
Diseases associated with poverty– HIV, malaria, tuberculosis, measles, pneumonia, and diarrheal diseases, cause approximately 14 million deaths per year. – WHO
Many of these deaths are preventable but BOP customers lack access to preventative medicines and often seek treatment at later and more costly stages. In other cases, preventable health afflictions such as loss of vision prevent individuals from being able to work or contribute to family life.
Social enterprises help meet needs created by an absent or insufficient public infrastructure and an inaccessible private sector by improving the quality and affordability of healthcare services and products available to BOP customers. Many Social enterprises operate clinics, pharmacies and hospitals while others offer health related products that many people need to function on a daily basis (i.e.. reading glasses, wheelchairs, etc.).
As in other sectors, health Social enterprises must often employ creative education strategies to change habits and conceptions related to health problems, and devise financing and staffing methods that keep their products and services accessible. For example, when highly skilled workers are necessary to deliver a health service, Social enterprises employ a paraskilling model, training unskilled workers in the specific needed tasks. To cover fixed costs while maintaining affordable prices many healthcare Social Enterprises use a model known as cross-subsidization, serving both BOP and better-off customers by offering differentiated services (private rooms, more luxury) at different prices.

- 1298 Ambulance
- A to Z Textile Mills
- Affirm Global Development
- Aravind Eye Care
- Asembis
- Aurolab
- AyurvAID Hospitals
- AYZH
- Barefoot College
- BarrierBreak Technologies
- Benetech
- Biosense
- Cafe Fedar
- Care With Love
- CEGIN
- Child and Family Wellness-CFW Shops
- Community Enterprise Solutions
- Design Revolution (D-Rev)
- Disability Research and Design Foundation (DRDF)
- Drishtee
- Embrace
- Empowering Communities to Transcend Adversity-ECTA
- Freedom from Hunger
- Fundacion Vision
- Jacaranda Health
- LifeSpring Hospitals Private Limited
- Living Goods
- LOCOST (Low Cost Standard Therapeutics)
- Lotus Eye Hospitals
- LV Prasad Eye Institute
- MAARDEC
- Malnutrition Matters
- Manthan Educational Youth Foundation (M-EYF)
- Mdhil
- Mi Farmacita National
- Mirakle Couriers
- Mobile Medics Healthcare
- MOFIL
- Mothers2mothers
- Narayana Hrudayalaya (Narayan Hospital)
- Neurosynaptic
- Nutriset
- Operation Asha
- PDA
- Prathama
- Project Prakash
- Project Snow Leopard
- Pushpagiri Eye Institute
- RedPlan Salud-RPS
- Riders for Health
- Rural Education and Prevention of OculaR Trauma (REPOrT)
- Rural Innovations Company
- Saath
- Saki
- School and Community Horticulture Enterprise
- Sehat First
- Shramik Sanitation Systems (3S)
- SNEHA
- Solar Ear
- Sproxil
- Sulabh International
- Sustain
- Sustainable Health Enterprises
- Take Heart India
- UHEAL
- Vaatsalya Hospitals
- Vestergaard Frandsen
- Village Reach
- Vindhya E-Infomedia Private Limited
- VisionSpring
- Visualiza
- VNurture-Healthizen
- Voxiva
- WE CARE Solar
- Yeshasvini Co-operative Farmers Health Care Scheme
- August 11- A Closer Look at "Conversion Franchising"
- 1298 Ambulance
- A Little World
- A Single Drop for Safe Water
- A to Z Textile Mills
- Aakruthi Agricultural Associates of India Pvt. ltd
- Aavishkaar
- Access Development Services
- Acreditar
- Act If ElectroPower
- AeioTu
- Affirm Global Development
- Afribike
- Africa Biofuel and Emission Reduction Company
- Agastya International Foundation
- Agencia Mandalla
- Aharam Traditional Crop Producer Company (TCPC)
- AirJaldi
- Akanksha Foundation
- Akashganga
- Akilah Institute
- Akshara Foundation
- Alashanek ya Baladi
- Alianca Empreendedora
- Alternative Energy Development Corporation (AEDC)
- Altyn Kol
- AMUL
- Ankur Scientific Energy Technologies Pte Ltd
- Anlong Tamei Community Energy Cooperative
- Ansaar Management Company
- Aoka
- APAEB
- Aporv Crafts Pvt Ltd
- APPROTECH ASIA
- Aqua-Aero Watersystems
- AquaSure via Basix-MFI
- Aravind Eye Care
- Arte Sana
- Arzu
- Asembis
- Asian Social Enterprise Incubator
- Asta Network
- August 24- Human Networks for Social Good
- August 25- Investing in Microfranchising: What Should I Know?
