Micro-franchising Health Care in Low-Income Communities

February 14, 2010

I haven’t made a post in a while, but I think that’s about to change.  I have a big list of things I want to write about (i.e. better develop my ideas on) and am optimistic that with midterms coming up, I’ll be utilizing the blog as productive procrastination.

In the meantime though, I wanted to link to an article that basically summarizes a part of my senior essay:

http://www.nextbillion.net/blog/2006/01/11/microfranchise-modes-of-healthcare-delivery

It’s about using a franchise model to expand access to essential medicines, eye care etc.  — a really interesting idea that I’m hoping to evaluate for my senior project.  Check it out.


Acumen Fund Fellows Reading List

February 6, 2010

I just discovered the Acumen Fund Fellows reading list via Speaking of Faith public radio.  It’s an incredible collection of essays from great thinkers on leadership and social change.

The website describes it as:

A collection of readings Jacqueline Novogratz recommends to foster empathy, self-awareness and a business mindset in the Acumen Fellows, who come from around the world. It includes economists as well as novelists, activists and thinkers from an eclectic range of perspectives.

Check it out here.


MLK Day – Inspirational Quotes

January 18, 2010

In honor of Martin Luther King Day, here is a post to the man who dedicated his life to social justice.  Three of his best quotes are included here:

  • “Of all the forms of inequality, injustice in health care is the most shocking and inhumane”

Without a basic level of health, human rights mean very little.

The fight against oppression weakens over the coughs of tuberculosis.  The dream of education remains just that–a dream– of those bed-ridden by malaria.  Self-respect and dignity as a human suffer when suffering from diarrheal disease.

Yet these illnesses have easy solutions.  Malaria, TB, and diarrhea can be cured with simple treatments that cost less than a cup of coffee.  Single shot vaccines can prevent millions of future childhood deaths.

In a world with advanced laser-eye surgery, full body scans, and micro-surgery performed by robots, it’s incredible that children die from lack of the most basic antibiotics.

The outrageous extent of global health disparity in the time of MLK was appalling.  Decades later, it remains ethically unjustifiable.

  • “True compassion is more than flinging a coin to a beggar… it comes to see that an edifice which produces beggars needs restructuring.”

The global tragedy of poverty cannot be solved by a system of charity alone.  To overcome the most oppressing economic issues, we must seek sustainable solutions that do no more than hinge on the endless altruism of others.  Social institutions must be transformed to promote gender equality, religious co-existence, and equal opportunities regardless of race, gender, or sexual orientation.

Poverty and it’s consequences are not solved by welfare, but by employment. Crime is not solved by police force, but by education and the creation of equal opportunities.  The act of flinging a coin is only a band-aid approach.

Organizations like Acumen Fund recognize this and seek to change the way we look at poverty.  They seek to transform the victim to the empowered, the poor to the proud.  Ultimately, the change of social structure (not single monetary donations) will gradually shift tragedy towards development.

  • “In the end, we will remember not the words of our enemies, but the silence of our friends.”

Do something.  Anything.  Donate money, join a rally, hug a friend.  It’s easy to go through the motions, especially in college, and put off any public service.  Yet students are the best equipped to utilize their social network to raise awareness, lobby for change, and fight for social justice.  When a friend is fundraising, give them a small donation.  When a friend becomes active in a cause, show them your support.  When a friend experiences discrimination, don’t turn a blind eye.

To accomplish any goal, power comes from a network of loyal partners (a “tribe” of individuals dedicated to the same cause.)  We rely on each other to bring about change. Almost everyone has been in that position to ask a roommate to come to an event, or convince a friend to donate to a cause.

Don’t be a silent friend.


MSF: Haiti

January 14, 2010

Support Doctors Without Borders in Haiti


Public Health + Mario + Yale

December 17, 2009

Social marketing meets public health in the Yale dining halls. I’m really impressed by this initiative:

http://www.yaledailynews.com/crosscampus/2009/12/16/super-sanitize-bros/

By adding Mario noises to a hand sanitizer station, the Yale Entrepreneurial Society increased the use of machine sevenfold.

Cool stuff:


Browse for a Cause

December 16, 2009

While Finals Week has prevented me from making any substantial post, I did find something that I wanted to quickly share.  Browse for a Cause is a Firefox add-on that automatically donates a percentage of any online purchase you make to the charity of your choice.

Easy.  Simple.  And a great way to donate to your cause.


