa has received awards. In 2012, Friends Africa was awarded the STEVIE gold and silver awards for entrepreneurship and innovation and was also a finalist for the ONE award. Friends Africa’s CEO (Dr Ikemba) won the STEVIE 2012 gold award for female entrepreneurs and is a World Economic Forum young global leader for 2012-2017. Friends Africa was also named a finalist for the 2012 ONE awards

We want to hear about your “Aha!” moment. Share the story of where and when the founder(s) saw this solution’s potential to change the world.

Anyanwu Ikemba founded Friends Africa as an African voice to support the fight against AIDS, TB and Malaria. Her Aha!moment occurred while working as Technical Advisor for Global Fund Projects in Nigeria,realizing the numerous untapped opportunities on the continent she envisioned an organization that galvanizes the strengths of Africa's private sector, civil society&government to save lives

The information you provide here will be used to fill in any parts of your profile that have been left blank, such as interests, organization information, and website. No contact information will be made public. Please uncheck here if you do not want this to happen..

Innovation

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Name Your Entry

Transforming community response to malaria in Nigeria: Role of Patent Medicine Vendors

Explain what the "innovation" is about, e.g., is it the idea and/or the model you use to accomplish the idea, or your understanding of the target population, etc.?

This innovation targets a group within the community that has hitherto been neglected in all stakeholder response to the malaria pandemic in Nigeria. It is a concept formed based on knowledge and understanding of the target population – a group readily available within the community as the providers of different types of medication, and as such have high level of influence on what drugs community members use for the first aid, home treatment and first line response to common fevers suspected to be malaria and malaria fevers at varying stages of manifestation. This innovation will build the capacity of patent medicine vendors in four rural communities with a focus on
• Ensuring malaria drugs sold within the community is the appropriate therapy combination for treating malaria as approved by WHO
• Ensuring that this therapy is administered in the right dosage to clients purchasing malaria drugs/treatment
• Ensure clients purchasing malaria drugs also receive IEC information about malaria prevention
• Become focal persons for distribution of Long lasting Insecticide treated bed nets (LLINs)
• Be community vanguards for the fight against adulterated malaria drugs
• Advocate for malaria tests to be carried out before drug administration as often as possible, especially the WHO approved rapid malaria testing

Describe how your innovation model is distinct from any other organization in your field?

This project is distinct in the adoption of existing community structures and approved treatment methodology to strengthen an identified gap in rural areas where malaria is highly endemic but there are no diagnostic test carried out before administering medication. The project also helps enforce existing regulations for malaria treatment and curbing the menace of adulterated drugs. This project targets a non-traditional focal group present in every community but usually excluded from the response to malaria by the regular stakeholders. The business model innovation adopted by this project brings a positive disruption to malaria treatment at the community level which will help develop a predictably effective solution for saving lives.

What type of operating environment and internal organizational factors make your innovation successful?

Existing relationships with community leaders and other stakeholders in health care at the project communities. High saturation of patent medicine vendors in the target communities. Internal factors: Presence of skilled human resources within the organization, availability of expert consultants for technical assistance, existing relationships with pharmaceutical companies and other private sector stakeholders involved in the fight against malaria in the state.

How do you make sure you constantly innovate in light of (potential) external challenges, or your growth plan?

• Involving the corporate sector in the response to health challenges e.g locally based pharmaceutical companies involved in production of malaria drugs, LLINs , insecticides etc.
• Involving celebrities and respected community representatives as project ambassadors—Malaria Ambassador, TB ambassador etc
• Developing innovative projects incorporating current best practices to tackle local challenges.
Forming and joining coalitions of similar organizations to amplify advocacy towards the goals of Friends Africa

Business Model

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The systemic challenge you are trying to overcome (select one)

Bring accessible healthcare to communities in emerging markets

Health area (target market) where the need is [select only one]

Primary healthcare services

Categories along the health continuum you are covering [select all that apply]

Prevention, Intervention, Social integration.

Please describe in more detail: what problem are you trying to solve in the organization's specific context?

