A Balancing Act: Profit vs. Social Good in Healthcare Delivery
Traditionally, healthcare - like education - has fallen under the domain of the public or private, non-profit sector. How, then, do for-profit businesses enter into this space and maximally benefit the overall healthcare system while also capturing the necessary value for themselves? In fact, is this sharing of benefits inherently problematic, with any focus on profit detracting from the charitable impetus to save a life? Panelists from the for-profit world will discuss what role the private sector should play in delivering quality, affordable healthcare in resource-constrained communities, and how they strike a balance between doing good and making money.
Nikhil Pereira-Kamath: CEO, Co-founder, Africa Healthcare Network
Nikhil Lawrence Pereira-Kamath is the Chief Executive Officer, Co-Founder and Chairman of the Board of Africa Healthcare Network (“AHN”). He established AHN in 2015 with the goal of increasing access to care by increasing awareness and reducing the cost of care in the sub-Saharan region while adhering to global standards of quality. In less than two years, he has built the organization into the largest dialysis chain in Rwanda and East Africa. He has over 15 years of experience in the dialysis space having previously run a non-for- profit organization, Youth That Care, whose mission was to provide assistance to the developing world via the establishment of dialysis centers. Youth That Care established dialysis centers across India and the first dialysis center in Burundi. Previously, Nik worked in the private equity industry as an associate at Berkshire Partners, a Boston based investment firm with $11.0Bn+ in AUM. At Berkshire, Nik engaged in all aspects of the investment process, including Berkshire’s $2.1Bn acquisition and subsequent merger of Lightower Fiber Networks and Sidera Networks in 2013 and $875MM acquisition of the Portillo’s Restaurant Group in 2014. Additionally, Nik was a member of the Healthcare OnPoint Team – a core investment team that focuses on “getting smart” on the healthcare industry.
Prior to joining Berkshire, he was an analyst at Morgan Stanley in the Healthcare Group where he focused primarily in biopharmaceuticals and healthcare services. Transactions at Morgan Stanley include the sale of Pharmasset to Gilead Sciences for $11.1Bn, sale of HealthDataInsights to HMS Holdings for $400MM, sale of Pharmaceutical Product Development to Carlyle and Hellman & Friedman for $3.9Bn. Prior to Morgan Stanley, he worked at Oxford Bioscience Partners where he worked as a research analyst, covering a portfolio company, FlowMedica. He holds a patent with Harry Goodson IV, Jeffrey Elkins and Samir Patel for the “Treatment Systems and Methods for Renal-Related Diseases”. Nik was a Candidate for an MBA at Harvard Business School Class of 2016 where he received First Year Honors before deciding to defer his second year to launch AHN. Prior to joining Harvard Business School. Nik graduated magna cum laude from Princeton University with a degree in Economics and a certificate in
Asha Varghese, Director of Global Health Programs - GE Foundation
Asha Varghese is the Director of Global Health at the GE Foundation, the philanthropic arm of the General Electric Company. Her range of responsibilities includes leading GE’s philanthropic programs related to global healthcare focused on cost, quality and access. Asha oversees GE’s signature health program – Developing Health Globally TM – that aims to improve access to quality healthcare for underserved communities across the developing world. Prior to this role Asha led the US Healthcare portfolio for the GE Foundation setting the strategy and implementation of national initiatives focused on chronic diseases. Asha joined GE in 2004, and her background includes Information Systems, Six Sigma, and Strategic planning for business processes. She is a certified Lean Six Sigma Black Belt and began her career through GE’s Information Technology Leadership Program (ITLP), a 2-year rotation based program that focuses on project management and technical expertise. In addition to her current role at the Foundation, Asha also sits on the leadership council for GE’s Asia Pacific American Forum Education initiatives. Asha holds a Bachelors of Science degree in Computer Engineering & Computer Science from the University of Louisville, KY and currently resides in Chicago, IL.
