A story of social impact in health depicted through the journey of a technology based social enterprise called Logistimo, which provides a software as a service for improving supply chain performance is low-resource supply chains.

1. May 2018
Arun Ramanujapuram
CTO, Co-founder
arun@logistimo.com
Logistimo: A Story of Impact

2. Social Problems

3. 3
Millions of children die due to lack of immunization
Stock outs lead to death or diseaseGumballi, Karnataka
38% of children in India
are not fully immunized
NHFS Survey 2015-16
38%
134,200 children died globally
in 2015 from measles alone
WHO Global Health Observatory

4. 4
Thousands die due to snake bites
Emergency drug stock outs can be fatal

5. 5
Accessibility of essential medicines is a big problem
Availability and cost issues exist
2 of 3 deaths amongst
children and young adults (0-44 years)
are due to 7 causes
WHO, 2003
14%
11%
11%
8%
6%
2%
13%
35%
AIDS
Acute
respiratory
infections
Diarrhoel
diseases
Malaria
Measles
TB
Maternal
& perinatal conditions
Other causes

6. 6
Agricultural inputs sub-optimally distributed
Transport of produce to cities is costly

7. 7
240 million Indians live in the dark
Bloomberg, 2017
Education and livelihood affected

8. 8
No delivery to villages, mostly pickups
Largely unorganized, under utilized

9. Our mission

10. 10
INCLUSIVE SUPPLY CHAINS
Ensure the availability of essential goods in low-resource
environments

11. 11
Health Equity, Economic opportunity, Political empowerment
CORRECT PRODUCT AT THE CORRECT PLACE, AT
THE CORRECT TIME WITH THE CORRECT QUALITY,
AT THE CORRECT PRICE

12. Core problems

13. 13
PROBLEMS AT THE LAST MILE
• Unavailability of goods
• Lack of quality
• No delivery to the village

14. 14
LOW HUMAN CAPACITY:
Capability and ability to
manage and use technology
POOR INFRASTRUCTURE:
Physical and digital network
and devices
RURAL AREAS: LOW RESOURCE ENVIRONMENT

15. 15
BROADER LOW RESOURCE PROBLEMS
Ramanujapuram, Arun, and Anup Akkihal. “Challenges in deploying a transactional mobile-web service in rural areas.” Mobile and Web Technologies in Social and
Economic Development, World Wide Web Consortium, 2011. http://public.webfoundation.org/2011/01/MW4D_WS/Papers/paper_arun_ramanujapuram.pdf.

16. The approach

17. 17
Distribution
Control Tower
ClinicsSub-centers and
outreach
Wholesale
Suppliers
Transporters
Coordinate actions and decisions

18. 18
How does it work?
https://youtu.be/c0I0eyAYnxc

19. The beginning
2010-2011

20. Field surveys
Lakkundi, Karnataka

21. Field visits
BR Hills, Karnataka

22. Some fun on the way!

23. Our first customer (2011)
• 200+ drugs – essential, emergency, mental health
• Family planning products and vaccines
21 PHCs in Karnataka

24. Gumballi – a model PHC
Gumballi, Karnataka

25. Optimize drugs and vaccine availability

26. Ad hoc data entry in registers, not always consistent
Understood processes, capacity and constraints

27. 27
Field staff gives:
- issues
- receipts
- stock counts
- discards
- transfers
- orders
- customer registration
Field staff gets:
- real-time stock views
- alerts on low stock/expiry
- delivery status
- optimal stocking recommendations
- consumption patterns
- advice from peers/supervisors
- best practices
- product information
GPRS and/or SMS
Inventory on a feature phone

28. Chamarajanagar - The first full district pilot
Pharmacists and nurses assemble for training

29. Phones prepared with mobile application for data entry

30. A simple model of training (1 day)
The foundation of a scalable, open deployment kit

31. Monitoring the supply chain from the district warehouse
Leveraged existing resources in the system with easy tools

32. 32 32
The electronic Bulletin Board – live events streamed!

