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Market Study: Low Cost Incubator

Market Study: Low Cost Incubator. Tiger Teams Project Team. India versus Nepal. Very similar markets – good proxies for each other. Infants born/year: 26M. LBW/year: 2.6M. Would have bad outcomes without incubators: 1.8M. Will die without incubators: 0.8M. The Indian Market.

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Market Study: Low Cost Incubator

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  1. Market Study: Low Cost Incubator Tiger Teams Project Team

  2. India versus Nepal Very similar markets – good proxies for each other

  3. Infants born/year: 26M LBW/year: 2.6M Would have bad outcomes without incubators: 1.8M Will die without incubators: 0.8M The Indian Market 1.8M babies need incubators in India alone

  4. Tertiary care Secondary care Community health center Primary health center Market Types and Size Hospitals (41%; 0.74M) At home (59%; 1.06M) Demand ~10% met IMPACT: Can save at least 0.67M lives Demand currently unmet IMPACT: Can save at least 1.06M lives Requires 133,600 portable incubators Requires 48,000 stationary incubators for use in NICU – both private & public Two distinct markets for incubators

  5. Market Size for NICU Incubator • Average life of the incubator • 10 years • 4800 per year • Indian government goal: By 2015, 80% of deliveries in HCF • If realized, market would essentially double Huge potential for growth

  6. Required Features Transport incubator NICU incubator • Reliable temperature regulation & monitoring • Servo control • Access to alternate sources of energy* • User friendly • Ability to monitor the baby • Sturdy but sleek design • Durable & easy to maintain • ISO/ WHO /UNICEF certified • Battery life: 2 hrs • Unit weight: n/a • Minimum portability • Battery life: 4-6 hrs • Unit weight: 15-50kg • Can be carried on a cart, car, or by 2 adults * Solar, Manual etc. IMPACT: These will save 0.8M lives in India

  7. NICU Incubator – Desirable Features • Temperature monitoring • Servo control • Base model air temp based servo control • Upgrade skin temp based servo control • Modular construction • Built-in scale • Humidity control with indicators to signal water change • Conversion to radiant warmer • Phototherapy • Allows for elevation of baby’s head

  8. Current State of Market • Indian incubators: • Plus: Low cost (priced around $1000) • Minus: Poor reliability, poor durability, challenges in maintaining temperature • Foreign incubators: • Plus: High quality • Minus: Very expensive Market ripe for an affordable but reliable incubator delivering critical care

  9. Pitfalls of Current Use • Lack of uniformity in incubator models within a single NICU • Lack of adequate training of nursing staff to operate incubators • Lack of spare parts and maintenance • Process of birth is considered “unclean” and midwives looked down upon • Incubators intimidate nursing staff, who sometimes don’t use them

  10. Information Sources • Interviews: • Dr. Bob McKersie • MD in Chicago, author of “In the Foothills of Medicine” • Dr. Ashok Dutta • Professor and Head of Department, Kalawati Saran Children’s Hospital • Dr. Vinod Paul • Professor and Head of Department, Department of Pediatrics, All India Institute of Medical Sciences • WHO Collaborating Centre for Training & Research in Newborn Care • Former Secretary of Health in Central Indian Government • Dr Shabnam Lainwala • Director Nursery, Care New England, RI • Literature Study • NICU Visit: • Kent County Hospital, Warwick, RI

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