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“When are we going to build something in Africa?”
• Philanthropic commitment of $20 Million over
5 years
• Technology, products and experience… not
cash
• Criteria: Stability, Transparency, Need,
Sustainability
• Phase I starting point: Ghana
AAF Symposium, July 2003
Phase I: Lessons Learned
Planning enables sustainability
• Align effort with health system priorities• Engage hospital/clinic leaders early in specifying solutions
• “Nothing for nothing”… Require government participation
• Secure distributors for consumables• Deploy affinity groups for data collection and sustainability
Realities dictate solutions
• Big gaps in basic needs Give many, smaller products• Limited support skills Simplify features• Limited repair access Simple, basic technology designs• Small budgets Minimize lifecycle cost
Ghana Hospitals Projects Successful
Ready for Multiple Countries
• 5 Hospital upgrades completed ’04-’05• Medical, energy, water, lab
equipment• Sponsor links in place
• 6 more upgrades commissioned in 4Q06
• “System solution” proof-of-concept with first sites
• Capacity built for multi-site project management
• Expand across Africa to increase impact
Kintampo
Apam
Phase I: Ghana Outcomes
Sustainable Impact• Temporary assignments• AAF site adoption
Potable Water• Reliable source• Filtration & storage
Reliable Power• Back-up generators• Power conditioning
Improved Healthcare• Diagnostic capabilities• Patient care: surgery, monitoring, neonatal
Connected Facilities• District/Village radio• District/HQ satellite access
Goals for DistrictIncrease capacity
Upgrade capability Ensure sustainability
Trained Personnel• Clinical & support training • Process improvement
Phase II: Build Capacity & CapabilityAddress multiple facility gaps in each District
• Update equipment for theaters and wards• Advanced imaging, diagnostics
Enable higher quality care for district Attract & retain medical personnel
Phase II: Create SynergiesConnect to the village with hub and spoke approach
• Health clinic- equipment
Relieve district case volume Enable local, quality care
• Reinforce water & power delivery• Outfit theaters & wards, update
laboratories Alleviate stress on referral hospital Enable village clinics to refer cases
Region pop. ~ 1-2 millionDistrict pop ~ 1-200,000Village pop ~ 2-5,000
Village Cluster Clinic
District Hospital
Regional Referral Hospital
Summary
• Forget B2B/B2C, engage Company to
Country
• Develop base of the pyramid products from your experience at the base of the pyramid
• Use employee groups for sustainability
• Treat your philanthropy like a business
• Simplicity beats elegance every day