- August 26- Support for Microfranchising: Knowledge, Funding and Missing Links
- August 3- Infrastructure-Based Franchising
- Aurolab
- AVANI
- AyurvAID Hospitals
- AYZH
- Babajob
- Backpack Farm Agriculture Program
- Banco Palmas
- Barefoot College
- Barefoot Power
- BarrierBreak Technologies
- Base ECTA
- Basic Water Needs India Pvt Ltd
- Beadforlife
- Benetech
- Bid Network
- Biladi
- Bina Ekonomi Sosial Terpadu-BEST
- Biofilica
- Biosense
- blueEnergy
- Book Box
- Bosnian Handicrafts
- BP Oorja
- Britanica JV
- BSH Protos
- Burro Brand Ghana Ltd
- Bushproof
- Business 2 Rural (B2R) Technologies
- Butterfly Fields
- Byrraju Foundation
- CAC Oro Verde Ltda
- Cafe Fedar
- Canaan Fair Trade
- Care With Love
- CASCAF South-South Cooperation Project
- Catapult Design
- CEDICAR
- CEGIN
- Center for Digital Inclusion
- Center for Rural Development
- Center of Science for Villages
- Chardust
- Child and Family Wellness-CFW Shops
- Chotukool Refrigerator
- Cinepop
- Ciudad Saludable
- CleanStar
- Coco Technologies Corporation-Juboken Enterprises
- Cogknit Semantics
- Collect-a-Can
- Comat Technologies
- Community Enterprise Solutions
- Computodos
- Conserve-India
- Cosmos Ignite Innovations
- CraftsBridge
- Culture Aangan
- Cycle Chalao
- D.Light Design
- D.Light Design
- Daily Dump
- Dali Lida Practical Technology Research Institute (DLLD)
- Danamon Go Green Project by the Danamon Peduli Foundation
- Dastkar Andhra
- DCM Shriram Hariyali Kisaan Bazaar
- December 15- Milaap Bridges the Gap for Microfranchisors
- Deepam Palm Dish
- DESI Power
- DesiCrew
- Design Impact
- Design Revolution (D-Rev)
- Dhanax
- Digital Divide Data
- Digital Green (DG)
- Disability Research and Design Foundation (DRDF)
- DMT Mobile Toilets
- Driptech
- Drishtee
- Duron Energy-formerly Distributed World Power
- E-choupal
- Earthy Goods
- Eccos Contacto Colombia
- Eco Cafe Haiti
- Eco Maximus
- Eco Recycling Limited-Ecoreco
- Ecocidadao
- Ecosphere Spiti
- Ecotact-Ikotoilet
- Edible Oil Refining Company Ltd-Biodiesel
- Educate
- Ekgaon
- Eko
- Eko Vehicles
- El Nafeza
- Elephant Pepper
- Eletrocooperativa-Itsnoon
- Embrace
- Emerge Global
- Emergence Bioenergy
- Empowering Communities to Transcend Adversity-ECTA
- Energy in Common (EIC)
- Energy Plus
- Ennovent
- EnterpriseWorks-VITA
- Envirofit
- Environment Camps for Conservation Awareness (ECCA)
- Environment Planning Group Limited
- Escuela Nueva Foundation
- Esoko
- Etilplast
- Fadugu
- Financial Information Network and Operations Limited (FINO)
- Flowercin
- For She
- Forest Fruit
- Freedom Fone
- Freedom from Hunger
- Frogtek
- Frontier Markets
- Full Belly Project
- Fundacion Paraguaya
- Fundacion Vision
- iuMAP featured on Worldchanging.com
- Jacaranda Health
- Jaipur Rugs Foundation
- January 10- World's Largest Social Enterprise Directory, iuMAP, Gets a Makeover
- January 12- Good Magazine features iuMAP Redesign
- July 20- Introducing iuMAP, Part 2 – Bottleneck: Why is It So Hard to Scale What Works?
