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UHC2030 Private Sector Constituency: Building a Healthier World Together
World Economic Forum®
1
From commitment to action: private sector engagement for UHC
29 January 14.00 -17.30
33 members platform
As of October 2019
The UHC2030 Private-Sector
Constituency is the convening
platform for private sector entities
wishing to exchange and
collaborate on universal health
coverage (UHC)
Membership: UHC2030 accepts new Private-Sector Constituency members every three months. For-profit private
entities that are directly working on health system strengthening
World Economic Forum®
2
2019 UHC2030 PSC Milestones
Created to mobilize private sector for UHC goals
❑ Launch of UHC2030 private sector statement
❑ Content generation and dissemination
▪ 10 blogs published by PSC members averaging over 2500
views
❑ Growing membership - 20 new private sector entities in 2019
❑ Convening opportunities
o World Economic Forum Annual Meeting 2019, Davos-Klosters,Switzerland
o Africa Health Agenda International Conference (AHAIC), Kigali, Rwanda
o Side event at 72nd World Health Assembly, Geneva,Switzerland
❑ Participation at global events
o Interactive Multistakeholder Hearing, New York
o UN High-level Meeting on Universal Health Coverage, New York
World Economic Forum®
3
Background on UHC2030 Private Sector Constituency Statement
Released 20 September 2019
The statement highlights:
❑ Overarching principles: five key principles for collection action in
the UHC2030 Global Compact. This provides a basis to guide
collaboration that includes the private sector
❑ Enabling environment: emphasizes the role of government and
other stakeholders in creating an enabling environment for the
private sector to contribute
❑ Private sector contributions: outlines seven ways the private
sector can contribute to UHC
World Economic Forum®
4
Background on UHC2030 Private Sector Constituency Statement
Private Sector Contribution to UHC
1. Offer quality products and services that consider the needs of all
people, including poor and marginalised populations, and make these
affordable, accessible and sustainable
2. Incorporate UHC principles, including to leave no one behind, in core
business models and objectives
3. Develop, test and scale up innovative business models that align with
UHC goals
4. Create, adapt, apply and scale up innovations
5. Help strengthen the health workforce, responding to local context,
priorities and needs
6. Contribute to efforts to raise the finance available for UHC
7. Engage in, champion and build capacities for relevant policy
dialogue and partnerships with government and other stakeholders 5
2019 UHC2030 PSC Milestones
Reactions to the Statement
World Economic Forum®
6
Interactive Panel Discussion
UHC2030 Private Sector Members Contributions towards UHC
PMAC
Moderator: Toomas Palu, Adviser, Global Coordination, The World Bank Group; UHC2003
Core Team
Presenters:
• The reach52 programmatic approach, Edward Booty, CEO & Co-Founder, reach52
• Population health strategy, Patricia Monthe, CEO MEDx eHealthCenter
• Scaling up quality services in LMIC, Berit Hamer, Director International Cooperation, Ottobock
• Affordable & accessible healthcare for all in APAC, Shirley Lim, General Manager, Fullerton
Health Foundation
• The role of private sector in advancing UHC, Pompy Sridhar, Director, MSD for Mothers
• Every school a health promoting school, Priya Prakash, Founder & CEO, HealthSetGo
• Financing Healthcare in LMICs, Chris Gray, Senior Director, Global Health & Patient Access
www.reach52.comwww.reach52.com8
Edward Booty
Founder and CEO
@reach52healthedward@reach52.com +65 9814 1424
The contents of this document are confidential in nature and are sent solely to the intended recipient.
Supporting UHC in rural and remote areas of SE Asia
through innovative digital solutions, multi-sectoral
partnerships and community-integrated networks
www.reach52.comwww.reach52.com9
We connect communities with low
access to healthcare to government
services, and a marketplace of
affordable products.
What we do
www.reach52.com
52% our planet lacks access to
healthcare. Healthcare spend is
increasing. Out-of-pocket spend pushes
100m a year into poverty. Traditional
health infrastructure can’t reach rural
areas efficiently. SDGs require Universal
Health Coverage by 2030.
10
A social problem
“Operating in emerging markets requires
multinationals to make their medicines
available to lower-income countries and
patients” using “innovative business models
and technologies”. Global brands operating
in LMICs has doubled in 10 years
(McKinsey).
