Improving the standards of primary care for low-income populations accross India
Project details
Low income patients in India today face three challenges when trying to avail primary care services. From limited geographical access, to their inability to afford treatment, to poor quality of care. To provide a solutio, KOIS is supporting a foundation in defining innovative finance mechanisms that can support and expand quality primary care in India.An issue of accessibility, affordability and quality
In India, low-income patients trying to access primary care services first face an issue of accessibility. There is a clear shortfall in centers presently available. The number of primary health centers and sub-centers presently functioning are respectively 22% and 18% lower than the number required to adequately cater to India’s need.
The second challenge lies in the ability of patients to afford treatment. Patients are almost ~3.5 times more likely to visit a private clinic for their primary needs. However, in such clinics, they spend ~2x the amount they would at primary centers. All in all, patients end up spending a large amount of money out-of-pocket to avail basic healthcare.
Lastly, the quality of primary health services at centers is lacking. This is due first to gaps in human resources (~25% of primary health centers don’t have doctors). However, centers also face issues with drug supplies and an absence of an outcome focus.
Terms of the bond
Launch
TBD
Duration
5 years
Amount
$ 10-15M
Creating impact for primary care providers & patients with a Development Impact Bond
An innovative finance instrument supporting service providers has the potential to create an immense amount of impact. In this context, KOIS is supporting a European foundation to landscape business models and opportunities. As part of our research, KOIS evaluated multiple innovative models and players who are either delivering primary care directly or supporting the delivery of better care.
Summary of opportunities identified for types of low-cost primary care clinics
- Opportunity identified: Results-based financing mechanism to support a programme focused on Non-Communicable Diseases (NCDs) such as hypertension and diabetes
- Expected impact: Better management of NCD indicators of target patients
- Opportunity identified: Outcome-linked grant to support scale-up of provider network
-
Expected impact: Efficient, uninterrupted delivery of low-cost primary care services
Finding the right partners
KOIS is now engaged with multiple for-profit and not-for-profit players. These work either independently or with different government agencies to deliver high quality care services to low-income patients across India. We are now evaluating opportunities to support these providers through different innovative financing instruments. The aim of these will be to solve their financing challenges and ensure regular, uninterrupted service delivery.
The increasing penetration of internet services in rural India and rising smartphone adoption will bring new innovative models and players. Namely, in the are of primary care delivery. These players can rapidly scale across large sections of the population and deliver substantial impact
Discover our other projects
Impact Expansion: investing to tackle social exclusion, healthcare challenges and climate change in Europe
Impact Expansion was founded in 2022 through a covenant of partners from KOIS and Milestone. On the strength of their expertise in impact investing with a strong buy-and-build track record, the fund invests in companies during their growth stage in 3 focus sectors: Healthcare, Education & Employment, and Environment.
Club deals: since its inception, KOIS has initiated and managed a number of impactful club deals
KOIS and Quadria capital co-founded HealthQuad in 2016. Since then,
HealthQuad has become India’s leading Healthcare Focused Venture Capital Fund. The fund typically invests in early stage companies with a high disruption potential in the healthcare industry. HealthQuad aims to contribute to improving affordability, accessibility and quality of healthcare services in India while generating attractive returns for investors.
Multi-country Social Outcomes Contracting to tackle unemployment in Europe
European Union Member States have been confronted with the challenge of unemployment for several decades with relatively similar characteristics. Seeking innovative approaches to tackle this common issue, KOIS has supported the European Investment Advisory Hub (EIAH), in testing the preliminary feasibility of a Pan-European Social Outcomes Contracting (SOC) scheme. In this study, we explore the potential benefits and hurdles of a multi country Social Outcomes Contracting in three pilot countries, France, Belgium and the Netherlands.