A new approach to healthcare, i n Africa

1. A new approach to healthcare, in Africa

2. Pesinet : introduction Introduction • Pesinet is a French non-profit, founded in September 2007 • Our mission : prevent child and maternal mortality related to complications of benign children diseases • Our solution : an affordable mobile health proximity service, provided by women for women of their communities

3. The idea

4. An endemic child mortality 1 child out of 5 does not reach the age of 5 in Mali Mortality causes % HIV/AIDS Injuries Neo-natal diseases 30% Diarrheal diseases Malaria Measles Respiratory diseases 70% = 80% reduction Source WHO, data on Mali

5. The doctor is often the last solution ❝Before, when our child was suffering from a benign disease, we weren’t going to the doctor and we were using auto-medication by fear to have to go to the hospital where examinations and treatments are really expensive. But with Pesinet it now becomes affordable and easy ❞ Ms. Coulibaly Ouedrago Fanta, Pesinet subscriber • Conventional medicine is perceived as unaffordable • Automedication and traditional medicine are common alternatives to the doctor >> Medical aberration: treatment and staff are available locally >> Economical paradox: prevention is much cheaper than late treatment

6. Une offre de services unique A unique package of healthcare services Subscribers 1$ Weekly Check-up Heath agent • home • school • - market Remote medical monitoring Doctor - Local health center @ Emergency ! Examination Free Medication Half price No disease

7. Our funding operating principles • Provide a quick medical care thanks to an efficient use of information technologies • Push for prevention and reconnect populations with healthcare structures • Integrate the service within the existing healthcare eco-system to strengthen it • Adopt a market-based approach to ensure sustainability of the model

8. An efficient communication approach Status Quo Marketing Channels Promotional Events • Joining Pesinet constitutes a significant behavioral change • Mass Media • Pesinet runs ~3 promotional events per year Personal Interactions • 100% of consumers heard about Pesinet through face-to-face interactions • Consumers offered incentives for bringing in new customers • Agents work close to the health center, increasing visibility and familiarity • Service is highly localized (1km radius), allowing for constant physical presence and helping build consumer trust “This is a preventative approach – which is normally ignored in Africa. … We do not have a culture of coming to the doctor early here” - Anne Roos-Weil, Pesinet All make use of personaltestimonies and rely on a physical presence near the consumer to build trust • Direct Communication Door-to-Door • Agents market door-to-door, accompanied by consumers giving testimonies “I think the most efficient way to market is door-to-door, but it takes time” - Anne Roos-Weil, Pesinet Source: Interview by Monitor Group, as part of a study carried out by Gates Foundation & USAID

9. Social Impact • Decrease in child mortality • Decrease in families’ healthcare spending • Increased awareness of prevention • Job creation and skill development • Women empowerment as healthcare ambassadors in their community

10. The team

11. Managing Team Three founders An active Board of Directors & Advisors • EXPERTISE: • International development • Social entrepreneurship • Marketing • Micro-enterprise & micro-finance • EXPERTISE: • Healthcare • Nutrition • Innovation • Economic development • Africa

12. Management team in the field • CEO • Experience in management of social projects • Master in Public Administration, Sciences-Po Paris, MBA ESSEC, major in Social Entrepreneurship • World finalist of the Global Social Venture Competition (University of Berkeley, 2009) • Affiliate Ashoka Fellow 2010 • Program Technical Assistants • 2 technical assistants to support the program development and build local teams’ capacities • Mix of expertise in project management, business and social and healthcare work

13. Local operational teams • IN MALI • 1 program coordinator • 4 health agents • Local GPs of the partnering center • 1 communication agent towards civil society and local populations

14. Where are we today?

15. Pilot project in Bamako Coura Projet pilote à Bamako Coura • 500 children subscribing to the service • > 85 % collection rate of monthly fees • A partnership signed with the heathcare center in Bamako Coura • A partnership with the Malian Ministry of Health Official launch ceremony with the Malian Health Minister

16. Already sound evidence of impact +70% subscribers since January 2010 96% of families say they are satisfied with the service97% of families find the service « very affordable » 78% of subscribing mothers have a low level of education 90% say they have unstable earnings 95% think that the greatest advantage is “good health follow-up and affordable cost“ Subscribers’ testimonies "It makes life easier for mothers" "When the child is sick, it is taken care of" "Paying for Pesinet is cheaper than what I had to spend on health for my other children when I didn’t have Pesinet" Source: Interview by Monitor Group, as part of a study carried out by Gates Foundation & USAID Source: Evaluation carried out as part of a Phd, under the supervision of the Malian Ministry of health

17. Le comité de sélection et d’investissement d’Antropia a octroyé une bourse à Anne Roos-Weil, Directrice de l’association Pesinet, pour dédier son temps au développement de Pesinet. Antropia est une structure créée par la Chaire Entrepreneuriat Social de l’ESSEC et la Caisse d’Epargne Ile de France pour soutenir des entrepreneurs sociaux. Antropia fournit aux entrepreneurs un soutien stratégique dans l’élaboration de leur projet, son expertise, un soutien logistique (mise à disposition de bureaux), un soutien financier et des opportunités de mise en réseau. La fondation BNP Paribas a soutenu en 2009 le développement d’une version améliorée de l’applicatif technologique utilisé par Pesinet pour le suivi médical à distance et le traitement des données recueillies sur le terrain incluant un système de suivi d’impact, des modules de gestion des activités et la consolidation de données statistiques aux niveaux local, régional et national, afin d’informer les politiques publiques dans les pays d’opération. La fondation Orange Mali est un partenaire fondateur de Pesinet au Mali. La fondation a contribué au financement du fonds d’amorçage du projet pilote et s’est engagé à accompagner les déploiement futurs sur de nouveaux sites Pesinet au Mali. La fondation soutient des projets dans le domaine de la santé, de l’éducation et de la culture. Alcatel-Lucent est un partenaire fondateur de Pesinet au Mali. Le Groupe a contribué au financement du fonds d’amorçage pour la conception et la mise en oeuvre du projet pilote. L’association Pesinet a par ailleurs reçu un financement en tant que lauréat du concours « Champions du développement durable » organisé par la fondation Alcatel-Lucent. Medex est un partenaire fondateur de Pesinet au Mali. Le Groupe a fourni un soutien financier et un soutien en nature pour le déploiement du projet pilote. The company provided grant funding and in-kind donations for the pilot program.Médex est un établissement pharmaceutique de Donors & Partners Partenaires et soutiens ❝ Pesinet is among the most innovative projects with which the Malian Ministry of Health is currently collaborating, not only in its technical aspects, but also in its very concept. We are very confident that it can be replicated in all addressable Community Health Centres across Mali. ❞ Ousmane Ly, Chief Executive ANTIM National e-Health Agency- Malian Ministry of Health

18. Awards & Recognitions • Referenced as an innovative program for child mortality reduction by the United Nations Development Programme • Global finalist of the « Global Social Venture Competition » in 2009, organised by the University of Berkeley in California • Featured by World Health Organization on the e-health pavilion at ITU Telecom World 2009, in Geneva • Featured by MobileActive.org, reference online website on innovative us of mobile technology for social impact

19. Where do we want to be tomorrow ?

20. Developmentplans • Carry out a thorough independent evaluation of the service impact • Enrich the nutrition monitoring component of the service • Develop a vaccine monitoring program as part of the service health follow-up • Develop a pregnancy monitoring service • Replicate the service in all addressable health centers in Mali and other countries suffering from high child and maternal mortality rates

21. To know more Pour en savoir plus… Anne ROOS-WEIL anne.roosweil@pesinet.org www.pesinet.org Thank you for your attention