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Each year as part of their training in New York, the new class of Acumen Fund fellows is sent out into the city armed only with a $6 metro card, a $5 bill, and their IDs. Their mission is to experience the challenges of obtaining basic services with these meager, minimal resources; in the course of the day, they stand in soup kitchens, visit shelters, and attempt access to medical care. Over the next week, we will be sharing their experiences on our blog. The first comes from Yehia Houry.

After training, Yehia will spend the year working with 1298, the first reliable emergency medical response service in Mumbai and other major cities in India. He has experience as a financial analyst, focused on access to financing for the poor. Yehia holds a Masters in International Affairs from Columbia University.

Waiting in line outside a soup kitchen in some forgotten corner of New York, I look around the courtyard. I am new to this scene and to be honest, I am not really sure how I   ended up here.

The overwhelmingly male crowd is waiting for the doors to open, killing time chatting with their neighbors in line. Some are restless; others are drunk, while some look relaxed, or high. They all look tired.

I notice a curious pattern of activity developing. Every couple of minutes someone walks over to a guy sitting on a ledge, smoking a cigarette. They talk to him for a moment and then receive what looks like a small green ball wrapped in plastic film. I guess I shouldn’t be shocked that drug trafficking would be a pretty common thing here.

Now it is time to eat. Everyone stands up, silently filing through the doors, down the stairs to the basement. There is neither pushing nor fighting; everyone patiently waits for their turn.

“What’s for lunch?” I hear someone shout.

As I sit down, I notice that the meal the man sitting on my right is eating differs from my own. I was pretty hungry, so I just took everything that was being offered. “Why are our dishes different?” I ask.

“I just don’t feel like eating meat today, this is the vegetarian option” he responds, surprising me.

Shortly thereafter, I overhear a conversation between the two guys sitting across from me. “Are you going for seconds? I hear they have enough for us to go back and get some more.”

“No second round for me today, last time I came here I was so full I had to throw out half of it.” This exchange too surprises me.

As I continue eating my plentiful meal, I turn to the man sitting next to me, trying to strike up a conversation, and ask, “Hey, do you know where I can spend the night tonight?”

He stares back at me with a look of disgust and says, not without obvious pride, “I don’t go to shelters, I have my own place.” Again, this surprises me.

Suddenly, the neighbor to my right turns to me and says “Hey amigo, do you want some of this?” I look over to see that he is offering me a bit of the green substance being traded in the courtyard. As I open my mouth to politely refuse, I look down, startled, realizing that what I was staring at - the green ball that earlier I imagined was some kind of drug - is simply hot chili pepper.

Out of the blue, something dawns on me: the reason that I am having a meal punctuated with so many surprises, really many of them minor epiphanies, was because my prejudices were so strong going into the experience

I found myself surprised by peoples’ reactions to my prodding questions, by the thoughtful discussions they carried on with one another - even by their personal bearing - because I had not expected to find dignity in a site as austere as some forgotten soup kitchen, in a far corner of an imposing and massive city.

But of course what I learned at the kitchen is just how tenacious, pervasive, and unexpected dignity can be.

That is, there is dignity that inheres, I learned, in being selective about your meal, wherever you eat it and even if it is given to you for free. There is dignity in refusing to waste food, even if you are often hungry. There is an essential dignity of living in your own home, even if supplying your own lunch is still not possible. And, finally, there is dignity in bringing and sharing your favorite flavorings so that you and your friends can enjoy the meal as you would at your own home.

I just never expected to find such dignity in such a place. How wrong I was.

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  • Interview with LifeSpring’s CEO: You can hear Anant Kumar, the visionary head of LifeSpring, in a podcast in the Social Innovations Conversations series.
  • Kashf on Oprah: Nicholas D. Kristof and Sheryl WuDunn’s new book, Half the Sky, includes the story of a Kashf Foundation client, which they recently shared on the Oprah Winfrey show.

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Dial 1298 for Ambulance CEO Sweta Mangal was profiled on Young Turks on CNBC TV18, India last Friday.  The program profiles young entrepreneurs in India who will be the leaders of tomorrow.


On SocialEdge, CEO Sam Goldman of D.Light Design discusses his recent COO hire, Mandeep Singh, and some interesting revelations from their first trip to the field together.  Is it surprising that their products are also in demand from well off rural villagers?  Read more to learn more from Sam’s trip.


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For those of our readers who will be in India for the next few days, make sure to tune into Young Turks on CNBC which will feature Sweta Mangal, the CEO of Acumen Fund investee - Dial 1298 for Ambulance.

Young Turks on CNBC TV18, India is a program that profiles the young entrepreneurs in India who will be the leaders of tomorrow. The show will be aired on the following schedule and we hope you will be able to catch it.  If you aren’t able to please share with friends and colleagues.  This is a great opportunity to see a true social entrepreneur in action.

The schedule is as follows (all times India Standard Time):

30th July, 2009 (Thursday) - 6:30 pm

1st August, 2009 (Saturday) - 11:00 am

2nd August, 2009 (Sunday) - 12:00 noon

About Dial 1298

Dial 1298 for Ambulance is an initiative started by a group of young professionals with a high degree of social and public commitment with the primary objective of rolling out a nationwide network of Life Support Ambulance Service accessible to anyone, anytime and anywhere through an easy to remember four digit telephone number.

To learn more about Dial 1298 visit their website or You Tube channel.