Muyi Aina, Founder and Managing Partner, Solina Group
Dr. Muyi Aina is the founder and managing partner of Solina Group, a management consulting firm that provides a diverse range of services aimed at improving the effectiveness of its clients. He has 17 years of experience in business and economic development and healthcare systems strengthening. Muyi was an engagement manager at Mckinsey & Company, where he carried out diverse projectsranging from private health systems strengthening, transformation and development before relocating to Nigeria to establish Solina. Over a 7 year period, Muyi has led the growth of Solina to become a well-recognized brand in the management consulting space. With a wide-ranging portfolio of projects and partnerships which involves economic development, health systems transformation and performance improvement in public and private sectors. Solina is home to over 100 consultants, working out of 4 offices and executing projects across 11 Nigerian states. He leads the organization’s portfolio of projects funded by the Nigerian Government, US government, Bill & Melinda Gates foundation, Dangote Foundation, GAVI Alliance and the World Bank. Dr Aina led the development of an innovative model of engaging private for profit facilities in the delivery of HIV/AIDS services in Nigeria which birthed a program that is currently being implemented across Nigeria and supports over 350 private health facilities. He is an expert in Small and Medium Enterprises (SMEs) development, and has led several high impact business and economic development projects. He was the Team Lead for the Youth Enterprise With Innovation in Nigeria (YouWiN!) program: a national business plan competition aimed at creating jobs by encouraging and supporting entrepreneurial youths to develop and execute business ideas. Over the course of its implementation, the YouWiN! program provided financial support (ranging from N1m to N10m) to over 3,600 Nigerian youths, generating 5,400 and 22,000 direct and indirect jobs respectively.
Dr Aina currently serves as the West African Regional Broker for the Centre for Health Market Innovations: An international network of country-based organizations which catalyze system-level change by profiling health innovations and linking the most promising programs to government, private sector players, donors and other relevant stakeholders. He also participated in the design and implementation of the Nigerian health innovation challenge and business development boot camp, aimed at nurturing and honoring the most promising technology, market and process innovations addressing specific healthcare challenges within Nigeria. He is a resource person for the Private Health Sector Alliance of Nigeria, and is passionate about supporting young entrepreneurs to achieve their dreams. He holds a PhD in Epidemiology from John Hopkins Bloomberg School of Public Health, an MPH in International Health from Harvard University and a medical degree from University of Ilorin Nigeria.
EMMANUEL NYIRInKINDI, Global Head, IFC PPP Advisory Service
Emmanuel Nyirinkindi is a Ugandan national and is currently the Global Head of Public-Private Partnerships (PPP) in the Cross Cutting Advisory Solutions (CAS) Department in International Finance Corporation (IFC), World Bank Group. Emma Nyirinkindi joined IFC in 2006 as a Senior Investment Officer in IFC Johannesburg Office. He was the Regional Manager of IFC’s Public-Private Partnerships Advisory Services for Africa prior to his current position. Over the past decade, Mr. Nyirinkindi has established a strong record of leadership and execution in advising governments in designing and bringing to market commercially robust PPP projects that provide high quality, affordable and efficient infrastructure and social services to the public across a variety of sectors. Prior to joining IFC, Mr. Nyirinkindi worked for the Government of Uganda’s Ministry of Finance where he was responsible for the introduction of PPPs in the electricity and railway sectors, and coordinated legal and regulatory reforms in the basic infrastructure sectors. He also previously worked in the petroleum products industry in Uganda and with Makerere University’s Faculty of Commerce. He holds an MBA from the University of Kansas and a Bachelor of Commerce degree from Makerere University, Kampala.
Dr. Taryn Vian, Faculty Director of the dual MBA-MPH Program in Global Health Management, Associate Chair for Education and Clinical Professor of Global Health, Boston University
Taryn Vian is Clinical Professor of Global Health and Associate Chair for Education in the Department of Global Health at Boston University School of Public Health. Dr. Vian is an expert in public policy, health systems strengthening, public-private partnerships and corruption in the health sector. She teaches graduate courses in financial management, management and leadership, and preventing corruption. She is currently working with the BU Access to Medicines Evaluation Team, assessing access initiatives introduced by pharmaceutical companies including Novartis Access and Access Accelerated, an initiative of the International Federation of Pharmaceutical Manufacturers Association. Dr. Vian worked with the Lesotho Boston Health Alliance from 2006-2010 to strengthen district hospital management systems and improve quality of care. She analysed national public finance reforms and evaluated the performance of Lesotho’s national hospital public-private partnership. She has worked in many African countries, including Senegal, Niger, Nigeria, Cameroon, Chad, Rwanda, Uganda, Kenya and Zambia, helping to strengthen management systems and policies to promote population health goals. Before joining Boston University she worked as a health economist and management consultant for two international consulting firms. She is a returned Peace Corps Volunteer from Cameroon and has a PhD in Public Policy and Global Health from Boston University, an MS in Health Policy and Management from the Harvard School of Public Health, and a BA in Philosophy from Colgate University. She is co-editor of Anticorruption in the Health Sector: Strategies for Transparency and Accountability (2010, Kumarian Press).