The problem this organization is aiming to eliminate is the misuse of drugs for the treatment of malaria. This project aims to ensure that patent medicine vendors treat malaria with Artemisinin Combination-based Therapy using the correct dosage. The vision is to transform community response to malaria with the overall objective of ensuring the administration of the correct dosage of anti-malaria drugs by the patent medicine vendors (PMVs) who are the readily available source of health information to the community dwellers. It will also incorporate behavioral change communication for both the PMVs and the community members, environmental sanitation and malaria prevention practices.

Stage that best applies to your solution [select only one]

Idea (poised to launch)

Core strategies of your business model [select all that apply]

Approaches to behavioral change at the individual level, New approaches to distribution of health products and services, Unconventional partnerships (between traditional healthcare players and players outside healthcare).

If other, specify here:

Most relevant tools you are using to implement the strategies outlined above [select only two]

New skills, Education/training.

If other, specify here:

Please describe your solution in more detail

Relevant stakeholders {Village heads, religious leaders, youth leaders, women groups, sanitation officers} and the patent drug vendors in the community will be engaged on the need for adhering to the use of ACT in treating malaria using the correct dosage. They will serve as institutional memories for guiding the community dwellers on how to prevent and treat malaria. This will further help in providing information on malaria vector control among the patent drug vector clients hence, promoting good sanitation and reducing the incidence rate of malaria infections in the community. Furthermore, this will increase access to intermittent preventive treatment for pregnant women and reduce the incidence of malaria among pregnant women and children under 5 years.

What are your vision and overall objectives?

Adopting the "Value-adding process business model and the facilitated network model" for improving businesses (Models describes by Clayton Christensen and Mark Johnson http://www.hbsclubwdc.net/article.html?aid=334), the vision of this project is to reduce the rates of malaria infections occurring at the rural community level.
Objectives:
Incorporate a non traditional group in the fight against malaria at the community level-Patent Medicine Vendors into the global fight against malaria
Build capacity of these Patent medicine vendors to play a role in reducing malaria incidence and prevalence at the community level
Provide a platform for collaboration between patent medicine vendors, pharmaceutical companies, public health facilities and community members for the malaria response

What is your value proposition?

To achieve our aim of reducing the incidence of malaria at the rural community level, ensure the administration of the appropriate malaria treatment therapy and dosage and ensure positive change in the response to malaria by community members, community health workers and the patent medicine vendors, Friends Africa will be offering the following services:

1. Capacity building trainings
2. Connect local patent medicine vendors to pharmaceutical firms for purchase of approved malaria drugs at subsidized rates
3. Provide technical assistance and rapid test kits to local patent medicine vendors for proper malaria diagnosis
4. Provide long lasting insecticide treated bed nets and other information, education and communication materials, to patent medicine vendors for community members

Who is your customer(s)?

Customers for Friends Africa's technical assistance services include CCMs, CSOs, FBOs, Health and other Ministries, as well as international and national partners in the fight against AIDS, tuberculosis and malaria. The ideal customer for the technical assistance for this malaria project are the Patent Medicine Vendors.
In addition, Friends Africa plugs into an existing large market of NGOs, consulting firms and civil society groups which require high quality technical assistance in preparation of proposals and in all phases of implementation including evaluation.
Community based patent drug vendors who have continuously operated small scale business in the target communities for at least six months are the primary customers for this project.

What approaches to you use to reach your customers?

At the grass roots level, customer mobilization is effected through community gate keepers
Organizing local events targeting these customers and providing an avenue for meeting potential business partners and sponsors
Networking through existing structures such as coalitions, groups and associations at the community level
Providing knowledge acquisition platforms for customers to build capacity for improve their businesses
Providing technical assistance for customers technical challenges
Advocating at the national, regional and international platform for policy changes, funding and support for all stakeholders in the fight against malaria
Documenting successes, best practices and challenges observed and sharing on a global level using social media, conferences, documentaries etc

What are your primary activities?

Community entry-advocacy meetings with all relevant stakeholders
Capacity building training sessions
Meetings between selected PMVs participating in the project and the pharmaceutical companies producing antimalarial drugs and long lasting insectide treated bed nets
Supportive supervision and mentoring of Patent Medicine vendors for six months after training
Provision of technical assistance for malaria diagnosis using rapid test kits
Documentation of project results and challenges (Video documentary, production of project report)

Who are your peers and competitors? What problems could these players pose to your success or growth?

