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The realm of telemedicine and women empowerment
30/09/2015
“Communities and countries and
ultimately the world are only as strong
as the health of their women”
- Michelle Obama
*The Pakistan Medical & Dental College Statistics 2013
Out of >50,000
licensed female
doctors, only
13% ever get to
practice*
Dr. Sara’s Story
THE PROBLEM: “WHY
120 million
Pakistanis live in
poverty
90% cannot access
affordable quality
healthcare
Afroze’s Story
THE PROBLEM: “WHY”
Infant
Mortality
Rate: 74
deaths/1000
births
Births
attended by
Professional
doctors:
28%; 52%
births at
home only
MMR:
260
deaths/10
0,000
births
Total
Population
of Pakistan:
199 Million
Women
Unable to
access
Healthcare
due to
distance: 37%
Mortality
rate of
less than
5 yrs: 89
deaths/10
00 births
9/30/2015 5Orem's self care deficit theory
Pakistan Demographics & Statistics
*Pakistan Health and Demographic Survey 2012-13
Connecting two
market failures
To Marginalized
populations unable to access
Quality Affordable
Healthcare
Connects Qualified
Home Based Female
Doctors
Via Nurse Assisted
Video Consultation
The Solution: doctHERs
doctHERs OPERATIONS – “HOW”
Conversion of
existing clinical
spaces into
teleconsultation
centers
Using Specialized
software &
recruitment of
trained nurses
Video Consultation
Window
Online History
Taking Forms
Online Pathology &
X-Ray Reports for
future use
Store & Forward
Menu
Individual Patient
Files
Specialized Features Of MD Consult Software
MD Consults Mobile Application
Live Consultations Special Peripheral Diagnostic Tools
MD Consults
SWOT ANALYSIS
Strengths Weaknesses (Internal)
• An innovative approach
• Access to quality healthcare
• Cost effective (1$ in communities)
• Women Empowerment & Employment
• Leverage untapped human resources
• Need to hire COO & Finance Manager
• Need to develop own software in the long run
• Funding
Opportunities Threats (External)
• Provide Wireless quality healthcare services in
a vast network of corporate chains operating
in rural communities (Farms, factories, etc)
• 85% teledensity/mobile penetration in
Pakistan
• Acceptability/adoption of technology by both
providers and consumers
• Security situation in Pakistan
• Easy availability of Quacks at lower costs
• Potential lack of trust in a doctor sitting behind
a video screen
MD
Consult
Qualified
Doctors
Peripheral
Diagnostic
Tools
E-OPD & E-
Medical
Prescriptions
Women
Empowerment
& Employment
Opportunities
doctHERs Competitive Edge
Market Opportunity
Communities: 140
million rural and
urban slum dwellers
with income bracket
$50-$300/mon
Corporates: 40
Million corporate
employees
Retail: 20 Million
Retail Health
Consumers (Clinics
& Pharmacies)
Target Market Segments
Demand Side:
Rural and Urban
Slum communities
with little or no
health facilities
Supply Side:
60,000 non
practicing qualified
female physicians
Market summary
Risks and Mitigation Strategies
•Backup of 2-3 broaddband
internet if local ISP Disrupts
•DSL Services
•Wifi-Enabled USB Devices
•Deployment of Security
Personnel
•Coordination with Local Police
And security Services
•To maintain cordial
relationships with all political
agencies
•Ensure Community
Partnerships
•Hire Locals as Community
Mobilizers
•Hire DoctHERs with the local
language skills
Cultural
Risks
Political
Risks
Technology
Risks
Security
Risks
Implementation Phase
Snapshots from the clinic
Telemedicine Clinics Globally
Global Telemedicine Market expected to grow from $ 9.8 billion
in 2010 to $ 27.3 Billion in 2016
*Market Research Report on Telemedicine Opportunities; BCC Research, January 2011
Prototype in 2014
Medium Skype
100 patients, 60
antenatal cases,
10 deliveries
Company
Registration Q1,
Jan 2015
Pilot Phase: Q2,
1st clinic May
2015
2nd Clinic; Q3
June 2015
Partnership
Signature with
Tech Valley &
HCP Q3
Q4 Pipelines
2015: 3rd Clinic,
Mansehra KPK
DKT
Collaborative
deal for 5
Dhanak clinics up
gradation
