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2016

2016 HULT PRIZE CHALLENGE:


CROWDED URBAN SPACES
Can we build sustainable, scalable and fast-growing
social enterprises that double the income of 10 million
people residing in crowded urban spaces by better
connecting people, goods, services, and capital?

With Special Call to Action from President Bill Clinton

DRAFT V2.1

Hult International Business School Publishing 2015


3 Doubling Income by Connecting People, Goods, Services, and Capital

Almost 1.5 billion people living in


crowded spaces worldwide are struggling.
People dont make enough money,
they cant reach where they need to be,
and they are living in unsafe spaces
that lack infrastructure and connection to
basic services.

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4 Doubling Income by Connecting People, Goods, Services, and Capital

TABLE OF
CONTENTS

Almost 1.5 billion people living in crowded spaces are struggling

Urbanization is continuing to drive people all over the world


into crowded spaces
Limited income damages individual prosperity
and broader economic productivity

Governments and NGOs are unable to increase income for the urban poor

Social enterprises may be the best option to address this issue


However, building successful social enterprises
in crowded spaces will be difficult

Can we build sustainable, scalable, and fast-growing social enterprises that


double the income of 10 million people living in crowded spaces by 2022
through better connecting people, goods, services and capital?
Addendum:

DRAFT v2.1
5 Doubling Income by Connecting People, Goods, Services, and Capital

PRESIDENT BILL CLINTON


BAN KI-MOON

People dont make enough money to

PAUL MASON

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1.3 Billion

2 Billion

4 Billion

The Hult Prize targets consumers at the


Bottom of the Pyramid (BOP) who live in
poverty and who earn some income with
which to pay for goods and services.
Most people who live in poverty are in
the base tiers of income. It is important
to note, however, that every country -
even developed countries - have people
living in poverty. In the United States
alone, an estimated 46.5 million people
live below the national poverty line and
struggle to get by.

PEOPLE CANT REACH WHERE


THEY NEED TO BE

CONNECTED PEOPLE:

ZHAN YOUBING
MA3ROUTE
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CONNECTED SERVICES:

COPIA GLOBAL KALPANA SHARMA

CROWDED SPACES LACK


INFRASTRUCTURE AND BASIC
SERVICES

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STRUCTURES ARE INFORMAL, DENSE, AND SOMETIMES UNSAFE

CONNECTED GOODS:

SARITHA RAI

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Daily Life
Inside a Slum
Simultaneously, city borders continue to expand, creating
mega cities across the developed and emerging markets.
War and displacement have led to the largest global refugee
base of all time. This mega workforce however is sidelined
and pulling the global economy down even though many are
educated and have the skills, training and physical ability to
produce economic output.

Poverty camps exist in all places of the world. Social welfare


dictates where the poor live, what schools children must
attend, and what types of services are available. Lack
of education and economic opportunity has created a
Crowded spaces are difficult. As rural downward cycle of poverty which is difficult to break.
populations around the world migrate to city
centers in pursuit of a better life, they often The interviews collected below by Meera Bapat and Indu
Agarwal give an inside perspective on what life is really like
add strain and hardship to both themselves in crowded urban spaces. These interviews were funded by
and the spaces they occupy. DANIDA, the Danish Governments bilateral aid agency.

SAGIRA, MUMBAI: REHMAT, MUMBAI:


When we came here in 1972, we did not know where to fetch water. We We used to bathe and wash our clothes and vessels with water from the
used to go to a hotel (restaurant) to have a cup of tea and bring a can of textile mill. That was for free. Then the mill closed down and the water
water from there. After we settled down on a pavement we bought an stopped. That was a big problem. There was a water line passing under
old 5-litre can for 25 paise(3) and filled it in the morning. We used to ask our houses. Two or three of us thought that we should steal the water
around where a tap was working and we used to collect water there. If by tapping into the pipe. Plumber Patel and I did it first five years ago.
that did not work we used to go to the JJ hospital morgue, bathe there The cost of a pipe and digging came to about 1,000 rupees.
and fill our water containers. After we put up plastic sheet roofing on
the pavement we used to go to Kamathipura nearby to collect water Water came in the morning from 4 until 7 oclock. Alot of people came
at the tap in the 14th lane. There, the people used to refuse to give us to fill the water at the tap. There used to be a queue for water and we
water saying they have brought toilet cans! We did not understand used to charge 20 rupees per month per person. In a few days, the cost
what they meant. Then a woman told me that it was because of the pots of installing the tap for stealing the water was recovered. By then, many
that we carried to collect water. Then I bought a plastic bucket. If we other families wanted to have their own taps. So there were six or seven
did not get water in the 14th lane we tried to get it in other lanes. We more such taps and the municipality came to know about it. They
used to go in search of water at 3:30 in the morning and collect three came with the police. But we had come to know that the municipality
or four handaas (an urn that can hold 1012 litres of water) by seven people were coming and everybody shut their taps and concealed the
oclock. If we did not get water we used to buy well water. Even now we connections with stones. After the men left we filled the water. We then
sometimes have to buy well water for five rupees per handaa. We buy placed a few people on the lookout for the inspector. After a few days,
four or five handaas per day, just for cooking. we made friends with a person from the municipality. We asked him to
install a tap in our mosque and madarssa. He took about 600 rupees
Local elections took place two months back. Our only demand was from us and put in a tap. Now they come to disconnect our taps once
water whoever gave us water would get our votes. We made ten boys every month or two. Still, there are always two or three taps left. Also
our spokesmen. The one with a bow and arrow (the symbol representing the main tap is never disconnected. It is always there.
the political party Shiv Sena) gave us two taps before the elections. Now
we have water. Those who had money spent 1,500 rupees or so extra
and got individual taps inside their shacks. I also got one. We have fixed
a rate of 20 or 15 rupees every month per family. These are unofficial
taps. We cannot get taps officially. We have filled in forms so many
times but the municipality throws them away. There is no provision for
giving water taps to pavement dwellers.

To avoid fights over water in our area, three boys organize everything.
Yashawant Jadhav gave 150 taps in all but each area got one or two.
Sophia Zubair Road (pavement settlement) has one, Dimtimkar has
two, Peer Khan has five or six. There was a big fight at the tap on the
corner and people began to beat each other. The municipality person
took away a hose pipe and a couple of handaas. The boys rushed to
Yashawant Jadhav who sorted out the problem. Since then the boys
have supervised things.

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KHATRABAI LONDHE JYOTI BHENDE:


I live in Jaibhavani Nagar on Parvati Hill. It is part of a very large slum I used to live in Indiranagar in Ghatkopar. Our rooms were demolished
area. My shack is near the top of the hill. Until seven years ago, there because a road was built there. So we came here in 1985. Many other
was no piped water supply anywhere in the settlement. There were just people also came. When we came, there were only four or five houses.
three water taps near the toilets. We also used the water from the canal It was desolate and quite scary. We filled up the swamp and built our
that lies at the bottom of the hill.(7) A strip of land on both sides shacks. It cost us a lot of money to get several truckloads
of the canal belongs to the government (irrigation department). I used to of debris to reclaim the land. Last year, the municipal corporation filled
get up in the morning and first bring two handaas of water from the taps up more area.
near the toilets. Sometimes, the toilets would get blocked and nobody
did anything to get them repaired. Filthy water used to collect near the In those days, we had to get water from Mankhurd station. We had to
urinals. And we had to fill the water in all that mess. There used walk through the slush and mud. It used to take us an hour to walk back
to be flies and insects flying all around. They would fall in the water. with water pots on our heads. If we did not get water there, we used to
There are neither paved pathways in our settlement nor are there go to other places like Bainganwadi and Shivajinagar. We had to fetch
properly laid out drains. People have made trenches to carry off the enough water for drinking and washing. The water here is saline. At high
wastewater. When my children were small, they used to follow me when tide, the water level used to rise and our houses used to get submerged.
I went to fetch the water. Sometimes, they would fall into the trenches. This used to happen several times a year. Now that the whole area has
So, half my attention was on my children. In addition to this worry was been reclaimed we do not have this problem. Five or seven years ago
the anxiety to get to work on time. we got water taps. They were provided from the MLA (member of the
Legislative Assembly provincial assembly) funds.(4) But those taps
Men used to wash clothes near the taps and make us wait for a long are dry. Because the pipeline passes through the marshy area, it is
time before we could fill our handaas. Men bathing near the taps would rusted. Some people have paid the money and have secured their own
soap themselves and deliberately shake their heads vigorously so that water supply. Some people go near the bridge to fetch water. It takes
the soap lather used to fly all around and fall in the water as we filled ten minutes to walk there. MHADA(Maharashtra Housing and Area
our handaas. They used to say all kinds of vulgar things to us. It was Development Authority) is doing some work there. Pipes have broken
so humiliating! We would ask them to move aside and let us fill our and several people bring water from there. Even that water is not
handaas, but they never listened. In order to avoid having to face this, I free. There is always someone sitting there who charges one rupee for
used to go much further to another housing area to get water. a handaa of water. Anyone can take charge of water and collect money.
After the elections, I thought we would get water taps. But nothing Even I can do that.
happened. Politicians come to us when they canvass for elections and
then they disappear. Then Mahila Milan was started in our slum. Several I need 15 or 16 handaas of water every day. When we wash bed sheets,
of us came together. We realized that we would have to try to get water blankets etc., we need to buy water worth nearly 50 rupees. There are
connections ourselves. Before that we expected the local councillor to times when we do not get water for a couple of days in a row. Then we
do everything for us. But he did not get us water. We met the municipal get it from Shivajinagar, Mohite Patilnagar or Shantinagar. It takes half
commissioner. He was very helpful and understanding. After we lobbied an hour to reach Shivajinagar. Shantinagar is even further. We have to
for months and made repeated visits to the municipal offices, pipes go on the highway. Sometimes the water is dirty. It has a foul smell.
were laid and taps fitted, but they remained dry. After another wait and There are always fights for water, particularly if women try to jump the
more visits to the municipal ward office, we finally got water. When queue. Then complaints are registered with the police. We have met our
we opened the stopcock and water came out with force, women and councillor many times to ask him to get us more water. He promises to
children were absolutely overjoyed. This was seven years ago. Over the look into our problem. So far he has done nothing. We also went on a
last year, however, we have had very little water in our area. It is difficult protest march to the municipality. But nothing has changed here.
to get even a few handaas of water for drinking. To do our washing we A toilet block is under construction at present. Until now, we have used
have to go all the way down to the canal. Going down the slippery slope open land for defecating men go on one side and women on the other.
to the canal is quite hazardous. People passing by can see women squatting. The day before yesterday,
an old woman went out to defecate at seven in the evening and a man
Our settlement extends for a few kilometres on the hill slope along the came from behind and grabbed her. A few of us generally go together
canal. At the far end there are no water taps. Women fill water that for the toilet. Men hide behind the bushes and watch women when they
comes out of the air valves fitted on another canal that has been closed are squatting. If they see a woman alone, they creep in and molest her.
with a concrete slab. They have to walk quite a distance to reach the In the past, we met the councillor many times and told him about the
points where the valves have been fitted. Even though this water is circumstances in Sathenagar. But for years nothing happened.
not treated, they have to use it for drinking also. Climbing up the steep
slope from the canal to the pathway with two or three handaas of
water balanced on the head and then up the hill to their shacks is quite
a precarious task. Every morning and evening, you can see several
women and young girls going to fetch the water and returning with
handaas perched on their heads. There are no toilets in our settlement. SHALINI SADASHIV MOHITE:
We go up on the hill for defecating. Women go on one side and men
on the other. We go at night under the cover of darkness. There are no
lights up there. It is quite scary. When we go, we call out to others so I am the secretary of the Mahila Mandal (womens group) in Omkar
that three or four of us can go together. In the rainy season it is difficult Society. There are around 3,000 families that live in this settlement. Two
to walk there years ago, groups of 1015 families collected money and each group
got a water connection. For the past six months, we have no water at
all in these taps. We have complained to the municipal office, and they
have promised to connect our taps to a different water line, but nothing
has been done so far. Now we buy water for drinking, washing, bathing,
everything; we pay ten rupees or more for water every day. We buy it in
Bainganwadi or Shivajinagar and other such areas. It takes about half an
hour to walk there and come back. Some people go there on bicycles
and bring four cans at a time. Those who do not have bicycles hire them
for two or three rupees or bring water in autorickshaws (three-wheeler
hooded vehicles used as taxis). The people from whom we buy water
have tapped water lines going into buildings there, and have put pumps
to draw water. Some have put hosepipes from there to here and sell
water to individual families at 100 rupees a month. There is no toilet in
this whole area. Men and women from the settlement squat along the
road. Women do not go after six in the morning.

