TBXpert IRD CHMI Meeting, Amman, Jordan - September 20, 2014
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Representatives from Interactive Research and Development (IRD), in partnership with the Center for Health Market Innovations (CHMI)—a project managed by Results for Development Institute (R4D)—and the TBXpert Initiative, organized a four day, regional workshop from 18-22 September to build the capacity of private sector, low-cost Lung Health and Diabetes centers to transition from donor funding to sustainable social business models. About CHMI: The Center for Health Market Innovations promotes programs, policies and practices that make quality health care delivered by private organizations affordable and accessible to the world’s poor. It relies on a three pronged approach—identifying innovative programs and practices, analyzing promising practices that can be adapted or scaled, and connecting people implementing, funding, and studying innovative programs to translate good practices and encourage innovative programs to scale. CHMI is managed by the Results for Development Institute, a member of the private-public mix sub-group of the Stop TB Partnership. About IRD: Interactive Research and Development, CHMI’s partner in Pakistan, is a regional resource for innovative global health research and delivery active in fifteen countries. IRD’s mission is to improve the well-being of vulnerable communities through innovation in research and health delivery. Through the TBXpert initiative, IRD aims to increase case-detection for TB and provide services for lung diseases and diabetes in low-cost private centers serving low-income communities in Karachi, Pakistan and Dhaka, Bangladesh. With support from R4D, the IRD-CHMI Health Market Innovations Hub in Pakistan has developed a community of innovators working to improve, scale, and replicate promising health market innovations across the country.
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TBXpert IRD CHMI Meeting, Amman, Jordan - September 20, 2014
- 1. Results for Development Institute and the Center for Health Market Innovations 20 September 2014 Amman, Jordan
- 2. 2 | R4D.org R4D’s Mission
- 3. R4D Focus Areas: Global Health R4D works with global and country-level stakeholders to put in place improved policies and programs that enable poor families to live longer, healthier lives. Projects in: Health product R&D Health finance reform & universal health coverage Health market innovations & 3 | R4D.org the private sector
- 4. CHMI -WHOWEARE The Center for Health Market Innovations (CHMI) accelerates the diffusion of promising programs, policies and practices that improve healthcare for the poor in low- and middle-income countries. 4 | R4D.org CHMI is a flagship initiative of Results for Development (R4D), a non-profit organization that unlocks solutions to tough development challenges.
- 5. The global REALITY we want to CHANGE 5 | R4D.org Progress, even when clearly demonstrated, does not grow and spread fast enough to other settings Promising innovations are constantly emerging as enterprising individuals invent new ways of doing things better or differently Over 4 billion people globally experience devastating loss of life, health, or wealth, just because innovations do not scale and spread widely But uptake remains painfully slow because too often, only a handful of people know about them and can support them
- 7. WHERE CHMI PROFILED-PROGRAMS WORK
- 8. OUR GLOBAL REACH Global virtual platform Global Collaborators Program Database CHMI Blog Topic Pages and Briefs Regional Partner Networks Global Collaborators Research and Evidence
- 9. ANALYZE: PRODUCE ANALYSIS & LEARNING
- 10. CHMI INTERACTIVE TOPIC PORTALS FEATURED ANALYSIS ON PRIORITY HEALTH TOPICS INCLUDING TUBERCULOSIS 10 | R4D.org
- 11. PROMISING DEVELOPMENTS IN TB DIAGNOSIS AND CARE: CHMI DOCUMENTS NEARLY 708TB PROGRAMS WORKING IN 33 COUNTRIES 11 | R4D.org
- 12. CONNECT: HOW DO WE SCALE IMPACT? PROVIDE ACCESS TO OPERATIONAL, FUNDING, AND KNOWLEDGE-SHARING OPPORTUNITIES Foster peer-learning Facilitate public-private engagement Connect programs to opportunities Translating and Disseminating Knowledge 12 | R4D.org
- 13. HOW IS THE WORLD DIFFERENT WITH CHMI? We have better access to health data: 1,246 documented health innovations in 129 countries We know more about impact: 250+ programs reporting their results; Now developing new system to classify available evidence We know more about how to scale impact: Incubated a learning collaborative; linked dozens of programs to funders; connected innovators to policymakers- now tracking 100+ stories of potential impact We shape global new thinking in global health : Many new studies using our data; numerous mentions in influential blogs and media 13 | R4D.org
- 14. THANK YOU Contact: rneill@r4d.org kbazazsmith@r4d.org WWW.HEALTHMARKETINNOVATIONS.ORG
Notes de l'éditeur
- R4D works in four areas- global health, education, market dynamics, and governance. Of these four, health is the largest portfolio.
- To provide a bit more background, CHMI promotes programs, policies, and practices that make quality healthcare delivered by non-state organizations affordable and accessible to the world’s poor in LMICs. The face of CHMI is the online database at healthmarketinnovations.org, where we currently document over 1200 programs from over 100 countries that span the spectrum of service delivery, financing, regulatory, technology, process- and product-oriented innovations. CHMI has a network of in-country partners and global analytic partners that help to obtain and update CHMI data. Link to video!
- To change this situation, a major revolution is needed in the way knowledge — about what works and what doesn’t in different settings around the planet — travels to change-makers who can put it into practice.
- Through our network, we identify, analyze, and ultimately connect innovative programs to partnership, research and funding opportunities they need to improve and grow their programs. To this end, it aims to: 1) Serve as the key global resource for information about pro-poor, delivery and financing models in health, including documentation of programmatic results where available 2) Inform funding and policy decisions through the provision of information and evidence about the scale, scope, and results of innovative health policies and programs 3) Support the scale-up, adaptation, and improvement of promising models through the identification, analysis, and dissemination of information about emerging trends and developments in health markets around the world.