Source: https://www.mckinsey.com/industries/pharmaceuticals-and-medical-products/our-
insights/whats-next-for-pharma-in-emerging-markets
A business problem
www.reach52.comwww.reach52.com
Community Digital Marketplace
Training members of
local communities,
Access Managers…
…to use offline-first apps for
health support and access,
prioritising public services…
…working with private
sector to access free-or-
affordable products
We connect underserved, rural and disconnected
communities to public sector health services, and products they can afford
11
www.reach52.comwww.reach52.com
Our app suite enables
sustainable social impact
and financial growth
reach52 Access. Health access
and HCP education
reach52 Marketplace.
eCommerce marketplace and
care coordination
reach52 Logistics. Last-mile
distribution
reach52 Insights. Data insights
and integration across our
platforms
12
Population Health Strategy
Aggregating patient data to support resource allocation
• Patricia Monthe
• CEO MEDx eHealthCenter
MEDx Care, Because we care
MEDx Care, Because we care
Improving Health Towards UHC in Western Cape
MEDx Care, Because we care
Outcome&Impact
• Economic stability (income, debt, employment)
• Education (literacy, language, training, services)
• Physical environment (housing, transportation, safety, parks, walkability)
• Food (hunger levels, access to healthy options)
• Social support networks (social integration, community networks)
• Access to healthcare (available providers, cultural diversity needs, quality of care, insurance)
______________________________________________________
• Lower-risk populations, such as pre-diabetics or those with early hypertension, as well as populations
managing multiple chronic conditions at home;
• Walking well and healthy but at-risk populations, active participants with potential future health needs
based on life, genomic or behavioural impact.
MEDx Care, Because we care
ASK
How to ensure we don’t just focus on ensuring coverage to the people in financial and risk need
but that we correlate Financial/Health status to available public health fund so that on a year to year
basis; the governments are according to their budget getting the best Value to its citizen as whole?
| © ProsFit & OttobockExtending Prosthetic Service Provision in Kenya | January 2020 18
Extending Prosthetic
Service Provision in Kenya
Robust solutions for critical needs
January 2020
| © ProsFit & OttobockExtending Prosthetic Service Provision in Kenya | January 2020 19
Context
• In Kenya there are only a small number of well-trained prosthetists,
significantly less than required for universal prosthetic provision
• There is a however a good number of prosthetic professionals with some level
of training, but who require a more effective solution to be productive in
providing prosthetic services
Training &
Education
Situation
• ProsFit and Ottobock propose a Public Private Partnership (PPP), to collaborate with the
Kenyan government, public insurers, funding partners and other stakeholders
• The goal of the proposed PPP is to undertake capacity building, prove health-economic
outcomes, and support the Kenyan government in delivering their commitment to
UHC
Proposed Way
Forward
Treatment &
Demand
Situation
• Over 70% currently do not have any form of prosthetics (est.) which
means 75 – 85,000 required prosthetics
• In line with global initiatives, the Kenyan government has started
country-led activities including prosthetics and related rehabilitation
into PHC / UHC provision
| © ProsFit & OttobockExtending Prosthetic Service Provision in Kenya | January 2020 20
Digital Solutions for Confident Mobility
Scanning Design Manufacturing ProductsInfrastructure Service Provision
5 6
Service Provision Process
1 2 3
Design & Manufacturing Process
1 2 3 4
+ Other
Required
Infrastructure
| © ProsFit & OttobockExtending Prosthetic Service Provision in Kenya | January 2020 21
Strong benefits for Sustainable Care
Accessibility: through a country wide service network
of asset light clinics and tele-rehabilitation support
Affordability: through cost reduction by use of new
technology solutions, scale, and facility & equipment
savings
Availability: through increased productivity and
increasing the number of service points
Acceptability: through comfort and modern design
Quality: through improved reliability of processes and
manufacturing
| © ProsFit & OttobockExtending Prosthetic Service Provision in Kenya | January 2020 22
Comfortable, functional
quality and desirable
products adapted to the
needs of the user
Training and upskilling
of personnel for service
provision
Country-wide
service network
connected to referral
centers via
telerehabilitation
Embedding of services
into national health
strategies to provide
UHC
POLICY
Strengthening
governance, financing
and information
systems
PRODUCTS
Improving access to
prostheses and
orthoses
PROVISION
Promoting integrated
prosthetics and orthotics
service delivery
PERSONNEL
Developing prosthetics
& orthotics workforce
capacity
Sustainable Care - Aligned with WHO Standards*
*WHO Standards for Prosthetics & Orthotics, 2017
Affordable and Accessible Care for All in Asia Pacific
Affordable and Accessible Care for All in Asia Pacific
WE ARE A LEADING ENTERPRISE PRIMARY HEALTHCARE PROVIDER
FULLERTON HEALTH GROUP
24
>550
>12,000
Network Partners
>18,000 Corporate
Clients
Owned
Medical Centres
Markets9 Call
Centres
12
Patient Encounters
Per Annum>13.4m
Fullerton
Health
Group:
Employed
Population
Fullerton
Health
Foundation
(FHF):
Underserved
Population
Affordable and Accessible Care for All in Asia Pacific
INTRODUCTION TO MEDICAL CHECK UPS (MCUs)
Services of MCUs MCUs can be done via 2 ways
1
At our specialised and
dedicated medical centres
across Indonesia
2 At your workplace
Consisting of a dedicated team of
doctors, nurses and logistics
personnel, we will bring our mobile
equipment to your location
Check-ups are compulsory in Indonesia for all
employees. Our preventive approach to worker
health integrates fit-to-work assessment through
customisable annual medical check-ups with
online, paperless reporting and longer term
occupational monitoring for more productive
performance.