They wait for the cover of darkness. We even eat less so that we do not
need to relieve ourselves during the daytime because we do not have
proper toilets. Now some toilets are being built here. We tried to get our
MLA(member of the provincial Legislative Assembly) and the local
coun- cillor to build toilets for us, but they said they did not have funds.
We went to Apanalaya (an NGO) who told us to go to SPARC. And now
SPARC is building these toilets.

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Urbanization is continuing
to drive people all over the
world into crowded spaces

I have nothing

REFUGEE ACTION

70
Population (B)
Urban(%)
2005 2015 2025

0 0

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12 Doubling Income by Connecting People, Goods, Services, and Capital

MEGACITIES:
POPULATION
CITY COUNTRY
(ESTIMATES)

SLUMS:

REFUGEE CAMPS:

POPULATION
SLUM ADJACENT CITY
(ESTIMATES)

FLEEING POPULATION
CAMP
MOSTLY FROM (ESTIMATES)

DRAFT v2.1
13 Doubling Income by Connecting People, Goods, Services, and Capital

The Gaza Strip - is one of the most crowded


Limited Access in and least built-up urban environments in the
world today, with a population of 1.7m and

the Gaza Strip density of almost ten thousand people per


square mile within a relatively flat area.
This is exacerbated by population growth rates and restrictions
on the movement of goods, services, and people within
and across its borders, preventing the proper planning and
development of a functioning city that provides accommodation,
Key Facts: sanitation, health, education, and food to its residents.

Restrictions on the movement of people ( Population growth has put pressure on


<200/day on avg in H12013) and goods (<1 ailing health, education, water (25% of
truckload per day in H1 2013) across and households receive running water every day,
within the Gaza strip (1 official functioning 90% of extracted water unsafe for human
crossing in 2013) continue to impact its 1.7m consumption), and sanitation services (90m
residents by reducing access to livelihoods, litres of treated and untreated sewage are
essential services, and housing dumped in the sea each day)

The volume of construction materials that Access to land within 300 meters from
entered Gaza via underground tunnels the fence surrounding Gaza is generally
in 2013 was over 3x the amount allowed prohibited and access to farming areas
through the crossing. beyond is risky.

Power outages (up to 12hrs/ day) and Fishermen are allowed to access less than
external trade restrictions discourage one third of the fishing areas allocated to
investment, prevent sustainable growth, and them under the Oslo Accords: six out of 20
perpetuate high levels of unemployment nautical miles.
(34% of able and willing) and food insecurity
(57% of households)

