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At admission, LifeSpring provided us with a rate estimate and at discharge, we paid the same amount. We were really happy not to pay anything extra… from ayah to nurses, receptionist to doctor, everybody took a lot of care of my daughter and her baby”
 
 

Maternova: India’s maternity hospital chain for lower-income families

July 28th, 2009

LifeSpring is a network of Maternity and Child Healthcare hospitals that provide vital reproductive and pediatric healthcare to low and lower-middle income people in urban and peri-urban areas, with a focus on delivering high quality, low-cost services to women and children in slum areas. This is a joint venture between Acumen Fund and Hindustan Latex Limited, a public sector company in India. Its model rests on building a chain of 30 small hospitals (20-25 beds) across India. The rates charged by LifeSpring Hospitals for general ward patients are less than one-third the market rate for normal deliveries and half the rate for caesarian deliveries. Each hospital has the capacity to serve nearly 10,000 low-income patients every year. LifeSpring also expects to provide outpatient services to more than a million people over five years. By improving patient outreach and the quality of care available, LifeSpring’s goal is to significantly increase hospital-supervised deliveries and to reduce maternal and child mortality and morbidity rates in the communities that it serves.

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Sreemantham ceremony

July 11th, 2009

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Pic is of the Dr’s talk at the ceremony                                                                      The U.S. volunteers on the top row, and the

LifeSpring marketing team on the bottom row,

me, Sukriti, Sudha and Tricia

Today I co-managed a big marketing event at the newest LifeSpring Hospital that opened just 10 days ago.  The event was hosted in the hospital and it was the hospital’s debut event to the community. The event was a community health camp and a Sreemantham ceremony.  Sreemantham, is a Hindu ceremony, like a bridal shower, that is hosted for pregnant women in their 7th or 9th month of pregnancy.   A large free community event, such as a public bridal shower and health camp are a great way for the LifeSpring to give prospective customers  a preview of their services.  At the health camp LifeSpring offers free patient consultations, a health talk, as well as free medicine.  This camp was particularly special because we had a group of 6 U.S. volunteers that helped us market the event to the community this past week.  It was also the first time LifeSpring had hosted a Sreemantham ceremony.  I planned out the camp and Sreemantham event and created a marketing plan for it.  I also was in charge of managing the volunteers for the week, which was fun. We tried some new marketing tactics, working with government health workers to spead word about the event. It was a huge success!  Typically a health camp enables the hospital to identify 10-15 prospective customers.  At this event we identified 43 new  pregnant women in the community near the hospital.  Women came with their children and mothers and mother-in-laws–an all women event, in a lot of ways similar to a bridal shower.  The new hospital had been very empty during its first 10 days.  It was so exciting to see the hospital over-flowing with people today.  Our marketing tactics worked, and the event has helped LifeSpring identify a lot of new patients, who will help to cover the hospital’s overhead as the hospital builds its patient base.  I’m absolutely exhausted as I was running around all day directing things, but I feel really happy that I’ve successfully carried out this event and have helped bring a lot of new customers to LifeSpring’s newest hospital!

For Acumen Fund, ROI = Profits + Social Impact

August 11th, 2008

The New York based Acumen Fund is a non-profit venture fund that invests in businesses that have a social and economic impact. It will invest in companies providing affordable, critical goods and services in sectors such as health, water, housing and energy. The geographies it focuses on are South Asia and East Africa, besides the US. Since it set up shop in India a couple of years ago, the fund has made equity investments in Kochi based ayurvedic chain, Ayur Vaid Hopsitals, Hyderabad-based LifeSpring Hospitals, Mumbai-based ambulance start-up service ‘Dial 1298 For Ambulance’, and Drishtee, a rural communications company. Acumen does not believe in a profit maximisation model and would invest only in businesses that benefit people socially.

They generally don’t invest at the idea stage, and also try and stay away from pure technology plays. They want to diversify into agriculture and nutrition in India and are scouting for investments in these sectors. They typically invest between $500K-$2 million in companies. Being a non-profit venture fund, it is often dificult to find companies catering to low income markets and matching the requirements of the fund, Varun Sahni, India portflio Director, Acumen Fund India, said in an interview to VC Circle. Prior to Acumen, Sahni has worked with both for-profit and not-for-profit organisations focusing on enterprise creation across India. He has also been an angel investor in a number of companies in the hospitality aervices, food and beverage sectors. Excerpts: The New York based Acumen Fund is a non-profit venture fund that invests in businesses that have a social and economic impact. It will invest in companies providing affordable, critical goods and services in sectors such as health, water, housing and energy. The geographies it focuses on are South Asia and East Africa, besides the US. Since it set up shop in India a couple of years ago, the fund has made equity investments in Kochi based ayurvedic chain, Ayur Vaid Hopsitals, Hyderabad-based LifeSpring Hospitals, Mumbai-based ambulance start-up service ‘Dial 1298 For Ambulance’, and Drishtee, a rural communications company. Acumen does not believe in a profit maximisation model and would invest only in businesses that benefit people socially.