33. 33
How did it help?
https://youtu.be/fUkdN1A71ZY

34. 34
Coordinated logistics &
Integrated channels
Enabled optimized &
opportunistic decision
support
Catalyzed positive
behavioral changes amongst
cold-chain handlers
Improved availability
34
What we enabled

35. 35
Availability
>99% vaccine availability achieved
80%
100%
70%
90%
Aug
‘12
Oct
‘12
Dec
‘12
Feb
‘13
Apr
‘13
Jun
‘13
Aug
‘13
Oct
‘13
Ramanujapuram, Arun, and Anup Akkihal. "Improving Performance of Rural Supply Chains Using Mobile Phones: Reducing Information Asymmetry to Improve Stock
Availability in Low-resource Environments." In Proceedings of the Fifth ACM Symposium on Computing for Development, pp. 11-20. ACM, 2014.
http://dl.acm.org/citation.cfm?id=2674382
Transactions
2500
5000
Technology adoption increases soon after intervention in Dec’12
7500
Aug
‘12
Oct
‘12
Dec
‘12
Feb
‘13
Apr
‘13
Jun
‘13
Aug
‘13
Oct
‘13

36. Arunachal Pradesh – Karuna Trust expands
Challenging terrains, network problems

37. https://www.youtube.com/watch?v=Sr7rCnpLWyM
We also pilot in South Sudan

38. The next wave
2014

39. A team from PHFI visits Karnataka

40. Bareilly and Shahjahanpur
40
Pilot in 2 districts of Uttar Pradesh along with PHFI

41. Optimize vaccine availability

42. Shahjahanpur district health office

43. 43
Cold-chain handlers, Shahjahanpur
52% passed 12th grade
67% > 46 years
Never used a mobile app.

44. 44
Ad hoc stock data recording

45. 45
Bareilly, Uttar Pradesh
Trained on basics of logistics, paper and digital data recording

46. Stock outs reduce within 6 months
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
Numberofstockoutinstances
Dates
SKU stock out instances on session days, District 1
0
1
2
3
4
5
6
7
8
9
10
NumberofstockoutInstances
Dates
SKU stock out instances on session days, District 2

47. Technology evolves
2015-18

48. 48
Administrative domains encompass parts of
the supply chain network
Network with domains

49. 49
Real-time decision support
Orchestrates the value-
chain
Predictive and big data analytics
Cerebral Network
IoT, UAVs & apps
Sensory Network
SMS, GPRS, NFC / Online &
Offline
Scalable, intelligent technology platform

50. 50
• Supply chain monitoring, in addition to Store management
• From HTML5 to native Android applications
Mobile applications and phones evolve
Iota Pulse

51. 51
Sensors and IoT enabled to monitor storage conditions
Remote temperature sensors

52. 52
Big data analytics drives dashboards and reports
Hundreds of metrics and dimensions
Millions of data points
Terabytes of data

53. A smart toolset created
Supply chain and logistics management
1. Inventory, Batch & Expiry Management
2. Order & Shipment Management
3. Demand Forecasting & Predictive Analytics
4. Replenishment Optimization
5. Asset Monitoring
6. Notifications & Feeds
7. Workforce Monitoring
8. Geo-tracking
9. Transport Routing, Scheduling & Monitoring
10. Network Discovery and Registration
11. Social Engagement
12. Multidimensional Analytics & Dashboards

54. Scale up
2015-18

55. UNDP teams up with us to scale up in India

56. Population 341m
Birth Cohort 9.5 million
Infant Mortality Rate 56 per 1K
Maternal Mortality Rate 331 per 100K
Full Immunization Coverage 51%
eVIN – 3 states, 5000+ stores, 7000+ fridges

57. Population 661m
Birth Cohort 17 million
Full Immunization Coverage 56%
eVIN – 12 states, 10000+ stores, 14000+ fridges
96% availability
>95% data entry rate

58. 58
Happy
users

59. 59
Healthy babies

60. 60
5 countries
674 million citizens
15K users
~90M children served / annum
18M birth cohort
>99% reporting rate
>3.5 terabytes of data
~200M doses served per annum
>95% availability

61. 61
Open source platform for
supply chain & logistics in
rural emerging markets

62. 62
Cross-sector clients
Investors

63. 63
Team expands, advisors come aboard

64. 64
SERVICE: Spirit of service to all
users across the value chain.
QUALITY: Deliver the best quality
of service
LEARNING: Open mind;
perspective to continuously
learn and evolve
JOY: Continuously nurture
compassion towards all users we
serve
COMPASSION: Deliver joy to our
users; make the journey
enjoyable to our partners and
employees
HUMILITY: To understand our
bias and limitations; learn from
the users in the field.
Organization building begins
Philosophy of work
Values

65. 65
We develop processes for quality and effciency
Bug out day, Bangalore

66. The saga continues
2016 onwards - Last-mile delivery

67. 67
Team forms in Hubli to enable rural transportation

68. 68
On-Demand Logistics
>20,000 doorstep deliveries

69. 69
CRITICAL CHALLENGES ADDRESSED
• Connecting rural India below district
• High quality transportation service for distributors and rural retailers
• Better livelihood for transporters

70. https://www.youtube.com/watch?v=5hvqiCYC5ns
Tusker – rural transportation

71. Thank you