Vaatsalya A Healthcare Social Enterprise

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Vaatsalya A Healthcare Social Enterprise

  1. 1. Enabling access to affordable healthcare
  2. 2. 54% of all babies delivered without professional support .> 45 % of children under 3 are severely & chronically malnourished < 42 % children between 1 and 2 years are completely immunised 14.4 % have not received a single dose of vaccine Non-Infectious disease like diabetes, cancer and other lifestyle diseases are on a growth curve Healthcare access in India is not only expensive, its inaccessible > 1/3 of married Indian Women are Anaemic In 2007, people continue to die for the same reasons they did when India became independent in 1947: infectious diseases. One in three women do not receive ante-natal checkup 50% of women do no seek medical treatment as hospital is too far or expensive
  3. 3. State of Health In India <ul><li>The number of hospitals grew from 11,174 hospitals in 1991 (57% private) to 18,218 (75% private) in 2007 </li></ul><ul><li>In 2000, the country had 1.25 million doctors and 0.8 million nurses. That translates into one doctor for every 1800 people </li></ul><ul><li>Doctor per population served is better than recommended international guidelines! </li></ul>
  4. 4. The Social Burden
  5. 5. Healthcare Gap and Proposed Solutions <ul><li>Geographical </li></ul><ul><ul><li>By focusing on areas where healthcare facilities are lacking. </li></ul></ul><ul><ul><li>Hub and spoke model, with primary care in spokes and </li></ul></ul><ul><ul><li>secondary care as Hub </li></ul></ul><ul><li>Socio-economic </li></ul><ul><ul><li>Focus on preventive care and education </li></ul></ul><ul><ul><li>Process driven, High quality service at affordable cost </li></ul></ul><ul><ul><li>Innovate health plans to eliminate affordability barriers </li></ul></ul><ul><li>Gender </li></ul><ul><ul><li>Partnerships with SHGs and local women groups </li></ul></ul><ul><ul><li>Offer Maternal and Child health services, at all locations </li></ul></ul><ul><ul><li>Community based programs </li></ul></ul><ul><li>Delivery </li></ul><ul><ul><li>Basic Infrastructure to provide complete primary and </li></ul></ul><ul><ul><li>secondary care </li></ul></ul><ul><ul><li>Complete integration of diagnosis, treatment, and </li></ul></ul><ul><ul><li>follow up (supported by pharmacy) </li></ul></ul><ul><ul><li>Care at the point of contact, not referrals for further </li></ul></ul><ul><ul><li>treatment. </li></ul></ul>
  6. 6. Vaatsalya - The Concept 70% of the population lives in semi-urban & rural India (80% healthcare facilities are in urban areas) 85% to 90% of hospital visits are for primary and secondary care (Majority of organized healthcare players target tertiary care market) Vaatsalya is the nation’s first network of hospitals focused on Primary and Secondary care in Semi-urban and Rural India POPULATION 70% semi-urban & rural India HEALTHCARE 85% urban & metro India DEMAND 90% primary & secondary care HOSPITALS 70% curative & tertiary care
  7. 7. Vaatsalya Network Outreach clinics within radius of 10 kms providing physiotherapy and preventive services, where specialists and resident doctor visit on a fixed schedule HEALTH PLANS HOSPITALS OUTREACH
  8. 8. Services and Impact Community Reach - Patient Value Current Revenue Streams Increasing health awareness, Increasing healthcare expenditure Greater Insurance penetration, Emphasis on preventive medicine
  9. 9. Vaatsalya Hospital Structure
  10. 10. Demographics and Market Size Source: National Accounts Statistics 2001; McKinsey analysis Middle Income Class in India to grow to 400 to 500 Million by 2015 Healthcare is the third largest growth segment in India
  11. 11. Healthcare services one of the fastest growing segment in India
  12. 12. Competition <ul><li>Clinics & Nursing Homes </li></ul><ul><li>Single doctor or family of doctors </li></ul><ul><li>Good local network and word of mouth clientele </li></ul><ul><li>Limited range of services and facilities </li></ul><ul><li>Charitable Trusts </li></ul><ul><li>Multispeciality hospitals run by religious or social groups </li></ul><ul><li>Standard of care is driven by individual doctors </li></ul><ul><li>Subsidised pricing offset by donations </li></ul><ul><li>Sub-optimal facilities </li></ul><ul><li>Government Hospitals </li></ul><ul><li>Ill equipped to provide efficient healthcare </li></ul><ul><li>Unavailability of appointed doctors and hospital staff </li></ul><ul><li>Not favoured by semi-urban populations </li></ul><ul><li>Standard of care is abysmal </li></ul><ul><li>Organised Sector </li></ul><ul><li>Very few players in this sector </li></ul><ul><li>Regional in focus, usually offshoots of tertiary players </li></ul><ul><li>Most current players are Urban Centric </li></ul>Healthcare services is highly unorganised segment in India
  13. 13. Where do we go from here? <ul><li>National network of primary and secondary care hospitals </li></ul><ul><li>100 locations </li></ul><ul><li>2.5 Million direct beneficiaries </li></ul><ul><li>10 Million indirect beneficiaries </li></ul><ul><li>Low cost health plans to supplement health insurance plans </li></ul><ul><li>Partnerships with grassroots organizations (NGO, SHG) to extend healthcare to remote areas </li></ul><ul><li>Technology assisted growth – Telehealth </li></ul>India's healthcare industry to see mammoth growth: McKinsey, Jun 2007 Industry will reach a staggering USD 190B mark in less than two decades. Revenue Target INR.130 Cr.
  14. 14. SWOT Analysis <ul><li>Opportunities </li></ul><ul><li>New and very large market </li></ul><ul><li>Health Insurance penetration increasing </li></ul><ul><li>Increased emphasis on quality in healthcare </li></ul><ul><li>Increased awareness of preventive medicine in target geographies </li></ul><ul><li>Create the largest primary and secondary healthcare network </li></ul><ul><li>Weaknesses </li></ul><ul><li>Capital Intensive Business – Optimal use of resources </li></ul><ul><li>Trust based business – longer gestation </li></ul><ul><li>Highly skilled manpower requirement – Scholarships and Profit sharing </li></ul><ul><li>Limitation on reach – extension mobile clinics and kiosks </li></ul><ul><li>Threats </li></ul><ul><li>Me too players or copycat models – competing by superior service </li></ul><ul><li>Local nursing homes and individual doctors in defined geographies </li></ul><ul><li>Large corporate rollout for backward integration </li></ul><ul><li>Strengths </li></ul><ul><li>Promoted by Doctors & enterpreneurs with background in healthcare and management </li></ul><ul><li>Motivated team and efficient systems </li></ul><ul><li>Consistent delivery of high quality care with superior service </li></ul><ul><li>Innovative healthcare services to optimize capacity </li></ul>
  15. 15. Leadership and Ownership
  16. 16. Past Performance Two Hospitals and One Clinic
  17. 17. Projections
  18. 18. Creating Rural Markets Developmental Impact Mother & Child Health Developmental Disabilities Complications of chronic diseases

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