Diagnostic Lab
Partnership
(Essalab)
Prototype
Phase; 2014
Q4;Corporate &
Retail expansion
Pilot Phase
Q1 Q2 2015
Expansion:
Q3 2015
Our Journey
ForCommunities
• Existing
available
community
resources
CHW’s
• Door to door
marketing
ForCorporates
• PR Agencies
for ATL
activities
• Specialized
team for
corporate
development
ForGeneralPublic
• Social Media
Campaigns
(PR Agency)
• BTL
activities in
public places
(Business
Development
)
ForGovernment
• Participation
in
government
tenders
• Collaboration
with
government
institutions
Go to Market
• $ 25,000 CRDF Global (2014)
• $ 5000 (GIST TECH – I (2015)
Winners& Final Runner ups
Business Accelerators
Capital Raised so far
Achievements & Capital Raised
Goals and Objectives
Five-year goals:
 Recruitment, Reentry & Retention of 200 doctHERs in workplace
 Increased job opportunity for 100 nurses in 100 doctHERs
 Mobile App Development for doctHERs
 To have 44 corporate, 9 community & 6 retail outlets in 2016 (by
partnerships)
 Provide quality & Affordable health intervention to 100,000 people
from target population
 Reduced Morbidity & Disease ratio in the target population by 20%
*KPK Health Sector Strategy 2010-2017 keeping in light the Millennium Development
Goals 2015
Milestones to be Achieved
AchievingScale
Target
Beneficiries
• Social Enterprises
• Pharmaceuticals
• Tertiary Care
Hospitals
• IT Companies
• Inclusion of Tele-
Medicine in
Healthcare Reforms
Network
•Establishment of
35 clinics
•Recruit 60
nurses in the
workforce
•Recruit 100
doctHERs
Revenue
•600/month/
clinic
•7200/ 1 Year/ 1
Clinic
•8 million +
people/2
Years/30 clinic
Collaborations
Collaborations via PAK
Government
• Healthcare Social
Enterprises to
expand in terms
of services
CHANGING THE FACE OF HEALTHCARE IN PAKISTAN
•PKR
53,002,400/
36 clinics/ 2
Years
PERFORMANCE TARGET BY 2017
ADVISORY BOARD:
Sabeen F.Haque: U.S Women’s Consulate
Mansoor A Khan: Director of MENA & South Asia,
Kantar Media
Alex Kosik: CEO Gravitus
Dr. Asher Hassan
Chairman &
Board of
Director
Makkiya Jawed
Project
ManagHER
Dr. Sara Khurram
Co-Founder &
Project
DirectHER
Dr Iffat Zafar
Project
DirectHER
Mahek Pathani
Project
CoordinatHER
THE TEAM
Contact Details E Mail ID Phone No Skype
Dr. Sara
Khurram
docthers@gmail.com +92-3333751232 Sara.saeed6
Dr. Iffat Zafar Iffat@docthers.org +92-311-8859475 Iffi.zaffi
Mahek Pathani Mahek@docthers.org +92-310-0104040
Makkiya Jawed Makkiya@docthers.org +92-321-2169174 Makkiya.jawed
THANK YOU
For Any Queries please feel free to Contact us at the given contact
details

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Telemedicine empowers women in Pakistan

  • 1. The realm of telemedicine and women empowerment 30/09/2015
  • 2. “Communities and countries and ultimately the world are only as strong as the health of their women” - Michelle Obama
  • 3. *The Pakistan Medical & Dental College Statistics 2013 Out of >50,000 licensed female doctors, only 13% ever get to practice* Dr. Sara’s Story THE PROBLEM: “WHY
  • 4. 120 million Pakistanis live in poverty 90% cannot access affordable quality healthcare Afroze’s Story THE PROBLEM: “WHY”
  • 5. Infant Mortality Rate: 74 deaths/1000 births Births attended by Professional doctors: 28%; 52% births at home only MMR: 260 deaths/10 0,000 births Total Population of Pakistan: 199 Million Women Unable to access Healthcare due to distance: 37% Mortality rate of less than 5 yrs: 89 deaths/10 00 births 9/30/2015 5Orem's self care deficit theory Pakistan Demographics & Statistics *Pakistan Health and Demographic Survey 2012-13
  • 6. Connecting two market failures To Marginalized populations unable to access Quality Affordable Healthcare Connects Qualified Home Based Female Doctors Via Nurse Assisted Video Consultation The Solution: doctHERs
  • 7. doctHERs OPERATIONS – “HOW” Conversion of existing clinical spaces into teleconsultation centers Using Specialized software & recruitment of trained nurses
  • 8.