They generally don’t invest at the idea stage, and also try and stay away from pure technology plays. They want to diversify into agriculture and nutrition in India and are scouting for investments in these sectors. They typically invest between $500K-$2 million in companies. Being a non-profit venture fund, it is often dificult to find companies catering to low income markets and matching the requirements of the fund, Varun Sahni, India portflio Director, Acumen Fund India, said in an interview to VC Circle. Prior to Acumen, Sahni has worked with both for-profit and not-for-profit organisations focusing on enterprise creation across India. He has also been an angel investor in a number of companies in the hospitality aervices, food and beverage sectors.

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Guest Post: Healthcare and India's Low Income Market

July 14th, 2008

In the middle of June, Acumen investee LifeSpring opened its second low-cost maternity hospital in a peri-urban area near Hyderabad. They plan to have six hospitals opened by the end of 2008, and by the time this post goes live, they will have launched their third hospital in Nellore, a small town in southern Andhra Pradesh.

As LifeSpring and other Acumen Fund investees slowly and steadily gain scale, we have started asking broader questions about healthcare for the low-income market. Mainly, we want to understand the major gaps and bottlenecks to providing healthcare to the low-income market in India and how these issues can be overcome. The India office is presently working on a status report of the healthcare sector in which we are trying to understand the challenges of the industry for our target market. What follows is a brief summary of our understanding thus far. Your feedback through questions, comments, nudges, pointers and criticism are appreciated.

Simply put, healthcare for the poor seems to have three central challenges: affordability, availability and quality. Effective, viable solutions will need to address all three issues.

A scalable and sustainable micro health insurance model will probably rank as the highest value intervention to address the issue of affordability, especially in a country like India where, according to India’s National Health Accounts, an estimated 72 percent of healthcare expenditures are out-of-pocket. The idea of pooling risk to prevent unexpected health shocks from forcing a family further into poverty is intuitive and micro health insurance has been in India for some years now.

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A business plan to make pregnancy safer

July 9th, 2008

India successfully test launched a ballistic missile last week that could strike Beijing on a moment’s notice. Yet, 120,000 women here die annually giving birth.Lifespringmom

How does a country with the technology to produce nuclear weapons and launch ballistic missiles also have  the highest maternal mortality rate in the world? It’s 10 times higher than China’s.

LifeSpring Hospitals Ltd. aims to make a dent in India’s abysmal maternal and infant mortality rates by providing high quality care at affordable rates to lower middle-class women. The chain of maternity and children’s hospitals officially launched last year and has the ambitious goal of operating more than 30 hospitals in three years.

(I’m volunteering at LifeSpring’s corporate office in Hyderabad for two months before heading to grad school.)

LifeSpring charges about $40 for a normal delivery and a two-night stay in its general ward. A private room costs $120. LifeSpring promises its families, who earn about $2 to $4 a day, they won’t be inundated with unexpected costs. The prices are posted on the waiting room wall.

LifeSpring isn’t a charity. This is a for-profit business that believes making money is the only way to guarantee a sustainable future.

Anant Kumar, the company’s founding CEO, told me he wanted to run a company with a social mission, but didn’t want to be constrained by unreliable charitable donations or inflexible grant funding. Too many good projects start and then die, he said, when a grant isn’t renewed. Or directors become so focused on meeting grant conditions that they forget the project’s mission and needs of the population.

LifeSpring is an interesting company for many reasons, starting with its initial financing. Hindustan Latex, LLC, a government business that makes condoms, and Acumen Fund,a nonprofit venture philanthropy firm, provided start-up funding.

Like Google and Ebay, New York-based Acumen takes a different approach to philanthropy. The fund invests in for-profit social enterprises around the world.

 

From Acumen’s Web site: “We believe that pioneering entrepreneurs will ultimately find the solutions to poverty. The entrepreneurs Acumen Fund supports are focused on offering critical services – water, health, housing, and energy – at affordable prices to people earning less than four dollars a day. … The key is patient capital.”