Entrepreneurial Opportunities
in Rio de Janeiro
government to provide employment. Former fisherman and musician David Vieira
Between 2008 and 2009, there were Bispo, a resident in the Chapu Mangueira slum
community in Leme, had taken the name of the
14,057 entrepreneurial ventures in community to other regions of the country and
the Rochina and Maguinhos slum even abroad. About two and a half years ago, he
communities of Rio, but only 1,083 decided to open a pub with his name.
Rio De Janeiro has an (7%) operated in the formal sector. The We were the first pub in the slum community
estimated population 6.35 other 93% of ventures operated in the to compete for prizes of gastronomy, he says
unregulated, informal economy. proudlythe appetizers won prizes. Today, I
million, making it the second recognize myself as an entrepreneur. Davids
Pub creates jobs. The slum is no longer the ugly
largest city in Brazil, third Local police, called Pacifying Police duckling of the city. People feel that this is an area
largest metro area in South Units (UPPs), have been brought in society has reclaimed.
to improve security in 28 of Rios
America, and 6th largest in slums. The results have led to a 75% Rio is attracting large foreign direct investment
(US$ Million)
the Americas. decrease in the number of violent 7000
deaths, a 15% increase in property Brazil

The city has a population density of prices between 2006 and 2011 Rio City
5000
12,380 people per square mile. Almost attributed to these units, and an
one in four people 1.4 million in total increase in the revenues of business
live in urban slums (up from 13% in located in the slum communities.
1970s). Although per capita income These sorts of interventions attract
has doubled since 2000, many entering direct foreign investment and make the
the labor markets are illiterate, making area more enticing for entrepreneurs 0
it challenging for businesses and the and local businesses.
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14 Doubling Income by Connecting People, Goods, Services, and Capital

Higher Employment and Higher


Poverty in Columbus, Ohio
Poverty is not limited to the In Columbus, Ohio, for example, simply The data shows that employment alone
creating jobs has not led to a reduction is not the solution to lifting people out of
developing world. Although in the poverty level. The regions poverty. Jobs that dont cover the cost
the average incomes are unemployment rate is about 5.9% and of living are not an adequate solution.
higher in Europe and the has been falling for the last several Poor quality, low-paying jobs are still
years. However, despite more people not helping people pay for what they
United States, higher costs being employed, the poverty rate has need. The real solution is to create
of living mean that income not changed or dropped below 18%. opportunities to generate more and
may still leave families sufficient income to be able to afford
People living in the city and working the cost of basic services.
homeless, struggling to full-time on a minimum wage job will
afford food, or unable to pay earn about $15,000 per year. In order Solutions to this years challenge of
for critical medical care. to cover the costs of living in the city crowded urban environments, whether
from rent, to transportation, to food focused on the US or otherwise, must
it is estimated that a family with two focus on enabling poor communities
adults and one child in Columbus would to better connect and create value in
need almost $40,000 per year. the form of high enough incomes that
enable them to rise above the poverty
level wherever they reside.

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15 Doubling Income by Connecting People, Goods, Services, and Capital

CONNECTED SERVICES:

Limited income damages


individual prosperity
and broader economic
URSULA GRANT

productivity

97.3 Million Urban Poor 55.7 Million Urban Poor

Indonesia Mexico
93.2 Million Urban Poor 49.7 Million Urban Poor

United States China

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16 Doubling Income by Connecting People, Goods, Services, and Capital

OPPORTUNITY
Demand Pull

SERVICES

CONNECTED SERVICES:
JOBS

DESPERATION
Supply Push

FAMINE

WAR

MICHAEL MURPHY

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17 Doubling Income by Connecting People, Goods, Services, and Capital

