By Katie Hill and Biju Mohandas
The Acumen Fund India team is spending the day with three of our healthcare investees LifeSpring, 1298 and VisionSpring thinking critically about how to better understand and serve their customers through customer relationship management (CRM) strategies. In this case, the customers we are talking about are diverse — an expectant mother earning daily wages in Hyderabad; an accident victim on the streets of Mumbai who urgently needs medical care; a tailor in rural Andhra Pradesh who can no longer see her thread and, therefore, no longer earn her livelihood. For these social enterprises, understanding and delivering value to their customers is vital not only to achieving profitability, but also to ensuring social impact.
This two-day workshop is being led by Dr. Dipankar Chakravarti, the Ortloff Professor of Business at Leeds School of Business, University of Colorado, Boulder. He has generously dedicated his time and expertise to introducing frameworks for understanding various aspects of customer relationship management to these companies. Today, he led the group in real-time exercises that should result in a more strategic incorporation of CRM into their activities be they maternity & child healthcare, emergency ambulance services and the provision of quality eyecare products for low-income communities. Meanwhile, the Acumen Fund India team is fervently absorbing lessons that may be applicable to our other portfolio companies.
We will have much more to share in a few days, once we have seen the outputs of these CRM exercises. First, let me share a few initial insights:
Marketing Entropy
Dr. Chakravarti began with the provocative notion that, left to themselves, most firms priorities and processes tend to deteriorate toward treating their customers badly. Without even trying, firms put their priorities first and, in return, erect customer acquisition barriers, lower customer exit barriers, and dehumanize relationships. If this is indeed a trend, then our social enterprises need to be aware of this as they scale.
How is CRM different for social enterprises?
Traditional CRM strategy looks to measuring the lifetime economic value of a customer (through the net present value of the profits you will earn from that individual) and prioritize the highest value customers. Dr. Chakravarti challenged us to think about whether this is applicable to social enterprises that may have other priorities beyond profit maximization.
Anant Kumar, the CEO of LifeSpring, emphasized that we need to apply this same level of rigor to social enterprises, but evolve the analysis to think differently about the traditionally unprofitable customer. An expectant mother who cannot afford even the significantly reduced cost of childbirth in LifeSpring may be unprofitable by this analysis, but, has to be cared for by Life Spring and she may even lead to many profitable customers.
Are BoP customers different? Yes and no.
The CRM exercise rests entirely on understanding your customer. At Acumen Fund, we often emphasize that, in many ways, a base of the pyramid (BoP) customer is no different than you and me, in terms of what they value. They are aspirational. They value quality, status, and aesthetics. But, how is consumer psychology different when we are targeting the poor?
A few examples emerged today. First, BoP customers’ time-oriented thinking can be completely different, and he may not be able or willing to pay more today in order to save tomorrow (e.g., buy higher-quality, durable VisionSpring glasses and avoid paying for replacements in the future). Second, in BoP markets, the customer can be different from the person paying for the good/service. For LifeSpring or 1298, payment is often rendered by a husband or the collective family unit, which changes the dynamic of how the company targets its customers. These are two of many examples that should keep us thinking about what is universal to all consumers and what is a result of socio-economic and cultural factors.
In the next 36 hours, as LifeSpring, 1298 and VisionSpring go through rigorous exercises designed to understand and satisfy their customers better, we at Acumen also hope to learn and share some exciting insights. Watch this space for more.

Katie,
Good article…looking forward to more articles on this topic.
I have few questions though, did this workshop cover ways to collect customer feedback and are traditional methods of collecting such feedback even applicable, e.g. surveys, feedback forms, follow up calls once service is rendered, etc…
How do the 3 enterprises plan to incorporate the learnings?
Thanks
Reply to PremalPremal
It is wonderful that Acumen is doing this exercise. With one of our partners (IFMR Trust) we are working hard to get to a notion of Customer Wealth and to find a way to incentivise the finacial services arm of the Trust to provide services in a way that enchances that Wealth over time. Our thought is to actually hold the front-line relationship manager directly accountable (in terms of bonuses and performance evaluation more generally)for this improvement in Wealth. Any thoughts that emerge from your training programme would be more than welcome.
Reply to Nachiket MorThank you both for your insightful comments.
Premal,
These are great questions. You are right, collecting customer input can be even trickier with early-stage companies with limited bandwidth, serving low-income consumers. But listening to your customers is all the more critical. For example, 1298 makes follow-up calls to all customers 7 days after their ambulance trip to collect feedback. In addition to gathering relevant patient data and feedback, LifeSpring collects socio-economic data (education level, type of employment, etc) on the expecting mothers in their hospitals, in order to best understand the context facing their dynamic target market.
A big lesson for me was thinking about how to practically and cost-effectively incorporate CRM into your business. In this recent CRM workshop, Dr. Chakravarti emphasized that the technology platform for CRM systems are often the least important and easiest to screw up. In Scojo Foundation, for example, there are infinite data points that would be useful to know about the rural 35+ year olds that buy their reading glasses. The challenge is how to incrementally build in mechanisms that collect the most vital data to tell you if you are truly bringing value to your customers.
Nachiket,
Reply to Katie HillThank you so much for your thoughts. You raise a very good point about how to best to ensure quality service from their people who interact most with our customers—the 1298 ambulance drivers, LifeSpring nurses and VisionSpring Vision Entrepreneurs. There are the people who will make all the difference in whether your BOP customer (or any customer for that matter) walk away satisfied. We discussed training programs, incentive schemes and company culture as key components to maintaining a customer-centric front-line. We are compiling the big insights from the CRM Workshop and will definitely be sharing more.
Hi
The idea of advancing CRM for social enterprises is a nice one and as in any business a good word from a satisfied partner or a customer does a lot more than any amount of marketing.
It’s true as you say, left to their own devices businesses wouldn’t really care about customers. It’s competition that makes businesses take CRM more seriously.
Reply to Software Vendor