Living in Peaceマイクロファイナンスフォーラム2011講演資料 講演者：Mr.Mridul Chowdhury （CEO/Founder,mPower Social Enterprises）

1. Integrating Mobile Technologies in
BRAC’s Health Program:
A Possible Model for Micro­Entrepreneurship
at the BOP
A Joint Initiative by BRAC and mPower
Presented by
Mridul Chowdhury
CEO and Founder,
mPower Social Enterprises
© ClickDiagnostics, Inc. 2008 COMPANY CONFIDENTIAL

2. Agenda
About mPower and BRAC
Broad overview of health scenario in rural Bangladesh
BRAC’s program in Maternal/Child Health
Integrating mobile technologies in BRAC’s health program
Towards an entrepreneurial BOP model
Feedback and discussion
© ClickDiagnostics, Inc. 2008 COMPANY CONFIDENTIAL

3. About mPower
mPower is a social enterprise that works with development
organizations to:
o Design optimal systems and information flows for better
decision‐making and monitoring of activities
o Develop and deploy technological solutions to support the
above
mPower Health is a subsidiary of mPower Social Enterprises,
which focuses on:
o Connecting Community‐level Health Workers (CHWs) with
remote doctors sitting in cities through use of mobile devices
o Addressing issue of lack of access to doctors in rural areas
© ClickDiagnostics, Inc. 2008 COMPANY CONFIDENTIAL

4. About mPower (contd.)
Started as a class project at MIT – later company founded by
graduate students from Harvard and MIT (initial name was
Click Diagnostics)
Revenue model:
o Phase 1: service fees from NGOs and governments
o Phase 2: service fees from multiple stakeholders
© ClickDiagnostics, Inc. 2008 COMPANY CONFIDENTIAL

5. Some initial recognitions
Winner of the MIT 100K
Awarded one of top 5 Social Business Ideas in
Entrepreneurship Competition
Bangladesh, January 11, 2010
2008 in Development Track
Awarded ‘Best New Innovation in
Runner‐up Prize in USAID Global Telemedicine’ at World Health
Development Challenge 2008 © ClickDiagnostics, Inc. 2008 Congress in DC in April 2009
COMPANY CONFIDENTIAL

6. About BRAC
World’s biggest NGO
Comprehensive approach to poverty alleviation
Believes in Microfinance Plus
Large health program in Bangladesh
o More Community Health Workers (CHWs) than even the
government
© ClickDiagnostics, Inc. 2008 COMPANY CONFIDENTIAL

7. The BRAC‐mPower Partnership on mHealth
BRAC is providing:
o The human resource
infrastructure, from CHWs to
doctors
o Leading execution on the
ground
mPower is providing:
o mHealth systems/ process
design
Manthan Award 2011 to
o Technology development, BRAC-mPower mHealth Model
deployment and support
© ClickDiagnostics, Inc. 2008 COMPANY CONFIDENTIAL

8. Scenario of Healthcare Options in Rural Bangladesh
- No medical training
- Sits inside small
- No medical training pharmacy (mostly
- Mostly prescribe self- unregistered)
made medicine - No license for
- prescription
Faith Healer Village
Patient Quack Doctor
- Posts for 4 medical
officers (MBBS) and 3
NGO Health
-Only handful in the SpecialistsDistrict
Services
entire country -High doctor
Hospital
- Quality varies greatly absenteeism
- Typically 2 MBBS &
Sporadic Specialists
© ClickDiagnostics, Inc. 2008 COMPANY CONFIDENTIAL

9. BRAC’s Maternal and Child Health System
Community Health Workers
o Monthly household visits
during pregnancy and after
o Enter patient information in
a manual register book
Supervisors
o Deals with more complex
cases
o Follow‐up on referrals
Doctors
o Responds in case of
emergency
Managers at HQ
o Monitors field activity
© ClickDiagnostics, Inc. 2008 COMPANY CONFIDENTIAL

10. Limited scope for preventive care
© ClickDiagnostics, Inc. 2008 COMPANY CONFIDENTIAL

11. Then came mHealth !
Introduced mobile technologies in BRAC’s MNCH program
from late 2009 (with small financial support from Alliance
Forum Foundation)
Snapshot of how it changed the process ‐>
© ClickDiagnostics, Inc. 2008 COMPANY CONFIDENTIAL

