Ashoka: Innovators for the Public

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oshirobokova@ashoka.org13.12.2012 (3000 72 )

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, 1~3000 204600226681318 2011

654 400 333 354 63 839 / 22 (Ashoka Fellow) 5 :

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Tap into our collective knowledge and expertiseJimmy Wales

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Redefine disability into an abilityAndreas Heinecke 6

Radically rethink who the best teachers are

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Look for special abilities in the most unusual placesBart Weetjens and Apopo havetrained rats to find over 2,063landmines and create over 3.1 millionsquare meters of mine-free land. 8

Put children in charge

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8 000 Breast cancer the burden and early diagnosisIn Germany, breast cancer is the most common cause of death for women between 40 and 44 years of age. Roughly 60,000 women are newly diagnosed with breast cancer every year; for 18,000 of these cases the illness is fatal. Early detection and treatment significantly increases womens chance of survival, and quality of life for those on treatment.The available prevention and early detection methods for breast cancer in Germany are not optimal. The standard method used today is mammogram screening. However, routine mammograms in the German healthcare system are only offered to women aged between 50 and 69, even though around 20% of breast cancer is detected in women under the age of 50. In addition (and for younger women this is the only method of screening), physicians regularly examine the breast as part of a routine female check-up (usually once or twice a year). However, there is no standardized or evaluated method for such breast examinations in Germany and its provided at varying levels of time investment and care. Discovering hands - idea and benefitsDiscovering hands addresses some of these shortcomings by training and deploying visually impaired women with their highly developed sensory skills to detect the early signs of breast cancer.Clinical Breast Examiners (CBEs) are trained at vocational training centers for people with disabilities (Berufsfrderungswerke) across Germany and deliver breast examinations at doctors practices. During the 9-month training period, they learn how to use a standardized diagnostic method for examining the female breast. Additionally, all CBEs are trained in communication skills and breast-specific psychology, as well as administrative tasks typically carried out by a doctors assistant.CBEs are either directly employed by resident doctors or hospitals, or they work for different practices and/or hospitals on a freelance basis.The examination is either paid by health insurances (so far we have contracts with 4 health insurances in Germany) or out of the patients own pocket. Discovering hands has a number of benefits:Perceived disability becomes a talent: By using the extraordinary sensory capabilities of visually impaired women, a perceived disability is transformed into a capability. A completely new field of meaningful employment is createdStandardized method: CBEs use a standardized examination method that has been developed specifically for the purpose of their workMore time for prevention and early detection: Typically, a regular breast examination carried out by a gynecologist takes between 1 and 3 minutes. The CBE invests at least 30 minutes for each session, not only examining the breast, but also educating patients on how to cope with the risk of breast cancer. Patients feel that they are well taken care of and receive the best possible preventive examination in a pleasant environmentAlthough a peer-reviewed clinical study has not yet been completed , preliminary qualitative results show that CBEs detect ~50% more and ~30% smaller tissue alterations in the breast than doctors (5-8mm vs. 10-15mm).As of today, ~20 blind women are part of the discovering hands network, working in 17 gynecologists practices and hospitals across Germany. You can find a list here. More than 8,000 examinations have been carried out to date. VisionDiscovering hands is planning to substantially increase the number of CBEs in the years to come, aiming at employing roughly 60 blind women in Germany alone.So far, there is no expansion or adoption of the discovering hands approach (or any similar use of blind women in early breast cancer detection) beyond Germany. However, discovering hands intends to expand the system to at least 3-4 countries in the next 5 years. For more information, you can download an impact report (in German) .Discovering hands is a social enterprise. All benefits are reinvested in improving our services and scaling up the reach of CBEs across Germany and beyond. Success thus farThe idea and current status of discovering hands has received a lot of positive feedback and support. We have won numerous prizes, among them the prize for innovation in the German healthcare system in 2011. Furthermore, Dr. Frank Hoffmann the CEO and founder of discovering hands is an awarded Ashoka-Fellow. Please find a selection of press clippings here.11 Breast cancer the burden and early diagnosisIn Germany, breast cancer is the most common cause of death for women between 40 and 44 years of age. Roughly 60,000 women are newly diagnosed with breast cancer every year; for 18,000 of these