Team MICA

Improving Chronic Disease Care In Slums By 2019

cura

• Objective

• Our Starting Point – India

• Insights

• Model Highlights

• Social Enterprise Model adopted

• Cura

• Social Enterprise Architecture/Business Model

• Revenue Model

• Global Sustainability & Scalability

• Impact

• Beyond chronic disease cure

• Primary and Secondary data

agenda

Team MICA

To increase awareness about chronic diseases and possible

prevention methods.

objectives

Team MICA

To provide slum dwellers world over a system which facilitates

quality and affordable healthcare and medical treatment for

chronic disorders and diseases.

To establish a pharmaceutical system that allows slum

dwellers to access medicines at reduced costs.

To encourage early diagnose and treatment of chronic diseases in urban slums

our starting point - India

Team MICA

According to 2011- Government Census, • Over 1 lakh slum blocks in India• 137.5 lakh slum households• 17.4 % households in India are slums• 63.5% households in slums use mobile

phones

According to WHO report,

• Chronic Diseases account for 53% of the deaths

• By 2015, over 60 million people will die from chronic disease( 2005 data )

our starting point - India

Team MICA

insights

Team MICA

Women are the key influencers in urban

slums

Doctors are interested in part-time philanthropy

No inter-linkages among hospitals and

their networks

Expensive medicines Lack of awareness

Lack of diagnosis andIrregular treatment

model highlights

Team MICA

Database and aggregation of ‘philanthropic time’ of all doctors

Creating a sustainable and interlinking eco-system of all healthcare stakeholders (Public/Private Hospitals, Private Doctors

& NGOs)

Providing support to slum dwellers to take full advantage of

this eco-system

Self-sustaining healthcare institutions with high operational efficiency

Our own Pharma System

social enterprise model adopted

Team MICA

Low-income Client

Service subsidization

Focuses on providing access to those who couldn’t otherwise afford it.

Sells products or services to an external market to help fund other social programs. This model is integrated with the non-profit organization; the business activities and social programs overlap.

cura

In-house Pathology/Diagnostic

Centre

cura

Team MICA

Junior Residents - Permanent Physicians

Visiting Senior Doctors- Experts- Philanthropists

OperationTheatre

OPDOut PatientDepartment

15 Beds

Pharma Integration

Institute for Women trainingfor awareness

Area: 2000 sq. ft.Starting with 3 hospitals

5 Km Coverage

Slum 2

Slum 1

Slum 3

Slum 4

our social enterprise architecture

Teams of NGOs, Slum Volunteers, Doctors

Door to door or Camps for physical examination, diagnostics, tests, sample collections, referrals, awareness campaigns for avoiding conditions leading to chronic diseases

Blood samples, urine samples and others submitted to Pathology, others referred to come across for subsidized check-up

Intimation to diagnosed

Bringing diagnosed to hospital for further treatment

Team MICA

Other cases referred to affordable and tie-up

subsidized private hospitals

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PharmacyIntegration

Civil/Municipal/Charitable Hospitals

Private Hospitals

Charitable Diagnostic

Centers

creating the eco-system

Team MICA

Doctors interested in Philanthropy

revenue model

Team MICA

Surgical chargesSurgery/Operations/Emergency cases dealt at cura under

‘philanthropic time’ of specialist doctors

For regular chronic treatments at cura, provided at low cost

Treatment-as-you-pay

revenue model

Team MICA

Total Costs:Fixed$103680Operational$146813

(for setting up 1 Cura center with Pathology facility at one location)

(running costs largely to remain same YoY until expansion)

Fixed Costs Break-up

OperationalCosts Break-up

revenue model

Team MICA

Estimated Revenues:Year 1 $135254

Year 2 $152,500

(revenues to increase YoY due to estimated increase in volumes due to greater awareness and higher diagnostic rate achieved)

Becoming operationally profitable by second year

Operational Costs $146813

operational efficiency model

Team MICA

1. Senior Doctors visiting in their philanthropic hours

2. Junior residents as permanent physicians

3. In-house Basic Pathology Lab

4. In-house pharmaceutical system

5. Tie-up with charitable pathology labs for advanced diagnostics

6. Cleaning staff trained from slums

7. Volunteering and awareness teams from slums and NGOs

global scalability and sustainability

Team MICA

1. Not based on schemes implemented / laws enforced by local or national government

2. Scalability to other diseases and healthcare segments.

3. Support only from existing local NGOs and medical bodies

impact

Team MICA

1. Early diagnosis of chronic diseases.

2. Increase in successful treatment of patients

3. Lower incidences of chronic diseases by improving awareness.

4. Improved living standards among slum dwellers.

5. Improved sanitation levels in slums.

Creation of self-sufficient, independent system to combat chronic diseases.

beyond chronic disease cure

Team MICA

1. Women training for awareness and slum opinion leaders network formation to actively improve sanitation and basic living conditions.