Friends Africa peers are other non profit organizations and civil society groups working in the response to HIV/AIDS, TB and Malaria at the community, national, regional and Global levels.
Competition for this project could arise from pharmaceutical companies producing adulterated anti malaria drugs, companies producing the mono therapy anti malarial drugs, Factions within the community that sell anti malaria drugs, long lasting insecticide treated bed nets and diagnosis kits which are meant for free distribution, traditional local medicine vendors that sell anti malarial herbs, Privately owned health facilities etc

What other challenges - individual, organizational, or environmental – are you currently facing or might hinder future success of your business, and how do you plan to overcome those?

Environmental challenges faced include: Poor social Infrastructure to facilitate output in the rural communities such as bad roads and poor electricity supply. In addition to environmental and climatic factors that make the sub saharan Africa region endemic to malaria.
Organizational challenges such as inadequate human resource capacity and financial resource constraint

Briefly describe your growth strategy going forward

Finalize this concept and develop into a full project proposal to be shared for funding opportunities
Seek collaboration from peer organizations also working to end Malaria
Raise awareness for the project using various social media platforms
Liaise with pharmaceutical companies that will be engaged for this project

What dimensions for growth are you currently targeting for your innovation [select all that apply]

New customer group(s), New regions(s).

What makes your business "ready" for growth?

Friends Africa's activities in Malaria prevention for the past six years has identified this target group in need of technical assistance and capacity building. Our vision for an African continent free from Malaria can only be achieved when every stakeholder from the grass roots to the global level has the capacity and opportunity to contribute to the malaria response in malaria endemic countries

What are your key growth objectives?

Profit Maximization:The Patent Medicine Vendors engaged should not loose business profit during this project
Market Share Maximization:For the pharmaceutical companies to be engaged
Corporate Growth:Friends Africa will leverage this project to grow
Customer satisfaction:For community members
Survival for the small scale patent medicine businesses
Social objective:Malaria incidence reduced

What is your timeframe for growth, in the short and mid-term? What are the growth milestones and key activities going forward?

The entire project duration will be two years and key mile stone moments will be:
Months 3: Selection of participating Patent Medicine Vendors in both project communities
Month 6: Conclusion of training and capacity building for participants
Month 12: Six months evaluation of project output
Month 18: End of provision of technical support for PMVs implementing the project
Month 24: End of project evaluation for decision on project scale up
Monitoring and Evaluation will last all through the project

Social Impact

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What has been the impact of your solution to date?

Impact from the implementation of various advocacy, capacity building, technical assistance and documentation projects by Friends Africa over the last six years include:
At the International level, placing African governments, private sector companies and civil society on the scene for the global health response to HIV/AIDS, TB and Malaria and also increasing the contributions from Africa to the Global Fund to fight AIDS, TB and Malaria.
At the local community levels, projects implemented help to Improve health literacy –health related knowledge, attitudes, motivation, confidence,
behavioural intentions and personal skills concerning healthy lifestyles, as well as
knowledge of where to go and what to do to obtain health services.
Also creates social action and influence –community participation, community
empowerment, social norms and public opinion. E.G the World AIDS day novelty football match in 2012 bringing together celebrated football stars, actors and actresses with persons living with HIV in a bid to dispel stigma.
Healthy public policies and organisational practices –implementation of
policy statements, legislation/regulations, resource allocation, supportive
organisational practices and settings experiencing enhanced engagement with
health promotion programs. e.g the work place health policy programs for small and medium scale enterprises in five African countries
‘Second level’ impacts include healthier lifestyles for individuals, more effective health services through partnerships with the government etc

What methods for quantification of social impact are you applying (if at all)?

Qualitative methods of measuring the social impact from Friends Africa's projects have been employed which include: Surveys, in-depth interviews and evaluations by external reviewers

Could your solution work in other geographies or regions? If so, where?

Yes, this solution can be implemented in all malaria endemic countries in Sub Saharan Africa especially in rural regions with a proliferation of patent medicine vendors.

What is your projected impact over the next 1-3 years?

