TOMIKE HEALTH SOLUTION

TOMIKE HEALTH SOLUTION

ABEOKUTA
Year Founded:
2009
Organization type: 
nonprofit/ngo/citizen sector
Project Stage:
Start-Up
Budget: 
$1,000 - $10,000
Project Summary
Elevator Pitch

Concise Summary: Help us pitch this solution! Provide an explanation within 3-4 short sentences.

Tomike Health is a social venture that aims to set a new standard for job creation and maternity care in West Africa.

About Project

Problem: What problem is this project trying to address?

In Nigeria 500,000+ women give birth each year and two-thirds of them live in slums. Most deliver at home with an unskilled birth attendant or go to a public facility where conditions are often appalling – shared labor beds, delivering on the floor, understaffed or under-equipped with basic lifesaving supplies. As a result as many as one in 50 women die during childbirth and many more experience life-threatening complications. Secondly, poverty due to lack of livelihood has also contributed to poor health among women. We are working to save the situation by bringing in innovative solution into the picture.

Solution: What is the proposed solution? Please be specific!

Tomike Health is a social venture that aims to set a new standard for job creation and maternity care in West Africa. We are combining business, job training and clinical innovations to create a fully self-sustaining and scalable solution that provide reproductive health and antipoverty services to poor urban women. First of its kind in West Africa. We are piloting our model in Abeokuta with a single clinic, mobile unit, and business incubation centre then once we have demonstrated that the model works, we will scale up to touch other cities across west Africa over the next five years.
Impact: How does it Work

Example: Walk us through a specific example(s) of how this solution makes a difference; include its primary activities.

Tomike Health vision is a world free from poverty, hunger, and diseases. The mission of Tomike Health is to enhance health and productivity in underserved rural communities among poor women and its goal is to transform healthcare and livelihood by demonstrating the commercial viability, long-term sustainability and social impact of the Tomike-Health model at scale.

Impact: What is the impact of the work to date? Also describe the projected future impact for the coming years.

The solution that we propose has not been launched yet. we were waiting for the opportunity to make our idea come to light. Integrating healthcare and antipoverty program is what we have passion for and we believe it will go a long way in transforming the healthcare field. We believe if sickness like malaria can be treated in hospital certain, so does poverty. That’s the reason why we jumped at the chance when we heard about this Competition. We are convinced that this initiative can achieve success in a long term.
Sustainability

Financial Sustainability Plan: What is this solution’s plan to ensure financial sustainability?

2013 -Purchase and equip first mobile unit; lease a property for clinic,& business incubation center -Develop protocols for mobile antenatal care and outreach, hire and train staff -Complete protocols and internal systems for clinic, mobile unit, & business incubation centre -Hire and train staff for first clinic; lease first site in eastern Abeokuta; setup equipment and space. 2014 -First clinic opens doors in early 2014. -Begin monitoring impact and fine-tuning of operations and clinical and internal protocols. -Experiment and adapt marketing and outreach -By late-2014 evaluate success of pilot and secure funds for expansion.

Marketplace: Who else is addressing the problem outlined here? How does the proposed project differ from these approaches?

Social venture dedicated to bring healthcare to the poorest communities in West Africa already exist and Easier Healthcare consult is a good example, but these initiatives remain limited. From our knowledge, there is no “social healthcare companies” integrating antipoverty program with martenal healthcare delivery in poor communities. Nevertheless, the model we propose will combine certain basic innovations that can’t be found anywhere in the region. The key specification that will distinguish our model from the individual initiative already available on the market will be the strong social, business, scientific and clinical background supporting the synergistic value of the model.
Organization Name

RAINBOW GATE FOUNDATION NIGERIA

About You
About You
First Name

michael

Last Name

iyanro

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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.?

