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Sector Drilldown:

Healthcare

Speakers:

Amir Khan, Director of Glocal University

Lee Poh Wah, CEO of Lien Foundation

Josephine Price, Director of Village People Project

John Forsyth, Group Managing Director of Viva Healthcare

Moderated by:

Stephen MacMahon, Principal Director,

The George Institute for Global Health

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Asia in 2013

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4B people

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>3B have little or noaccess to essential

healthcare

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The conditions most likely tocause early death or disability

Top 10 in Asia Heart disease

Stroke Diabetes

Lung disease

Road injury

Other injuries* Birth complications*

Tuberculosis*

Diarrheal diseases*

Pneumonia* *lower incom e region s on ly

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6

Use of medications among 2,453 people with CVD

History of heart

attack (n=1,740)

History of stroke

(n=713)

n % 95% CI n % 95% CI

Aspirin 272 16 11-20 66 9 4-15

ACE-I 179 10 6-15 31 4 0-9

Statin 104 6 3-9 7 1 0-3

Treatment of people with heartattack or stroke in rural India

Circulation 2009;119:195055

Most people in Asiawith serious

cardiovascular diseasereceive no treatment

whatsoever

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7

Whats the problem?

Poorly resourced

Often unaffordable

No quality controlDysfunctional

Disrespected

Weak healthcare systems Public health and clinical care

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8

Whats the solution?

Sustainable solutions forthose living on

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9

VP-Impact investmentPotential contribution

Research & development

Proof of principle Business plans

Mentorship

Investor networks

Early-stage investment Fit-for-purpose solutions

Sustainable and scalable Short time to market

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Amir Khan

Director

Glocal University

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2011 Bill & Melinda Gates Foundation |

Per capita healthcare spending in India

11SOURCE: WHO World Health Statistics 2012; team Analysis

97 93 82 83

176

523490

378

545

4666

247

203

412 469620

483

754444

50

998

Mexico

959

SouthAfrica

935

China

379

India

13239

Uganda

124

27

Nigeria

121

Ghana

85

35

Kenya

7834

Nepal

66

Russian

Federation

22

Pakistan

59

3623

Bangla-

desh

57

3819

Thailand

330

Sri Lanka

148

Brazil

1,028

Per capita public and private expenditure(PPP $) in developing countries (2010)

%

of

GD

P

3.5 2.2 5.5 4.8 5.2 9 5.1 4.1 2.9 3.9 5.1 9 6.3 8.9 5.1

http://en.wikipedia.org/wiki/File:Flag_of_the_People's_Republic_of_China.svghttp://en.wikipedia.org/wiki/File:Flag_of_South_Africa.svghttp://en.wikipedia.org/wiki/File:Flag_of_Russia.svghttp://en.wikipedia.org/wiki/File:Flag_of_Thailand.svghttp://en.wikipedia.org/wiki/File:Flag_of_South_Africa.svghttp://en.wikipedia.org/wiki/File:Flag_of_Brazil.svghttp://en.wikipedia.org/wiki/File:Flag_of_Mexico.svghttp://en.wikipedia.org/wiki/File:Flag_of_Russia.svghttp://en.wikipedia.org/wiki/File:Flag_of_the_People's_Republic_of_China.svghttp://en.wikipedia.org/wiki/File:Flag_of_Thailand.svghttp://upload.wikimedia.org/wikipedia/commons/1/11/Flag_of_Sri_Lanka.svghttp://en.wikipedia.org/wiki/File:Flag_of_Ghana.svghttp://en.wikipedia.org/wiki/File:Flag_of_Uganda.svghttp://en.wikipedia.org/wiki/File:Flag_of_Bangladesh.svghttp://en.wikipedia.org/wiki/File:Flag_of_Kenya.svghttp://en.wikipedia.org/wiki/File:Flag_of_Nepal.svghttp://en.wikipedia.org/wiki/File:Flag_of_Nigeria.svg

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2012 Bill & Melinda Gates Foundation | 12

Leverage is fundamental

May 10, 2013

Source: WHO National Health Accounts 2008

19 30

31

36

39

32

25

12

15

67

Mozambique

9

61

Malawi

31

38

Ethiopia

63

Bangladesh

36

28

Tanzania

43

18

Kenya

64

5

Nigeria

75-80

20-25

1

India

Private

sources

Government

sources

External (donor)

funding

Donor spend as% of governmenthealth spend

354% 203% 48%77% 46% 15%

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Lee Poh Wah

CEO

Lien Foundation

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H2Ospital (2007)National Cancer Hospital

(Hanoi)

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End-of-life care

Agenda: To improve care for the dying

Supply side: Research & Training; National Strategy for Palliative CareDemand side: Creating Dielogues & Awareness for Palliative Care

www.qualityofdeath.org

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Healthcare IT

Lily (71 yrs old)

2006

:IT s t r e t c h i n g ngo

2012HCA Hospice Care

Peacehaven Nursing Home

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Josephine Price

Director

Village People Project

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Village People ProjectMali doulaixi .

Everybody Come and Wash Quickly

PHILANTHROPY & IMPACT INVESTING

IN GANSU & SHANXI, CHINA

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www.villagepeopleproject.org

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John Forsyth

Group Managing Director

Viva Healthcare

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Sector Drilldown:

Healthcare

Speakers:Amir Khan, Director of Glocal University

Lee Poh Wah, CEO of Lien Foundation

Josephine Price, Director of Village People Project

John Forsyth, Group Managing Director of Viva Healthcare

Moderated by:

Stephen MacMahon, Principal Director at Gordon Institute for

Global Health

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Please proceed to the next sessions

Toolkits: 3.25 4.25pm

Effective Due Diligence: 4.1

Fundraising: MRA

Impact Assessment: 6.1 Mobilising Human Capital: 14