Tests we do include the following:
• Laboratory and blood tests
• Ultrasound
• Radiology
• Treadmill
• Electrocardiography
• Spirometry
• And others
We follow through by providing a comprehensive
report and our recommendations for future action and
implementation
25
Affordable and Accessible Care for All in Asia Pacific
Our objective in supporting TB in Indonesia is to re-use our core capabilities and resources to
help increase detection and diagnosis. This work helps to reduce the burden on the public
health system, Indonesia’s MoH.
Tantang TB - March 2018
• We covered 20 villages and 2,000 villagers in South Sulawesi, for TB screening using our
mobile clinics
• Our detection rate was 10x more cases than the national average incidence rate
• Fully funded by FHF/ FHC as our CSR program
FHF INDONESIA
26
Human Resources
• Puskesmas Staff :
✓ 2 Doctors
✓ 1 Nurse
• Tirta Staff :
✓ 2 Lab analysts
✓ 2 Radiographers
✓ 1 Radiologist
✓ 3 Admin and Med Records
✓ 2 drivers
Resources
• 1 mobile bus with x-ray,
GeneXpert and 500 cartridges
• HIV rapid tests
• Blood Sugar Tests
Affordable and Accessible Care for All in Asia Pacific
• A shared purpose drives the Foundation and the
company toward the same goal. As the company
grows in access to markets capabilities, capacity
and capital, so will the Foundation’s ability to serve
he disadvantaged communities.
• Successful TB programs has placed FHF in the
spotlight. This has led to opportunities to work with
the following :
1. Working with Government
• Indonesia's MoH TB program to detect TB
covering a population of 150,000 people in
across high risk population groups (boarding
schools and prisons)
SUSTAINABLE GROWTH TO OUR CSR WORK
27
2. Working with NGOs
• Partnering with local stakeholders involved
with TB such as the University of Gajah
Mada in a program called ZeroTB to screen
25,000 people in Jogjakarta living in city
slums and boarding schools
New Projects for 2020:
3. Working with grant funding
Applying to international grant schemes and
awarded a grant for TB screening in factory
workers in Jakarta as a partner of Yayasan
KNCV Indonesia to screen 100,000 workers
4. Working with clients
Our work has inspired our clients to screen for
TB in the surrounding community in which they
operate; we secured a contract to screen for TB
in over 200,000 people in the community as part
of our client's CSR
Affordable and Accessible Care for All in Asia Pacific
• Replicating similar TB screening project into the Philippines
• A new market that recently joined the Fullerton family in 2018
Scalability and Replicating in other Fullerton Markets
28
The growth of the FHF is closely intertwined with
the growth of the corporate business. When the
business grows, it also increase the assets and
capacity of FHF.
It is a non-exclusionary relationship.
CALL TO ACTION
• How would you work towards creating uniform
access to healthcare across all socioeconomic
levels?
• Come and chat with us to see how we can work
together to reduce cost of healthcare and increase
coverage to more people
THE ROLE OF PRIVATE SECTOR IN ADVANCING
UNIVERSAL HEALTH COVERAGE
THE IMPORTANCE OF PARTNERSHIP AND
COLLABORATION
Ms. Pompy Sridhar
January 29, 2020
India Director, MSD for Mothers
3
2
WE BELIEVE
30
Availability
Integrating local private providers into strategies to achieve universal health
coverage expands the availability of health services to reach more people
Affordability
Investing in innovations that encourage women to plan and save for childbirth
helps patients safeguard against catastrophic health expenditures
High quality
Focusing on quality ensures that health services are effective, and
that consumers and payors receive better value
Universal health coverage — a cornerstone of the Sustainable Development Goals — is a global call to
ensure that every individual is able to obtain good quality health services without facing financial hardship.
