In 2005, I took a strategic decision. Much as I loved surgery, I shifted my focus to Tuberculosis, (TB). While I faced criticism and jeers from my colleagues and other NGOs, I quickly realized my next challenge. In order to deliver crucial, life changing services – TB or otherwise – one has to work with the government.
It started with data!
In 2007-08, an evaluation by Catalyst Management Services of a tribal livelihoods initiative for the State Planning Commission of Madhya Pradesh showed that agriculture as a livelihoods option was unproductive and for small tribal farmers; leaving them without a profitable livelihood option. But it wasn’t because of prices, or barriers to entry. Instead, it was because crucial services and government schemes were not reaching those who needed them most.
According to the data, only 10-12% of small producers were able to access vital extension schemes and a mere 7-8% of other government schemes. The evaluation found that large farms were crowding out the smaller farmers from accessing key subsidies and benefits. So the State Planning Commission posed a challenge: find a way to reach these marginalized tribal farmers in Madhya Pradesh.
Fostering partnerships, relationships and collaboration is crucial to “opening the door” to scaling innovative solutions from social entrepreneurs that help people around the globe pull themselves out of poverty. This was the resounding message that came out of the 2015 Sankalp Africa Summit, held in Nairobi, Kenya on February 5 and 6.
During the course of the two days, nearly 700 participants from 30 countries came together in Nairobi for learning sessions, networking opportunities, and idea sharing all to help end extreme poverty.
Over the years, the World Bank Group’s Development Marketplace has worked with hundreds of social entrepreneurs around the globe. Through our multifaceted process, we have surfaced and supported hundreds of social entrepreneurs, however, we have come to realize that while financial and capacity support and learning opportunities are crucial in helping these social businesses thrive, it is equally important to support and foster networking and public private dialogue opportunities among relevant actors. The challenges in poverty reduction are difficult to say the least. But, when we come together, we can solve the challenges ahead of us.
The Sankalp Africa Summit or similar learning and networking conferences/events allow social entrepreneurs, the World Bank Group, impact investors, foundations, government officials and other players to come together to share concerns, ideas, and joint solutions to the most important development challenges. During one of the sessions led by the Development Marketplace, I was able to sit on a panel with Tim Chambers, co-Founder of Enterprise Projects Ventures Limited. Speaking to and presenting with Tim, I was inspired by his innovation, but more importantly he taught me through a real life example how partnerships and collaboration are a must in scaling innovations. Let me share a bit of Tim’s story with you:
My father was a pharmacist in Giza, Egypt, with a number of pharmacies dotted throughout the city. Growing up, he engaged me in discussions on public and current affairs and encouraged me to argue my opinions on what was happening in our community. He frequently took me to historical places around Egypt - recounting heroic and brave stories of our past - and ingrained in me pride in our country: a deep unwavering love for Egypt.
This bag belongs to Rinki. Rinki doesn’t need it anymore. She was thrown out school when she got tuberculosis. So this is tuberculosis or TB, as it’s commonly known. Though fully curable disease, it has now become a global pandemic. There are nine million new cases in the world annually. 1.3 million deaths. Ten million children have been orphaned because of it. Today itself, 5,000 people will die of TB. And TB is curable.
Let’s talk about technology. eCompliance is a low cost solution to tracking the progress of TB treatment. A tablet with a fingerprint reader attached, a patient gives their fingerprint on each visit to the treatment center. If the fingerprint is messed, an immediate alert goes to the health worker, who visits the patient’s house to give the medicine and takes the fingerprint as proof of visit. This ensures that every dose is taken and prevents drug resistant TB. The World Bank Group’s India Development Marketplace played a crucial role in scaling our eCompliance system and upgrading it to a zero text application. The zero text application is being used by illiterate health workers across the world with ease and accuracy.
These are some of the views and reports relevant to our readers that caught our attention this week.
Corruption 'impoverishes and kills millions'
An estimated $1tn (£600bn) a year is being taken out of poor countries and millions of lives are lost because of corruption, according to campaigners. A report by the anti-poverty organisation One says much of the progress made over the past two decades in tackling extreme poverty has been put at risk by corruption and crime. Corrupt activities include the use of phantom firms and money laundering. The report blames corruption for 3.6 million deaths every year. If action were taken to end secrecy that allows corruption to thrive - and if the recovered revenues were invested in health - the group calculates that many deaths could be prevented in low-income countries.
The Best and Worst Places to Build More Roads
Roads are taking over the planet. By the middle of this century, so many new roadways are expected to appear that their combined length would circle Earth more than 600 times. To build critical connections while preserving biodiversity, we need a global road map, scientists argue today in the journal Nature. And as a first step, the international team has identified areas where new roads would be most useful and those where such development would likely be in conflict with nature.
Back in the 1970s, I was a medical student ready to take on the world. We had a student exchange program, where students from across the world would come to India to visit and learn. One year, there was a group of young doctors from the UK who were excited to be somewhere they could observe ‘rare diseases.’ Seeing the packed hospitals on rounds, they eagerly asked the Professor of Internal Medicine, “May we see a patient with tuberculosis?” The Professor, uncertain of their excitement, replied frankly, “Of course. We don’t just have one, we have wards and wards full!” Tuberculosis (TB) – the infectious disease that primarily targets the lungs - was, and continues to be, anything but a rare disease in India.
One year ago, Kumar began renting out 40 Selco solar-powered batteries to the people living in his slum community in the heart of Bangalore. Prior to this, 400 families were left to rely on cheap, easily breakable lights, dangerous and flammable kerosene lamps, or simple darkness. Without affordable energy, the inhabitants of Kumar’s slum lose hours of otherwise productive time that would allow them to build a pathway out of the slum, and into a secure life. Within months, demand for Selco’s rechargeable batteries sky-rocketed and Kumar increased his inventory to 86. Now, he is requesting yet another 50.
We traveled down a bumpy, dirt road in the rural areas of West Bengal towards a village called Bolpur. Three hours after leaving Kolkata, the car pulled up to an unassuming concrete building. The health care worker who accompanied us for this ride jumped out enthusiastically and immediately spoke into her megaphone. “Not feeling well?” she called out to the village, “Need a quick check up? Come and visit us for the next hour and a half.” Here, in a small village, at an unassuming building, we had found ourselves at an iKure spot camp.
iKure - a Kolkata-based social enterprise dedicated to bringing affordable health care to India’s poorest populations - has created these spot camps as an integral part of their inventive model for a network of health clinics in India’s rural areas. In addition to providing access to doctors and medicine prescriptions, they provide the necessary outreach to tell villagers about where and when the clinics are and how they can access medical consultations and medicine.
On a warm Friday afternoon in the slums of Madhukam, in the heart of Ranchi, India, a middle-aged man arrived at a public water station with two 20-liter containers to fill. The water station - directly adjacent to an open sewage drain - was really just a concerete wall with four pink spigots protruding from its barren surface. On top perched two large, seemingly empty holding tanks of water. The man placed one of his containers under the first spigot and turned the handle. A small flow of water came out. Within a minute, the flow turned into a trickle, and the trickle quickly became nothing. The man moved to the next spigot, and then the next, only to have all four repeat the same pattern. In the end, the man left carrying only six ounces of water in his two 20-liter containers.