Remember: World AIDS Day

December 1, 2009

Today is World AIDS Day and I have an Opinions piece in the Yale Daily News.  I wanted to post it here on the blog as well.

Berk: Not just a Disease — 12/01/09

Remember today.

Today, December 1, is World AIDS Day — a day to remember the 33.4 million people infected by HIV, to remember the 2 million people who died from complications of AIDS last year alone and to remember that HIV has not gone away.

Since 1981, the disease has claimed more than 25 million lives (more than three times the entire population of New York City). Yet, although the statistics are dramatic, numbers cannot express the full weight of the epidemic. AIDS is not merely another infectious disease but rather a social disease with unparalleled cultural impact, the roots of which trace all the way back to the disease’s first recognition.

On June 5, 1981, the Centers for Disease Control reported that five young men (all “active homosexuals”) had contracted an extremely rare form of pneumonia. The cause: unknown. This publication marked the beginning of a global public health crisis and did so in a way that would shape the political discourse surrounding the disease for decades to come.

There are few places where HIV and AIDS have not ignited controversy. Conflicts over the nature of the disease, the cause of the disease and the methods it controls have been numerous, intense and diverse. The association with homosexuals only fueled existing prejudice about gay sex and further stigmatized the homosexual demographic.

It took a social movement, led by those affected by the disease, to finally bring AIDS into the spotlight as a universal threat. Underground advocacy groups such as the AIDS Coalition to Unleash Power sought to overcome personal stigma, community apathy and government reluctance to fight for direct action against the AIDS crisis.

Self-educated HIV activists (not doctors, politicians or corporations) first highlighted HIV as not just a virus, but also an issue of social justice. They demanded more than anti-retroviral medicines; They required a human rights response to the maltreatment of a vulnerable population. They fought discrimination against AIDS patients who were denied medical treatment, refused basic employment and faced restrictions on international travel. They fought against the extremists labeling HIV as “the gay disease” and claiming that the virus was sent by God to eradicate those living in sin.

Thanks in large part to their efforts, today we have medicine, AIDS research funding and a greater understanding of the disease. We hear of cheap treatments in the developing world, of HIV patients living to an old age and of progressive ideas that bring an end to stigma.

And over the past decade, we’ve seen significant improvements and amazing progress in the treatment of HIV. A new report indicates that new infections have dropped 17 percent over the past eight years. Meanwhile, the number of childhood deaths from AIDS has decreased due to increased access to anti-retroviral drugs.

For those on medication, HIV is no longer a death sentence but a manageable chronic disease, comparable to diabetes. Moreover, for those properly educated, HIV is largely preventable.

But the crisis is not over.

While generic AIDS treatments exist, they are still unavailable to million of patients, both in the United States and abroad. Only 42 percent of the global population in need of life-saving drugs is actually receiving them. That’s the equivalent of treating only five out of 12 residential colleges.

And in the United States the uninsured and underinsured persons in the HIV community face significant barriers to receiving medications.

Moreover, especially in the middle of a financial crisis, organizations that provide services to those affected by the virus often do not have the necessary funds to continue their work. This July, Governor M. Jodi Rell, who presides over the third richest state in the country, attempted to end funding to AIDS Services, Syringe Exchange Programs and Community Services for Persons with AIDS citing budget shortfalls. The U.S. government has flat-lined funding for the President’s Emergency Plan for AIDS Relief, which has provided billions to combat HIV/AIDS since its inception in 2003. Médecins Sans Frontières warned last month that this retreat “threatens to undermine the dramatic gains made in reducing AIDS-related illness and death in recent years”

In addition, although we have the knowledge to prevent the transmission of HIV from mother to child, the global majority of expectant mothers still don’t receive the necessary services. As a result, over 400,000 children are newly infected each year. Increasing access to medication is great, but for every three people starting therapy five become infected. Without a biological vaccine, education and prevention programs are the best way to stop the spread of the epidemic, but many communities lack even the most rudimentary programs.

As we commemorate World AIDS Day, our communities, our nations and our school continue to struggle with the devastating impact of the virus. We must celebrate the progress we have achieved and mourn the tragedy of those who fell to the disease. But most importantly, we must remember that there is still much to do.

Update: Another great blog post on World AIDS day can be found on  Better the World’s Blog.


