Millennium District Hospital Projects

Bob CorcoranVice President, Corporate Citizenship

“When are we going to build something in Africa?”

• Philanthropic commitment of $20 Million over

5 years

• Technology, products and experience… not

cash

• Criteria: Stability, Transparency, Need,

Sustainability

• Phase I starting point: Ghana

AAF Symposium, July 2003

Phase I: Lessons Learned

Planning enables sustainability

• Align effort with health system priorities• Engage hospital/clinic leaders early in specifying solutions

• “Nothing for nothing”… Require government participation

• Secure distributors for consumables• Deploy affinity groups for data collection and sustainability

Realities dictate solutions

• Big gaps in basic needs Give many, smaller products• Limited support skills Simplify features• Limited repair access Simple, basic technology designs• Small budgets Minimize lifecycle cost

Ghana Hospitals Projects Successful

Ready for Multiple Countries

• 5 Hospital upgrades completed ’04-’05• Medical, energy, water, lab

equipment• Sponsor links in place

• 6 more upgrades commissioned in 4Q06

• “System solution” proof-of-concept with first sites

• Capacity built for multi-site project management

• Expand across Africa to increase impact

Kintampo

Apam

Phase I: Ghana Outcomes

Phase II: Align with Millennium Villages

Sustainable Impact• Temporary assignments• AAF site adoption

Potable Water• Reliable source• Filtration & storage

Reliable Power• Back-up generators• Power conditioning

Improved Healthcare• Diagnostic capabilities• Patient care: surgery, monitoring, neonatal

Connected Facilities• District/Village radio• District/HQ satellite access

Goals for DistrictIncrease capacity

Upgrade capability Ensure sustainability

Trained Personnel• Clinical & support training • Process improvement

Phase II: Build Capacity & CapabilityAddress multiple facility gaps in each District

• Update equipment for theaters and wards• Advanced imaging, diagnostics

Enable higher quality care for district Attract & retain medical personnel

Phase II: Create SynergiesConnect to the village with hub and spoke approach

• Health clinic- equipment

Relieve district case volume Enable local, quality care

• Reinforce water & power delivery• Outfit theaters & wards, update

laboratories Alleviate stress on referral hospital Enable village clinics to refer cases

Region pop. ~ 1-2 millionDistrict pop ~ 1-200,000Village pop ~ 2-5,000

Village Cluster Clinic

District Hospital

Regional Referral Hospital

Summary

• Forget B2B/B2C, engage Company to

Country

• Develop base of the pyramid products from your experience at the base of the pyramid

• Use employee groups for sustainability

• Treat your philanthropy like a business

• Simplicity beats elegance every day