  • 9. Video Consultation Window Online History Taking Forms Online Pathology & X-Ray Reports for future use Store & Forward Menu Individual Patient Files Specialized Features Of MD Consult Software
  • 10. MD Consults Mobile Application
  • 11. Live Consultations Special Peripheral Diagnostic Tools MD Consults
  • 12. SWOT ANALYSIS Strengths Weaknesses (Internal) • An innovative approach • Access to quality healthcare • Cost effective (1$ in communities) • Women Empowerment & Employment • Leverage untapped human resources • Need to hire COO & Finance Manager • Need to develop own software in the long run • Funding Opportunities Threats (External) • Provide Wireless quality healthcare services in a vast network of corporate chains operating in rural communities (Farms, factories, etc) • 85% teledensity/mobile penetration in Pakistan • Acceptability/adoption of technology by both providers and consumers • Security situation in Pakistan • Easy availability of Quacks at lower costs • Potential lack of trust in a doctor sitting behind a video screen
  • 14. Market Opportunity Communities: 140 million rural and urban slum dwellers with income bracket $50-$300/mon Corporates: 40 Million corporate employees Retail: 20 Million Retail Health Consumers (Clinics & Pharmacies) Target Market Segments Demand Side: Rural and Urban Slum communities with little or no health facilities Supply Side: 60,000 non practicing qualified female physicians Market summary
  • 15. Risks and Mitigation Strategies •Backup of 2-3 broaddband internet if local ISP Disrupts •DSL Services •Wifi-Enabled USB Devices •Deployment of Security Personnel •Coordination with Local Police And security Services •To maintain cordial relationships with all political agencies •Ensure Community Partnerships •Hire Locals as Community Mobilizers •Hire DoctHERs with the local language skills Cultural Risks Political Risks Technology Risks Security Risks Implementation Phase
  • 17.
  • 18.
  • 19. Telemedicine Clinics Globally Global Telemedicine Market expected to grow from $ 9.8 billion in 2010 to $ 27.3 Billion in 2016 *Market Research Report on Telemedicine Opportunities; BCC Research, January 2011
  • 20. Prototype in 2014 Medium Skype 100 patients, 60 antenatal cases, 10 deliveries Company Registration Q1, Jan 2015 Pilot Phase: Q2, 1st clinic May 2015 2nd Clinic; Q3 June 2015 Partnership Signature with Tech Valley & HCP Q3 Q4 Pipelines 2015: 3rd Clinic, Mansehra KPK DKT Collaborative deal for 5 Dhanak clinics up gradation Diagnostic Lab Partnership (Essalab) Prototype Phase; 2014 Q4;Corporate & Retail expansion Pilot Phase Q1 Q2 2015 Expansion: Q3 2015 Our Journey
  • 21. ForCommunities • Existing available community resources CHW’s • Door to door marketing ForCorporates • PR Agencies for ATL activities • Specialized team for corporate development ForGeneralPublic • Social Media Campaigns (PR Agency) • BTL activities in public places (Business Development ) ForGovernment • Participation in government tenders • Collaboration with government institutions Go to Market
  • 22. • $ 25,000 CRDF Global (2014) • $ 5000 (GIST TECH – I (2015) Winners& Final Runner ups Business Accelerators Capital Raised so far Achievements & Capital Raised
  • 23. Goals and Objectives Five-year goals:  Recruitment, Reentry & Retention of 200 doctHERs in workplace  Increased job opportunity for 100 nurses in 100 doctHERs  Mobile App Development for doctHERs  To have 44 corporate, 9 community & 6 retail outlets in 2016 (by partnerships)  Provide quality & Affordable health intervention to 100,000 people from target population  Reduced Morbidity & Disease ratio in the target population by 20%
  • 24. *KPK Health Sector Strategy 2010-2017 keeping in light the Millennium Development Goals 2015 Milestones to be Achieved AchievingScale Target Beneficiries • Social Enterprises • Pharmaceuticals • Tertiary Care Hospitals • IT Companies • Inclusion of Tele- Medicine in Healthcare Reforms Network •Establishment of 35 clinics •Recruit 60 nurses in the workforce •Recruit 100 doctHERs Revenue •600/month/ clinic •7200/ 1 Year/ 1 Clinic •8 million + people/2 Years/30 clinic Collaborations Collaborations via PAK Government • Healthcare Social Enterprises to expand in terms of services CHANGING THE FACE OF HEALTHCARE IN PAKISTAN •PKR 53,002,400/ 36 clinics/ 2 Years PERFORMANCE TARGET BY 2017
  • 25. ADVISORY BOARD: Sabeen F.Haque: U.S Women’s Consulate Mansoor A Khan: Director of MENA & South Asia, Kantar Media Alex Kosik: CEO Gravitus Dr. Asher Hassan Chairman & Board of Director Makkiya Jawed Project ManagHER Dr. Sara Khurram Co-Founder & Project DirectHER Dr Iffat Zafar Project DirectHER Mahek Pathani Project CoordinatHER THE TEAM
  • 26. Contact Details E Mail ID Phone No Skype Dr. Sara Khurram docthers@gmail.com +92-3333751232 Sara.saeed6 Dr. Iffat Zafar Iffat@docthers.org +92-311-8859475 Iffi.zaffi Mahek Pathani Mahek@docthers.org +92-310-0104040 Makkiya Jawed Makkiya@docthers.org +92-321-2169174 Makkiya.jawed THANK YOU For Any Queries please feel free to Contact us at the given contact details