How do you provide a city like Mumbai and its 22 million residents an efficient Ambulance service? The Acumen Fund’s Sasha Dicheter, talks about their latest investment, “Dial 1298” service with its 51 ambulances, each fitted with intensive care service combining world-class operational skills with a social mission.
Patients who want to go to a private hospital in a full-service ambulance – staffed with a doctor – pay 1,500 rupees (about US$35). Those who go to public hospitals pay either half price or nothing. 1298’s leadership is committed to having 15-20% of the company’s calls be serviced free or at reduced cost. This simple logic takes away the cumbersome process of identifying who can afford to pay and who cannot.
As such, anyone in Mumbai who needs ambulance service can dial 1298 and, thanks to the magic of GPS and Google Maps, one of 51 world-class ambulances arrives in about 15 minutes to provide care and transport. The service is world-class, modeled on London Ambulance Service
The British Medical Journal estimates that for every 5 minutes saved in ambulance response time, the survival rate doubles for cardiac arrests. Consider that before 1298, Mumbai had just 12 ambulances – with 9 out of 10 trips made to transport the dead.
Currently the model is being replicated in 2 other Indian cities – It’s time someone took the initiative and replicated the model in Lagos, Accra or Capetown that have a huge population density and a mix of private and public health care.
Update: The Acumen fund did a wonderful follow up story on Meridain Medical. Nairobi-based Meridian Medical Centre has been profitably operating three outpatient clinics with one-third of its clients earning only $4 a day. They will open 5 more clinics over the next 3 years in higher density, lower income areas. Meridian is part of a larger trend of companies recognizing the market potential of the BoP.