Is Africa being set up to fail? The global agenda on Universal Health Coverage (UHC)
What will it take to achieve Universal Health Coverage in Africa? In 2012, all 54 African countries signed the UN resolution to achieve UHC by 2030. No African country is close to achieving the target ( >90% of the population having access to skilled birth attendance and insurance coverage). Just like the MDGs, are we taking on more than we can achieve? Is the time right for such an endeavor? One barrier to UHC that Africa faces is health care financing. What partnerships do we need to fund UHC? This session will explore unique opportunities for partnerships and collaborations within health care. #HealthcareForAll#OccupyHealthcare #AfricaInvests#BringBackOurDocs
JONATHAN (JONO) D. QUICK, MD, MPH, SENIOR FELLOW, MSH
Jonathan (Jono) D. Quick, MD, MPH, a family physician and health management specialist, is Senior Fellow at MSH. He focuses on global health security and providing strategic counsel to the MSH-led multi- partner No More Epidemics campaign. Dr. Quick is the author of The End of Epidemics: The Looming Threat to Humanity and How to Stop It (forthcoming from St. Martin’s Press/Scribe in 2017). An international non-profit organization with teams in Africa, Asia, and Latin America, MSH helps governments and non-profits build strong locally led, locally run health systems to achieve greater health impact. Dr. Quick served as President and Chief Executive Officer of MSH from 2004–2017. He was Director of Essential Drugs and Medicines Policy at the World Health Organization from 1996 to 2003. Prior to that, he served with MSH as founding director of the drug management program/center for pharmaceutical management, then as a long-term advisor for the Afghanistan Health Sector Support Project and the Kenya Health Care Financing Project. Dr. Quick also chairs the Global Health Council, a leading policy and advocacy organization for the global community.
Dr. Quick has worked in international health since 1978 and has carried out assignments in over 70 countries in Africa, Asia, Latin America, and the Middle East. He is the senior editor of Managing Drug Supply (English, French, Spanish), co-author of the Financial Times Guide to Executive Health (English, Chinese, Greek, Korean, Portuguese, Russian, Spanish, Thai); and has published over 100 other books, articles, and chapters. He is on the faculty of Harvard Medical School Department of Global Health and Social Medicine and Boston University School of Public Health, and is a Fellow of the Royal Society of Medicine. He has a first degree from Harvard University and an MD, with distinction in research, and masters of public health from the University of Rochester. Jono and his wife Tina Quick (author of The Global Nomads’ Guide to University Transition) raised their three girls while on assignment in Peshawar, Pakistan; Nairobi, Kenya; Geneva, Switzerland; and back in Boston, USA. He is also the author of Rhinos in the Rough: A Golfer's Guide to Kenya.
DR NTUTHUKO BHENGU, COMMISSIONER, NATIONAL PLANNING COMMISSION OF SOUTH AFRICA
Dr Ntuthuko Bhengu is a panelist of the Health Market Inquiry which, in 2014, was set up by the Competition Commission of South Africa (SA) to probe the private health sector holistically to determine factors that restrict, prevent or distort competition and underlie increases in private healthcare prices and expenditure. He is also the health expert on the SA National Planning Commission and a Chartered Director (SA) with many years’ experience as a non-executive director. He currently chairs the board of directors of the SA Road Accident Fund and has just completed a term of eight years as a board and advisory committee member of Nestle (SA) (Pty) Ltd.
Dr Bhengu obtained the MB,ChB degree from Natal University and the Diploma in Anaesthetics from the College of Medicine of SA. His business management qualifications include MBA (Wales, Cardiff) and MPH Healthcare Management (Harvard) degrees. The Harvard degree gave him an in-depth understanding of global health care policy and management of corporations in pharmaceutical, biotechnology, hospital and health insurance sectors. Over a career of more than 20 years, Dr Bhengu has operated as a clinician in England and in various senior executive roles within the SA health care sector.
