Please describe the goal of your initiative; outline what you are trying to achieve
Our ultimate goal is to sustainably reduce child mortality. We are working towards that goal by driving a double impact that will create the necessary conditions for sustainable change in the healthcare situation of the countries where we work:
- Impact on populations: increased resort to care; reduced delay in resorting to healthcare when the child is sick; improved education on prevention and key health practices;
- Impact on health systems: increased activity at primary level, increased revenues for community health centers; improved capacity to deliver quality services.
What has been the impact of your solution to date?
The independent impact assessment carried out in early 2011 on our pilot site demonstrates the positive impact of the service on populations and on the health centers:
- Subscribers seek medical care twice as much as non-subscribing children in case of sickness
- More than 50% of the medical examinations registered at the partnering health center are related to Pesinet subscribers
- 70% of the medication prescribes is bought at the partner health center, thus increasing its revenues
Though it is too early to provide reliable statistics at this point, there have been 2 deaths among the 1,000 children monitored by Pesinet when Mali child mortality rate is 191‰.
Surveys among beneficiaries have shown that satisfaction is very high. They demonstrated the success of our paying approach for prevention, among low-income people: 97% of families deem the service “very affordable” while 90% say they have unstable revenues.
What is your projected impact over the next five years?
We plan to replicate our services at a large scale in Mali, in partnership with CSComs, both in urban and in rural zones.
At current projections, in 5 years we will have 15 urban sites and 5 rural sites up and running. We should have about 15,000 children and 5,000 pregnant women enrolled.
Though our long term objective is to deploy Pesinet in other Sub-Saharan countries, our focus as a direct operator will be to scale-up in Mali, in the next 5 years. Indeed, we know from experience that deploying this type of innovation in Mali with the public healthcare system takes a lot of time. Nevertheless, we will be happy to transfer our know-how to others and assist organizations that wish to develop Pesinet in other countries. We have already been approached by several organizations.
What barriers might hinder the success of your project? How do you plan to overcome them?
Economic model: At current price we are able to achieve 50% local operational self-financing. We are investigating solutions to complete the other 50% in a sustainable manner (cross-subsidization, partnerships with mutual insurance, local subsidies).
HR: Competent staff is scarce in Mali; finding and retaining the right people to run and develop activities is a key issue. We have an efficient recruitment process, a strong training program; attractive personal development and job evolution prospects for our key employees.
Security: There is a growing instability in Mali with the presence of Al-Qaida and the conflict in the North. We have been working at transferring competences to senior local staff so that they could continue to develop activities, should the CEO leave Mali.
Winning entries present a strong plan for how they will achieve and track growth. Identify your six-month milestone for growing your impact
We plan to have 1,400 children on 4 sites in Bamako District 3 + 80 pregnant women enrolled on a pilot site in Bamako District 1
Now think bigger! Identify your 12-month impact milestone
We plan to have 2,200 children and 200 women enrolled in Bamako, and be about to launch a pilot site in rural zone.