Friends Africa’s activities are targeted at reducing the over 6.9million childhood mortality and morbidity due to malaria.
25% Reduction in malaria cases in project communities by end of project year two.
Improved malaria case diagnosis and case reporting to the district notification and surveillance unit
Improve malaria treatment using the appropriate drugs and dosage
Ultimately, this project will become a health promotion action that aims to enable people to increase control over, and to improve their health, ultimately leading to improved population and individual health outcomes especially with respect to malaria.
Social impact on the Patent medicine vendors, health workers and community members in the overall response to malaria.

Sustainability

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Elaborate on your current financing strategy

Since obtaining its start up seed fund in 2006, Friends Africa's financing strategy grant applications to foundations, privates sectors organizations, multilateral and bilateral organizations, responding to Request for Proposals, submitting project plans, working with a hub of expert consultants to provide technical assistance, applying for awards, collaborating with private sector companies towards global health events etc

Share of revenue generation in total income of organization (in percent)

70%

Direct sales to patients or other beneficiaries (in percent)

0%

Of the possible sources of these sales listed below, check all that apply to your current strategy

Licensing fees, e.g., for technology/franchise model (in percent)

5%

Of the possible sources of these licensing opportunities listed below, check all that apply to your current strategy

Foundations, NGOs, Private businesses, Regional government, National government.

Service contract with organizations, e.g., government, NGOs (in percent)

95%

Of the possible sources of the service contracts listed below, check all that apply to your current strategy

Foundations, NGOs, Private businesses, Regional government, National government.

Explain your revenue generation strategy in more detail

Mobilizing resources from the private sector, governments and civil society organizations to support the global fight against AIDS, TB and Malaria

Share of philanthropy in total income of organization (in percent)

30%

Philanthrophy strategies you are using

Diversified strategy.

Explain your philanthropic approach in more detail

Approaching High Net-worth individuals poised for philanthropic giving to contribute towards the global fight against AIDS, TB and Malaria

Expand on your selections; explain how you will sustain funding over the next 1-3 years.

Funding will be sustained from current partnerships for different projects being implemented, and applications for new calls for proposals

M-Ultra: Low Cost Cloud Based Ultra Sound Scan

Emprenure Labs is a dynamic Indian technology firm providing emerging economies affordable access to technologies and products that make lives simpler and efficient. Founded by group of dedicated technology enthusiasts from IIT-Bombay. It has several interesting technologies and tools in its portfolio and has been part of Government and Non-government initiatives since inception.

About You

Organization: Emprenure Labs Visit websitemore ↓↑ hide↑ hide

About You

First Name

Sanjoe

Last Name

Jose

About Your Organization

Organization Name

Emprenure Labs

Organization Website

Organization Country

India, KA, Bangalore

Organization's Country of Operation

India, KA, Bangalore

Type of Organization

For‐profit

Year of launch of the organization

2011

Years in Operation

Operating 1-5 years

Has the organization received awards or honors? Please tell us about them

We have been selected for award in Grand Challenges Canada for the same project with funding.

We want to hear about your “Aha!” moment. Share the story of where and when the founder(s) saw this solution’s potential to change the world.

In one of our discussions with Dr. Joseph he spoke about the potential of Ultra Sound as point of care diagnostics tool in savings millions of lives. He mentioned how the cost is an impediment. On further research we realized that cost of Ultra Sound Scan systems can be drastically brought down using the latest technologies and it can be made portable with remote connectivity too.

The information you provide here will be used to fill in any parts of your profile that have been left blank, such as interests, organization information, and website. No contact information will be made public. Please uncheck here if you do not want this to happen..

Innovation

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Name Your Entry

M-Ultra: Low Cost Cloud Based Ultra Sound Scan

Explain what the "innovation" is about, e.g., is it the idea and/or the model you use to accomplish the idea, or your understanding of the target population, etc.?

M-ultra is a low cost ultrasonic medical imaging device that can be used as a point of care diagnostic tool in low resource setting through seamless blend of technologies at affordable cost. The First Referral Units will be able to detect common medical, surgical and obstetric emergencies such as appendicitis, gall stones, kidney stones, and obstructed labor to name a few and take neccessary action. Using the power of general purpose probes, smartphones and cloud computing m-ultra will be able to provide the functionalities at 1/10th the cost of currently available products.