Tomike Health wants to provide high-quality health care and empowerment services to some of the poorest women in Nigeria and also to redefine the standard by which healthcare organizations operate in order to build strong, open and efficient public sector health services that are responsive to the demands of local communities. Tomike's model is a combination of three tightly-integrated services to ensure that women receive the full continuum of maternal health care: (a) mobile vans that will create a direct link with our patients, boost demand for services and healthy outcomes through antenatal care and birth preparedness; (b) Tomike health centers near the slums where women can go for respectful obstetric care, safe delivery, family planning, and postnatal care; and (c) Tomike health business incubation centre where poor women can access job training and skills necessary in our world today to attain a sustainable livelihood. Our ambition is integrate healthcare and antipoverty program together as a package for poor women and to change the way maternal healthcare is provided for the two million poor women giving birth each year in urban/peri-urban sector of West Africa.

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

Besides being a healthcare service provider, Tomike-Health will also serve as a laboratory for some of the most exciting innovations in maternal &child health, and skills acquisition for women. Unlike others in the field, We will be incorporating innovative practices from around the world — in mobile health, evidence based medicine, electronic medical records, and financial and marketing and job training innovations — and measuring their impact on quality of care, health behaviors and sustainable livelihood.
We aim to become the largest provider of affordable care&business incubator in the region,&more importantly raise the standard of care among other private and public providers.

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

Tomike-Health will foster innovation & creativity based culture with high degree of accountability and financial transparency.
We are a startup venture with a social mission. We are small, flexible and able to respond rapidly to market feedback. Core to everything we do is innovation.
However, we will bring together multiple perspectives including design, medical/social protocol, experience and global public health. We have a flat organizational structure where all ideas are welcome and valued and where everyone in the organization gets to try their hand at different aspects of the business.

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

The challenges we foresee in our model are around pricing and volume of clients that we will be able to generate. To provide an appropriately high level of service, we have a certain amount of fixed costs and running costs, for which we already have a detailed understanding. To be fully sustainable we have to achieve a certain volume of patients at a certain price.

Organization Country

Nigeria, OG, ABEOKUTA

Business Model
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.

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, 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, Consultation, Education/training, Community financing.

If other, specify here:
What is your value proposition?

The Tomike Health model is a sustainable social business enterprise with high degree of economic returns for the beneficiary communities. We will create Direct Social Impact through providing underserved women communities with greater access to high quality health-care, skills development and business incubation services resulting in better health & well-being, enhanced productivity and improved standard of living. Also providing alongside, multiple opportunities for employment generation in the local areas.

Who is your customer(s)?

Tomike Health is basically targeting women of child-bearing age living in rural/urban slum. Our ambition is to integrate healthcare and antipoverty program together as a package for poor women and to change the way maternal healthcare is provided for the two million poor women giving birth each year in urban/peri-urban sector of West Africa.

What approaches to you use to reach your customers?

We will basically reach out to our customers via our mobile unit and pool of volunteers. Mobile vans will bring services into the slums and increase awareness among our target population via creative marketing and ubiquitous mobile phones. This is critical for reaching women who would otherwise deliver at home, building a reputation among our target patients, and driving traffic to our facilities.

What are your primary activities?

Tomike–Health will bring three tightly-integrated services into the communities to ensure that women receive the full continuum of maternal health care: (a) mobile vans that will create a direct link with our patients, boost demand for services and healthy outcomes through antenatal care and birth preparedness; (b) Tomike health centers near the slums where women can go for respectful obstetric care, safe delivery, family planning, and postnatal care; and (c) Tomike health business incubation centre where poor women can access job training and skills and revolving fund necessary to kickstart the venture of their choice.

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 other challenge is ensuring that payments are made for treatment or microcredit. For instance, If a woman comes to our healthcare center in pain, we cannot refuse treatment. So we have to ensure that there is a way of recovering the cost of the delivery. We will work to mitigate those risks by: (a) providing financial training during our antenatal care&business training, (b) options for advanced payment in installments (flexibly, to correspond with women's irregular income in these settings); (c) working with micro-insurance agencies and the National Health Insurance Scheme to defray out of pocket costs for women.

