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Rural Empowerment And Community
Health
Social Issue   Solution & Social impact

                  Setting up Satellite
                    Clinics (Rural)


                  Setting up Central
                   Clinics( Urban)



                   Patient Visits SC



               Nurse Video conferences
                  with doctor in CC



                 Primary consultation



                    Link up to Macro
               clinics, Tertiary hospitals
Market Segment & Size
The social issues/ customer pain points, Our solution and value
   created

              Non-communicable                                                     Accessibility of
                  diseases                                                            doctors
          India-Diabetic capital of the world
          Lifestyle related illness increasing                                Qualified & trained doctors
                                                                              unwilling to go to rural areas
                                                                              where the need is more


      Unqualified Local                                                                        Nursing services
        practitioners                                                                        People have to travel to cities
 Increasing instance of people
                                                                                             for even basic nursing
 turning to un trusted medical                          REACH                                services
 advice

    No access to quality                                                                            Information
        medicines                                                                                  asymmetry
Dependence         on          local                                                     •   Rural people unaware of
                                                                                             health services that they
pharmaceutical    products      and
                                                                                             should avail
outdated medicines


                                                 Diagnostic services
                                                 No access to certified
                                                 diagnostic labs for blood tests
Learning from pilot work done
               PlanMyHealth.com                           EMRI




                                         3,80,000 emergencies, 4000 babies
 Demographic diseases
                                        delivered
 Willingness for telemedicine
                                         Possible to leverage technology
 People ready to Pay for the service
                                         Doctors Physical presence not required
 Training is critical
                                         Charities and subsidies do not work for
                                        ever
Competitor analysis and Competitive position




       Scale             Collaborators        Technology
Economic | Geographic                     Web & IT | Equipments
Business model and revenue model

                       Main Revenue sources
                       Medical Consultation
                       Registration charges
                       Pharmacy charges
                       Diagnostic services
                       Home health
                       Accompany patients to
                       hospitals
                       Additional Revenue
                       sources
                       Medical data collection
                       Informatics to government
                       Popularize RSBY
                       Ambulance services using
                       EMRI
                       Advertisement
Business model and revenue model


$ 300/month               Advertise               Registratio        $600/month
                            ment                      n



                    Doctor            REACH              Pharma
                    on call



      $700/month                                              $120/month
                              Diagnosti
                                                 Misc
                                 cs


                    $420                            $ 300/month
                    lakh/month

                           Total revenue/Satellite Clinic = $1440/
                           Month
Entry strategies

 Post office network- bureaucratic


 CSC’s – Entrepreneurship culture


 Exploring network of defence personal

            Rollout plan                  Technology
Funds required                                                 Profits
12000000
                                         Working          8000000
10000000
                                         Capital CC       7000000
 8000000                                                  6000000
                                         Infrastructure
 6000000                                 investment CC    5000000
                                                          4000000
 4000000                                 Working          3000000
 2000000                                 Capital SC       2000000

       0                                 Infrastructure   1000000
                                         investment SC          0
              year 1 year 2 year 3                                   year 1   year 2   year 3   year 4   year 5
                                                          -1000000

                          Sales
   25000000


   20000000                                                     NPV = $ 14.27
                                                                Million
   15000000

                                                                 IRR=85.24%
   10000000


    5000000


          0
               1      2       3      4        5
Social Impact Assessment

        INPUTS                     ACTIVITIES
• Nurses                      • Capacity Building
• Doctors                     • Acquiring talents
• Infrastructure (call        • Training
centers & rented space)
• Telemedicine equipment

                                    OUTPUTS
                             • A satellite clinic in
       OUTCOMES
                             every locality
• Increases employment
                             • Easy connectivity with
• Better connectivity
                             good doctors &
• Improved health
                             specialists
• Improved productivity
                             • Lab tests conducted
• Reduced mortality rate
                             • Pharmacy services
• Cleaner Environment
                             • Consultation &
                             referrals
Social Impact Assessment