Dr Bhengu’s entrepreneurial path includes experience as a co-founder of Afrika Biopharma Investments (Pty) Ltd, a holding company which had interests in pharmaceutical packaging, marketing and sales. From a very low base, Biotech Laboratories (Biopharma’s marketing and sales subsidiary) grew revenues more than twenty fold over a period of ten years and was eventually acquired by a multinational pharmaceutical manufacturing company. Among other non-executive appointments, Dr Bhengu was appointed by the Minister of Health to serve on the Pharmaceutical Pricing Committee Working Group in 2002. In 2016 Dr Bhengu completed the WHO Advanced Course on Health Financing for Universal Coverage for Low and Middle Income Countries, and the Africa Directors Programme offered by the Stellenbosch and INSEAD business schools. Dr Ntuthuko Bhengu is a Fellow of the Africa Leadership Initiative.
DR PETER OKEBUKOLA, ASSOCIATE PARTNER, MCKINSEY
Dr. Peter Okebukola is an Associate Partner in McKinsey’s, Philadelphia office. His work focuses mainly on supply chain for vaccines and health commodities and is affiliated with McKinsey’s Global Health, Health and Health Care Systems and Pharmaceuticals and Medical Products Practices. Prior to joining McKinsey, Peter has worked as a physician, consultant to large organizations including the Pan-American Health Organization and the US Department of Health and Human Services. Peter holds a Ph.D. in Health Economics (with Distinction), Policy and Finance, M.B.A. and M.P.H. from Johns Hopkins University and an MD degree from the University of Lagos.
Dr Mamka Anyona, Physician/Doctoral Candidate, Harvard Chan School of Public Health
Mamka Anyona is a Doctor of Public Health candidate at the Harvard T. H. Chan School of Public Health. She is a licensed dental surgeon in Kenya, her home country, but has spent the last five years immersed, both academically and professionally, in the global health world. She has gained wide-ranging skills and experience in the workings of public healthcare systems in developing countries, inter-governmental and non-governmental organizations, and academia; having worked at various points in her journey for Kenya’s Ministry of Health, the World Health Organization, the Aga Khan University Hospital, East Africa, and consulted for organizations such as RTI and Community Partner’s International on global health issues ranging from non-communicable diseases to health systems in fragile states. Her broad interest areas include health systems strengthening, financing and service delivery, and the dynamics of global health governance.
Chinedu Chugbo, Principal, Avigo Health
Chinedu Chugbo is a Principal at Avigo Health, a health care consultancy. A public-health physician with over 18 years’ experience in medicine and health program management in developing country settings, Dr. Chugbo served as Director for Health Systems at a Nigerian non-profit, where he led the design of a $17.5 million Gates Foundation initiative to transform primary care systems and health financing, as well as efforts to harness the private sector’s potential to deliver important health services. He has also worked with Morgan Stanley, the investment bank, in New York and London. Dr. Chugbo trained in medicine at the University of Lagos and earned an MPH from the Harvard School of Public Health and an MBA from the Harvard Business School.
Ronald Mutasa, Senior Health Specialist, World Bank Health Nutrition and Population Global Practice
Ronald Mutasa is a Senior Health Specialist in the Health, Nutrition and Population Global Practice at the World Bank in Washington, DC. Ronald leads the Bank’s analytical and operational work in Zimbabwe’s health sector, and is Task Leader of the Southern Africa Tuberculosis and Health Systems Support project—the World Bank’s flagship initiative in Southern Africa. Ronald’s areas of expertise include: health financing and reform; disease control; design and management of decentralized health service delivery programs; and operations research. With more than 15 years of experience strengthening health systems in the USA and in Southern, Eastern and Western Africa, Ronald’s work is focused on enhancing access to quality health care by low income households. He has been intensively involved in the technical design, preparation and implementation of multiple public health systems projects and has led major studies, including Public Health Expenditure Reviews and National Health Accounts. Ronald has served as a peer reviewer of various publications, program design concept papers and studies within the Bank and is a published author of articles on demand- and supply-side financing and incentives in low- and middle-income countrysettings.