Describe how your innovation model is distinct from any other organization in your field?

All the currently available portable ultra sound products are priced heavily making them unfit for use in PHCs and rural clinics. For example GE's VScan as launched with a price tag of $8000, high end features and doesn't provide cloud connectivity which is essential to address lack of availability of experts in patient location. Regarding comparison of M-Ultra with standard products in the market, M-Ultra will be built as a tool for the last mile diagnostics i.e in PHCs and rural areas where having a full fledged Ultra Sound Machine is not impossible due to cost and infrastructure constraints. The functionality will be lesser compared to standard tools in order to make it affordable for the target audience.

What type of operating environment and internal organizational factors make your innovation successful?

The team consists of a Doctor working closely with WHO and Indian Government in healthcare initiatives, IIT Bombay alumni, and engineers who have worked with esteemed R&D companies like National Instruments and DRDO Labs. Each of the technologies used are independently proven and available in market. The team is putting together these technologies in a platform which is easily accessible and affordable for everyone across the world. In addition to this we have already secured support of rural outreach programs run by organizations like NRHM (Govt of India), Biocon Foundation, Wockhardt Foundation, Aravind Eye, Dorabji Trust etc.

How do you make sure you constantly innovate in light of (potential) external challenges, or your growth plan?

The essence of our project lies in reaching out to the people in need of our product for diagnosis. Execution and the operation has to be of highest level to ensure reaching out to more than 2 billions of needy people. We aim to achieve this through various channels like government healthcare initiatives of each countries, WHO etc. For successful development and deployment of system we have put together a team rich in experience consisting of Engineers, Senior Doctors and operational staff from the best firms and institutes in India . urrently in India we have tie-up with government bodies like NRHM who would help us reach the needy similarly when ready for a global roll out we would tap into healthcare initiatives of different countries to reach out to the people in need.

This Entry is about (Issues)

Business Model

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The systemic challenge you are trying to overcome (select one)

Bring accessible healthcare to communities in emerging markets

Health area (target market) where the need is [select only one]

Primary healthcare services

Categories along the health continuum you are covering [select all that apply]

Detection, Intervention, Follow-up.

Please describe in more detail: what problem are you trying to solve in the organization's specific context?

At the present time ultrasound is not available in peripheral health centers and FRUs in India. It is estimated that 70 % of people needing ultrasound have no access to it and the percentage is much more in the rural areas. Mobile technology including smart phones and networks are available in most parts of our country and we propose to harness the mobile technology to make a smart phone based ultrasound device. Conventionally ultrasound systems are housed in major medical centers and are expensive requiring experts on site. M-Ultra will be built as a tool for the last mile diagnostics i.e in PHCs and rural areas where having a full fledged Ultra Sound Machine is not impossible due to cost and infrastructure constraints.

Stage that best applies to your solution [select only one]

Idea (poised to launch)

Core strategies of your business model [select all that apply]

Other.

If other, specify here:

Use of latest technology

Most relevant tools you are using to implement the strategies outlined above [select only two]

Technology.

If other, specify here:

Please describe your solution in more detail

Conventionally ultrasound systems are housed in major medical centers and are expensive requiring experts on site. We propose to take away the requirement of heavy duty processors with the use of cloud computing. The system can be used by doctors trained to use the system. The images will be processed by the cloud server providing analytical reports in emergencies. A web-interface application will be made in the cloud so that experts can access the stored data for formal reporting. The FRUs will be able to detect common medical, surgical and obstetric emergencies such as appendicitis, gall stones, kidney stones, and obstructed labor. An ultrasonic diagnosis will help the doctors in the peripheral clinics to make decision about emergency referral of patients saving millions of lives.

What are your vision and overall objectives?

70 % of people needing ultrasound have no access to it. M-Ultra will be built as a tool for the last mile diagnostics i.e in PHCs and rural areas where having a full fledged Ultra Sound Machine is not impossible due to cost and infrastructure constraints. The functionality will be lesser compared to standard tools in order to make it affordable for the target audience. The First Referral Units will be able to detect common medical, surgical and obstetric emergencies such as appendicitis, gall stones, kidney stones, and obstructed labor to name a few and take neccessary action. Using the power of general purpose probes, smartphones and cloud computing m-ultra will be able to provide the functionalities at 1/10th the cost of currently available products.

