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Low Cost Nepali Incubator: The LIFE RAFT Second Design Review

Prepared for: Entrepreneurial Design for Extreme Affordability May 9, 2007. Low Cost Nepali Incubator: The LIFE RAFT Second Design Review. Team Stacks. I need to build something. Now! [e.Nag]. I can’t stop thinking like a consultant… [b.Yuval].

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Low Cost Nepali Incubator: The LIFE RAFT Second Design Review

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  1. Prepared for: Entrepreneurial Design for Extreme Affordability May 9, 2007 Low Cost Nepali Incubator: The LIFE RAFTSecond Design Review

  2. Team Stacks I need to build something. Now! [e.Nag] I can’t stop thinking like a consultant… [b.Yuval] How do we build empathy and connect to the right people? [b.Leslie] I just built something sweet! [e.Eric]

  3. The project is a series of realizations • Nepali nurses need our help • We must define our niche (aka, Klaus was right) • Van Hemel was onto something • Prototype, prototype, prototype • Nepal is small, India isn’t • Measuring success is all about the babies • We are strengthened by our partners • Time is short; prioritizing is key

  4. Understanding Nepal • 28M people • Infant mortality of 6.5% is among worst in world (8x US rate) • ~45% lives below the poverty line, income per capita of $220 • Ranked 153 out of 175 countries in human development • 1 doctor per 20,000 people (in parts, 1 for every 100,000) • Only 18% of deliveries have a trained health worker in attendance (for the poorest parts, <5%) • “>99% of Nepal’s hospital have no formal NICU that can ventilate sick premature babies”

  5. Nepali nurses need our help The “junior” nurse in public Nepali hospital… ..an intuitive, trustworthy, intelligent helper that keeps premature babies alive and ensures long-term health needs

  6. Atom “Almost Giraffe” Indian Finding our niche (aka, Klaus was right) Static Incubators Available in Nepal “It breaks to easily.. We don’t trust it” GAP Shortage Home-made Cost Maintenance & Repair Free Basic Average Best-in-class Features & Capabilities (from a Nepal perspective)

  7. Dr. Van Hemel was onto something The original idea The Van Hemel Incubator • First built in Uganda 1968, revised in 1983 • Simple as possible - low cost and ease of maintenance. • Many incubators with 15+ yrs of service still functioning, even with no serious maintenance • Now 1000+ VH incubators “in almost all developing countries” • Approx 25 incubators purchased each year for >270 euros • Trustworthy (reliable, safe) • Intuitive (easy to use, feels modern) • Intelligent (customized to local users and market, alarm) THE LIFE RAFT (The Van Hemel 2.0) The BIG idea we can do it better

  8. Prototyping priorities We’re going to tackle only the most critical features and nail them!

  9. Prototype, prototype, prototype Canopy: Reduces volume, improves access, better visibility Performance: Comparable rate of heating Heat: Potential combo of convection and radiation Ohmeda LIFE RAFT Celsius Repairable: Simplified (no fan); locally available parts Minutes Humidity: Mechanical control of humidity; heated water kills bacteria

  10. Nepal is small. India isn’t. PRELIMINARY ESTIMATES: Annual Total Demand for Static Incubators Units Approach for estimation Note: All annualized numbers assume a lifespan of 8 years. “Sloan projection” based on scaling of MIT team’s estimate of India for Nepali population. “Hospital based” assumes 74 District hospitals, 180 PHCs, 3187 sub-health posts respectively demanding 2, 1, 0.1 incubators/hospital. “Bottom up” is based on Nepali birth rates and health of babies. Demand does not take into account price elasticity.

  11. Measuring Success: It’s all about the babies Total Annual Neonatal Deaths in Nepal* 2,000-3,000 infants saved annually by increased access to incubators * Conservative estimate of premature babies who would benefit from an incubators Note: estimates based on Nepali birth, neonatal mortality, and premature/LBW rate, current and projected access to incubators, and medical estimates of survival improvements resulting from access to temperature regulation.

  12. We are strengthened by our partners Otho Boone, President and CEO (and former Ohmeda incubator designer; “advisor” to Team Stacks Tim Prestero, CEO Matt Eckelman DtM Fellow Fred Shepardson, Exec. Dir. + 5 more of Fred’s colleagues Akira Nagai, Manager of Export Dept. Ray Avery, Founder CEO “On the ground” Dr. Mark Zimmerman Dr. Sangita Basnet Koirala Thakur Lamsal Fidel Rodriguez Additional relationships being cultivated with the WHO in Nepal, local doctors, and anyone who can lend a useful hand! Dr. Benitz, Chief of Neonatology Dr. Geetha Rana, Reproductive Health Coordinator Michele Avila-Emerson, NICU/PICU nurse

  13. Time is short! Prioritizing is key. Week 6 Week 7 Week 8 Week 9 Week 10 3 2 Heat & Humidity Engineering-side Access (shell, portals, and frame) Electronics feasibility study Refinements Finalized prototype Surveying / demand estimation Business-side Costing (mfg + dstr) Org design & partners Tying together

  14. Remaining questions • Engineering: • What’s the most reliable, lowest cost heating solution for Nepal? • Demand-side: • How do you compete with free, a.k.a. “What’s the right price?” • Distribution: • Current path of the donated incubators • Who our big partners are going to be (WHO, UNICEF)? • Safety: • How the heck do we get FDA approval?

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