Fairchild 8:
The Economic
Opportunity Cluster
Our hope is to empower 10 million additional, or greater principal sources
crowded urban space dwellers to break of income, allowing them to more
the cycle of poverty through finding new rapidly scale out of poverty. Beyond
and innovative ways to connect them with the individual entrepreneur and his
not only the basic necessities of human family, research has shown that a
life, but also with the opportunities which single successful entity in one area can Aires Tech Sector, where a few key
enable them to take ownership of their effectively spawn an entire village of startups lead to an entire ecosystem to
own destinies. These opportunities may entrepreneurs and startups. emerge, the role of entrepreneurship and
exist locally and are in need of scale or innovation is fundamental. It only takes
may need to be conceived from scratch In fact, research conducted in 2014 by one idea to build a valley - to date, 92
as micro-enterprise startups. One thing Endeavour shows that the some of the public companies, totaling over US$2.1
we know is that solutions need to be bold greatest entrepreneurial ecosystems Trillion in value can be tracked back to
and challenge previous decades of ideas of today were in fact started by one Fairchild.
and programs which dont seem to be successful company (or a few), which
of the right size or scale, and have yet to then served to launch a wave of startups. The concept of economic opportunity
unlock the ability to break poverty. Whether examining Silicon Valleys clusters created around one or a few
growth in relation to the original founders successful entities can be applied to
Increasing incomes through of Fairchild Semiconductors, the crowded urban spaes, turning a otherwise
entrepreneurship is a viable supply- Traitorous 8 alone led to the spinoff of depressed village into a work force that
side tool to provide crowded urban 31 firms in just 12 years or the amazing drives economic empowerment and
space dwellers with access to alternate, interconnectedness of the Buenos inclusive economic growth engine.

The Creation of Silicon Valley The Buenos Aires Tech Sector


Fairchild founders spunoff 92 public companies in 58 years A few key startups lead to an entire ecosystem

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18 Doubling Income by Connecting People, Goods, Services, and Capital

MARCO KAMIYA
AND JON-ANDREAS SOLBERG

PROFITS BYPASS MARKET FORCES

SIDE SOLUTIONS PROVIDING


SERVICES AND DISTRIBUTIVE
EQUALITY

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19 Doubling Income by Connecting People, Goods, Services, and Capital

PRESIDENT BILL CLINTON

PROFIT
MINDED

MARKET IMPACT
DRIVEN CENTERED

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20 Doubling Income by Connecting People, Goods, Services, and Capital

However, building
successful social
enterprises in crowded

BANDWIDTH IS A LIMITED, SCARCE TECHNOLOGY SOLUTIONS ARE


RESOURCE DIFFICULT TO ACCESS

MANY PEOPLE DONT HAVE


ENOUGH TRAINING

SOME PRIVATE SECTOR SOLUTIONS


EXPLOIT CONSUMERS AND
WORKERS

PLAYPUMPS: TROUBLED
WATER

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MISSION PRINCIPLES ASSETS MUST BE ABLE TO


ENSURE SOCIAL ENTERPRISE BEAR RISK
EFFECTIVENESS

SOLUTIONS NEED TO CONSIDER


CULTURE AND GENDER BIASES

FINANCES MUST BE EFFICIENT

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22 Doubling Income by Connecting People, Goods, Services, and Capital

Can we build sustainable, scalable,


and fast-growing social enterprises that
double the income of 10 million
people living in crowded spaces by
2022 by better connecting people,
goods, services, and capital?
CONNECTING SERVICES:

CONNECTING CAPITAL:

CONNECTING PEOPLE:

CONNECTING GOODS:

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23 Doubling Income by Connecting People, Goods, Services, and Capital

Guiding Questions
More Income

Better Outcomes

More Empowering

Better Connectivity

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24 Doubling Income by Connecting People, Goods, Services, and Capital

Addendum:

Building successful
social enterprises
Companies who are able to think broadly and holistically about
the entire business innovation value chain are more likely to be
able to capture and create value. Social enterprises developed
for the Hult Prize, like Aspire Food Group, Nanohealth, and
IMPCT.co, have worked across these segments to design and

spaces. They are working on the ground, today, to produce at

and networks to capture new value in new ways.

do the same?