1
MSD for Mothers
believes that achieving
UHC requires:
31
Consumer-focused
digital platform
ensures better access
to contraception
Largest clinical trial on
postpartum
hemorrhage informs
WHO guidelines
Digital tools help
providers offer
quality care
Innovative financing
enables the
introduction of quality
assurance in Rajasthan
Online training
platform - adopted by
national government -
improves providers’
capacity
Online patient
feedback platform
activates consumer
demand for quality
care
Quality certification
standardizes the
quality of care
among private
providers
OUR APPROACH AND SOLUTIONS
Maharashtra
Jharkhand
Uttar Pradesh
Rajasthan
Madhya Pradesh
Karnataka
Assam
with innovative products
and platforms to
offer better quality care
EQUIP PROVIDERS
EMPOWER WOMEN
with new models to better finance
and deliver quality care
STRENGTHEN HEALTH
SYSTEMS
with the information, choice,
and voice needed to access the
health care they want
BY 2022 WE AIM TO REACH ATLEAST 5 MILLION WOMEN IN INDIA
VALUE PROPOSITION OF ALL STAKEHOLDERS DRIVES SUSTAINABILITY
How patients, providers, and the health system benefit from quality certification
Manyata certification assures quality maternity care across the private
sector, so that payors can be sure they are financing health care value
ProvidersPatients Health system
Better health
outcomes
Higher quality
care
Commitment to
quality for
patients and
payors
Capable teams
Efficiencies for
payors – that
may be used for
other specialty
areas
Standardized
care
5 states >600 facilities certified >300,000 women reached>5,000 providers trained
FOGSI-endorsed quality certification for private maternity care, using WHO-aligned standards
Partners
IMPACT INVESTMENT UNLOCKS PRIVATE CAPITAL FOR SCALE, SOLIDIFIES BUSINESS MODEL
Place: Rajasthan
Scale: ~400 providers
Project:
▪ Improve provider skills and capacities to meet quality standards
▪ Incentivize providers to achieve ambitious quality standards
▪ Introduce new NABH-FOGSI certification
▪ Donors pay for performance; private investors provide starting
capital for implementation, shifting risk from donors to investors
Utkrisht aims to ensure that women receive
the care they deserve by leveraging public
and private capital to improve the quality of
private maternal health care in Rajasthan
Partners:
OUR PHILOSOPHY AND THEREFORE, ASK
COLLECTIVE ACTION THROUGH ENGAGEMENT, PARTNERSHIPS AND COLLABORATION
34
Engaging the private sector beyond traditional aid and philanthropy will be critical as we strive to achieve the
Sustainable Development Goals.
Financing and resource mobilization | Filling the $33 billion funding gap in
RMNCAH requires new financing instruments, partnerships and models.
Harnessing private sector expertise | From information technology to data
analytics to supply chain, the private sector has capabilities that can help improve
health and development faster, more efficiently and with greater impact.
Leveraging the reach of local private health providers | These doctors,
nurses, midwives, drug shop owners, and others are an untapped resources
to help countries expand health services to reach more people.
MSD for Mothers believes
that solutions from private
sector can be leveraged to
improve reproductive,
maternal, child, and
adolescent health,
particularly through:
41
Financing Healthcare in LMICs
Innovative partnerships aimed at unlocking private capital. From individuals to multistakeholder coalitions
Chris Gray, Senior Director, Global Health & Patient Access
42
Empowering patients to aggregate funding
Source: PharmAccess Group
43
The road from out of pocket payments to
health insurance through M-TIBA
Pfizer Foundation contributed to:
• a strategy that works towards empowering people through
a trusted mobile wallet to pre-pay for health insurance
• Implementing the first step (mobile health wallet post paid)
and applying learnings to the strategy
• Building track record in market through the mobile savings
• Attracting public and private users to the M-TIBA platform
for insurance
• Government strategy in Kenya to quickly connect people
to UHC insurance plan
• M-TIBA has the potential to register fast an cost-efficiently
and to combine different funding sources (and co-
payments) in one wallet based on ability to co-pay
• Hired by National Hospital Insurance Fund (NHIF) in
Kenya to register all families in 3 counties on a UHC cover
through mobile UHC wallets
Source: PharmAccess Group
• County, CHV or
agent sensitizes
the participant
• Participant is
onboarded via
mobile phone and
identity is verified
• Assess
Socio-Economic
status via
questionnaire
• Capturing all UHC
registration details
incl. dependents
(spouse/children)
Member identification via integration with
government IPRS check
• Participant(s)
accept(s) Terms &
Conditions via SMS
• UHC Cover is
available via phone
upon activation
Real-time UHC member details update via systems integration
&
T&Cs
National Health Insurance Agency now using
M-TIBA platform UHC registration
Source:
PharmAccess
Group
UHC2030 Private Sector Constituency
The UHC2030 Private-Sector
Constituency is the convening
platform for private sector entities
wishing to exchange and
collaborate on universal health
coverage (UHC)
Membership: UHC2030 accepts new Private-Sector Constituency members every