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A tiny bead of sweat ran down the ridge of my nose.  It reached the end, teetered for a split second, then dropped quietly onto the doctor’s desk.  I sat behind the desk, inside the Vijay Nagar Women of India clinic, which is tucked into a government-built housing project in the Bandra East area of Mumbai.  As the sweat hit the desk, it made a soft splat, and little Natra’s eyes followed it down.  About 3 years old, he seemed pretty interested in the inability of this strange white man to deal with the Mumbai heat – not surprising, all things considered.

Natra and his mother, Surekha, had agreed to take a survey about healthcare administered by Acumen Fund Fellow Joanna Harries and her colleague, Rubina Dsouza.  Joanna and Rubina work for Dial 1298 for Ambulance, a professionally-run, high quality ambulance service run in Mumbai (51 ambulances) and Kerala (30 ambulances). You dial 1298 to get a fully-equipped ambulance with doctor and medical equipment on-board.  1298 is affiliated with the Ambulance Access for All Foundation, whose mission is to provide high-quality service for all Indians, regardless of income. 

But will poor Indians call an ambulance?  That’s what Joanna and Rubina are working to find out.  Service for all is not only a noble goal, it’s good business as well – after all, some 40 to 60 percent of Mumbaikers live below the poverty line, in slums.  If you fail to serve this customer segment, you miss a huge number of calls – and your ambulances can run below capacity.

Effectively serving this market begins with listening, and that’s what Joanna and Rubina are doing.  They have been spending time visiting various Women of India clinics, all of which are located in slum areas, and asking a simple, 5-question survey: what do you do when you get sick?; how do you get to the hospital?; which (if any) ambulances do you call?; why wouldn’t you call an ambulance?; who helps you when you get sick?

Joanna and Rubina and I did eight surveys today, just the tip of the iceberg.  What is interesting is that 1298 takes its commitment to the low-income segments seriously – both in terms of social impact and in terms of business sense.  The company is marketing in a number of innovative ways – tying up with schools, hospitals, train stations, and more.  Slum outreach is an element of their business plan.  Regardless of income level, growing 1298’s customer base is an awareness game – call it marketing, brand management, outreach, whatever – you have to have potential customers know about your service before you earn their business.

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We at Acumen Fund are deeply saddened to learn of yesterday’s terrorist attacks in Mumbai. Our thoughts go out to the victims and their families, our Mumbai-based investees, Fellows and friends and everyone connected to people who have been affected by the attacks. Our personal connection to Mumbai makes the city a home to us, even if we don’t live there.

While watching the TV coverage, I did want to share another feeling of connection, and that was to everyone associated with Acumen-investee Dial 1298 for Ambulance, who have been on the scene and responding to the attacks since they occurred late Wednesday night, as seen in footage on CNN, IBN and other networks.

1298 operates under the ethic of “ambulance service for all.” Per its own policy, it provides free service to all accident and disaster victims - as well as to victims of terrorist attacks. Knowing that a few years ago, the city was so much less equipped to respond to such an emergency underlined the true service that 1298, now with 51 medically-equipped and professionally staffed ambulances, is making to the city where it was founded. We at Acumen Fund feel a great sense of pride, just in seeing how much can be built to change things in a constructive way and in this case, it was due to the hard work of the team at 1298. We thank everyone at the company for the work you do and the ethos of service you hold.

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We’re happy to point out some new content available on Acumen Fund’s web site. 2008 Fellows Chris Walker and Catherine Casey, as well as 2007 Fellow David Lehr have captured the human faces, opportunities and challenges of investing at the base of the economic pyramid.

Ambulances that Save Lives and Save Energy: Chris Walker’s video on Mumbai’s “Dial 1298″ 24×7 ambulance service illustrates how the investment is not just saving lives, it’s also piloting an energy-saving system using solar panels. You can check out the video and learn more about 1298’s impact on its investment page.

Quality Healthcare in Kibera: Casey’s video features Dorah Nyanja, a nurse working in Kibera, Nairobi’s largest slum. She owns a clinic that is part of the Sustainable Healthcare Foundation (SHF), a micro-franchise investment with 64 clinics – including Dorah’s – throughout Kenya. Check out the video and learn more on SHF’s investment page.

Microfranchising at the Base of the Pyramid: David Lehr’s paper provides an in-depth analysis of microfranchising as a development tool. The paper highlights three leading microfranchising organizations that partner with Acumen Fund: Drishtee, VisionSpring (formerly Scojo Foundation) and Sustainable Healthcare Foundation. It’s one of a series of written articles that Acumen Fund has produced about the ways market-based approaches are changing the way we think about poverty alleviation.

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We’re incredibly lucky at Acumen Fund to have friends and allies with their own web sites and/or blogs. It’s humbling to see two of these sites prominently feature our colleagues’ work - in this case, Sasha and Brian make the cut. In case you don’t already read Seth Godin’s blog or ThinkChangeIndia, here are a couple of worthwhile links:

Seth Godin, an Acumen Fund advisor and longtime friend, linked to Sasha Dichter’s moving “In Defense of Raising Money: A Manifesto for Non Profit CEOs.” Personally, I think Sasha did a great job tying together the reality of today’s non-profit sector with a vision for what it might be in 5, 10, 15 years. If you’ve ever fundraised for or donated to a non-profit, read this.

On ThinkChangeIndia, Vinay attended a guest lecture that Brian Trelstad gave at NYU last week. During the lecture, Brian conducted a live case study on Dial 1298 for Ambulance, an Acumen Fund Health Portfolio company based in Mumbai, India. Check out Vinay’s review here (and while you’re at ThinkChangeIndia, browse around - it’s a great site, combining a market-based view of development and an India-centric focus to create solid content every week.)

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