Read more about Acumen here.

Increasing rates of childbirths in hospitals is a key strategy to lowering India’s maternal and infant mortality rates. India provides free health care at its government hospitals, but they are dreadfully overburdened, outdated and inconvenient for many people.

This is the niche LifeSpring aims to fill. The small hospitals are a hybrid between an outpatient clinic and small inpatient unit with 20 to 25 beds. To keep costs down, the hospitals outsource pharmacy and other services, refer out complicated cases, and offer few frills. But the hospitals are committed to meeting strict international quality guidelines.

The hospital’s quality policy states: “We at LifeSpring Hospitals: Realize that our customers have expectations from us; Believe in exceeding those expectations; and Doing it better every day.”

When I told Kumar about the 46 million Americans who lack health insurance and struggle to afford the rising costs of health care, he jokingly said he sensed market potential.

Maternity ward lesson

July 9th, 2008

LifeSpring

The staff and doctors at the LifeSpring hospital told me that they have to do exactly three things:
1. Realize that their customers* have expectations
2. Exceed those expectations
3. Do better at it every day

That’s as good a marketing plan as I’ve heard in a while.

(notice that they didn’t say ‘patients’)

By Seth Godin

Can a Hospital Be a Breakthrough Innovation?

May 28th, 2008

LifeSpring FamilyLifeSpring’s maternity hospital outside of Hyderbad, India, is full of surprises. While the building is simple, and the maternal services they offer are low cost, the facility is immaculate and the quality of care is world-class. Expectant mothers dot the waiting room, along with their mothers or mothers-in-law, who do most of the talking. New babies gurgle, smile, cry and sleep. The energy in the halls is palpable.

I first visited LifeSpring on Mother’s Day, where, as part of a free vaccination offering, the hospital sat new mothers and their families for photographs. Later that week, I visited with LifeSpring manager Anant Kumar and Acumen Fund Fellow Tricia Morente.

LifeSpring addresses a powerful and daunting problem. Fewer than half of Indian women are cared for by a skilled attendant during childbirth, and the chances, over a lifetime, of an Indian woman dying due to complications in pregnancy and childbirth are 1 in 70.

Mr. Ayyapan, the Chairman and Managing Director of Hindustan Latex Limited – a large Indian public sector company – and his team created LifeSpring to address this problem. Acumen Fund then joined in as a 50/50 joint venture partner to help take the concept to scale.

Lifespring’s maternity care hospitals offer a low-cost alternative to public clinics, which are free but often low quality. At LifeSpring, expectant mothers pay 1500 rupees (about US$35) to deliver a baby. This price point seems to make sense, and Mr. Kumar told us that the mothers typically decide based on quality of service, and the fathers based on price. The opinion that prevails will often depend on the education level of the mother.

Already, LifeSpring’s occupancy ratio has surpassed its targets, with more than 1500 customers coming in per month, and there are plans to build 5 more small, 30-bed hospitals before the end of this year.

At AcLifeSpring Familyumen Fund, we talk a lot about looking for “breakthrough innovations.” What does this mean? The iPhone is a breakthrough innovation – fancy, high-tech, and paradigm-breaking. But what about a small, simple maternity hospital on the outskirts of Hyderabad?

Innovations – regardless of sector or target market – begin with an insight. In LifeSpring’s case, the insight was that the free care offered by India’s public hospitals was not good enough. Ayyapan and Anant’s innovation was to create a hospital with world-class care (LifeSpring is ISO 9001 certified) at a price that poor people can afford. Since the economics are working well, the innovation is poised to scale: one hospital today, 5 planned by the end of this year, and hopefully 50 or more in the years to come.

But the surprises run deeper than this first insight. For instance, Tricia Morente (an Acumen Fund Fellow spending this year working with LifeSpring) had explained to me that LifeSpring calls expectant mothers “customers” and not “patients.” In Tricia’s words, this is because “pregnancy is not an illness.” I smiled the first time I heard this, thinking back to the medicalized pregnancies that have become the norm in the United States (I’m the parent of two children, ages 1 and 4).

I realize now that I didn’t fully understand the power of treating “customers” until I spoke to Anant Kumar. “The first time doctors come into our hospital,” Anant said, “we train them on talking about ‘customers,’ and they maybe get it right 1 out of 10 times. After some time with us, the number jumps up to 6 out of 10 times, and we want it to keep improving. It really means a lot for a doctor, who is educated and from at least a middle-class background, to treat poor people with this kind of respect.”

