Low Cost Nepali Incubator: The LIFE RAFT Second Design Review Prepared for: Entrepreneurial Design...
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Transcript of Low Cost Nepali Incubator: The LIFE RAFT Second Design Review Prepared for: Entrepreneurial Design...
Low Cost Nepali Incubator: The LIFE RAFTSecond Design Review
Low Cost Nepali Incubator: The LIFE RAFTSecond Design Review
Prepared for: Entrepreneurial Design for Extreme AffordabilityMay 9, 2007
2
Team StacksI need to build
something. Now![e.Nag]
I need to build something. Now!
[e.Nag]
How do we build empathy and
connect to the right people? [b.Leslie]
How do we build empathy and
connect to the right people? [b.Leslie]I just built
something sweet![e.Eric]
I just built something sweet!
[e.Eric]
I can’t stop thinking like a consultant…
[b.Yuval]
I can’t stop thinking like a consultant…
[b.Yuval]
3
The project is a series of realizations
Nepali nurses need our help
We must define our niche (aka, Klaus was right)
Van Hemel was onto something
Prototype, prototype, prototype
Nepal is small, India isn’t
Measuring success is all about the babies
We are strengthened by our partners Time is short; prioritizing is key
4
Understanding Nepal
28M people
Infant mortality of 6.5% is among worst in world (8x US rate)
~45% lives below the poverty line, income per capita of $220– Ranked 153 out of 175 countries in human development
1 doctor per 20,000 people (in parts, 1 for every 100,000)
Only 18% of deliveries have a trained health worker in attendance (for the poorest parts, <5%)
“>99% of Nepal’s hospital have no formal NICU that can ventilate sick premature babies”
5
Nepali nurses need our help
The “junior” nurse in public Nepali
hospital…
..an intuitive, trustworthy, intelligent
helper that keeps premature babies alive and ensures long-term health
needs
6
$1
$10
$100
$1,000
$10,000
GAP
Features & Capabilities (from a Nepal perspective)
Cost
Free
Basic Average Best-in-class
Indian
Static Incubators Available in Nepal
“Almost Giraffe”
Atom
Home-made
Maintenance & Repair
“It breaks to easily..We don’t trust it”
Shortage
Finding our niche (aka, Klaus was right)
7
The original idea
Dr. Van Hemel was onto something
First built in Uganda 1968, revised in 1983
Simple as possible - low cost and ease of maintenance. – Many incubators with 15+ yrs of service still
functioning, even with no serious maintenance
Now 1000+ VH incubators “in almost all developing countries”
– Approx 25 incubators purchased each year for >270 euros
The Van Hemel Incubator
Trustworthy (reliable, safe)
Intuitive (easy to use, feels modern)
Intelligent (customized to local users and market, alarm)
THE LIFE RAFT (The Van Hemel 2.0)
The BIG idea
8
Prototyping priorities
We’re going to tackle only the most critical
features
and nail them!
9
Prototype, prototype, prototype
15
20
25
30
35
40
0 5 10 15 20 25 30 35
LIFE RAFT
Ohmeda
Minutes
Ce
lsiu
s
Canopy: Reduces volume, improves
access, better visibility
Performance: Comparable rate of
heatingHeat: Potential combo
of convection and radiation
Repairable: Simplified (no fan);
locally available parts
Humidity: Mechanical control of humidity; heated water kills bacteria
10
Nepal is small. India isn’t.
0
20
40
60
80
100
120
Sloan projection Hospital-based UK comp
Nepal
PRELIMINARY ESTIMATES: Annual Total Demand for Static Incubators
Note: All annualized numbers assume a lifespan of 8 years. “Sloan projection” based on scaling of MIT team’s estimate of India for Nepali population. “Hospital based” assumes 74 District hospitals, 180 PHCs, 3187 sub-health posts respectively demanding 2, 1, 0.1 incubators/hospital. “Bottom up” is based on Nepali birth rates and health of babies. Demand does not take into account price elasticity.
0
500
1000
1500
2000
2500
3000
3500
4000
4500
5000
Sloan projection Hospital-based UK Comp
NepalIndia
Units
Approach for estimation
11
Measuring Success: It’s all about the babies
20,000
22,000
24,000
26,000
28,000
30,000
32,000
34,000
2006 With VH2.0
2,000-3,000 infants saved annually by
increased access to incubators
Total Annual Neonatal Deaths in Nepal*
* Conservative estimate of premature babies who would benefit from an incubators
Note: estimates based on Nepali birth, neonatal mortality, and premature/LBW rate, current and projected access to incubators, and medical estimates of survival improvements resulting from access to temperature regulation.
12
We are strengthened by our partners
Michele Avila-Emerson, NICU/PICU nurse
Akira Nagai, Manager of Export Dept.
Dr. Benitz, Chief of Neonatology
“On the ground”Dr. Mark ZimmermanDr. Sangita Basnet KoiralaThakur Lamsal
Dr. Geetha Rana, Reproductive Health Coordinator
Fidel Rodriguez
Otho Boone, President and CEO (and former Ohmeda incubator designer; “advisor” to Team Stacks
Tim Prestero, CEOMatt Eckelman DtM Fellow
Ray Avery, Founder CEO
Fred Shepardson, Exec. Dir.+ 5 more of Fred’s colleagues
Additional relationships being cultivated with the WHO in Nepal, local doctors, and anyone who can lend a
useful hand!
13
Time is short! Prioritizing is key.
Week 6 Week 7 Week 8 Week 9 Week 10
Business-side
Engineering-side Heat & HumidityAccess (shell, portals, and frame)
Electronics feasibility study
Refinements
Surveying / demand estimation
Org design & partners
Tying together
Costing (mfg + dstr)
2 3
Finalized prototype
14
Engineering: – What’s the most reliable, lowest cost heating solution for Nepal?
Demand-side: – How do you compete with free, a.k.a. “What’s the right price?”
Distribution: – Current path of the donated incubators – Who our big partners are going to be (WHO, UNICEF)?
Safety:– How the heck do we get FDA approval?
Remaining questions