12. Screenshots of Work Schedule ‐ SK
E BRAC‐Click mHealth
Every morning, SK syncs her mobile with
the server to download and view the work
schedule of the day with types of task and
recipient IDs.
বাছু ন
COMPANY CONFIDENTIAL © mPower Health 2011

13. The software enables
Aisha to record data, take
pictures of the patient, and
voice‐record any open‐
ended responses in about
15 min.
© ClickDiagnostics, Inc. 2008 COMPANY CONFIDENTIAL

14. Following the Medical Algorithm
COMPANY CONFIDENTIAL © ClickDiagnostics, Inc. 2009

15. Entering the Data
E BRAC‐Click mHealth E BRAC‐Click mHealth
ছিব তু লুন থামুন েরকডর্
Take Picture of a Record Voice of
Beneficiary the Beneficiary
COMPANY CONFIDENTIAL © ClickDiagnostics, Inc. 2009

16. Sending the Data
E BRAC‐Click mHealth E BRAC‐Click mHealth
Send Data to Server over the Internet
(GPRS)
COMPANY CONFIDENTIAL © ClickDiagnostics, Inc. 2009

17. mPower System categorizes the risk level
Example – Pregnant Mother ; ID‐001 Graphically Represented about the Risk Stratum of Beneficiary
ID – 001
Response in Relative
Factors Raising Risk
Mobile Weight This Patient, ID‐001 has a Risk Level of “SEVERE” Category
<18 1
Age (Yrs.) >35 2
Unknown ?
≥5 2
Parity (No.
Primi (1st) 1
Severe Anemia Clinical 2
H/o Previous C/S If Yes 2
H/o Prolonged labor If Yes 2
H/o Obstructed labor If Yes 2
H/o Eclampsia If Yes 2
H/o Abortion or Still Birth If Yes 2
Twin Pregnancy (Current) If Yes 2
Ruptured Membrane If yes 3
COMPANY CONFIDENTIAL © ClickDiagnostics, Inc. 2009

18. Screenshots of Doctor Interface
Doctor’s
Advice
After Assessment Doctor Advice and Submit to Send to FW’s Mobiles
COMPANY CONFIDENTIAL © ClickDiagnostics, Inc. 2009

19. Mobile Screenshots for Doctor’s Advice
E BRAC‐Click mHealth E BRAC‐Click mHealth
aপশন pেবশ বাছু ন
FWs View Doctor’s Advice in the Mobiles from “See Alert” Menu
COMPANY CONFIDENTIAL © ClickDiagnostics, Inc. 2009

20. Health Administrator can also track activities and
make needed interventions
COMPANY CONFIDENTIAL © ClickDiagnostics, Inc. 2009

21. Impact of introducing technologies
CHW is now able to do much more than before with
remote support from doctor
Doctor’s role from passive to pro‐active
Targeted and prioritized interventions
Real‐time monitoring of ground‐level activities
BUT the big problem of sustainability remains – when
donor fund dries up, the entire system collapses
COMPANY CONFIDENTIAL © ClickDiagnostics, Inc. 2009

22. Opportunity for creating entrepreneurial model
Introduction of technology has created a new opportunity for
turning donor‐dependent models into entrepreneurial models
COMPANY CONFIDENTIAL © ClickDiagnostics, Inc. 2009

23. Phase 2: A Multi‐stakeholder Entrepreneurial Model
Pharma
Revenue
Companies share from
Medicines
‐ Takes out a Community Health sold
microfinance loan Entrepreneur
‐ Gets trained to be Payment for
a CHW Services
‐ Buys equipments
Revenue
Payment for share Payment for
Health Services from Data Health Data
Usage Services
Telecom
Companies
Govt./Donors/
Crops
COMPANY CONFIDENTIAL
Health Orgs
© ClickDiagnostics, Inc. 2009

24. Phase 3: Add non‐health services to the package
© ClickDiagnostics, Inc. 2008 COMPANY CONFIDENTIAL

25. Summing Up
Issues of poverty are complex
o Just microfinance alone cannot solve
o Donor‐dependent models are often not sustainable
Need innovative BOP models based on:
o Multiple stakeholders
o Economic incentives not charity
o Multi‐dimensional use of resources
© ClickDiagnostics, Inc. 2008 COMPANY CONFIDENTIAL

26. Thank You!
© ClickDiagnostics, Inc. 2008 COMPANY CONFIDENTIAL