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Global health
• Public health challenges with scope & influence beyond national borders
• Solutions require inter-disciplinary approach – Biomedical sciences
– Social & behavioral sciences
– Engineering
– Business & economics & finance
– Others
Current situation
• Donor-dependent in low income countries
• More public funding for middle income countries (e.g. BRIC)
• Uneven financing (HIV, malaria, TB)
• Lack of access to affordable & quality services for those who need most
Global health innovation
Source: scottberkun.com; G. Pinchot
Significant positive impact.
To create and bring into use sustainable new products, processes, services, and ways of doing business.
Bring innovation into use
• Availability
• Affordability
• User acceptability
• Adoption
Reaching end-users (or customers)
Segments & Challenges
Rural poor Urban/peri-urban poor
Urban/peri-urban middle-
income
Urban/peri-urban high-
income
Healthcare delivery
Volume
Infrastructure Price
Quality for cost Infrastructure
Price
Quality for cost Infrastructure Infrastructure
Medical technologies
& supplies
‘Last mile’ Volume
Price Price Price
Financing model
Information Price
Information Price Information
Logistics & Distribution
Last mile Volume
Infrastructure
Volume Infrastructure Infrastructure
Source: Strengthening health system through private investment, Calvert Found et al. 2015
Adaptation to market
Product or
Service
Team
Market
Health System
Validate P/S
Increase interest & demand for P/S
Introduce & sustain P/S
1
2
3
Key stakeholders
Public Private
Policy makers
Delivery system
Global donors Technical
assistance
Delivery system
Entrepreneurs
Multi-national corps
Investors
Global health value chain
Credit: noun project
Pat
ien
t
Pro
vid
er
Hea
lth
fac
ility
Dis
tric
t d
istr
ibu
tio
n
Zo
nal
w
areh
ou
se
Cen
tral
Med
ical
S
tore
Go
vt.
pro
cure
men
t ag
ency
Par
tner
p
rocu
rem
ent
net
wo
rks
Ret
aile
rs &
W
ho
lesa
lers
Fo
reig
n
ven
do
rs
Man
ufa
ctu
rers
Su
pp
liers
R &
D
Sourcing Use
Supporting functions: R&D, infrastructure, talent, business services, etc.
Policy & regulation: standards, law, norms/practices, etc.
Recent trends
• Growing middle-class & more sophisticated consumers
• Burden shift to non-communicable diseases
• Better access to technology & information
• Growing interest from private investment
• Push toward universal health coverage
Health system
Subsidized models For-‐profit models
Public Private
Public Private Social
Finance
Delivery
Adapted from Taking Innova+ons to Scale, R4D, 2013.
Potential partnerships
Public Social Private
• Policy • RegulaGon • Standards
• Access & insights to key segments
• Information & education
• Pool demand
• Market-based solutions
• Efficient delivery system