DEVELOPING HUMAN CAPITAL
DIGITAL HEALTH IN AFRICA: HOW START-UPS, INVESTORS, AND LOCAL GOVERNMENTS CAN COLLABORATE TO REALIZE THE PROMISE AND NAVIGATE THE CHALLENGES
"Billions of dollars in health care cost savings, more accessible health care services for people in hard-to-reach places, the ability to stamp out emerging epidemics before they reach crisis level and, universal health coverage". These are some of the promises of digital health according to PATH (an international nonprofit organization). What has been accomplished so far? How can digital health start ups and local governments work together to realize these promises? What are the necessary policy, regulatory and infrastructure changes needed to further facilitate the implementation of a multinational, interoperable, digital health system?
Kebba Jobarteh, Founder & CEO, Remit4Health
Kebba Jobarteh is a pediatrician, public health activist and social entrepreneur who has spent the past fifteen years designing, implementing and scaling innovative and effective public health solutions in sub-Saharan Africa. Born in Kenya and raised in New York City to a Gambian father and an Argentine mother, Kebba has always had a global perspective. After beginning his career as a clinician in Gaborone, Botswana, Kebba moved to Lilongwe, Malawi where he helped establish the country's first pediatric HIV clinic. He then went on to rural Neno District, where he worked for Partners in Health as Director of Pediatrics and Pediatric Infectious Diseases to create one of the highest quality health systems in the country. From 2009-2015, Kebba led the Center for Disease Control and Prevention's $100 million care and treatment program in Mozambique. He and his team spearheaded the largest expansion of HIV treatment in the history of the country, resulting in a four-fold increase in the number of people receiving lifesaving antiretroviral therapy - from 200,000 to 800,000 people. In 2017 Kebba co-founded an affordable housing start-up in Mozambique that is aiming to transform a poor neighborhood in Maputo. He also serves as Senior Advisor on the investment committee for the Third Way Africa Impact Fund. Kebba is the CEO and founder of Remit4Health, a start-up that is leveraging the resources of the diaspora to massively increase access to affordable, high quality health services around the world. The company is launching in early 2018 in Kenya, and will rapidly scale to other countries in sub-Saharan Africa soon. Kebba has a BA in Politics from Princeton, an MD from Yale and an MPH from Harvard. He speaks English, Spanish, French, Portuguese and Italian and can stumble along in Chichewa. Kebba is an avid kitesurfer and loves to just hang with his kids.
Sisi Pan, Product, Flare by Capsule Ltd.
Sisi is part of the team at Flare, building software infrastructure and operational support for public and private emergency response systems for the two-thirds of the world without 911. Sisi focuses on the new consumer-facing product, Rescue, to ensure individuals and businesses have access to 911-like services. Previously, Sisi worked at the Boston Consulting Group in the Boston and London offices focusing on healthcare and at the Clinton Health Access Initiative in Swaziland and Cambodia on malaria elimination. She received her M.B.A. from Harvard Business School and her A.B. from Harvard College.
Kaakpema “KP” Yelpaala, Founder & CEO, access.mobile International
Kaakpema, who goes by KP, is an entrepreneur and public health practitioner with a deep understanding of health systems and over 15 years of experience working with domestic and international governments, hospitals, and health networks on health management and strategy. Kaakpema founded access.mobile, a mobile patient engagement solution for diverse markets, in 2011 and spearheads the company's product and market growth globally. Prior to starting the company, Kaakpema worked at Dalberg Global Development Advisors and served as one of the early employees of the Clinton Health Access Initiative. He has taught at the University of Denver's Josef Korbel School of International Studies, was appointed to and served on the Governor of Colorado's Small Business Council, and continues to serve on the Yale School of Public Health Leadership Council. Kaakpema holds an MPH from the Yale School of Public Health and a BA with honors from Brown University.
Prarthna Desai, Former Head of Health Operations, Zipline
Prarthna is currently a joint MBA/MPP candidate at Harvard Business School/Harvard Kennedy School. Mostly recently, Prarthna led Health Operations at Zipline, a Silicon Valley startup that uses drones to deliver medicine to remote hospitals on-demand, as the company built the world's first commercial drone delivery service in its flagship country, Rwanda. Externally, she initiated and owned relationships throughout the Government of Rwanda to collaborate on regulatory affairs, supply chain, training, and customer success. Internally, Prarthna served as the healthcare subject matter expert, trained Zipline's health operations team, and created standard operating procedures for the unprecedented medicine-delivery-by-drone model. Prior to Zipline, Prarthna was on the New Market Opportunities Team at the Clinton Health Access Initiative (CHAI). She vetted 30+ opportunities to expand CHAI's reach into new disease areas and technologies beyond the organization's existing major programs. At CHAI, Prarthna worked closely with government ministries, donors, and manufacturers in countries throughout Africa and Asia. Prarthna began her career as a management consultant at Bain & Company in San Francisco. Prarthna holds dual S.B. degrees in Materials Science & Engineering and Political Science from the Massachusetts Institute of Technology (MIT).