Segment          Issue                   Performance metric
Men & Women      Morbidity               No. of working days
                 Absenteeism to work     Change in per capita
                                         GDP
Households       Increased spending to   % of savings used to
                 healthcare expenses due fund medical costs
                 to diagnosis at later
                 stage
                                         Burden due to health
                                         expenses
                                         Savings as % of GDP
Society          Productivity            Productivity loss (1.9%
                                         of GDP)
                 Early retirement        Dependency ratio
                 Life expectancy         Preventable deaths from
                                         non communicable
                                         deaths
Social Impact Indicators (IRIS)
Dimension               Performance metric           Outcome
Employment              Caregivers Employed -        Number of nurses
                        Nurses                       licensed or certified
                                                     based on local
                                                     requirements, employed
                                                     by the organization
Training & Assessment   Caregivers trained           Number of the
                                                     organization's caregivers
                                                     that received training
Quantity & Reach        Health related well visits   Number of well visits or
                                                     screenings, including
                                                     immunization visits
Quantity & Reach        Patient referrals            Number of patient
                                                     referrals made by the
                                                     organisation
Quantity & Reach        Immunizations                Number of immunisation
Quantity & Reach        Medical Consultation         Number of medical
                                                     consultations done
Social Impact Indicators (IRIS)
Dimension                      Performance metric           Outcome
Environment                    Greenhouse gas               Greenhouse gas
                               emissions for product        emissions that would
                               replaced                     have been produced by
                                                            the product replaced
                                                            during the lifetime of the
                                                            organizations product

Social & Environmental Benefits               Social Purpose benefit flow
Earning potential created through nurses                  ($)
Productivity in households
                                             Year 1          -217,152
Human health benefits
Environmental benefits                       Year 2          997,056
                                             Year 3          3,101,760
                                             Year 4          3,941,760
                                             Year 5           3,941,760
                                                       NPV = 5,542,544
What does an investor get and exit options

12000000                       Working         Equity Free Cash flow ($)
10000000                       Capital CC
 8000000                                       year 0         -2198000
 6000000                       Infrastructur   year 1          -387600
 4000000                       e investment    year 2          1210800
 2000000                       CC
       0                                       year 3          6096000
                               Working
            year year year     Capital SC      year 4          7680000
             1    2    3                       year 5          9660000


      5th year EBITDA        $ 10.8 Mn
           multiple              5
           Equity            $ 54 Mn                    NPV 14,273,955.86

                                                        IRR = 85.24%
            Required
           investment  $ 29.7 Mn
                      0.55006370
      % share holding      4
Thank You

