Healthcare: Stuck between Scam India and Slum India

Believing in the right to life equals believing in the right to health: a basic human right. In India, right to health comes in the form right to clean water, nutrition, waste management, clean air even before it gets to curing sicknesses. So India is solidly "stuck between scam India and slum India" said Dinesh Trivedi of the Healthcare ministry during the session on Health and Happiness at the 2010 PAN-IIT conclave in Noida. He was making a case for public-private partnerships in bringing change to India. Of the total money spent in India on Healthcare, 80% is spent by the private sector and 20% by the government (public funds). This means that 80% of the spend goes to 20% of the population and 20% of the spend goes to 80% of the population. Unless we change something this trend will continue. Obesity related diseases go hand in hand with malnutrition related ones and the twain do not meet. The formation of institutions like the All India Medical Institute (AIMS) was visionary in combining the latest in medical research while also serving the poor; but the government has not had the funds to follow through with more such institutions and indeed even the AIMS suffers from lack of funding. How do we get out of the rut we are in?
Change comes with convergence of three factors :
Feasibility: domain of science and technology - this includes Indian sciences like Ayurveda
Viability: driven by economics and policy
Desirability: Our political and social will
Public-Private partnerships can facilitate movement along all three vectors simultaneously.

I found Mr. Trivedi quite eloquent and persuasive. So if you are in the private sector looking to make things happen - contact him. PAN-IIT has said that all sessions will at some point be on YouTube. You can search for this session (its not there as of this writing) for verification. This writeup is from my personal notes.

Health-care Books: Digital benefits

UnaMesa has opened office in Palo Alto as a hub for service innovations, including new approaches to health care, education; it provides free software tools and web services for schools, clinics, and other community organizations. When I first heard of UnaMesa in 2006 from fellow Digital Vision'er Greg Wolff it was a vision but today "UnaMesa acts as an R&D organization with projects that bring together industry, academia, and NGO's to develop and distribute effective tools for social services. UnaMesa maintains the educational materials, software, and other "intellectual property" developed by these projects as a public trust. Much like organizations that acquire and preserve land on behalf of the public, UnaMesa acquires copyrights and related intellectual property and promotes the use of those materials for the public interest."
Technology can change the game when it comes to social impact but so far, research and development has been too expensive for non-profits to take advantage of. UnaMesa is changing that. At the launch party I attended earlier this month, the story told by Sarah Shannon of Hesperian Foundation provided a vision for the future. The foundation has been around for a while and has developed health related books. These books were in English and would get out of date by the time they would get published. Working with UnaMesa, Hesperian has gone digital: books translated into 32 languages, regular updates available instantly for download and a repository that continues to grow because the staff can focus on creating the content. For example the publication "Where There is No Doctor" empowers communities who may have no health-care professional in the area with access to basic medical information.
Congratulations Greg - a DV changemaker.

The Aravind Case: Business at its Best

It is worth studying the Aravind case - a business that does well by doing good. Aravind has overcome barriers of distance, poverty and ignorance to create a self-sustaining system; social entrepreneurship at its best with latest in technology, revenue generation for sustainability and a business model for scaling.

The Bill & Melinda Gates Foundation has selected the Aravind Eye Care System , to receive the 2008 Gates Award for Global Health.

But the contribution made by Aravind is broader than just healthcare - they validate and thrive on the concept of "doing well by doing good".

"Founded in 1976 in a rented house with only eleven beds, Aravind has grown into a thriving network of hospitals and satellite clinics that provide eye exams and surgeries, train healthcare professionals, conduct research, and manufacture eye-care products. In the past year, the Aravind network provided out-patient care to approximately 2.4 million patients and performed more than 280,000 surgeries. Thanks in part to its efforts, the estimated number of blind people in India fell from 8.9 million in 1990 to 6.7 million in 2002 -- a 25 percent decrease according to Philanthropy News."

What I hope this recognition will catalyse is growth in investment in social enterprises, like Aravind, early in their lifecycle so it does not take 30 years to scale.