Dr. Dan Gebremedhin, Principal, Flare Capital Partners
Dr. Gebremedhin is a Principal at Flare Capital Partners, an early stage Health Technology and Services focused VC Firm. Prior to joining Flare Capital, Dan served as a Medical Director at the Harvard Pilgrim Health Plan, leading Population Health Analytics, Value Based Purchasing, and General Strategy. Dan is a practicing Internal Medicine Physician on the Faculty of the Massachusetts General Hospital, and has an appointment as an Instructor at Harvard Medical School. Previously, Dan spent time as an entrepreneur and operator in the Health IT Industry, cofounding and managing two separate businesses in the Electronic Health Records and Online Medical Education industries. Dan's other interests include Healthcare Policy and Global Health. He has served as a Senior Health Policy Advisor for the Campaigns of Governor Charlie Baker and Congressman Joseph Kennedy III. He has worked to expand healthcare infrastructure in the developing world, serving as a consultant for the Clinton Foundation Health Access Initiative (CHAI) in Ethiopia. Dan currently sits on Massachusetts Governor Charlie Baker's Board of Nursing Home Administrators. Dan earned a B.S. with honors from the University of California, San Diego, an M.D. Summa Cum Laude from the Morehouse School of Medicine, and an M.B.A. from the Harvard Business School. Dan completed his Internal Medicine Residency at the Massachusetts General Hospital.
INNOVATIVE HEALTH FINANCING: STRATEGIES FOR SUSTAINABLE SOLUTIONS TO HEALTH SYSTEM FINANCING
As African countries continue to face challenges in financing their healthcare systems, what innovative approaches can be used to improve financing options? With international organizations like Global Fund, the GAVI Alliance and UNITAID using innovative financing mechanism for resource mobilization and expansion of activities, what lessons can be learned from these mechanisms of financing? How can sustainable financing methods be developed in countries in Sub-Saharan Africa in order to strengthen healthcare systems across the continent?
Dr. Victor Bampoe, Director, United Nations Joint Program on HIV/AIDS
Dr Victor Bampoe is currently a Special Adviser and Coordinator of the Fast Track Implementation Department at the Joint United Nations Program on HIV/AIDS (UNAIDS) Headquarters in Geneva, Switzerland. A former deputy Minister of Health for Ghana, Victor was the Incident Commander for Ghana's Emergency Operations Centre that responds to public health emergencies, including Ebola. He served in this role from July 2014 to 6th January 2017. In his role as deputy Minister, Victor was partly responsible (with the Minister of Health) for overseeing a health sector that caters for over 27 million people, with an annual budget of over US$ 1 Billion and more than 50,000 health workers. As Incident Commander for Ghana's Emergency Operations Center, he was responsible for putting in place Ghana's response to all public health emergencies, including Ebola, Yellow Fever, Lassa Fever, Zika etc. Before being appointed by ex-President John Mahama to be deputy Minister, he served as a Senior Fund Portfolio Manager at the Global Fund to fight HIV/AIDS, Tuberculosis and Malaria in Geneva, Switzerland. In this role, Victor was responsible for managing grants to fight the three diseases in South Africa, with a total value of over $ 800 million. During his ten years at the Fund, Victor served as the Fund Manager in Uganda, Kenya, Zambia and Rwanda, and was also the Risk Manager at the Fund, as well as the acting Team Leader for Southern Africa. Before he took up this role, Victor worked with the United Kingdom Department for International Development (DFID) as a Regional Health and HIV adviser, and before that, as a Medical Officer with the Ministry of Health in Ghana. Dr Bampoe is a medical doctor by training, with a specialization in Public Health obtained at the Johns Hopkins School of Hygiene and Public Health, Baltimore, USA. He is married with two children
Dr. Ngozi Azodoh, Director of Special Projects, Federal Ministry of Health (Nigeria)
Dr. Ngozi R.C. Azodoh is a Public Health Physician, an accomplished manager, and an experienced coordinator of complex health projects who serves currently as the Director in-charge of the Dept. of Health Special Projects in the Federal Republic of Nigeria, with overall coordinating responsibility for the development of critical health innovations and interventions requiring special focus and delivery. In this capacity, she has national responsibility for the coordination of the Health Response in the North East Crises; a responsibility which includes responding to the Health Humanitarian Crises and including building back better a resilient health system in the North-Eastern part of Nigeria currently ravaged by activities of insurgents. In addition, she has overall National Coordinating Responsibility for managing all Health Humanitarian crisis situation throughout the country cutting across the North-East through the various regions to the South-South region of Nigeria. She is also addressing issues related to security of health in conflict situations and safeguarding resources in conflict. She holds several degrees including and MBBS from the very prestigious University of Nigeria, and a PGD (HSM) from the University of London. She was one of the pioneer trainees of the Flagship Course of the World Bank on Health Sector Reforms and Sustainable Financing where she received a certificate of commendation.
