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UVA Global Health Case Competition February 23, 2013

From a Slum to a Home: Facilitating Dharavi’s community-led development. UVA Global Health Case Competition February 23, 2013. Hippo Consulting. Grace Ball – Drew Brophy – Mattia Flabiano IV – Ania Giffin – Suraj Mishra – Melina Schoppa. Agenda. Overview of Dharavi

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UVA Global Health Case Competition February 23, 2013

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  1. From a Slum to a Home: Facilitating Dharavi’s community-led development UVA Global Health Case Competition February 23, 2013 Hippo Consulting Grace Ball – Drew Brophy – Mattia Flabiano IV – AniaGiffin – Suraj Mishra – Melina Schoppa

  2. Agenda • Overview of Dharavi • Examining Alternatives • The Problem • Our Solution • Target Population & Decision Criteria • Details of Solution • Trade-offs & Shortcomings

  3. Dharavi: An Overview • Vitally important to the Mumbai economy • Recycling industry leaves Mumbai cleaner and healthier • Vibrant, small-scale micro-economy • Production of leather, textiles, and pottery, as well as food industry

  4. Economic Insecurity in Dharavi Lack of Property Rights

  5. Why not relocation? X • “Does it occur to him that we do not wish to be part of his dream?” • Dharavi resident on the developer behind the proposed high rise development

  6. Contributing Factors to the Tuberculosis Epidemic

  7. Our Intervention Preventative health care training

  8. Our Intervention Reinvestment of profits in improved water and sanitation

  9. Our Intervention Microloans for housing

  10. Our Intervention Transfer land rights

  11. Stages of implementation Create a pool of people to implement proposed solution. This will be our pilot population to test. Stage 1 Stage 1 Stage 2 Stage 3 Stage 4 Stage 5

  12. Stages of implementation US-AID will issue community loans to be used for infrastructure improvements, like plumbing and electricity. Stage 1 Stage 2 Stage 2 Stage 3 Stage 4 Stage 5

  13. Stages of implementation Loan conditions require borrowers to attend health-related workshops & get preventative care check-ups. Stage 1 Stage 2 Stage 3 Stage 3 Stage 4 Stage 5

  14. Stages of implementation Government must purchase or take over land from current owners. Stage 1 Stage 2 Stage 3 Stage 4 Stage 4 Stage 5

  15. Stages of implementation Reinvest proceeds from community loans into individual micro-mortgages that will allow Dharavi residents to purchase their property and increase development Stage 1 Stage 2 Stage 3 Stage 4 Stage 5 Stage 5

  16. Phases of Implementation X • PHASE 1: Community Level • Initial Selection • Community-level sanitation Loan • Training and preventative care (condition) • OUTCOME 1: Community benefits from increased knowledge of health practices (i.e. importance of medical regimen) and better sanitation facilities. • PHASE 2: Household Level • Gradual transfer of land ownership • Micro-loans to HH head (women) • OUTCOME 2: HH can incrementally improve housing fabric, reducing disease prevalence.

  17. Stakeholders X • Define who benefits from this intervention • Residents of Dharavi and Mumbai • Health Care Officials • Government • Slum NGOs (SPARC, Mahila Milan) • Community Groups • Business Interests

  18. Evaluation on Key Criteria

  19. Evaluation on Key Criteria

  20. Evaluation on Key Criteria

  21. Evaluation on Key Criteria

  22. Preliminary Budget

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