three months. For-profit private entities that are directly working on health system
strengthening. To submit an application visit: https://www.uhc2030.org/what-we-
do/private-sector-engagement/
World Economic Forum®
4
Contact: Sofiat Akinola, Project Lead, Shaping the Future of Health and Healthcare
at sofiat.akinola@weforum.org
4

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WEF UHC2030 PMAC2020_Presentation

  • 1. UHC2030 Private Sector Constituency: Building a Healthier World Together World Economic Forum® 1 From commitment to action: private sector engagement for UHC 29 January 14.00 -17.30
  • 2. 33 members platform As of October 2019 The UHC2030 Private-Sector Constituency is the convening platform for private sector entities wishing to exchange and collaborate on universal health coverage (UHC) Membership: UHC2030 accepts new Private-Sector Constituency members every three months. For-profit private entities that are directly working on health system strengthening World Economic Forum® 2
  • 3. 2019 UHC2030 PSC Milestones Created to mobilize private sector for UHC goals ❑ Launch of UHC2030 private sector statement ❑ Content generation and dissemination ▪ 10 blogs published by PSC members averaging over 2500 views ❑ Growing membership - 20 new private sector entities in 2019 ❑ Convening opportunities o World Economic Forum Annual Meeting 2019, Davos-Klosters,Switzerland o Africa Health Agenda International Conference (AHAIC), Kigali, Rwanda o Side event at 72nd World Health Assembly, Geneva,Switzerland ❑ Participation at global events o Interactive Multistakeholder Hearing, New York o UN High-level Meeting on Universal Health Coverage, New York World Economic Forum® 3
  • 4. Background on UHC2030 Private Sector Constituency Statement Released 20 September 2019 The statement highlights: ❑ Overarching principles: five key principles for collection action in the UHC2030 Global Compact. This provides a basis to guide collaboration that includes the private sector ❑ Enabling environment: emphasizes the role of government and other stakeholders in creating an enabling environment for the private sector to contribute ❑ Private sector contributions: outlines seven ways the private sector can contribute to UHC World Economic Forum® 4
  • 5. Background on UHC2030 Private Sector Constituency Statement Private Sector Contribution to UHC 1. Offer quality products and services that consider the needs of all people, including poor and marginalised populations, and make these affordable, accessible and sustainable 2. Incorporate UHC principles, including to leave no one behind, in core business models and objectives 3. Develop, test and scale up innovative business models that align with UHC goals 4. Create, adapt, apply and scale up innovations 5. Help strengthen the health workforce, responding to local context, priorities and needs 6. Contribute to efforts to raise the finance available for UHC 7. Engage in, champion and build capacities for relevant policy dialogue and partnerships with government and other stakeholders 5
  • 6. 2019 UHC2030 PSC Milestones Reactions to the Statement World Economic Forum® 6
  • 7. Interactive Panel Discussion UHC2030 Private Sector Members Contributions towards UHC PMAC Moderator: Toomas Palu, Adviser, Global Coordination, The World Bank Group; UHC2003 Core Team Presenters: • The reach52 programmatic approach, Edward Booty, CEO & Co-Founder, reach52 • Population health strategy, Patricia Monthe, CEO MEDx eHealthCenter • Scaling up quality services in LMIC, Berit Hamer, Director International Cooperation, Ottobock • Affordable & accessible healthcare for all in APAC, Shirley Lim, General Manager, Fullerton Health Foundation • The role of private sector in advancing UHC, Pompy Sridhar, Director, MSD for Mothers • Every school a health promoting school, Priya Prakash, Founder & CEO, HealthSetGo • Financing Healthcare in LMICs, Chris Gray, Senior Director, Global Health & Patient Access
  • 8. www.reach52.comwww.reach52.com8 Edward Booty Founder and CEO @reach52healthedward@reach52.com +65 9814 1424 The contents of this document are confidential in nature and are sent solely to the intended recipient. Supporting UHC in rural and remote areas of SE Asia through innovative digital solutions, multi-sectoral partnerships and community-integrated networks
  • 9. www.reach52.comwww.reach52.com9 We connect communities with low access to healthcare to government services, and a marketplace of affordable products. What we do
  • 10. www.reach52.com 52% our planet lacks access to healthcare. Healthcare spend is increasing. Out-of-pocket spend pushes 100m a year into poverty. Traditional health infrastructure can’t reach rural areas efficiently. SDGs require Universal Health Coverage by 2030. 10 A social problem “Operating in emerging markets requires multinationals to make their medicines available to lower-income countries and patients” using “innovative business models and technologies”. Global brands operating in LMICs has doubled in 10 years (McKinsey). Source: https://www.mckinsey.com/industries/pharmaceuticals-and-medical-products/our- insights/whats-next-for-pharma-in-emerging-markets A business problem
