Promoting socially and environmentally sustainable social enterprise

Agriculture

Generating major pro-poor benefits especially for smallholder farmers

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Health

Improving affordable access to healthcare for poor people

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Infrastructure

Improving access to affordable infrastructure services for poor people

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Technology

Adoption of new technologies to improve livelihoods

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Discussion paper: Why are sub-Saharan economies not growing sustainably?

Keith Palmer’s most recent discussion paper focuses on why sub-Saharan economies are not growing sustainably.

High GDP growth rates sustained across sub-Saharan Africa throughout the 2000-2012 “long decade” led some to claim that a process of economic transformation took place across the continent. However, the reality was very different with strong external drivers and weak domestic policy responses causing a deterioration in the competitiveness of agribusiness and manufacturing.

A breakdown in the favourable external environment since 2013 has exposed the need for major policy shifts, beyond simply restoring macro-economic balance. However, this will only be possible when host governments fully appreciate the nature and magnitude of the challenges their economies face and are willing to effect the necessary changes. At present too many have looked at the headline GDP growth rates and assumed wrongly that all is well.

The paper can be accessed here.

Keith is EfD’s Chair of Trustees.

EfD announces support for Penda Health

Penda Health is a for-profit social enterprise that operates multiple health facilities in and around Nairobi that provide high-quality comprehensive primary healthcare services for poor and hard to reach populations.

EfD’s support is targeted at supporting the development of an ‘impact-led’ electronic medical records (EMR) system that will facilitate improved patient reporting, staff workflow and improve the quality of patient care and patient safety.
The system will allow for a more standardised delivery of patient care across Penda’s increasing number of facilities, and an improved ability to measure quality and to design trainings based on quality data.

See here for more information.

EfD announces support for One Family Health (OFH)

EfD recently agreed to provide support for the expansion of the One Family Health (OFH) model.

OFH establishes primary healthcare clinics in areas of need in the developing world, bringing essential medicines and healthcare services to the most vulnerable and underprivileged. Clinics are established using micro-enterprise and franchise business principles to create opportunities for trained qualified nurses to own and operate their primary healthcare clinics under a franchise model, improving their economic status and access to other opportunities. OFH supports franchisees by supporting access to financing, enhancing their business acumen and furthering their capacity to organise and manage their business. Franchisees are trained to manage their finances and personnel, medicine stocks, patient health records and interactions with health authorities.

To date, OFH has established more than 100 primary healthcare clinics in Rwanda, and has treated over 1.2 million patients. EfD is providing targeted support to attract funding to: (a) further scale the model within Rwanda; and (b) replicate the model in other countries in sub-Saharan Africa where there is significant potential.

See here for more information.

EfD renews commitment to Jacaranda Health

EfD has recently renewed its commitment to Jacaranda Health, a non-profit social enterprise, to support the business to become a regional hub for quality improvement in maternal and newborn health.

Jacaranda Health is one of the highest quality maternity providers in East Africa, as demonstrated by its recent award for SafeCare Level 5 certification, making it one of only three facilities in Africa to achieve this distinction.

EfD’s resources are being utilised to support the creation of a set of papers, light-weight tools and checklists that distill key lessons from Jacaranda’s model, which can be used in the expansion and dissemination of the model (either for knowledge sharing and technical assistance, or through management partnerships with other private sector players) with the intention to serve the public good by spreading Jacaranda’s expertise for the improvement in quality of maternal healthcare for women in Africa.

EfD’s case study provides an overview of the Jacaranda Health business model, how the business has grown to date, and how it intends to scale up over the coming years.

See here for more information.

Agricultural Growth and Poverty Reduction in Africa: The Case for Patient Capital

This paper explains the rationale for patient capital and how it can be deployed to support growth of sustainable agriculture and generate major benefits for rural communities in sub-Saharan Africa.