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Healthcare Innovations for the Bottom of the Pyramid

Lecture for Global Health program
by

Shuan Sadre Ghazi

on 12 November 2015

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Transcript of Healthcare Innovations for the Bottom of the Pyramid


Healthcare Innovations

For
Underserved Communities
at the
Bottom of the Pyramid

Shuan Sadre Ghazi
ghazi@merit.unu.edu
Saraman
Examples
Examples
Fuel-efficient cookstove
What is
Poverty?
Income?
Poverty trap
Access?
Infrastructure?
non-homogenous
annual income $ ppp
Different faces of poverty
Rural / Semi-urban / Urban
Freedom?
lack of
Choice?
Multi-dimentional
Opportunity?
Aravind Eye Hospital
Source: World Resources Institute/IFC (2006)
Above slides courtesy of UNDP GIM www.growinginclusivemarkets.org
Drivers of Pro-poor Innovation
modes of partnership
Market opportunities
Sources of innovation
New
Global population growth
Bottom of the Pyramid
Pro-Poor
Innovation
Pro-Poor
Innovation
Reach
Development impact
Financial viability
Bottom/Base of the Pyramid
Inclusive Business
What is pro-poor innovation
Affordability
Accebility
Awareness
Acceptability
Market-based approaches
Social entrepreneurship
Conventional approaches
Philanthropy
Corporate Social Responsibility (CSR)
Appropriate Technology
Poor as user
Poor as user/producer/entrepreneur
Focus on social impact
Pro-Poor Innovation System
Private sector
Civil society
Public sector
Pro-poor policy
Pro-poor growth
Trickle down
Public policy
Private actors
Grassroots innovation
source: adapted from Mendoza & Thelen (2008)
Pro-Poor Innovation
“Today we can see that in the poorest places, only integrated approaches
sustainably
and
adequately
address public health needs.

…Figuring out how to bring the complex matrix of development together requires
systems knowledge
,
financing,
and superb
management
.”


–Josh Ruxin, “Doctors Without Orders”
UNDP
1
2
3
4
!
General approaches
4As for Pro-poor Innovation
What non-state actors have to offer for healthcare in BOP ?
Private actors are generally better at
systems knowlege
financing
management
leveraging resources
applying technical skill/know-how
innovation
networks
human capital
new technologies
(compared to public sector in general)
Source: endeva (2012) http://tinyurl.com/cy5lekh
From health-care technology to health-care innovation
Bridging the innovation diffusion gap
lessons from sanitation entrepreneurs
Source: Ramani, SadreGhazi, Duysters (2012)
25% of Indians who are hospitalised end up falling below the poverty line because of the high treatment costs.
A-Z Textile (Malaria Bednets)
Bottom of the Pyramid
Pro-Poor Innovation
Pro-Poor Innovations in Healthcare
under-served communities
at the

(MSF)
Full transcript