What is your value proposition?

M-Ultra will be built as a tool for the last mile diagnostics i.e in PHCs and rural areas where having a full fledged Ultra Sound Machine is not impossible due to cost and infrastructure constraints. The First Referral Units will be able to detect common medical, surgical and obstetric emergencies such as appendicitis, gall stones, kidney stones, and obstructed labor to name a few and take neccessary action. Using the power of general purpose probes, smartphones and cloud computing m-ultra will be able to provide the functionalities at 1/10th the cost of currently available products.

Who is your customer(s)?

Targeted end users are doctors/sonographers at First Referral Units ( FRUs) of Government health systems which cater to Base of Pyramid Population in India and as well as in other low resource countries. The secondary targeted users are doctors/sonographers working at smaller hospitals or clinics and in mobile/outreach healthcare initiatives. As Ultrasound is becoming an extension
of clinical examination ‘M –ultra’ can be used by a variety of physicians and surgeons as a point- of -care diagnostic tool across the globe even in developed countries. In India National Rural Health Mission has embarked on a training scheme for physicians to use Ultrasound at the FRUs.

What approaches to you use to reach your customers?

Pilot will be carried out in Kerala state of India with support from NRHM (National Rural Health Mission) from Ministry of Health & Family Welfare, Government of India. In princple NRHM has already agreed for the Pilot Support and implementation.

Post-pilot the project will be carried out across India for more than 3900 Primary Health Centres and more than 4800 Community Health Centres (CHCs) in India through NRHM. Since the product MUltra will be ready for usage worldwide Post pilot the project can be implemented for other countries depending on availability of resources and channels of deployment. Example: Healthcare missions of different countries with already established value chain.

What are your primary activities?

Primary activity will be design and development of the device. We will also assist implementing agencies like PHCs in ensuring successful use of M-ultra at each of the centers.

Who are your peers and competitors? What problems could these players pose to your success or growth?

All the currently available portable products are priced heavily making them unfit for use in PHCs and rural clinics. For example GE's VScan was launched with a price tag of $8000, high end features and with a launch function where all the major hospitals were targeted. There claim of it being built for last mile diagnostics contradicts with their actions.

What other challenges - individual, organizational, or environmental – are you currently facing or might hinder future success of your business, and how do you plan to overcome those?

The essence of our project lies in reaching out to the people in need of our product for diagnosis. Execution and the operation has to be of highest level to ensure reaching out to more than 5 billion needy people. We aim to achieve this through various channels like government healthcare initiatives of each countries, WHO etc. Other risk in execution is the Successful development and deployment of system for this we have put together a team rich in experience consisting of Senior Doctor, Engineers and operational staff from the best firms and institutes in India .

Briefly describe your growth strategy going forward

When we are ready for a global roll out our ability to market it across geographies is critical. Currently in India we have tie-up with government bodies like NRHM who would help us reach the needy similarly when ready for a global roll out we would tap into healthcare initiatives of different countries to reach out to the people in need.

What dimensions for growth are you currently targeting for your innovation [select all that apply]

New customer group(s).

What makes your business "ready" for growth?

Preliminary System Design is Completed. The Engineering team has ensured the design to include off the shelf device components to build an affordable and low cost device. The team has designed to product to help ensure Mass scale manufacturing capability thereby helping scale up the reach of the product to the needy across the world in a short time.

What are your key growth objectives?

To provide smart phone based ultra sound probes to all types of Peripheral Health Clinics across the globe helping people needing ultrasound assistance to have access to it.

What is your timeframe for growth, in the short and mid-term? What are the growth milestones and key activities going forward?

Short term objectives of the project (upto three years) is to provide smart phone based ultra sound probes to more than 23900 Primary Health Centres and more than 4800 Community Health Centres (CHCs) in India through NRHM. In long term we want to provide smart phone based ultra sound probes to all types of Peripheral Health Clinics across the globe helping people needing ultrasound assistance to have access to it.

