3. Global health
• Public health challenges with scope &
influence beyond national borders
• Solutions require inter-disciplinary
approach
– Biomedical sciences
– Social & behavioral sciences
– Engineering
– Business & economics & finance
– Others
4. Current situation
• Donor-dependent in low income
countries
• More public funding for middle income
countries (e.g. BRIC)
• Uneven financing (HIV, malaria, TB)
• Lack of access to affordable & quality
services for those who need most
5. Global health innovation
Source: scottberkun.com; G. Pinchot
Significant positive impact.
To create and bring into use sustainable
new products, processes, services, and
ways of doing business.
6. Bring innovation into use
• Availability
• Affordability
• User acceptability
• Adoption
Reaching end-users
(or customers)
7. Segments & Challenges
Rural poor
Urban/peri-
urban poor
Urban/peri-
urban middle-
income
Urban/peri-
urban high-
income
Healthcare
delivery
Volume
Infrastructure
Price
Quality for cost
Infrastructure
Price
Quality for cost
Infrastructure
Infrastructure
Medical
technologies
& supplies
‘Last mile’
Volume
Price
Price Price
Financing
model
Information
Price
Information
Price
Information
Logistics &
Distribution
Last mile
Volume
Infrastructure
Volume
Infrastructure
Infrastructure
Source: Strengthening health system through private investment, Calvert Found et al. 2015
10. Global health value chain
Credit: noun project
Patient
Provider
Healthfacility
District
distribution
Zonal
warehouse
CentralMedical
Store
Govt.
procurement
agency
Partner
procurement
networks
Retailers&
Wholesalers
Foreign
vendors
Manufacturers
Suppliers
R&D
Sourcing Use
Supporting functions: R&D, infrastructure, talent, business services, etc.
Policy & regulation: standards, law, norms/practices, etc.
11. Recent trends
• Growing middle-class & more
sophisticated consumers
• Burden shift to non-communicable
diseases
• Better access to technology &
information
• Growing interest from private investment
• Push toward universal health coverage
12. Health system
Subsidized
models
For-‐profit
models
Public
Private
Public
Private
Social
Finance
Delivery
Adapted
from
Taking
Innova+ons
to
Scale,
R4D,
2013.
13. Potential partnerships
Public Social Private
• Policy
• RegulaGon
• Standards
• Access &
insights to key
segments
• Information &
education
• Pool demand
• Market-based
solutions
• Efficient
delivery
system