  • 11. www.reach52.comwww.reach52.com Community Digital Marketplace Training members of local communities, Access Managers… …to use offline-first apps for health support and access, prioritising public services… …working with private sector to access free-or- affordable products We connect underserved, rural and disconnected communities to public sector health services, and products they can afford 11
  • 12. www.reach52.comwww.reach52.com Our app suite enables sustainable social impact and financial growth reach52 Access. Health access and HCP education reach52 Marketplace. eCommerce marketplace and care coordination reach52 Logistics. Last-mile distribution reach52 Insights. Data insights and integration across our platforms 12
  • 13. Population Health Strategy Aggregating patient data to support resource allocation • Patricia Monthe • CEO MEDx eHealthCenter
  • 15. MEDx Care, Because we care Improving Health Towards UHC in Western Cape
  • 16. MEDx Care, Because we care Outcome&Impact • Economic stability (income, debt, employment) • Education (literacy, language, training, services) • Physical environment (housing, transportation, safety, parks, walkability) • Food (hunger levels, access to healthy options) • Social support networks (social integration, community networks) • Access to healthcare (available providers, cultural diversity needs, quality of care, insurance) ______________________________________________________ • Lower-risk populations, such as pre-diabetics or those with early hypertension, as well as populations managing multiple chronic conditions at home; • Walking well and healthy but at-risk populations, active participants with potential future health needs based on life, genomic or behavioural impact.
  • 17. MEDx Care, Because we care ASK How to ensure we don’t just focus on ensuring coverage to the people in financial and risk need but that we correlate Financial/Health status to available public health fund so that on a year to year basis; the governments are according to their budget getting the best Value to its citizen as whole?
  • 18. | © ProsFit & OttobockExtending Prosthetic Service Provision in Kenya | January 2020 18 Extending Prosthetic Service Provision in Kenya Robust solutions for critical needs January 2020
  • 19. | © ProsFit & OttobockExtending Prosthetic Service Provision in Kenya | January 2020 19 Context • In Kenya there are only a small number of well-trained prosthetists, significantly less than required for universal prosthetic provision • There is a however a good number of prosthetic professionals with some level of training, but who require a more effective solution to be productive in providing prosthetic services Training & Education Situation • ProsFit and Ottobock propose a Public Private Partnership (PPP), to collaborate with the Kenyan government, public insurers, funding partners and other stakeholders • The goal of the proposed PPP is to undertake capacity building, prove health-economic outcomes, and support the Kenyan government in delivering their commitment to UHC Proposed Way Forward Treatment & Demand Situation • Over 70% currently do not have any form of prosthetics (est.) which means 75 – 85,000 required prosthetics • In line with global initiatives, the Kenyan government has started country-led activities including prosthetics and related rehabilitation into PHC / UHC provision
  • 20. | © ProsFit & OttobockExtending Prosthetic Service Provision in Kenya | January 2020 20 Digital Solutions for Confident Mobility Scanning Design Manufacturing ProductsInfrastructure Service Provision 5 6 Service Provision Process 1 2 3 Design & Manufacturing Process 1 2 3 4 + Other Required Infrastructure
  • 21. | © ProsFit & OttobockExtending Prosthetic Service Provision in Kenya | January 2020 21 Strong benefits for Sustainable Care Accessibility: through a country wide service network of asset light clinics and tele-rehabilitation support Affordability: through cost reduction by use of new technology solutions, scale, and facility & equipment savings Availability: through increased productivity and increasing the number of service points Acceptability: through comfort and modern design Quality: through improved reliability of processes and manufacturing
  • 22. | © ProsFit & OttobockExtending Prosthetic Service Provision in Kenya | January 2020 22 Comfortable, functional quality and desirable products adapted to the needs of the user Training and upskilling of personnel for service provision Country-wide service network connected to referral centers via telerehabilitation Embedding of services into national health strategies to provide UHC POLICY Strengthening governance, financing and information systems PRODUCTS Improving access to prostheses and orthoses PROVISION Promoting integrated prosthetics and orthotics service delivery PERSONNEL Developing prosthetics & orthotics workforce capacity Sustainable Care - Aligned with WHO Standards* *WHO Standards for Prosthetics & Orthotics, 2017
  • 23. Affordable and Accessible Care for All in Asia Pacific
  • 24. Affordable and Accessible Care for All in Asia Pacific WE ARE A LEADING ENTERPRISE PRIMARY HEALTHCARE PROVIDER FULLERTON HEALTH GROUP 24 >550 >12,000 Network Partners >18,000 Corporate Clients Owned Medical Centres Markets9 Call Centres 12 Patient Encounters Per Annum>13.4m Fullerton Health Group: Employed Population Fullerton Health Foundation (FHF): Underserved Population