cases the illness is fatal. Early detection and treatment significantly increases womens chance of survival, and quality of life for those on treatment.The available prevention and early detection methods for breast cancer in Germany are not optimal. The standard method used today is mammogram screening. However, routine mammograms in the German healthcare system are only offered to women aged between 50 and 69, even though around 20% of breast cancer is detected in women under the age of 50. In addition (and for younger women this is the only method of screening), physicians regularly examine the breast as part of a routine female check-up (usually once or twice a year). However, there is no standardized or evaluated method for such breast examinations in Germany and its provided at varying levels of time investment and care. Discovering hands - idea and benefitsDiscovering hands addresses some of these shortcomings by training and deploying visually impaired women with their highly developed sensory skills to detect the early signs of breast cancer.Clinical Breast Examiners (CBEs) are trained at vocational training centers for people with disabilities (Berufsfrderungswerke) across Germany and deliver breast examinations at doctors practices. During the 9-month training period, they learn how to use a standardized diagnostic method for examining the female breast. Additionally, all CBEs are trained in communication skills and breast-specific psychology, as well as administrative tasks typically carried out by a doctors assistant.CBEs are either directly employed by resident doctors or hospitals, or they work for different practices and/or hospitals on a freelance basis.The examination is either paid by health insurances (so far we have contracts with 4 health insurances in Germany) or out of the patients own pocket. Discovering hands has a number of benefits:Perceived disability becomes a talent: By using the extraordinary sensory capabilities of visually impaired women, a perceived disability is transformed into a capability. A completely new field of meaningful employment is createdStandardized method: CBEs use a standardized examination method that has been developed specifically for the purpose of their workMore time for prevention and early detection: Typically, a regular breast examination carried out by a gynecologist takes between 1 and 3 minutes. The CBE invests at least 30 minutes for each session, not only examining the breast, but also educating patients on how to cope with the risk of breast cancer. Patients feel that they are well taken care of and receive the best possible preventive examination in a pleasant environmentAlthough a peer-reviewed clinical study has not yet been completed , preliminary qualitative results show that CBEs detect ~50% more and ~30% smaller tissue alterations in the breast than doctors (5-8mm vs. 10-15mm).As of today, ~20 blind women are part of the discovering hands network, working in 17 gynecologists practices and hospitals across Germany. You can find a list here. More than 8,000 examinations have been carried out to date. VisionDiscovering hands is planning to substantially increase the number of CBEs in the years to come, aiming at employing roughly 60 blind women in Germany alone.So far, there is no expansion or adoption of the discovering hands approach (or any similar use of blind women in early breast cancer detection) beyond Germany. However, discovering hands intends to expand the system to at least 3-4 countries in the next 5 years. For more information, you can download an impact report (in German) .Discovering hands is a social enterprise. All benefits are reinvested in improving our services and scaling up the reach of CBEs across Germany and beyond. Success thus farThe idea and current status of discovering hands has received a lot of positive feedback and support. We have won numerous prizes, among them the prize for innovation in the German healthcare system in 2011. Furthermore, Dr. Frank Hoffmann the CEO and founder of discovering hands is an awarded Ashoka-Fellow. Please find a selection of press clippings here.12 ?

( ) 14 50 2010 10 , ( MCKINSEY , 2012)15Positive Return on Investment of Public SpendingThe work of social entrepreneurs allows society to cut costs and reinvest in job creation, health and educationThe work of social entrepreneurs creates income for societyThe revenues generated are always superior to the amount invested in form of subvention. For the 10 projects, the profit accumulated for society is higher than 50 billions in 2010

The economic impact is highHigh potential for ventures to be replicated in the short/medium run is highThe economic volumes raised for the community is around 5 billions only for the 10 projects analyzedThe work of social entrepreneurs creates long term employment opportunities

, Generation YEACH culture - contagious16 Work with citizen sector to understand challenges, needs and markets communicate about importance of innovation and organizational flexibility to find new customers and tailor products Identify internal champions Pilot ideas/markets17

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Spoluprce s PSIK, ASNMcKinsey, Hill &Knowlton, PRJoin the Changemakers = localizerHybrid value chain (alternative financing, alternative distribution, alternative service models)Social Business Breakfasts, Globalizer, 18

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