Respect. We talk every day at Acumen Fund about how treating poor people as customers forces an organization to treat them with respect and dignity, and to listen to their needs. To be reminded of this lesson by the head of one of the enterprises we invest in was humbling. Kumar said that he sometimes thinks it would make more sense to recruit nurses from the hospitality industry (hotels and the like), because it may be easier to teach nursing skills than it is to teach good service! And while he was saying this, I couldn’t help thinking of the hospitals I’ve been to in the United States, and how scarce a commodity dignity is once you put on a hospital gown.

Putting dignity at the center of high-quality, low-cost maternal care in a 30-bed hospital outside of Hyderabad? Now that’s a breakthrough innovation.

Celebrating Mother’s Day at LifeSpring Hospital

May 17th, 2008

To celebrate Mother’s Day, LifeSpring Hospital held its first health fair last Sunday, providing free check-ups, health education, and fun activities to local women and their families.  The women’s and children’s hospital was decked out with Mother’s Day signs, balloons, and streamers, which matched well with all the smiles from our staff and customers.

We provided free vaccinations to children, as well as free ante-natal checkups to mothers-to-be.  Upstairs, our nurses and outreach workers manned the health fair, which consisted of general check-ups, health education around women’s health issues (including maternity and diabetes), and children’s games.

By far, the biggest hit of the event was the “portrait studio” and the free family pictures we provided our guests.  John (aka photographer extraordinaire) gave a preview of this in the previous blog entry.  Passionate volunteers were out in full force, taking family photographs, being on baby smile patrol, printing pictures, and making sure everyone was having fun (Thank you Sarah, John, Tyler, Eleonora, Theresa, and Aparna!)

While we tend to take baby pictures for granted, these are beyond the reach for many of LifeSpring’s customers.  I’m sure these pictures will be prominently displayed in their homes for years to come.  With the LifeSpring logo attached to them, this is an example of a marketing initiative that reinforces the LifeSpring brand and delights our customers.  With over 500 photographs taken, that’s a lot of smiles!

Family portraits at the Lifespring Hospital Mother’s Day Fair

May 11th, 2008

Family portrait

Find more Lifespring family portraits here.

Making LifeSpring Come Alive

April 7th, 2008

The following is a guest post by Jason Ye, a MD/MBA student at Columbia University and an InSITE fellow alongside yours truly. Jason visited India during his spring break on a project organized by Columbia’s International Development Club and worked on pro bono consulting project with LifeSpring Hospitals. Go here for a post on this venture to provide affordable medical care to women and children. While Jason’s work must remain confidential, he was able to reflect on his experience during his work with this great organization.

I had always wanted to visit India, but never thought that I would go for at least another 15 years. When I fortuitously stumbled upon the opportunity to work with LifeSpring, a maternity hospital in Hyderabad, I jumped on the opportunity. It would seem that the entire trip accidentally fell into place. I was able to speak to the client for the first time only a week before I left, just barely got an appointment to get travel vaccinations, got my tourist visa the day before I traveled and bought my plane ticket on the morning my plane left. When I finally arrived in Hyderabad, I still had no idea what to expect. But my experience in India far exceeded any expectation that I could have had.

The first thing that I noticed was the famous Indian hospitality, which was so sincere and gracious that it sometimes made you feel uncomfortable. But besides kind, my hosts at LifeSpring Hospital, a niche provider of low cost, high quality obstetric care, were some of the most passionate and resourceful individuals I have met. Driven by their mission to bring quality health care to patients regardless of their income levels, they are testing the lower limits of low cost health care. A normal delivery costs only $38 USD and a caesarian section costs only $150 USD, a stark contrast to about $6,000 USD and $13,000 USD respectively at a US hospital. Despite the discrepancy in prices, the Indian doctors were as good as any American one; I verified this personally after scrubbing into a caesarian section. Although the facilities cannot compare to a US hospital or the elite private Indian hospitals, it was still much better and safer than the government hospitals.

After days of observations, research and interviews, I arrived at a set of recommendations which I hope will help LifeSpring continue its noble mission. But to some extent, I was the one who benefited most from this pro bono consulting project. LifeSpring’s vision of helping those who are most in need has reaffirmed the reason why I wanted to be a doctor. Its clever business model has taught me that success in entrepreneurship is not determined by capital, but by passion.

Of this I am certain: I will return to India and I will return to LifeSpring.

 
     
 

 

 
     
     
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