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Rehema Afya Bora’s Clinics Creating Thriving Communities in Tanzania’s Most Remote Areas Dr. Sameer Moulali, MD Social Impact Labs at Yale University, GHIC Innovation Conference April 14, 2018

Rehema Afya Bora’s Clinics Moulali.pdf · Clinic Local Health Care / Agri-Ops Team Agri-Products used in-house or sold locally Solar infrastructure = cost efficiency 1. 2. 3. Agri-Doctor

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Page 1: Rehema Afya Bora’s Clinics Moulali.pdf · Clinic Local Health Care / Agri-Ops Team Agri-Products used in-house or sold locally Solar infrastructure = cost efficiency 1. 2. 3. Agri-Doctor

Rehema Afya Bora’s ClinicsCreating Thriving Communities in Tanzania’s Most Remote Areas

Dr. Sameer Moulali, MD

Social Impact Labs at Yale University, GHIC Innovation Conference

April 14, 2018

Page 2: Rehema Afya Bora’s Clinics Moulali.pdf · Clinic Local Health Care / Agri-Ops Team Agri-Products used in-house or sold locally Solar infrastructure = cost efficiency 1. 2. 3. Agri-Doctor

The Problem

• 70% of Tanzanians live in rural villages, of which 83% have no access to health care

• What is causing this problem?• Poverty:

• 70% of Tanzanians live with less than $2 per day

• 80% of them live in rural areas

• Doctor shortage: • Only 0.31 doctors / 10,000 population in rural areas

• Lack of infrastructure: • Vast distances and un-developed roads

Page 3: Rehema Afya Bora’s Clinics Moulali.pdf · Clinic Local Health Care / Agri-Ops Team Agri-Products used in-house or sold locally Solar infrastructure = cost efficiency 1. 2. 3. Agri-Doctor

Rehema’s Solution: An Integrated Operating Model

=

Addresses factors for overall community health and well-being:

✓Health Care

✓ Food Security

✓Clean Water

✓ Energy

✓ Local Employment

Revenues sustain clinic ops and salaries

Solar & Agri-Infrastructure Clinic

Local Health Care / Agri-Ops Team

Agri-Products used in-house or sold locally

Solar infrastructure = cost efficiency

1. 2. 3.

Agri-Doctor

Page 4: Rehema Afya Bora’s Clinics Moulali.pdf · Clinic Local Health Care / Agri-Ops Team Agri-Products used in-house or sold locally Solar infrastructure = cost efficiency 1. 2. 3. Agri-Doctor

Rehema’s Solution is Evidence-Based• Clinical Officers and Medical

Assistants practice in rural settings

• 95% of community performs agriculture

• Local partner: AgriprenuerAfrica

• Successful Test Pilot: Krishna Veni Charity Clinic• Small scale agri-ops• Low-cost health care• 1200 – 1400 locals

helped / yr

Page 5: Rehema Afya Bora’s Clinics Moulali.pdf · Clinic Local Health Care / Agri-Ops Team Agri-Products used in-house or sold locally Solar infrastructure = cost efficiency 1. 2. 3. Agri-Doctor

Rehema’s Integrated Operating Model will Generate these Outcomes in Year One per Clinic

Data collection: implementation and training on a records management system

Bir

thin

g C

en

tre

of

Ch

oic

e • Reduction in maternal and new born deaths

Ce

ntr

e o

f ex

celle

nce

in

trea

tmen

t &

ed

uca

tio

n • Reduction in treatable or preventable illnesses

Co

mm

un

ity

Kit

che

n o

f ch

oic

e • Reduction of illness due to food or water borne contamination

Page 6: Rehema Afya Bora’s Clinics Moulali.pdf · Clinic Local Health Care / Agri-Ops Team Agri-Products used in-house or sold locally Solar infrastructure = cost efficiency 1. 2. 3. Agri-Doctor

Rehema is Seeking Funding Support to Implement the Integrated Operating Model• Upgrade the Krishna Veni Clinic

• Complete construction of abandoned clinic in Nyamatodistrict

• Both projects are underway:• Funded by Dr. Sameer and Ms. Nida

Jabrani

• Management oversight: Dr. Sameer

• Agri-Doc at Krishna Veni: Dr. Mtango

• On-ground support in Nyamato: Dr. Mtango

Page 7: Rehema Afya Bora’s Clinics Moulali.pdf · Clinic Local Health Care / Agri-Ops Team Agri-Products used in-house or sold locally Solar infrastructure = cost efficiency 1. 2. 3. Agri-Doctor

Thank You!

Feel free to connect with any of us:

Dr. Sameer Moulali, [email protected]

Ms. Nida Jabrani, MBA, [email protected]

Dr. Gautham Pulagam, [email protected]

https://www.linkedin.com/company/rehema-afya-bora/