Sector Drilldown: Healthcare

Speakers: Amir Khan, Director of Glocal University Lee Poh Wah, CEO of Lien Foundation Josephine Price, Director of Village People Project John Forsyth, Group Managing Director of Viva Healthcare Moderated by: Stephen MacMahon, Principal Director, The George Institute for Global Health

Asia in 2013

 4B people

>3B have little or no access to essential healthcare

The conditions most likely to cause early death or disability

Top 10 in Asia
Heart disease Stroke Diabetes Lung disease Road injury Other injuries* Birth complications* Tuberculosis* Diarrheal diseases* Pneumonia*

*lower income regions only

Treatment of people with heart attack or stroke in rural India

Use of medications among 2,453 people with CVD
History of heart attack (n=1,740) History of stroke (n=713)
95% CI

Aspirin ACE-I Statin

Most people in Asia n % 95% CI n % with serious 272 16 11-20 66 9 cardiovascular disease receive treatment 179 10 no 6-15 31 4 whatsoever 104 6 3-9 7 1

4-15 0-9 0-3

Circulation 2009;119:195055

Whats the problem?

Weak healthcare systems Public health and clinical care
Poorly resourced Often unaffordable No quality control Dysfunctional Disrespected
7

Whats the solution?

Radical change is needed Frugal (disruptive) innovation
Sustainable solutions for those living on <$2.50 Healthcare services, technologies & financing Fundamental change in market pricing Low-margin, high-volume Public & private sectors

VP-Impact investment
Potential contribution
Early-stage investment Fit-for-purpose solutions Sustainable and scalable Short time to market
Research & development Proof of principle Business plans Mentorship Investor networks
9

Amir Khan Director Glocal University

Per capita healthcare spending in India

Per capita public and private expenditure (PPP $) in developing countries (2010)
959 998 1,028

935

483 412 469 620

379 330
203 523 490 378 176 83
Thailand China

545

57
38 19

59
36 23

66
22

78
34

44
Nepal

44
Kenya

85 50
35 Ghana

121 46 75
Nigeria

124 27

132
39

148
66 82
Sri Lanka

247

97
Uganda

93
India

Bangladesh

Pakistan

South Africa

Mexico

Russian Brazil Federation

% of GD P

3.5

2.2

5.5

4.8

5.2

5.1

4.1

2.9

3.9

5.1

6.3

8.9

5.1

SOURCE: WHO World Health Statistics 2012; team Analysis

2011 Bill & Melinda Gates Foundation

| 11

Leverage is fundamental
Spending on health by source 100% = 2005 total annual health spend

Private sources Government sources

15

9 31

36

19

30

43 64 63 75-80

31 36

External (donor) funding

39
67 61

25
38 28 18 5 Mozambique Malawi 203% Ethiopia 123% Tanzania 77% Kenya 46% Nigeria 15% Bangladesh 48% 12 1 India <5%

32
20-25

Donor spend as % of government health spend

354%

Source: WHO National Health Accounts 2008

May 10, 2013

2012 Bill & Melinda Gates Foundation

12

Lee Poh Wah CEO Lien Foundation

H2Ospital (2007)

National Cancer Hospital (Hanoi)

End-of-life care
Agenda: To improve care for the dying
Supply side: Research & Training; National Strategy for Palliative Care Demand side: Creating Dielogues & Awareness for Palliative Care
www.qualityofdeath.org

Healthcare IT

: IT s t r e t c h i n g ngo

2006

Lily (71 yrs old)

HCA Hospice Care

2012

Peacehaven Nursing Home

Josephine Price Director Village People Project

Village People Project

Mali doulaixi . Everybody Come and Wash Quickly

PHILANTHROPY & IMPACT INVESTING IN GANSU & SHANXI, CHINA

www.villagepeopleproject.org

John Forsyth Group Managing Director Viva Healthcare

Sector Drilldown: Healthcare

Speakers: Amir Khan, Director of Glocal University Lee Poh Wah, CEO of Lien Foundation Josephine Price, Director of Village People Project John Forsyth, Group Managing Director of Viva Healthcare Moderated by: Stephen MacMahon, Principal Director at Gordon Institute for Global Health

Please proceed to the next sessions

Toolkits: 3.25 4.25pm

Effective Due Diligence: 4.1 Fundraising: MRA Impact Assessment: 6.1 Mobilising Human Capital: 14