Healthcare Initiatives

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Healthcare Initiatives

• 17th March 2009
• Kewal Handa
• Managing Director
• Pfizer India

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Global Need for Improved Healthcare
Over half of the people in the poorest parts of
Africa and Asia lack regular access to medicines
(WHO, 2006)
More than 13 mn children under age 5 die each
year in developing countries. At least 70 of
these deaths are from preventable causes (DCPP,
2006)
Deficient Healthcare Infrastructure
Lack of Healthcare Resources
Lack of Healthcare ACCESS
Healthcare workers per 1000 people - Developed
countries 24.8, Least Developed countries 2.3
(WHO, 2006)
4 mn healthcare workers are needed to fill the
gap in developing countries (WHO, 2006)
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Indias Healthcare Scenario

• National Healthcare spending 5.2 of GDP
• Government share only 1 of GDP
• Medicines account for 15-20
• Only 35 of population has access to essential
  medicines
• Healthcare Infrastructure deficiencies
• Deficiencies in Healthcare Resources
• Drs, nurses, hospital beds per 1000 population
  each less than 1!
• Limited Healthcare Insurance penetration
• Mainly government employees

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Healthcare Financing Alternatives

• Micro-finance
• Credit Enables access to better healthcare
• Achieve Millennium Development Goals
• Sustain Healthy and Productive Lives
• Public-Private Partnerships
• Access Medicines and health infrastructure
• Modality Government contracts private service
  provider
• Private Enterprise Funding, Research and
  Training
• Areas Primary care, Speciality, Clinical
  services, Insurance, Tele-medicine, Hospitals
  Ambulances

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Healthcare Initiatives in India

• Operation Sanjeevani
• Started in Bangalore in 2000
• NGO Comprehensive Trauma Consortium
• Partners with hospitals, corporates
• Rescue service for road accident casualties
  other emergencies
• Saved nearly 60K lives in 8 years

• Arogya Raksha Yojana Health Micro-insurance
  Scheme (ARYMIS)
• Launched in February 2005
• Biocon, Narayana Hrudayalaya, ICICI Lombard
• Health Insurance Plan
• Economically weak urban rural patients
• -High quality, affordable healthcare
• 5 Arogya Raksha clinics support ARYMIS
• Treated over 50K patients for ailments

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Healthcare Initiatives in India

• Dr Devi Shettys Initiative
• Founded Narayana Hrudayalaya, Asia Heart
  Foundation.
• Leading heart surgery hospital network
• Half of the patients are children babies
• 60 of treatments Free or subsidized
• Model High patient volumes, Donations
• Rural reach 39 telemedicine centers (with ISRO),
  coronary care units
• Yeshasvini health insurance program (with Govt of
  Karnataka)

• Comprehensive Leprosy Care Association
• Set up by Novartis Foundation in 1989
• Provides patients access to treatment
  disability management
• Facilitates physical social care
• Rehabilitation of leprosy patients
• Program has covered 4 states of Goa,
• Benefited around 17K patients

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Our Strategy

• As a global citizen, Pfizer contributes
• positively to society in ways beyond medicine.

Medicines Services
Treat
Education Outreach
Teach
Infrastructure
Build
Serve
Social Advocacy
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Mobilize Against Malaria
Partnering with local partners in Senegal, Ghana
and Kenya to close malaria treatment and
education gaps
Treat
Increase the number of patients receiving prompt
and appropriate malaria treatment
Trains health workers to improve diagnosis,
treatment referral supports community
education and mobilization campaigns
Teach
Build
Enhances treatment effectiveness of informal
public sectors
Partners with University of London to evaluate
effectiveness interventions shares learning with
Ministries of Health other stakeholders
Serve
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Diflucan Partnership Program
Donating Diflucan in 59 developing countries
totreat fungal infections associated with AIDS.
Provides Diflucan to organizations that treat
HIV-positive patients with life-threatening
fungal infections
Treat
Trains health workers in diagnosis treatment of
opportunistic fungal infections
Teach
Build
Inventory management training with pharmacists
Supporting industry collaboration on access
www.accesstotreatment.org
Serve
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Global Health Fellows
Deploys the companys most valuable asset our
people to address public health challenges in
the developing world
Treat
Distributes medicines resources to
organizations patients
Trains supports on-the-ground partners to
improve education prevention strategies
Teach
Trains health workers in front-line back-office
areas tostrengthen health systems
Build
Transfers knowledge, expertise best practices
to organizations while helping them influence
policy patient advocacy
Serve
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Pfizer-Grameen Partnership

• Explore sustainable healthcare delivery models
  for developing world
• Grameen Healths Kalyan clinics 38 (existing) -
  Rural Bangladesh
• Low-cost micro-health delivery insurance
  programs
• Partnership focus areas
• Analyze ways to expand improve programs at
  clinics
• Review operating efficiencies scope of services
• Future Plans
• Identify appropriate business models that can be
  replicated in other countries

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Pfizer India Healthcare Initiative

• Mother Child Healthcare Project
• Rural Haryana (41 villages)
• Partnership with Arpana Trust
• Program into its 6th year
• Education ante-natal care, post-natal care and
  sanitation
• Self-help groups, micro-credit groups empower
  women
• Increased awareness witnessed
• 20 reduction in low birth weight babies
• 94 coverage of ante-natal check-ups
• 20 jump in institutional deliveries

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Way Forward
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• Resources guided by better investment
  opportunities

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• Engage all stakeholders in design and
  implementation

Imperatives
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• Agree on expectations between partners at the
  start

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• Needs assessment to build capacity for
  implementation

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• Remain focused on outcomes

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• Lets Work Together for a
• Healthier World!
• 
  Thank You

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