Millennium District Hospital Projects Bob Corcoran Vice President, Corporate Citizenship

“When are we going to build something in Africa?” Philanthropic commitment of $20 Million over 5 years Technology, products and experience… not cash Criteria: Stability, Transparency, Need, Sustainability Phase I starting point: Ghana AAF Symposium, July 2003

Phase I: Lessons Learned Planning enables sustainability Align effort with health system priorities Engage hospital/clinic leaders early in specifying solutions “Nothing for nothing”… Require government participation Secure distributors for consumables Deploy affinity groups for data collection and sustainability Realities dictate solutions Big gaps in basic needs  Give many, smaller products Limited support skills  Simplify features Limited repair access  Simple, basic technology designs Small budgets  Minimize lifecycle cost

Ghana Hospitals Projects Successful Ready for Multiple Countries 5 Hospital upgrades completed ’04-’05 Medical, energy, water, lab equipment Sponsor links in place 6 more upgrades commissioned in 4Q06 “System solution” proof-of-concept with first sites Capacity built for multi-site project management Expand across Africa to increase impact Kintampo Apam Phase I: Ghana Outcomes

Phase II: Align with Millennium Villages

Sustainable Impact Temporary assignments AAF site adoption Potable Water Reliable source Filtration & storage Reliable Power Back-up generators Power conditioning Improved Healthcare Diagnostic capabilities Patient care: surgery, monitoring, neonatal Connected Facilities District/Village radio District/HQ satellite access Goals for District Increase capacity Upgrade capability Ensure sustainability Trained Personnel Clinical & support training Process improvement Phase II: Build Capacity & Capability Address multiple facility gaps in each District

Update equipment for theaters and wards Advanced imaging, diagnostics  Enable higher quality care for district  Attract & retain medical personnel Phase II: Create Synergies Connect to the village with hub and spoke approach Health clinic- equipment  Relieve district case volume  Enable local, quality care Reinforce water & power delivery Outfit theaters & wards, update laboratories  Alleviate stress on referral hospital  Enable village clinics to refer cases Region pop. ~ 1-2 million District pop ~ 1-200,000 Village pop ~ 2-5,000 Village Cluster Clinic District Hospital Regional Referral Hospital

Summary Forget B2B/B2C, engage Company to Country Develop base of the pyramid products from your experience at the base of the pyramid Use employee groups for sustainability Treat your philanthropy like a business Simplicity beats elegance every day