- July 22- Spotlight on Microfranchising: A Look Into the Future of Social Enterprise
- July 29- A Closer Look at the "Business in a Bag" Model
- July 6- Introducing iuMap: A map to track social enterprises globally
- LifeSpring Hospitals Private Limited
- Liga o.s. Bruntal
- Light Up the World
- Literacy Bridge
- Living Goods
- LOCOST (Low Cost Standard Therapeutics)
- Lotus Energy
- Lotus Eye Hospitals
- Lumni
- LV Prasad Eye Institute
- M-PESA
- M38
- MAARDEC
- Made In Liberia
- Mahagrapes
- Malnutrition Matters
- Mann Deshi Foundation
- Manna Energy Foundation
- Manthan Educational Youth Foundation (M-EYF)
- Masaka Organic Producers Ltd
- Masoom
- Matchbox Solutions
- Mdhil
- Men on the Side of the Road
- Mera Gao Micro-Grid Power
- Mercado Global
- Mi Farmacita National
- Micro Home Solutions
- MicroDrip
- Microventures Hapinoy Store program
- Milk Mantra
- Mirakle Couriers
- Mission Goorgoorlu
- Mobah Rural Horizons
- Mobile Medics Healthcare
- Mobile Metrix
- Mobile Transactions
- MOFIL
- Moksha Yug Access
- Moralfibre
- Mothers2mothers
- Movirtu
- Muktangan
- Musa-Bas
- Naandi Foundation
- Naidi
- Narayana Hrudayalaya (Narayan Hospital)
- Neurosynaptic
- Nishant Bioenergy Pvt. Limited
- Noble Energy Solar Technologies (NEST)
- North Western Bee Products
- November 30- The Next Level of Micro-credit: Distributor Finance
- Nuru Energy
- Nutriset
- Omega Private Schools
- One Acre Fund
- ONergy
- Operation Asha
- Oro Verde-Green Gold
- Oxil Recycling
- Paradigm Initiative Nigeria
- Parikrma Foundation
- PDA
- Pegasus Semiconductor Limited
- People Centered Economic and Business Institute
- People-Centered Economic Development
- Pipal Tree Ventures
- Planet Read
- Planting Empowerment
- Poorvi Enterprises
- Powermundo
- Prakti Design
- Pratham
- Prathama
- Prerana
- Press: Axiom News Covers' iuMAP Launch
- Press: Axiom News Interviews Melissa
- Project Prakash
- Project Snow Leopard
- Promethean
- Pushpagiri Eye Institute
- Q Drum
- Quetsol
- Rags2Riches
- Ramanujan School of Mathematics
- Rang De
- Rangsutra
- Re-char
- Real IPM-integrated pest management
- Red Ceramics
- RedPlan Salud-RPS
- Reuters Market Light
- Riders for Health
- Rudi Multitrading Company
- Rumi Education
- Runa
- Rural Education and Prevention of OculaR Trauma (REPOrT)
- Rural Innovations Company
- Rural Opportunities Production Enterprise-ROPE
- Rural Returns Guarantee Limited
- Rural Tourism Network Enterprise
- Rural Womens Social Education Centre-RUWSEC
- Saath
- Sahaj India
- Saher
- Saiban Pakistan
- Sakhi
- Saki
- Samasource
- Samhita Social ventures
- SammaaN Foundation
- Samuchit Enviro Tech Pvt Ltd
- Saran Renewable Energy
- Saran Renewable Energy (SRE)
- Sarvajal-Piramal Water
- Sattva
- Schneider Electric India In-Diya Lighting System
- Schneider Electric Industries SAS BipBop Program
- School and Community Horticulture Enterprise
- Sehat First
- SELCO Solar Pvt. Ltd
- Self Employed Womens Association
- Serval Automation-SAPL
- Shokay
- Shramik Sanitation Systems (3S)
- SHREY
- Shri Mahila Griha Udyog Lijjat Papad (Lijjat)
- Skylink Innovators
- Skymet
- SME Renewables
- SMV Wheels Pvt. Ltd
- SNEHA
- Sobre La Roca
- Sociedade do Sol
- SocietŽ de Distribution de Gaz (Sodigaz S.A.R.L)
- SocioEnviro
- Solar Aid
- Solar Ear
- Solar Energy Foundation-Stiftung Solarenergie
- Solar Sister
- Solidarium
- Solkar Solar
- Somos Mas
- Souk el Tayeb
- Source for Change
- Source Pilani
- Sproxil
- Srei Sahaj
- Streetwires
- Sulabh International
- Suministros Electricos y Electronicos (SEESA)
- Suminter
- Sunlabob Rural Energy Ltd
- Survival of the Fittest: Why Young People want to Change the World
- Sustain
- Sustainable Health Enterprises
- Sustaintech India Private Ltd.