Social Impact

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What has been the impact of your solution to date?

We are the design stage and hence not applicable. However once implemented the major beneficiary will be women and children since our product would be able to diagnose complications in pregnancy and thereby reduce Maternal Mortality Rate (MMR) and by early diagnosis reduce Infant mortality rate. In general People from lower income strata and bottom of the pyramid will also be benefited by early diagnosis of various ailments. People from Rural areas with limited access to healthcare facilities.

What methods for quantification of social impact are you applying (if at all)?

We would like to measure our impact by the number of FRUs which will equipped with M-ultra.

Could your solution work in other geographies or regions? If so, where?

NA.

What is your projected impact over the next 1-3 years?

The propensity to use preventive health services, such as regular medical check ups and participation in population screening programmes, is more prevalent among higher socioeconomic groups.In addition, financial and other barriers to health services may perpetuate or further augment existing socioeconomic disparities in health.The inability of lower socioeconomic groups to purchase costly health services or insurance may prevent them from accessing care. This poses an important disadvantage for these groups, given their greater burden of disease and corresponding greater need for health services. We are trying to bridge this widening gap by providing easy accessibility to preventive healthcare at affordable costs.

Sustainability

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Elaborate on your current financing strategy

For Phase I of the project we will require $120,000 to complete the prototype. We have secured $60,000 from Grand Challenges Canada. On successful completion of Phase I we are eligible for second grant from GCC of $ 1 mn which will be sufficient to take us to production stage. Once we reach production stage we will be generating revenue through sale of the device. Since we propose to make m-ultra available at an affordable price and as the cost of the equipment will be very low, it can be borne by the health care systems or hospital itself.

Share of revenue generation in total income of organization (in percent)

100%

Direct sales to patients or other beneficiaries (in percent)

30%

Of the possible sources of these sales listed below, check all that apply to your current strategy

Patients, Caregivers, Private businesses, Other beneficiaries.

Licensing fees, e.g., for technology/franchise model (in percent)

30%

Of the possible sources of these licensing opportunities listed below, check all that apply to your current strategy

Foundations, Private businesses, Regional government, National government.

Service contract with organizations, e.g., government, NGOs (in percent)

40%

Of the possible sources of the service contracts listed below, check all that apply to your current strategy

Foundations, Private businesses, Regional government, National government.

Explain your revenue generation strategy in more detail

nce we reach production stage we will be generating revenue through sale of the device. Since we propose to make m-ultra available at an affordable price and as the cost of the equipment will be very low, it can be borne by the health care systems or hospital itself. Cost of cloud computing service which will be the operating cost for ‘M-ultra’, can be an annual subscription fee or as pay-per-use by the health systems. The health systems in turn charge their clients a nominal fee or provide it free of cost. Through our innovation, patients anywhere in the world will have easier accessibility to ultrasound technology, in proximity to their homes and at an affordable price. Hence we will also have a recurring revenue to sustain the project and drive down the cost of device further.

Share of philanthropy in total income of organization (in percent)

0%

Philanthrophy strategies you are using

Explain your philanthropic approach in more detail

NA

Expand on your selections; explain how you will sustain funding over the next 1-3 years.

For Phase I of the project we will require $120,000 to complete the prototype. We have secured $60,000 from Grand Challenges Canada. On successful completion of Phase I we are eligible for second grant from GCC of $ 1 mn which will be sufficient to take us to production stage. Once we reach production stage we will be generating revenue through sale of the device. Since we propose to make m-ultra available at an affordable price and as the cost of the equipment will be very low, it can be borne by the health care systems or hospital itself.

Centro Medico Santagostino: a new model in the Italian healthcare

Centro Medico Santagostino is an innovative healthcare institution in Italy.
It offers high quality medical examinations in more than 40 specialties at affordable prices, even in specialist areas which are not fully covered by the Italian National Health Service (such as dentistry, psychopsychotherapy) or in areas where public sector waiting lists are excessively long.

About You

Organization: Centro Medico Santagostino Visit websitemore ↓↑ hide↑ hide

About You

First Name

Luca

Last Name

Foresti