  • 25. Affordable and Accessible Care for All in Asia Pacific INTRODUCTION TO MEDICAL CHECK UPS (MCUs) Services of MCUs MCUs can be done via 2 ways 1 At our specialised and dedicated medical centres across Indonesia 2 At your workplace Consisting of a dedicated team of doctors, nurses and logistics personnel, we will bring our mobile equipment to your location Check-ups are compulsory in Indonesia for all employees. Our preventive approach to worker health integrates fit-to-work assessment through customisable annual medical check-ups with online, paperless reporting and longer term occupational monitoring for more productive performance. Tests we do include the following: • Laboratory and blood tests • Ultrasound • Radiology • Treadmill • Electrocardiography • Spirometry • And others We follow through by providing a comprehensive report and our recommendations for future action and implementation 25
  • 26. Affordable and Accessible Care for All in Asia Pacific Our objective in supporting TB in Indonesia is to re-use our core capabilities and resources to help increase detection and diagnosis. This work helps to reduce the burden on the public health system, Indonesia’s MoH. Tantang TB - March 2018 • We covered 20 villages and 2,000 villagers in South Sulawesi, for TB screening using our mobile clinics • Our detection rate was 10x more cases than the national average incidence rate • Fully funded by FHF/ FHC as our CSR program FHF INDONESIA 26 Human Resources • Puskesmas Staff : ✓ 2 Doctors ✓ 1 Nurse • Tirta Staff : ✓ 2 Lab analysts ✓ 2 Radiographers ✓ 1 Radiologist ✓ 3 Admin and Med Records ✓ 2 drivers Resources • 1 mobile bus with x-ray, GeneXpert and 500 cartridges • HIV rapid tests • Blood Sugar Tests
  • 27. Affordable and Accessible Care for All in Asia Pacific • A shared purpose drives the Foundation and the company toward the same goal. As the company grows in access to markets capabilities, capacity and capital, so will the Foundation’s ability to serve he disadvantaged communities. • Successful TB programs has placed FHF in the spotlight. This has led to opportunities to work with the following : 1. Working with Government • Indonesia's MoH TB program to detect TB covering a population of 150,000 people in across high risk population groups (boarding schools and prisons) SUSTAINABLE GROWTH TO OUR CSR WORK 27 2. Working with NGOs • Partnering with local stakeholders involved with TB such as the University of Gajah Mada in a program called ZeroTB to screen 25,000 people in Jogjakarta living in city slums and boarding schools New Projects for 2020: 3. Working with grant funding Applying to international grant schemes and awarded a grant for TB screening in factory workers in Jakarta as a partner of Yayasan KNCV Indonesia to screen 100,000 workers 4. Working with clients Our work has inspired our clients to screen for TB in the surrounding community in which they operate; we secured a contract to screen for TB in over 200,000 people in the community as part of our client's CSR
  • 28. Affordable and Accessible Care for All in Asia Pacific • Replicating similar TB screening project into the Philippines • A new market that recently joined the Fullerton family in 2018 Scalability and Replicating in other Fullerton Markets 28 The growth of the FHF is closely intertwined with the growth of the corporate business. When the business grows, it also increase the assets and capacity of FHF. It is a non-exclusionary relationship. CALL TO ACTION • How would you work towards creating uniform access to healthcare across all socioeconomic levels? • Come and chat with us to see how we can work together to reduce cost of healthcare and increase coverage to more people
  • 29. THE ROLE OF PRIVATE SECTOR IN ADVANCING UNIVERSAL HEALTH COVERAGE THE IMPORTANCE OF PARTNERSHIP AND COLLABORATION Ms. Pompy Sridhar January 29, 2020 India Director, MSD for Mothers
  • 30. 3 2 WE BELIEVE 30 Availability Integrating local private providers into strategies to achieve universal health coverage expands the availability of health services to reach more people Affordability Investing in innovations that encourage women to plan and save for childbirth helps patients safeguard against catastrophic health expenditures High quality Focusing on quality ensures that health services are effective, and that consumers and payors receive better value Universal health coverage — a cornerstone of the Sustainable Development Goals — is a global call to ensure that every individual is able to obtain good quality health services without facing financial hardship. 1 MSD for Mothers believes that achieving UHC requires:
