THE CASE FOR IMPACT INVESTMENT

BRIEF PARTNER DESCRIPTION: Pro Mujer is an international women’s development and microfinance organization with a mission to provide Latin America’s low income women with the means to build their own livelihoods and support their families through microfinance, business training, and healthcare support. In Nicaragua the program serves over 40,000 clients via a village bank methodology in both (peri-) urban and rural markets, and has maintained high levels of both financial and social performance despite the recent turbulence in the Nicaraguan microfinance sector. Pro Mujer is a pioneer in the integral services models, operating in five Latin American markets, and represents approximately 20% of Global Partnerships’ (GP) social investment portfolio. The early success of the Nicaragua pilot program has already influenced, and will continue to impact, the strategic direction of Pro Mujer’s health services program throughout the network.

INNOVATION: Pro Mujer’s pioneering business model leverages cross-trained officers to deliver preventive education during village bank meetings, thereby achieving significant scale with low marginal cost. Additionally, client visits to branch offices are leveraged to deliver screening for cervical cancer, dental health, hypertension and diabetes; as well as primary care consultations, reducing the additional need and costs for clients to travel to the branch offices while taking advantage of existing “touch points.” Clients value the quality and convenience of services delivered by in-house women doctors, as well as the pre-paid nature of the package. If successful, Pro Mujer Nicaragua (PMN) will effectively distinguish themselves from all other MFI competitors for their target constituency. Success depends to a great extent on PMN’s achievement of client growth plans in both current and expansion markets, as well as successful marketing of an optional package of valued services.

By June 2015, Global Partnerships expects to see PMN reaching most of its 75,000+ clients with preventive education and basic screening components, with more than 30% of clients purchasing the optional package of dental, vision and medical consults benefiting themselves and their family members. To date, GP has disbursed $71,750 in grant capital to Pro Mujer, of a total projected investment of $300,000. November 2012 will be the decision point on the next phase of investment.

Pro Mujer in Nicaragua

REACH / SCALEA snapshot view of progress

SUSTAINABILITY Revenue generated covers total costs over reporting period

SUSTAINABILITYJanuary - June 2012

Education3-year target = 76,429 Current = 19,250 (25%)

Basic Screening 3-year target = 58,380Current = 5,654 (10%)

Elective Screening & Consults 3-year target = 22,164 Current = 0 (0%)

Composite 54%

Health Services Fund | Jan - June 2012 | Issue 1

0

20

40

60

80

100

Education BasicScreening

CompositeElectiveScreening& Consults

Perc

ent

Sust

aina

bili

ty

100%

46%54%

0%

RESULTS

• Education delivered via cross-trained credit officers has scaled to all branches

• Basic screening is offered across all branch offices

• Services package was reconfigured to incorporate pilot results and include higher commercially-valued services via an optional package

LEARNING

• Credit officer-delivered health education sessions via village bank meetings is an effective mechanism for achieving scale with a reasonable cost structure

• Clients value treatment and tangible services more than education and preventive screening

• Clients value the pre-paid option, liquidity is a barrier to utilization

• PMN’s target clients seem willing to pay more for their financial services to receive them from an institution that cares about them as people

Who’s covered:Clients

What’s covered: Cervical cancer, diabetes, hypertension, diarrheal disease, respiratory disease, family planning and reproductive health

Delivery channel:Credit officers during village bank meetings

Who’s covered: Clients

What’s covered: Glucose, BMI, blood pressure

Delivery channel: PMN nurses

Who’s covered:Clients and their family members

What’s covered: Unlimited consults, PAP exam, lab exams, dental prophylaxis, fillings and extractions, vision exam, discounts for specialist services and for medications Delivery channel: PMN doctors and allied providers

EDUCATION BASIC SCREENING ELECTIVE SCREENING & CONSULTS

HEALTH CARE SERVICES

BUSINESS MODEL

Curriculum development % credit officers supervision

Nurses and screening equipment and supplies

Doctors, office infrastructure and supplies payments to allied providers for services rendered

COSTS

REVENUE

Portfolio yield (estimated at $2.87/client/year)Optional pre-paid

packaged ($26/client/year)