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Sandeep raj br

  • 1. Rural Empowerment And Community Health
  • 2. Social Issue Solution & Social impact Setting up Satellite Clinics (Rural) Setting up Central Clinics( Urban) Patient Visits SC Nurse Video conferences with doctor in CC Primary consultation Link up to Macro clinics, Tertiary hospitals
  • 4. The social issues/ customer pain points, Our solution and value created Non-communicable Accessibility of diseases doctors India-Diabetic capital of the world Lifestyle related illness increasing Qualified & trained doctors unwilling to go to rural areas where the need is more Unqualified Local Nursing services practitioners People have to travel to cities Increasing instance of people for even basic nursing turning to un trusted medical REACH services advice No access to quality Information medicines asymmetry Dependence on local • Rural people unaware of health services that they pharmaceutical products and should avail outdated medicines Diagnostic services No access to certified diagnostic labs for blood tests
  • 5. Learning from pilot work done PlanMyHealth.com EMRI  3,80,000 emergencies, 4000 babies  Demographic diseases delivered  Willingness for telemedicine  Possible to leverage technology  People ready to Pay for the service  Doctors Physical presence not required  Training is critical  Charities and subsidies do not work for ever
  • 6. Competitor analysis and Competitive position Scale Collaborators Technology Economic | Geographic Web & IT | Equipments
  • 7. Business model and revenue model Main Revenue sources Medical Consultation Registration charges Pharmacy charges Diagnostic services Home health Accompany patients to hospitals Additional Revenue sources Medical data collection Informatics to government Popularize RSBY Ambulance services using EMRI Advertisement
  • 8. Business model and revenue model $ 300/month Advertise Registratio $600/month ment n Doctor REACH Pharma on call $700/month $120/month Diagnosti Misc cs $420 $ 300/month lakh/month Total revenue/Satellite Clinic = $1440/ Month
  • 9. Entry strategies  Post office network- bureaucratic  CSC’s – Entrepreneurship culture  Exploring network of defence personal Rollout plan Technology
  • 10. Funds required Profits 12000000 Working 8000000 10000000 Capital CC 7000000 8000000 6000000 Infrastructure 6000000 investment CC 5000000 4000000 4000000 Working 3000000 2000000 Capital SC 2000000 0 Infrastructure 1000000 investment SC 0 year 1 year 2 year 3 year 1 year 2 year 3 year 4 year 5 -1000000 Sales 25000000 20000000 NPV = $ 14.27 Million 15000000 IRR=85.24% 10000000 5000000 0 1 2 3 4 5
  • 11. Social Impact Assessment INPUTS ACTIVITIES • Nurses • Capacity Building • Doctors • Acquiring talents • Infrastructure (call • Training centers & rented space) • Telemedicine equipment OUTPUTS • A satellite clinic in OUTCOMES every locality • Increases employment • Easy connectivity with • Better connectivity good doctors & • Improved health specialists • Improved productivity • Lab tests conducted • Reduced mortality rate • Pharmacy services • Cleaner Environment • Consultation & referrals
  • 12. Social Impact Assessment Segment Issue Performance metric Men & Women Morbidity No. of working days Absenteeism to work Change in per capita GDP Households Increased spending to % of savings used to healthcare expenses due fund medical costs to diagnosis at later stage Burden due to health expenses Savings as % of GDP Society Productivity Productivity loss (1.9% of GDP) Early retirement Dependency ratio Life expectancy Preventable deaths from non communicable deaths
  • 13. Social Impact Indicators (IRIS) Dimension Performance metric Outcome Employment Caregivers Employed - Number of nurses Nurses licensed or certified based on local requirements, employed by the organization Training & Assessment Caregivers trained Number of the organization's caregivers that received training Quantity & Reach Health related well visits Number of well visits or screenings, including immunization visits Quantity & Reach Patient referrals Number of patient referrals made by the organisation Quantity & Reach Immunizations Number of immunisation Quantity & Reach Medical Consultation Number of medical consultations done
  • 14. Social Impact Indicators (IRIS) Dimension Performance metric Outcome Environment Greenhouse gas Greenhouse gas emissions for product emissions that would replaced have been produced by the product replaced during the lifetime of the organizations product Social & Environmental Benefits Social Purpose benefit flow Earning potential created through nurses ($) Productivity in households Year 1 -217,152 Human health benefits Environmental benefits Year 2 997,056 Year 3 3,101,760 Year 4 3,941,760 Year 5 3,941,760 NPV = 5,542,544
  • 15. What does an investor get and exit options 12000000 Working Equity Free Cash flow ($) 10000000 Capital CC 8000000 year 0 -2198000 6000000 Infrastructur year 1 -387600 4000000 e investment year 2 1210800 2000000 CC 0 year 3 6096000 Working year year year Capital SC year 4 7680000 1 2 3 year 5 9660000 5th year EBITDA $ 10.8 Mn multiple 5 Equity $ 54 Mn NPV 14,273,955.86 IRR = 85.24% Required investment $ 29.7 Mn 0.55006370 % share holding 4

Editor's Notes

  1. Make it simple, flow chart, block diagram, separate slide for market segment,
  2. Reduce the words, REACH solving variety of issues
  3. Roll out plan, technology uniqueness