Sehat Kahani Rural Micro-Entrepreneurship Program
Sehat Kahani develops the technical and managerial skills of local female healthcare providers/micro-entrepreneurs in the rural Pakistan
I confirm that I am fully aware of the eligibility criteria, and based on its description, I am eligible to apply to the CSV Prize 2017.
Scaling (the solution has passed the previous stages and is growing its impact on a regional or global scale)
Annual budget in 2017 (USD)
Number of beneficiaries impacted so far
Secondary Focus Area
Headquarters location: Country
Headquarters location: City
Location(s) of impact
Pakistan: Karachi [Sindh], Khyber PakhtunKhuwa, Punjab, Balochistan
Problem: What problem is this initiative trying to address?
Pakistan struggles to provide basic healthcare to 51% of its total population. Additionally, inadequate distribution of medical specialists, and poor infrastructure of roads and transport make it even more difficult to provide health care in remote areas. WHO (2015) estimates a current nursing and midwifery density of 5.7/10,000 population- clearly insufficient to meet needs. In rural areas where clinics do exist, they are often ill-equipped, giving rise to high mortality rates and low quality of healthcare services.
Solution Summary: What is the proposed solution? What do you see as its most promising aspects for creating shared value?
Sehat Kahani trains and develops existing CHWs within communities and converts them into “micro health entrepreneurs” in e-hubs and e- spokes to provide ICT enabled health care services via qualified female doctors. They are provided with capacity building, leadership, refresher medical protocols, peripheral point of care diagnostics tools and service delivery training and guidelines. This strategy empowers them to earn additional revenue and champion their communities to become more empowered.
The trained community health worker (CHW), connect the patients at the clinic to the remotely located medical professional using the technology. As residents of the local community, they can provide medical attention without cultural or linguistic barriers. These CHWs who are instrumental in bridging “demand” with “supply” should be supported in becoming a new generation of micro-entrepreneurs, bringing millions of rural Pakistanis within the fold of affordable and professional healthcare.
Impact: What is the impact of the work to date? Specify both the social and the environmental impact of your work
Our biggest impact till date is that we were able to provide training and build capacity of 1,000 community health workers as micro-entrepreneurs. These Community health workers are now engaged and deployed across our 14 telehealth clinics [e-hubs] and 20 e-spokes based in marginalized rural areas across Pakistan. These trained community health workers have been able to successfully provide tele-consultation [supervised by home based female doctor/specialist] to 40,000 beneficiaries and provided health education and awareness on door to door basis to 400,000 beneficiaries who have been devoid of health access in the past.
Financial sustainability plan: How is this initiative financially supported? How will you ensure its financial sustainability long-term?
Sehat Kahani deploys a sustainable business model. Our business model is mainly both B2B and B2C. Our revenue stream includes service provision at our centralized E- Hubs, E- Spokes, Value Added Services and corporate sponsorship . The CHW micro-Entrepreneurship program is based on a 70/30 revenue share model based on the services they have provided to rural beneficiaries post training and while availing Sehat Kahani digital platform.
Breakup of our Budget Source
1. Individual donations or gifts- 5%
2. Grants- 30%
3. Corporate contributions- 40%
4. Earned income
Unique value proposition: What makes your initiative innovative? How does your project differ from other organizations working in the same field?
Unlike our competitors, we are utilizing ICT and E-blended learning programs to build capacity of rural CHWs. Our innovative strategy will enable and empower the lower-skilled healthcare providers, who serve as the primary point of contact for their community members, to connect patients with available specialist skills that can be tapped using ICT. If successful, this model can considerably expand “inclusion” of remote and rural communities in a quality healthcare system.
Founding story: Share a story about the "Aha!" moment that sparked the beginning of this initiative.
During my medical tenure, I came across patients that were in need of health care but they were not properly treated because of untrained female health workers at community level. I soon realized that my purpose in life was to find a path to serve the marginalized and the health workers in a way that not only empowered me as a female but also millions of females out there who need a helping hand - a hand which can guide them and allow them to fully avail health services as a basic right. I was passionate to create safe spaces for women to work and access health services without the societal pressures. I also knew that the value of human life, regardless of geographical location, socio-economic status, or education should always remain high and level. This enabled me to co-create a digital platform that addresses two market failures; employment opportunities and access to services
Where did you hear about the Nestlé Creating Shared Value Prize?