- A snapshot of the progress we have made so far in identifying innovative programs – and the learners served by, these programs. CHMI has developed a large aggregate of data on health market innovations worldwide, which is useful in conducting research and understanding broad trends in health markets and models broadly across the world. So for example, we can see that in kidney care, revenue based models are most common, while in cancer or cardiac care, cross subsidization remains popular.
- Regional partners- core to our work, implementing differing programs to achieve the same global objectives of harnessing the private sector to improve outcomes for the poor Global collaborators- referals for competitions, funding platforms, database curation, etc.
- We study innovations across global health markets to highlight promising approaches that can be scaled‐up or adapted in other countries. Toward this end, CHMI increases the available evidence about the effectiveness of health market innovations. We develop practical mechanisms to document the performance of programs CHMI profiles, reporting and tracking these results. Results: To date, 200+ programs are reporting results under quality, cost, and efficiency and more. Learn more about CHMI’s Reported Results initiative. 3 reports, Highlights 2011, Highlights 2012, and Highlights: 2013 published sharing observations about health markets across the world. 20+ publications on healthcare innovations citing CHMI in the past year, such as Fostering Healthy Businesses: Delivering Innovations in Maternal and Child Health; Improving the health of mother and child: Solutions from India; and Andes Microfinance and Health Landscape Study.
- More than 97% are private, not-for-profit models- this is a higher concentration that other types of disease specific programs in our dataset Emerging practices profiled by CHMI tend to focus on three major issues in TB care: correctly identifying individuals with TB, recruiting patients into TB treatment, and ensuring treatment compliance. R4D is now a member of the private public mix sub-group in STOP TB One question for CHMI moving forward is interesting gaps in research from the business perspective in TB that migth be a good fit for CHMI to commission
- Building off the data captured in our programs database of innovations, CHMI has taken deep dives into priority health areas to better understand the ways in which these innovative mechanisms are being applied. In TB, for example- CHMI has documented close to 70 programs that work on TB in 33 countries, with approaches ranging from mobile phone apps that aid community health workers (CHWs) in TB diagnosis to programs that train IPs to improve TB case detection and treatment rates. Engagement of programs across all three of these TB focus areas is prominent in TB drug shops and chains, many of which utilize a franchise model. Of particular interest to CHMI work is informal providers- CHMI commissioned a study in India on the role of informal providers in healthcare, which looked at treatment and referal data for TB patients and the gaps in the private secotr system where pateitns get lost- Focus on training providers- necessary for informal providers (CHMI commissioned study in India ex)
- CHMI employs a reinforcing strategy in order to scale impact and improve health systems. Here are some of the partnerships that have come to fruition in the past year. In total, CHMI has supported partnerships leading to millions of dollars of new funding for CHMI-profiled programs and 1.6 million people benefitting from new or expanded services offered as a result of CHMI’s information and connection platform. Impact investors continue to use CHMI to learn about and connect with healthcare organizations. Last year, Health Africa Fund, a subsidiary of the Abraaj Group, announced a 1 million investment to Vine Pharmacy, a Kampala chain that will now double in size to serve clients throughout Uganda. Other impact investors using CHMI now include Bamboo Finance, Acumen, and Toniic. (bullet one) Innovators are using CHMI to identify operational partners in new regions. VisionSpring used CHMI to identify at least 4 organizations in South Africa, Uganda, and India. VisionSpring will be helping these organizations train their staff on vision screening and how to sell lost cost eyeglasses. A recent study showed that a pair of VisionSpring’s reading glasses on average increases work productivity by 35% and income by 20%. (bullet three) Fostering mentorship – innovators have used CHMI to find organizations operating in their region to seek out support and ask questions. Afya (or Health, in Swahili) Access connected with Dr. Sam Gwer, who is piloting m-Afya Kiosks in Nairobi, to learn about the “kiosk” model of embedding a tiny health center in slum communities. She ended up changing the model based on their conversations and using his connections in regulatory agencies and was able to start her operations sooner as a result. (bullet four) Acting as a pipeline to new opportunities: In India, World Health Partners won the 2013 Skoll Foundation award after CHMI nominated the franchising network. The million-dollar prize will help the organization adapt its model to Sub-Saharan Africa. (bullet six) Showcasing promising practices to policy makers: P. (bullet five) Fostering peer-learning: PROCOSI, a Bolivian network of health organizations, joined with FINRURAL, a local microfinance network to foster collaborative work between microfinance providers and health innovators in Bolivia. The partnership originated in a learning exchange between MFIs, seeded by the CHMI partner Freedom From Hunger in the Andean region. (bullet 2) Working at the intersection of innovators and policy makers, CHMI’s role as global intermediary goes beyond the effects of scaling one organization, instead pushes for global, system level change based on the wealth of knowledge and insight in the databases, learning activities, and global/regional partnerships.
- 200+ programs reporting results under quality, cost, and efficiency and more New in-depth analyses: briefs on ‘what works’ in MNCH, TB and Malaria and eHealth article 500+ program managers, funders, researchers, and policy makers participated in CHMI events 80+ connections leading to potential partnerships among programs CHMI is now being approached by numerous organizations for information and expertise on the topic of innovations in health markets 10+ publications using the CHMI database 15+ of mentions in influential journals and media 50+ programs linked to global platforms (e.g., GlobalGiving, Ashoka, Skoll, IPIHD) 10+ successful linkages leading to potential for greater scale and impact of CHMI programs