sandeep raj br

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Rural Empowerment And Community Health

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Page 1: Sandeep raj   br

Rural Empowerment And Community Health

Page 2: Sandeep raj   br

Social Issue Solution & Social impact

Setting up Satellite Clinics (Rural)

Setting up Central Clinics( Urban)

Patient Visits SC

Nurse Video conferences with doctor in CC

Primary consultation

Link up to Macro clinics, Tertiary hospitals

Page 3: Sandeep raj   br

Market Segment & Size

Page 4: Sandeep raj   br

The social issues/ customer pain points, Our solution and value created

Increasing instance of people turning to un trusted medical advice

India-Diabetic capital of the worldLifestyle related illness increasing

Qualified & trained doctors unwilling to go to rural areas where the need is more

People have to travel to cities for even basic nursing services

Dependence on local pharmaceutical products and outdated medicines

No access to certified diagnostic labs for blood tests

• Rural people unaware of health services that they should avail

Non-communicable diseases

Unqualified Local practitioners

No access to quality medicines

Accessibility of doctors

Nursing services

Information asymmetry

Diagnostic services

REACH

Page 5: Sandeep raj   br

Learning from pilot work done

PlanMyHealth.com EMRI

Demographic diseases

Willingness for telemedicine

People ready to Pay for the service

Training is critical

3,80,000 emergencies, 4000

babies delivered

Possible to leverage technology

Doctors Physical presence not

required

Charities and subsidies do not work

for ever

Empower people to take charge of

their health

Page 6: Sandeep raj   br

Competitor analysis and Competitive position

ScaleEconomic | Geographic

Collaborators

TechnologyWeb & IT | Equipments

Page 7: Sandeep raj   br

Business model and revenue model

Additional Revenue sources

Medical data collection

Informatics to government

Popularize RSBY

Ambulance services using EMRI

Advertisement

Main Revenue sources

Medical Consultation

Registration charges

Pharmacy charges

Diagnostic services

Home health

Accompany patients to hospitals

Page 8: Sandeep raj   br

Business model and revenue model

Pharma

Advertisement

Diagnostics

Misc

Registration

Doctor on call

$600/month

$700/month $120/month

$420 lakh/month

$ 300/month

$ 300/month

REACH

Total revenue/Satellite Clinic = $1440/ Month

Page 9: Sandeep raj   br

Entry strategies

Post office network- bureaucratic

CSC’s – Entrepreneurship culture

Exploring network of defence personal

Rollout plan Technology

Page 10: Sandeep raj   br

02000000400000060000008000000

1000000012000000

Working Cap-ital CC

Infrastructure investment CC

Working Cap-ital SC

Infrastructure investment SC

1 2 3 4 50

5000000

10000000

15000000

20000000

25000000Sales

Funds required

year 1 year 2 year 3 year 4 year 5-1000000

0

1000000

2000000

3000000

4000000

5000000

6000000

7000000

8000000

Profits

NPV = $ 14.27 Million

IRR=85.24%

Page 11: Sandeep raj   br

Social Impact AssessmentINPUTS

• Nurses• Doctors• Infrastructure (call centers & rented space)• Telemedicine equipment

ACTIVITIES• Capacity Building• Acquiring talents • Training

OUTPUTS• A satellite clinic in every locality• Easy connectivity with good doctors & specialists• Lab tests conducted • Pharmacy services• Consultation & referrals

OUTCOMES• Increases employment• Better connectivity • Improved health• Improved productivity• Reduced mortality rate• Cleaner Environment

Page 12: Sandeep raj   br

Social Impact Assessment

Segment Issue Performance metric

Men & Women Morbidity No. of working days

Absenteeism to work Change in per capita GDP

Households Increased spending to healthcare expenses due to diagnosis at later stage

% of savings used to fund medical costs

Burden due to health expenses

Savings as % of GDP

Society Productivity Productivity loss (1.9% of GDP)

Early retirement Dependency ratio

Life expectancy Preventable deaths from non communicable deaths

Page 13: Sandeep raj   br

Social Impact Indicators (IRIS)

Dimension Performance metric Outcome

Employment Caregivers Employed - Nurses

Number of nurses licensed or certified based on local requirements, employed by the organization

Training & Assessment

Caregivers trained Number of the organization's caregivers that received training

Quantity & Reach Health related well visits

Number of well visits or screenings, including immunization visits

Quantity & Reach Patient referrals Number of patient referrals made by the organisation

Quantity & Reach Immunizations Number of immunisation

Quantity & Reach Medical Consultation Number of medical consultations done

Page 14: Sandeep raj   br

Social Impact Indicators (IRIS)

Dimension Performance metric Outcome

Environment Greenhouse gas emissions for product replaced

Greenhouse gas emissions that would have been produced by the product replaced during the lifetime of the organizations product

Social & Environmental BenefitsEarning potential created through nursesProductivity in householdsHuman health benefitsEnvironmental benefits

Social Purpose benefit flow ($)

Year 1 -217,152

Year 2 997,056

Year 3 3,101,760

Year 4 3,941,760

Year 5 3,941,760NPV = 5,542,544

Page 15: Sandeep raj   br

What does an investor get and exit options

Equity Free Cash flow ($)

year 0 -2198000

year 1 -387600

year 2 1210800

year 3 6096000

year 4 7680000

year 5 9660000

NPV

14,273,955.86

IRR = 85.24%

5th year EBITDA $ 10.8

Mn

multiple 5

Equity $ 54 Mn

Required investment $ 29.7 Mn

% share holding 0.550063

704

02000000400000060000008000000

1000000012000000

Working Capital CC

Infrastruc-ture in-vestment CC

Working Capital SC

Infrastruc-ture in-vestment SC

Page 16: Sandeep raj   br

Thank You