The document discusses the state of healthcare in India. It notes that access to affordable healthcare is lacking, with over half of births without professional support and many children malnourished or not fully immunized. Non-infectious diseases are rising while infectious diseases still cause many deaths. The document then outlines a proposed solution called Vaatsalya, which would create a network of primary and secondary care hospitals focused on rural and semi-urban areas where most of the population lives but few healthcare facilities currently exist.

1. Enabling access to affordable healthcare

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

4. The Social Burden

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. 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. Services and Impact Community Reach - Patient Value Current Revenue Streams Increasing health awareness, Increasing healthcare expenditure Greater Insurance penetration, Emphasis on preventive medicine

9. Vaatsalya Hospital Structure

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. Healthcare services one of the fastest growing segment in India

15. Leadership and Ownership

16. Past Performance Two Hospitals and One Clinic

17. Projections

18. Creating Rural Markets Developmental Impact Mother & Child Health Developmental Disabilities Complications of chronic diseases