Resources for Social Enterpreneurs

November 15, 2009

I just discovered the UC-Berkley Global Initiatives blog (now added to the blogroll) and their great post on resources for social entrepreneurs.

I’m also jealous of Berkley’s apparent course offerings on social enterprise: Introduction to Microfinance and Market Based Approaches to Poverty Alleviation.  Yale SOM, take note.


Kiva, Zombies, and The End of Charity

November 13, 2009

1) Kiva News
Kiva
has been getting knocked around in the past month as it was recently reported that your $25 doesn’t actually go to that bike mechanic in India.  Instead, he already received a loan and your $25 goes to a a bigger pool that supports microfinance organization partners.  There is a good summary article from New York Review of Books blog (featuring a quick interview with my hero, Nicholas Kristof) right here.

My thoughts: Kiva’s marketing as donations to individuals is clearly a  gimmick.  So is just about any “adopt-a-child” program.  But these gimmicks have popularized microfinance and philanthropy in an ethical (and transparent if you read the fine print) way.  These are not weaknesses, but strengths in mobilizing consumers to get aboard the social enterprise bandwagon.

2) How Zombies Can Destroy the World
I just discovered the Zombie Research Society and their blog: they have some really interesting posts.  In all seriousness, it is great to see insightful writings that analyze the crossover of practical public health concerns and the upcoming zombie apocalypse — a great interdisciplinary approach to discussing important issues of pandemic.

3) I could not have said it better.
In an impressively well-written article from the Philadelphia Social Innovations Journal, David E. K. Hunter eloquently explains what is wrong with the nonprofit sector.  It perfectly explains my bias toward social investing over traditional charity. The author focuses on three main unpleasant truths:

Unpleasant truth number 1: While nonprofits work incredibly hard, with passion and dedication, and often in incredibly difficult circumstances to solve society’s most intractable problems, there is virtually no credible evidence that most nonprofit organizations actually produce any social value.

Unpleasant truth number 2: Because so few nonprofits are willing to face this fact and ask themselves whether they are doing any good at all, or even as much good as they may be doing harm, we cannot rely on direct service nonprofits to fix themselves without a serious push.

Unpleasant truth number 3: In general, nonprofits do what their funders tell them to do. When funders make demands, more often than not the vision, mission, goals and objectives of nonprofit organizations give way. As the saying goes, We are what we eat. . . . and most nonprofits are what their funders make them.


Philanthroconsumerism

November 11, 2009

I recently wrote a post on 25 Ways to Spend $25, but the idea of “philanthroconsumerism” is worth writing on again.  (I’m surprised that word hasn’t been coined or used more often — it has zero results on Google.)

There are a lot of ways to use market mechanisms for social impact: microfinance, social venture capital, impact investing, corporate social responsibility, and social businesses.  But many of these programs depend on large multinational corporations (or small-to-medium size enterprises) to lead the charge for market-based solutions to social problems.  There are smaller players, however, who are often overlooked.  Consumers.

Any product purchase is like an economic vote for what consumers demand.  Consumers can  “vote” to move all VHSs to DVD format, they can “vote” to increase the production of furbys, and they can “vote” to force social responsibility to play a larger role in the economy.  There are a lot of promising candidates on the ballot of your local supermarket.  Here are a few of my favorite items that not only rock, but encourage social responsibility and deserve your vote:

1) TOMS Shoes (now featured in the AT&T commercial) — buy a pair of now-trendy shoes and they send a pair to kids in Africa.

2) Tide’s Loads of Hope — buy a pair of specially marked laundry detergent and donate to help provide clean clothes and comfort to families affected by disaster.

3) Starbuck’s Product(RED) Gift Cards — donate 5 cents to the Global Fund to Fight AIDS for every transaction made with the gift card.

4) Pink Ribbon Products – they are all over the place.  Many manufacturers have partnered with breast cancer research organizations and make donations for each product they sell that features the pink ribbon.

5) Pamper’s One Pack = One Vaccine – UNICEF and Pamper’s have teamed up to prove that even when buying poop-disposal-apparel, you can contribute to a cause.  Each purchase of a diaper pack also covers the cost of a vaccine to be distributed in the developing world.

For further reading, there is also a great (and critical) article from the Stanford Social Innovation Review on the Hidden Costs of Cause Marketing.  There’s definitely a risk for the perversion of cause marketing, e.g. Fiji Water.  The philanthropic power of the consumer, however, must continue to play a role in the future of social innovation.