- Swach-KKPKP
- Swayam Shikshan Prayog-SSP
- Take Heart India
- Tanclean
- Tara Machines
- Teach a Man to Fish
- Team Lease
- Technology Informatics Design Endeavour (TIDE)
- Tecnosol
- Tekoha
- Telapak
- Tenesol
- Terra Cycle Inc
- The Adventurers
- The Force for Rural Empowerment and Economic Development (FREED)
- THRIVE
- Thunk In India
- Tide Technocrats
- Tikapapa
- Tough Stuff
- Toyola Energy Ltd
- Transsen
- Udyogini
- UHEAL
- Under the Mango Tree
- United Villages
- Usha Martin Rural Services
- Utkarsh
- Vaatsalya Hospitals
- Vanuatu Renewable Energy and Power Association (VANREPA)
- Veda Climate Change Solutions
- VerTerra
- Vestergaard Frandsen
- VidaGas
- Village Energy
- Village Laundry Service
- Village Reach
- Vindhya E-Infomedia Private Limited
- VisionSpring
- Visualiza
- Vittana
- VNL India
- VNurture-Healthizen
- Vort Port International
- Vortex
- Voxiva
- Waste Concern
- Waste Ventures
- Waste Wise Trust
- Water Health International
- Watercone
- Waterlife
- Watershed Farms
- WE CARE Solar
- Wilkin Solar
- Wind, Water for Life (Du vent, de lÕEau pour la Vie, VEV)
- Wokai
- WomenWeave
- Wonder Grass
- World Water Philippines
- Yeshasvini Co-operative Farmers Health Care Scheme
- Zameen Organic
- Zara Solar
- Zikra
- ZMQ Software Systems
- Zoraly Solutions

IRIS Metrics
- Caregivers Employed
- Deploying Caregivers
- Caregivers Trained
- Total Hours of Caregiver Training
Product Impact: Quantity & Reach »
- Health Related Well Visits
- Health Related Curative Visits
- Procedures/Surgeries
- Patient Referrals
- Immunizations
- Medicinal/Drug Provisions
- Attended Newborn Deliveries
- Patient Beds
- Medical Consultation Rooms
- Units of Diagnostic or Life Support Equipment
Product Impact: Quality & Performance »
- Healthcare Facilities
- Inpatient Facility Occupancy Rate
- Operating/Procedural Room Utilization Rate
- Medical Equipment Utilization Rate
- Patient Wait Time
Other Common Metrics
- Patient growth
- Staff hours trained/month
- Attrition rate
- Staff skill enhancement
- Morbidity rates
- Quality of life enhancement


Investors and Enablers
Acumen Fund Health Portfolio »
“Acumen Fund‘s health investments seek to reduce costs and increase access to a wide-range of previously unavailable products and services for the world’s poor.”
Ashoka Full Economic Citizenship: Healthcare for All in Mexico »
“Having access to healthcare is a basic necessity and is required for a person to be a full economic citizen. Ashoka’s Healthcare for All initiative, part of the Full Economic Citizenship program at Ashoka, was created to explore and catalyze new, innovative models for bringing healthcare who do have have access to traditional healthcare markets.”