2. Employment creation for slum dwellers.

3. Promoting micro-credit cooperative for financing within each slum.

data sources

Team MICA

1. http://www.who.int/chp/working_paper_growth%20model29may.pdf?ua=1

2. http://ispub.com/IJH/9/2/5679

3. http://www.worldwaterweek.org/documents/WWW_PDF/2011/Monday/K21/Pro-Poor-Urban-Water-and-Sanitation-Provision/Reaching-the-poor-slum-networking-project-Ahmedabad-India.pdf4

4. http://www.iimahd.ernet.in/publications/data/2005-03-05ramani.pdf

5. http://www.urbisnetwork.com/documents/AhmedabadBestPracticesinSlumImprovement-WUF.pdf

6. http://www.dnaindia.com/ahmedabad/report-gujarat-has-9-of-indias-urban-slums-nsso-report-1940412

team MICA

A K A N K S H A | A N K E E TA | E E S H A | M U D I T

Team MICA

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q/a

Appendix

Team MICA

Team MICA, Masters in Business Administration, specialized in Marketing and Communications, possess robust knowledge and sensitive to varied cultures.

Akanksha, experience with MICA’s community radio that educates and touches around 15000 locals everyday, Ankeeta’s efforts with the social wing of the Rotract Club, Eesha’s mettle in research and analyzing caliber and Mudit’s dexterity to find logical solutions make Team MICA unbeatable.

About Us

For this project, we have studied a huge pool of secondary data, interviewed doctors, NGOs and other stakeholders such as private hospitals and their owners, charitable hospitals, which has helped us to reach a certain set of valuable conclusions . One among them being, that there is an absence of a connecting agent or an aggregator which can benefit the underprivileged and can bring all the healthcare stakeholders together to revolutionize the healthcare scenario of the urban slums, all over the world. Another insight is that there is lack of diagnosis and detection of chronic diseases, which invariably leads to delay in treatments and which eventually becomes fatal . We will setup a viable diagnostic center, identify pressing Heath issues and then motivate them to get treatment for the same by facilitating or proving treatment at ultra low cost. Another valuable insight that we drew was that there are doctors who are truly interested in philanthropy but can't engage themselves full time due to their private practice and being overworked while working in charitable or civil hospitals. Thus there is a need to introduce a system and an aggregator who provide what these doctors need to help our target audience, according to their ease and will. This will thus collect significant philanthropic time from all the doctors.

We have defined our model such that, where we can combine all the insights together and reach a sustainable social enterprise model. Our model leverages on the insights and proposes a healthcare centre which admits and treats patients at low cost to be achieved through in-house pathology setup, pharmaceutical integration, doctors philanthropic times and awareness through NGOs.

Summary

Additional Slides

our social enterprise architecture : process flow

Team MICA

CHARITABLE & GOVERNMENT HOSPITALS

PRIVATE PHILANTHROPICPRACTITIONERS

SUBSIDIZEDCOMPARABLEPRIVATEHOSPITALS

IN-HOUSE PATHOLOGY

CHARITABLE PATHOLOGY

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+

+MICRO-CREDIT

FINANCING

@ cura

our social enterprise architecture : tie-ups

Team MICA

CHARITABLE & GOVERNMENT HOSPITALS

PRIVATE PRACTITIONERS

Activations, Awareness Campaigns, Healthcare Camps, Door-to-door inspections, sample collections, data collection, intimations, conversions, co-operatives creation, slum-networks, jobs creationReferrals for surgery, emergency cases, special treatments, cancer patients, high cost operations, etc.

For all kinds of operations/surgeries/treatment not possible to cover under above options at highly affordable or comparable priced private hospitals maybe at further subsidized rates after tie-up.

Aggregating all ‘philanthropic time’ of doctors across the city

Distributing this time and cost to our diagnosed patients for consultations/treatments/operations/surgeries

PRIVATE HOSPITALS