Peter Berman, Professor of the Practice of Global Health Systems and Economics, Harvard T.H. Chan School of Public Health
Prof. Peter Berman (M.Sc, Ph.D) is a health economist with more than forty years of experience in research, policy analysis and development, and training and education in global health. He is Professor of the Practice of Global Health Systems and Economics at the Harvard T.H. Chan School of Public Health. Currently, Prof. Berman leads several innovative projects on developing primary care systems, strengthening service delivery, health system reform, and improving health care financing mechanisms for better outcomes, with a focus on work in Ethiopia, India, and Malaysia. Current projects include: Fenot and the Malaysia Health Systems Reform project. Previous projects include RTM and HEPCAPS. Until 2016 he chaired the Financing Technical Working Group of the Countdown to 2015. With the World Bank from 2004-2011, Prof. Berman spent four years in the Bank's New Delhi office as Lead Economist for Health, Nutrition, and Population. There he oversaw a portfolio of almost $2 billion in projects and research. In Washington, D.C from 2008, he was Lead Health Economist in the HNP anchor department and Practice Leader for the World Bank's Health Systems Global Expert Team. He led analytical work on health systems analysis and strategic approaches to improving service delivery.
Olufunso Agbalajobi, Public Health Physician
Chinny C. Ogunro, MD, Africa Health Holdings
INVESTING IN MEDICAL PRODUCTS (PHARMA/MED DEVICES) IN AFRICA
African consumers have limited access to low-cost, high-quality pharmaceuticals, medical devices, and medical-related consumer goods relative to consumers in other regions of the world. According to EMPEA, healthcare is a major area of interest for PE funds, yet the number of healthcare investments relative to the size of the economy has been low. Furthermore, most PE healthcare investments have been targeting hospitals and medical services, not medical products. Is there opportunity in expanding manufacturing capacity for medical products? What are the regulatory or political barriers to entry?
Vivian Nwakah, Co-founder, Medsaf
Vivian Nwakah is the co-founder of Medsaf, a curated medication marketplace for African hospitals and pharmacies. Vivian Nwakah grew up in Chicago and among many things helped start a chain of home health care agencies that expanded across Illinois and Indiana. She moved to Nigeria for the first time ever and founded a renewable energy company focused on hybrid diesel solar installations. After 2 years of research, she created Medsaf because she witnessed people in emerging markets dying from fake and substandard medications.
Lori Spivey, Founder & Managing Director, Florida Africa Foundation
Lori Spivey is the Founder and Managing Director of the Florida Africa Foundation, an organization advising entrepreneurs and leaders on innovative, sustainable, high-impact approaches to health care and entrepreneurship in Africa. Lori has more than 20 years experience in health care, consumer products, and consulting. She was previously a Principal with Boston Consulting Group (BCG) where she specialized in health care, consumer products, and emerging markets in Africa, Asia, and Latin America. Prior to BCG, Lori worked for the United Nations Development Programme (UNDP) in Zambia, Elsevier Science in the Netherlands, and Procter & Gamble in the U.S. Lori received her BA in Communications from the University of Florida and her MBA from Harvard Business School.
Biju Mohandas, Head of Health and Education, IFC in Sub-Saharan Africa
Biju Mohandas is an emerging markets investor with close to two decades of investing and operational experience in South Asia and Africa. He has directly led equity, quasi equity and debt transactions totaling $200 million as well as acquisitions and distressed asset turnarounds in healthcare, education, agribusiness and renewable energy sectors in markets ranging from Nigeria to India. Biju heads the Health and Education investment team for the International Finance Corporation (IFC) in Sub Saharan Africa. He is also their Global Sector Lead for Medical Devices. Biju and his team currently manage a $170 Million portfolio across 17 companies in these sectors in Sub Saharan Africa and will invest $70-80 million annually for the next three years to more than double assets under management.
Amina Kandil, Associate Partner, McKinsey Casablanca
Amina Kandil is an associate partner at McKinsey & Company, in the Casablanca office. She focuses her work essentially on global public health in Francophone Africa, mostly on the improvement of the availability of health commodities at the last mile and on public sector, mainly on questions related to investment promotion and foreign trade. Before joining McKinsey, Amina was a technical adviser of the Moroccan Minister of Energy. She holds an MBA from INSEAD and an engineering degree from the Ecole des Mines de Nancy (France)