Cooper Hewitt Design for the Other 90% Exhibition: Health »
“Disease and disabilities are preventing billions of people from leading productive lives. Poverty in some parts of the world means living without access to clean water and sanitation, or suffering from easily preventable and treatable diseases. Each day, more than 12,000 children die from malaria, respiratory illness, or unsafe drinking water and hygienic conditions. “(link)
Skoll Foundation Health Page »
“We work toward a world where everyone has access to basic health care and protection from environmental hazards. Those who are less well off should not disproportionately suffer the consequences of hazardous emissions and waste or poor health care delivery systems. No disease should be ignored simply because it affects only the poor.”(link)
SHOPS: Strengthening Health Outcomes through the Private Sector
The SHOPS Project is a new five-year Leader with Associates Cooperative Agreement with a funding ceiling of $95 million. The mandate of this USAID-funded project is to increase the role of the private sector in the sustainable provision and use of quality family planning FP, HIV/AIDS, and other health information, products, and services.
Lists of Resources
The Center for Health Market Innovations »
“The Center for Health Market Innovations is designed to serve key stakeholders who are working to improve markets for health care in the developing world. This CHMI website offers several functions designed to be useful to program implementers, funders, policymakers, and researchers.”
GIIN Resources- Healthcare- Global Impact Investors Network list of resources about health in regards to impact investing
Maternova Resource Directory- Resource directory about maternal and neonatal health in developing countries
Next Billion Health Resources- Resources on health from Nextbillion.net
Case Studies
Aravind Eye Clinics- Managing Innovation »
Authors: Joe Tidd, John Bessant, Keith Pavitt
Source: Managing Innovation textbook
Year: 2005
Case study on Aravind Eye Hospital’s strategies for providing cataract surgery to poor customers.
Author: C.K. Prahalad
Source: Wharton School Publishing via Acumen
Year: 2006
Dr. G. Venkataswamy combines his experience as an ophthalmologist with innovations in the organization of workflow to create a world-class eye care system with the vision of eradicating all needless blindness in India.
A to Z’s Private-Public Partnership »
Source: Global Health Initiative via Acumen
Author: World Economic Forum
Year: 2006
The Global Health Initiative looks at the Olyset net, the most durable, insecticide-treated bed net available to prevent malaria, and analyzes how to create a market for a life-saving product where one does not currently exist.
Dial 1298 for Ambulance: Marketing EMS in Mumbai »
Authors: Gita Johar and Joanna Harries
Source: Columbia University Business School via Acumen
Year: 2010
In 2005 Ziqitza Healthcare launched Dial 1298 for Ambulance – a program which attempted to fill the need for universally accessible, high-quality emergency medical services in India. By 2009, with additional support from the Acumen Fund, 1298 operated over 90 ambulances in Mumbai and several other locations in India. With these services in place, the organization was poised to meet the challenge of how to raise awareness among consumers long accustomed to alternate, and lesser quality, service providers.
Source: Economic Times via Acumen
Year: 2007
This article describes how four friends left their corporate jobs to create Ziqitza Health Care Services to improve access to healthcare for those living in poverty. By creating the 1298 abulance service, where ability to pay is not a factor in access to service, the company is able to reach some of the 94% of people in India who do not have access to emergency health services.
What Works: Mi Farmacita Nacional »
Authors: Enrique Coronado, Christina Krettecos, and Yvonne Lu
Source: World Resources Institute
Year: 2007
Mi Farmacita Nacional is a fully for-profit, Mexican owned pharmacy franchise with a social imperative. The company’s mission statement is “to bring medicines and special services to the regions of most necessity in the Mexican Republic and to provide health, well-being, communication and accessible prices to the majority of homes.
VisionSpring: A Vision for Growth at the Base of the Pyramid (fee) »
Author: Ted London
Source: William Davidson Institute via Acumen
Year: 2008
This case study looks at how VisionSpring (originially the Scojo Foundation), one of Acumen’s investees, was able to scale its eye glass business in India to sell almost 30,000 pairs of glasses by September 2006. Vision Spring’s impact is both on health through providing reading glasses and on income generation through entrepreneurs who sell the glasses and through individuals whose work productivity improves with better vision due to new glasses.
The Fortune at the Bottom of the Pyramid, The Voxiva Story »
Author: Cynthia Casas and William C. Lajoie under supervision of Professor C. K. Prahalad
Source: Wharton School Publishing via Acumen
Year: 2006
Voxiva works to eliminate the dangers of infectious disease through early detection and communication of threats in rural areas with limited access to telecommunications. Two years after launching, the company continued to look to both the social and the business bottom line – and was close to breaking even.