  • 31. 31 Consumer-focused digital platform ensures better access to contraception Largest clinical trial on postpartum hemorrhage informs WHO guidelines Digital tools help providers offer quality care Innovative financing enables the introduction of quality assurance in Rajasthan Online training platform - adopted by national government - improves providers’ capacity Online patient feedback platform activates consumer demand for quality care Quality certification standardizes the quality of care among private providers OUR APPROACH AND SOLUTIONS Maharashtra Jharkhand Uttar Pradesh Rajasthan Madhya Pradesh Karnataka Assam with innovative products and platforms to offer better quality care EQUIP PROVIDERS EMPOWER WOMEN with new models to better finance and deliver quality care STRENGTHEN HEALTH SYSTEMS with the information, choice, and voice needed to access the health care they want BY 2022 WE AIM TO REACH ATLEAST 5 MILLION WOMEN IN INDIA
  • 32. VALUE PROPOSITION OF ALL STAKEHOLDERS DRIVES SUSTAINABILITY How patients, providers, and the health system benefit from quality certification Manyata certification assures quality maternity care across the private sector, so that payors can be sure they are financing health care value ProvidersPatients Health system Better health outcomes Higher quality care Commitment to quality for patients and payors Capable teams Efficiencies for payors – that may be used for other specialty areas Standardized care 5 states >600 facilities certified >300,000 women reached>5,000 providers trained FOGSI-endorsed quality certification for private maternity care, using WHO-aligned standards Partners
  • 33. IMPACT INVESTMENT UNLOCKS PRIVATE CAPITAL FOR SCALE, SOLIDIFIES BUSINESS MODEL Place: Rajasthan Scale: ~400 providers Project: ▪ Improve provider skills and capacities to meet quality standards ▪ Incentivize providers to achieve ambitious quality standards ▪ Introduce new NABH-FOGSI certification ▪ Donors pay for performance; private investors provide starting capital for implementation, shifting risk from donors to investors Utkrisht aims to ensure that women receive the care they deserve by leveraging public and private capital to improve the quality of private maternal health care in Rajasthan Partners:
  • 34. OUR PHILOSOPHY AND THEREFORE, ASK COLLECTIVE ACTION THROUGH ENGAGEMENT, PARTNERSHIPS AND COLLABORATION 34 Engaging the private sector beyond traditional aid and philanthropy will be critical as we strive to achieve the Sustainable Development Goals. Financing and resource mobilization | Filling the $33 billion funding gap in RMNCAH requires new financing instruments, partnerships and models. Harnessing private sector expertise | From information technology to data analytics to supply chain, the private sector has capabilities that can help improve health and development faster, more efficiently and with greater impact. Leveraging the reach of local private health providers | These doctors, nurses, midwives, drug shop owners, and others are an untapped resources to help countries expand health services to reach more people. MSD for Mothers believes that solutions from private sector can be leveraged to improve reproductive, maternal, child, and adolescent health, particularly through:
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  • 41. 41 Financing Healthcare in LMICs Innovative partnerships aimed at unlocking private capital. From individuals to multistakeholder coalitions Chris Gray, Senior Director, Global Health & Patient Access
  • 42. 42 Empowering patients to aggregate funding Source: PharmAccess Group
  • 43. 43 The road from out of pocket payments to health insurance through M-TIBA Pfizer Foundation contributed to: • a strategy that works towards empowering people through a trusted mobile wallet to pre-pay for health insurance • Implementing the first step (mobile health wallet post paid) and applying learnings to the strategy • Building track record in market through the mobile savings • Attracting public and private users to the M-TIBA platform for insurance • Government strategy in Kenya to quickly connect people to UHC insurance plan • M-TIBA has the potential to register fast an cost-efficiently and to combine different funding sources (and co- payments) in one wallet based on ability to co-pay • Hired by National Hospital Insurance Fund (NHIF) in Kenya to register all families in 3 counties on a UHC cover through mobile UHC wallets Source: PharmAccess Group
  • 44. • County, CHV or agent sensitizes the participant • Participant is onboarded via mobile phone and identity is verified • Assess Socio-Economic status via questionnaire • Capturing all UHC registration details incl. dependents (spouse/children) Member identification via integration with government IPRS check • Participant(s) accept(s) Terms & Conditions via SMS • UHC Cover is available via phone upon activation Real-time UHC member details update via systems integration & T&Cs National Health Insurance Agency now using M-TIBA platform UHC registration Source: PharmAccess Group
  • 45. UHC2030 Private Sector Constituency The UHC2030 Private-Sector Constituency is the convening platform for private sector entities wishing to exchange and collaborate on universal health coverage (UHC) Membership: UHC2030 accepts new Private-Sector Constituency members every three months. For-profit private entities that are directly working on health system strengthening. To submit an application visit: https://www.uhc2030.org/what-we- do/private-sector-engagement/ World Economic Forum® 4 Contact: Sofiat Akinola, Project Lead, Shaping the Future of Health and Healthcare at sofiat.akinola@weforum.org
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