Healthcare Initiatives
17th March 2009
Kewal Handa
Managing Director
Pfizer India
Global Need for Improved Healthcare
Over half of the people in
the poorest parts of Africa
and Asia lack regular
access to medicines
(WHO, 2006)
Deficient
Healthcare
Infrastructure
More than 13 mn children under age 5
die each year in developing countries.
At least 70% of these deaths are from
preventable causes (DCPP, 2006)
Lack of
Healthcare
Resources
4 mn healthcare workers are needed
to fill the gap in developing countries
(WHO, 2006)
Lack of
Healthcare
ACCESS
Healthcare workers per 1000 people
- Developed countries: 24.8, Least
Developed countries: 2.3 (WHO,
2006)
India’s Healthcare Scenario
• National Healthcare spending – 5.2% of GDP
– Government share only ~ 1% of GDP
• Medicines account for 15-20%
• Only 35% of population has access to essential medicines
• Healthcare Infrastructure deficiencies
• Deficiencies in Healthcare Resources
– Drs, nurses, hospital beds per 1000 population – each less than 1!
• Limited Healthcare Insurance penetration
– Mainly government employees
Healthcare Financing Alternatives
Micro-finance:
• Credit: Enables access to better healthcare
• Achieve: Millennium Development Goals
• Sustain: Healthy and Productive Lives
Public-Private Partnerships:
• Access: Medicines and health infrastructure
• Modality: Government contracts private service provider
• Private Enterprise: Funding, Research and Training
• Areas: Primary care, Speciality, Clinical services,
Insurance, Tele-medicine, Hospitals & Ambulances
Healthcare Initiatives in India
Operation Sanjeevani
•Started in Bangalore in 2000
•NGO: Comprehensive Trauma
Consortium
•Partners with hospitals, corporates
•Rescue service for road accident
casualties & other emergencies
•Saved nearly 60K lives in 8 years
Arogya Raksha Yojana Health Microinsurance Scheme (ARYMIS)
•Launched in February 2005
•Biocon, Narayana Hrudayalaya, ICICI
Lombard
•Health Insurance Plan
•Economically weak urban & rural patients
-High quality, affordable healthcare
•5 Arogya Raksha clinics support ARYMIS
•Treated over 50K patients for ailments
Healthcare Initiatives in India
•Dr Devi Shetty’s Initiative
•Founded Narayana Hrudayalaya, Asia
Heart Foundation.
•Leading heart surgery hospital network
•Half of the patients are children & babies
•60% of treatments: Free or subsidized
•Model: High patient volumes, Donations
•Rural reach: 39 telemedicine centers
(with ISRO), coronary care units
•Yeshasvini health insurance program
(with Govt of Karnataka)
•Comprehensive Leprosy Care
Association
•Set up by Novartis Foundation in 1989
•Provides patients access to treatment &
disability management
•Facilitates physical & social care
•Rehabilitation of leprosy patients
•Program has covered 4 states of Goa,
•Benefited around 17K patients
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Our Strategy
As a global citizen, Pfizer contributes
positively to society in ways beyond medicine.
Treat
Medicines &
Services
Teach
Education &
Outreach
Build
Infrastructure
Serve
Social
Advocacy
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Mobilize Against Malaria
Partnering with local partners in Senegal, Ghana and Kenya
to close malaria treatment and education gaps
Treat
Increase the number of patients receiving prompt and
appropriate malaria treatment
Teach
Trains health workers to improve diagnosis, treatment & referral;
supports community education and mobilization campaigns
Build
Enhances treatment effectiveness of informal & public sectors
Serve
Partners with University of London to evaluate effectiveness
interventions; shares learning with Ministries of Health & other
stakeholders
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Diflucan® Partnership Program
Donating Diflucan® in 59 developing countries to
treat fungal infections associated with AIDS.
Treat
Provides Diflucan® to organizations that treat HIV-positive
patients with life-threatening fungal infections
Teach
Trains health workers in diagnosis & treatment of opportunistic
fungal infections
Build
Inventory management training with pharmacists
Serve
Supporting industry collaboration on access:
www.accesstotreatment.org
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Global Health Fellows
Deploys the company’s most valuable asset – our people – to
address public health challenges in the developing world
Treat
Distributes medicines & resources to organizations & patients
Teach
Trains & supports on-the-ground partners to improve education
& prevention strategies
Build
Trains health workers in front-line & back-office areas to
strengthen health systems
Serve
Transfers knowledge, expertise & best practices to organizations
while helping them influence policy & patient advocacy
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Pfizer-Grameen Partnership
• Explore sustainable healthcare delivery models for
developing world
• Grameen Health’s Kalyan clinics: 38 (existing) - Rural
Bangladesh
– Low-cost micro-health delivery & insurance programs
• Partnership focus areas:
– Analyze ways to expand & improve programs at clinics
– Review operating efficiencies & scope of services
• Future Plans:
– Identify appropriate business models that can be
replicated in other countries
Pfizer India Healthcare Initiative
Mother & Child Healthcare Project
• Rural Haryana (41 villages)
• Partnership with Arpana Trust
• Program into its 6th year
• Education: ante-natal care, post-natal care and sanitation
• Self-help groups, micro-credit groups empower women
• Increased awareness witnessed:
– 20% reduction in low birth weight babies
– 94% coverage of ante-natal check-ups
– 20% jump in institutional deliveries
Way Forward
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• Resources guided by better investment opportunities
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Imperatives
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4
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• Engage all stakeholders in design and implementation
• Agree on expectations between partners at the start
• Needs assessment to build capacity for implementation
• Remain focused on outcomes
Let’s Work Together for a
Healthier World!
Thank You
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