A new approach to healthcare,in Africa

• 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

Pesinet : introductionPesinet : introductionIntroductionIntroduction

The idea

1 child out of 5 does not reach the age of 5 in Mali1 child out of 5 does not reach the age of 5 in Mali

HIV/AIDSInjuriesNeo-natal diseases

HIV/AIDSInjuriesNeo-natal diseases

Diarrheal diseasesMalariaMeaslesRespiratory diseases

70%

30%

Mortality causes %

Source WHO, data on MaliSource WHO, data on Mali

= 80% reduction= 80% reduction

An endemic child mortalityAn endemic child mortality

• Conventional medicine is perceived as unaffordable

>> Medical aberration: treatment and staff are available locally

>> Economical paradox: prevention is much cheaper than late treatment

• Automedication and traditional medicine are common alternatives to the doctor

The doctor is often the last solutionThe 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

Une offre de services uniqueUne offre de services unique

- Local health center

Remote medical monitoringDoctor

Subscribers1$

A unique package of healthcare servicesA unique package of healthcare services

- home- school- market

Weekly Check-upHeath agent

No disease ExaminationFree

MedicationHalf price

!!

EmergencyEmergency@

Our funding operating principlesOur 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

All make use of

personaltestimonies and rely on a physical presence near the

consumer to build

trust

All make use of

personaltestimonies and rely on a physical presence near the

consumer to build

trust

Status Quo

Joining Pesinet constitutes a significant behavioral change

“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

“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

An efficient communication approachAn efficient communication approach

Promotional Events

Promotional Events

Pesinet runs ~3 promotional events per year

Marketing Channels

Personal Interactions

Personal Interactions

Door-to-Door

Door-to-Door

“I think the most efficient way to market is door-to-door, but it takes time”

- Anne Roos-Weil, Pesinet

“I think the most efficient way to market is door-to-door, but it takes time”

- Anne Roos-Weil, Pesinet

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

Agents market door-to-door, accompanied by consumers giving testimonies

Mas

s M

edia

Dire

ct C

omm

unic

ation

Source: Interview by Monitor Group, as part of a study carried out by Gates Foundation & USAIDSource: Interview by Monitor Group, as part of a study carried out by Gates Foundation & USAID

• 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

Social ImpactSocial Impact

The team

An active Board of Directors & Advisors

EXPERTISE: International development Social entrepreneurship Marketing Micro-enterprise & micro-finance

Managing TeamManaging Team

Three foundersThree founders

EXPERTISE: Healthcare Nutrition Innovation Economic development Africa

Management team in the fieldManagement 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

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

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

Local operational teamsLocal operational teams

IN MALI 1 program coordinator 4 health agents Local GPs of the partnering center1 communication agent towards civil society and local populations

IN MALI 1 program coordinator 4 health agents Local GPs of the partnering center1 communication agent towards civil society and local populations

Where are we today?

Projet pilote à Bamako CouraProjet pilote à Bamako CouraPilot project in Bamako CouraPilot project in 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

• 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

Already sound evidence of impactAlready sound evidence of impact

+70% subscribers since January 2010

96% of families say they are satisfied with the service

97% 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“

+70% subscribers since January 2010

96% of families say they are satisfied with the service

97% 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“

Source: Evaluation carried out as part of a Phd, under the supervision of the Malian Ministry of healthSource: Evaluation carried out as part of a Phd, under the supervision of the Malian Ministry of health

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"

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 & USAIDSource: Interview by Monitor Group, as part of a study carried out by Gates Foundation & USAID

Partenaires et soutiensPartenaires et soutiensDonors & PartnersDonors & Partners

❝ 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

❝ 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

• 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

Awards & RecognitionsAwards & Recognitions

Where do we want to be tomorrow ?

• 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

DevelopmentDevelopment plansplans

Replicate the service in all addressable health centers in Mali and other countries suffering from high child and maternal mortality rates

Replicate the service in all addressable health centers in Mali and other countries suffering from high child and maternal mortality rates

Pour en savoir plus…Pour en savoir plus…

www.pesinet.org

Thank you for your attentionThank you for your attention

Anne ROOS-WEILanne.roosweil@pesinet.org

To know moreTo know more