Example: Walk us through a specific example(s) of how this solution makes a difference; include its primary activities.
Kasongo dispensary is a government-owned clinic in rural Kisumu County, Kenya. It serves ~500 patients each month. The clinic receives drugs from the Kenya Medical Supply Authority (KEMSA) every 90-100 days, if on schedule. The clinic runs out of drugs within 30-days post-delivery. Hence, over 1,000 patients are given prescriptions who then go to the open market where drugs are 3-to-5 times more expensive and 40% are counterfeit. The patients sometimes opt for a partial dose or delay care. The facility looses revenue to counterfeiters. With ZiDi and just-in-time access to safe affordable drugs, the clinic will have year-round supply even when the government supply is delayed. They will retain revenue from the 1,000 patients quarterly.
Impact: What is the impact of the work to date? Also describe the projected future impact for the coming years.
SYSTEMIC IMPACT: Nationwide adoption of ZiDi™ in 4,136 facilities in Kenya via a public-private partnership with KEMSA and the Ministry of Health is envisaged. ZiDi™ will improve forecasting and supply-chain management, enhance accountability for supplies in public clinics, and eliminate the burden imposed on health workers who manage their inventory manually. With an adequate supply of subsidized drugs, which are given free or at very low cost to patients, we estimate that Kenya's rural homesteads would save a minimum of $33 million each year, assuming that 80% of the population spends $1 per year on a drug that should otherwise be free in the public clinics. However, accurately forecasting 90-day supplies is daunting given the seasonality of diseases and inefficiencies in the public sector. Without shorter delivery cycles, shortage will endure, hence the importance of Chama-Rx.
Spread Strategies: Moving forward, what are the main strategies for scaling impact?
By coupling ZiDi with just-in-time courier delivery through the pooled-purchase program, we are in essence filling the gaps of the public sector while creating savings for patients. With a pool of 1,000+ subscribers, we can secure drugs at wholesale prices and pass on the savings to the bottom of the pyramid, that is typically priced-out by the retailers' margins in the open market. Our model allows us to minimize warehousing costs and eliminate the typical costs of sale that bump up the price of drugs. Hence, armed with Chama-Rx, 1000+ rural clinics will become efficient and profitable.