Posts Tagged ‘1298’

Photo of the Week from Yehia Houry, Acumen Fund Fellow

Wednesday, August 18th, 2010

Photo Credit: Yehia Houry

Most people know about Dharavi, the largest slum in Asia: National Geographic documentaries, Blockbuster movies, “Reality” slum tours, Harvard case studies, you name it. But how many have heard of Pratap Nagar, Golibar Rd, Mahim Creek, and Kamathipura? All slums in Mumbai which remain unnoticed to the outside world.

With 55% of the city’s population living in slums, which barely cover 5% of the city’s land, these jam-packed communities are subject to many problems, affecting water, sanitation, hygiene, housing and electricity, to name just a few. These poor human living conditions and an absolute lack of basic services make people much more prone to diseases and accidents.

That’s why Dial 1298, one of Acumen’s investees in India and the first reliable ambulance and emergency medical response service in India, has initiated a pilot program for a community of 50,000 people in Kamraj Nagar, one of the many ‘forgotten slums’ of Mumbai. With the help of our two partners, SNEHA, an organization that empowers women and children within slum households, and LIHS, experts at providing life support and EMS education in emergency situations, we are providing emergency health training for young community leaders in the slums, and will soon start placing ambulances locally for awareness and education. This project, whose initial research was conducted by Acumen Fellow Joanna Harries, will pave the way to a cost-effective customized BPL (below the poverty line) marketing plan that would be financially self-sustainable.

This picture was taken during one of our trainings, when a little girl saw the commotion around the bright yellow ambulance and decided to join in the fun. The 1298 poster behind her was actually grabbed from my bag and put up on the door by one of the health center volunteers who got really excited at the prospect of finally having a reliable ambulance service in her community.

The harsh infrastructure conditions in these slums do make me realize just how difficult it is for an ambulance to reach a patient within the “golden hour”, the span of time crucial for his survival. But I would like to believe that having a vehicle parked closer to the community and conducting as many emergency training sessions as we can afford to, coupled with a customized marketing campaign aimed at creating a paradigm shift in people’s minds about a reliable ambulance service affordable to everyone, will make a difference. We are off to a slow, but steady, start.

Yehia Houry is a Class of 2010 Acumen Fund Fellow who has spent the past 9 months in Mumbai working with Dial 1298.

Saving Power and Saving Lives, At Scale

Tuesday, June 22nd, 2010

Dial 1298 India

May is one of the hottest months in India.  The sun beats down relentlessly as the country waits for the monsoons to bring some relief.  This May, however, one enterprising company was prepared to take advantage of that overpowering sunlight.  Ziqitza Healthcare, an Acumen Fund investee that operates ambulance services in several regions of India, recently launched 25 new ambulances with roof-mounted solar panels in Trivandrum district in the southern state of Kerala.  It can now put the sun to use in saving more lives.

This innovative fleet of ambulances is the outgrowth of a pilot initiative that Ziqitza undertook in 2008, in my final days as an Acumen Fellow with the ambulance service.   Striving to make its life-saving emergency medical services more accessible to the base of the pyramid, Ziqitza experimented with mounting a solar panel on the roof of one of its ambulances in Mumbai.  I had the privilege of documenting the early days of this initiative, and was eager to hear about its progress when I made a recent return visit to Mumbai.

I caught up with Radheesh V., Ziqitza’s Head of Operations and the person who got the first solar ambulance up and running.  According to Radheesh, this innovation offers several advantages to the ambulance service:

  • Cost savings:  Ziqitza’s life-support ambulances carry a range of advanced medical equipment on board.  When used, this equipment drains the ambulance’s battery.  After a call, the ambulance crew often has to drive the ambulance around to recharge the battery.  This wastes expensive fuel, which is one of the primary operating costs of the service.  Ambulances that have been idle for several days must also be driven around to keep the batteries charged.  The solar panel reduces the ambulance’s fuel consumption; Ziqitza’s rough estimates indicate that the panel could pay for itself within one to two years.
  • Reliability:  Ambulances that stand idle for several days may not start immediately due to drained batteries, creating problems in the event of an emergency call.  A solar panel eliminates this operational risk, allowing Ziqitza to offer even more reliable life-saving services.
  • Environmental benefits:  By reducing emissions from fuel consumption, solar ambulances are more eco-friendly, an innovation which can appeal to state governments and other partners.  In recognition of these benefits, Forbes.com featured the pilot solar ambulance as one of ten “Eco-Friendly Innovations”.

Ziqitza’s positive experience with the pilot ambulance has paid off.  After the company won a government contract to operate emergency services throughout Kerala, it had to provide technical specifications for the ambulances to the state government, which purchases the vehicles.  Among Ziqitza’s specifications for the first set of 25 ambulances was a solar panel mounted on each roof.  The state government followed through on this request, and Trivandrum district is now benefitting from lower cost, more reliable, and greener life-saving ambulances.  I was thrilled to hear that what began as an experiment in reducing costs is beginning to achieve real scale in India.

This successful story of scaling up an innovation illustrates a broader point about the advantages of working at the BOP.  The imperative of reducing costs to make goods and services more accessible to low income consumers can drive companies to experiment in new and creative ways.   The innovations that are generated are beneficial not only to the BOP; they can also offer advantages to firms and consumers in wealthier markets.  Ziqitza’s innovative application of solar technology should serve as inspiration to companies elsewhere that are seeking new ways to gain a competitive advantage.  And hopefully it will encourage others to develop new and creative applications for energy-saving technologies.

Chris Walker was an Acumen Fellow working with Ziqitza Healthcare in the Class of 2008. He is now Senior Associate of Innovative Finance for the Global Alliance for Improved Nutrition (GAIN).

AF Fellows: Everday Barriers

Wednesday, October 28th, 2009

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.

News Round-up: MAGNUM in Motion, LifeSpring, D.Light, design thinking

Wednesday, October 21st, 2009
  • 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.

Investee News: Dial 1298 and D.Light Design

Wednesday, August 5th, 2009

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.