Briefly describe your growth strategy going forward

A comprehensive healthcare and antipoverty initiative has many moving parts. Wherever possible, we do not want to reinvent the wheel, but rather work with the organizations that are at the cutting edge of each service and element of our model. This will help us to grow and continue innovating

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?

To date, we have completed market surveys, developed the model, and engaged volunteers and advisors. In fall 2012, we did an extensive market surveys and data collection to overlay facilities and population data to identify areas that are poorly served. We believe we are ready for pilot

What are your key growth objectives?

The objective of Tomike Health is to enhance health and productivity in underserved rural communities among poor women and its goal is to transform healthcare and livelihood by demonstrating the commercial viability, long-term sustainability and social impact of the Tomike-Health model at scale.

Organization's Country of Operation

Nigeria, OG

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

We will be measuring and reporting on health outcomes, utilization, and internal metrics such as cost of care relentlessly — both for our own improvement and to share best practices with the broader health community. Globally there is mounting evidence about interventions that improve health and livelihood, but one thing missing is "implementation research" about how to deliver these interventions quickly, affordably, and in a way that makes women more likely to seek skilled care. We will be partnering with top academic institutions to measure our impact in a way that is scientifically rigorous.

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

The Tomike-Health social business enterprise model has high potential for being replicable / scalable and thereby qualifies to be of immense value and interest to public sector organizations, corporate social responsibility organizations, social investors and mainstream venture investors and financial institutions especially in the developing world.

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

The projected impact of the proposed solution over the next 1-3 years can be summarized in two points:
-An improvement of health in low income settings especially among mothers through a better access to maternal healthcare, skills acquisition, job training, business incubation and funding.
-An improvement of the living conditions of rural women of child bearing age by creating jobs through involvement in all stages of the business model: supply, production, sales and through sustainable local microeconomics based on fair trading of products, good working conditions, and fair wage and employee empowerment.

Sustainability
Elaborate on your current financing strategy

As a social business enterprise addressing a social objective, the financial strategy will consist in generating a symbolic dividend of 1 to 10% annually that will be re-invested to expand the venture and improve the services. It should be noticed that this financial model will be put in place once the angel investors who have contributed to the seed capital will have recovered their investment. At the same time 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.

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

close to 100%

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

Individuals, Patients, Other beneficiaries.

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

NA

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)

NA

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

We will provide maternal health services to our women customers at prices they can afford thereby generating revenue for healthcare service expansion. in addition, the center will mobilize internal and external network to seed and fund major businesses emerging from the business incubation center. we will get women entrepreneurs from ideas to funding literally in 4-6 months! The center literarily will make women entrepreneur collaborate by putting premium on team oriented solutions to unique problems, and the speed of prototyping and launching these solutions into revenue generating businesses in exchange for flat 5% equity. we will also provide micro-loan for mini start-up at 5% interest rate. this will allow us to innovate and expand more.

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

not significant (less than 0.5%)

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.

Tomike–Health has devised a phased plan for next three years in terms of strengthening its business model and has three components - Financial, Technical and Partnership based. With respect to the Financial Component Phase I during FY 2013-2015 comprises raising Equity and Debt, Phase II during FY 2015-16 comprises raising additional Equity, Higher quantum of Debt , Small & Medium Grants , Phase III FY 2016-2017 comprises small Debts and grants and earnings and Phase IV FY 2018 onwards comprises growth based on Retained Earnings and small grants for specific services and new pilots . With respect to the Technical strengthening, Tomike–Health will be actively involved in forging partnerships with organizations in the healthcare & business domain and over next three years the same would be strengthened in every area of our model. With respect to the Partnership and Networking components, Tomike–Health will partner with a number of leading Government/Private/NGO/Academia/Civil Society organizations in health, education and rural development space and the same would continue in next three years.

Years in Operation

Idea phase

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