DEVELOP STRONG
CHANNELS

BUILD ENTERPRISES
WITH LOCAL PARTS AND UNDERSTAND YOUR
KNOWLEDGE CONSUMERS

CREATE VALUE
CONNECT PEOPLE,
GOODS, SERVICES, AND
CAPITAL

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25 Doubling Income by Connecting People, Goods, Services, and Capital

Value creation and greater income


generation in crowded urban spaces
through better interconnectedness
between capital, goods, services, and
people can be achieved in many ways.
The examples on the following two pages should serve
as a guide to 3 potential avenues:

a) establishing a micro-franchise through industry creation (Aspire),


b) empowering every day dwellers to become income
generators (NanoHealth), and
c) scaling and training existing entrepreneurs (IMPCT).

Aspire Food Group:


Creating Value by Sparking an Industry
and Launching Micro-Franchises

Almost 1 billion people worldwide lack value chain from beginning to end. They nutritious option. The United Nations
food security. They struggle to provide train and empower entrepreneurs to has recognized Aspire as providing a
enough safe and nutritious food to their be able to farm their own insects, feed viable potential solution to the global
families. Every day, they work hard their families, and increase their income. food crisis. Many residents of slums in
to pull together the best meals they Aspire empowers entrepreneurs and Ghana, for instance, a pilot location for
can, but over time, malnutrition has a employs thousands of individuals Aspire Foods Group, suffer from severe
significant effect on quality of life and who would otherwise not have a iron deficiencies (70% of pregnant
health. In addition, as people continue job. Whether an injured retiree or an women). 100 grams of Palm Weevil
to move from rural to urban areas, they adolescent struggling to make ends Larvae, a key product of the company,
find that they dont have adequate skills meet, Aspire provides both with more has the daily recommended intake of
to find work, and are pushed into slums. than ten times the income by better Iron.
connecting know-how, entrepreneurs,
Aspire Food Group utilizes an innovative consumers, and nutritious food. Aspire has spawned an entirely new
solution to create more nutritious industry poised to rapidly scale around
insect-based food options, more than Insects need ten times less feed than the world and have significant impact
double income for small entrepreneurs, cattle to produce the same amount of on the lives of people living in urban
and create a more sustainable food protein and are thus a cost effective, slums.

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26 Doubling Income by Connecting People, Goods, Services, and Capital

NanoHealth:
Creating Value by
Providing Sufficient Income

NanoHealth is able to achieve the above


by creating, employing, and training a
network of community health workers
called Saathis, and providing them
with a low cost point-of-care device.
These Saathis form a strong network of
More than half of patients with diabetes NanoHealth addresses this problem community health workers, extending
and hypertension in the urban slums by offering a cost-effective and scalable the reach of the health system right
of India remain undiagnosed, as there model to tackle the growing burden to the patients doorstep. In addition,
is no population level mass screening of chronic diseases in urban slum Nanohealth is able to double and
program, doctors and hospitals are locations across the world. Their sometimes triple their employees
often located hours away from the Doc-in-a-Bag product allows the incomes; many of these Saathis were
patient (full day or more just to visit rapid and accurate diagnosis of disease previously untrained and uneducated
creates financial disincentive), and slum to take place on-site and cheaply, thus community members with access only
dwellers dont have the financial means preventing the patient from having to to the lowest paying jobs. With the
to afford the doctors visit. This leads visit the doctor at all unless diagnosed. combination of the right care model,
to under-diagnosis, poor treatment, Patients no longer have to make the scalable technology, and impact-
and poor prescription compliance, difficult choice between taking a day centered approach, NanoHealth aims to
which, in turn, mean greater aggravation or more off of work, or paying expensive prevent one million pre-mature deaths
of the disease and eventually pre- doctors fees, and improving their every year while significantly increasing
mature death. health. incomes in the areas they operate in.

IMPCT:
Creating Value by Enabling Existing Entrepreneurs

Millions of children in urban slums are hopes to enable more parents to Playcare, on the other hand, pays a
currently sitting idle in unsafe informal work while their children receive high salary and profit share that averages
daycare centers run by existing quality early education. By identifying $220 per month. IMPCTs first teacher
entrepreneurs who have no training or talented existing entrepreneurs and Alma, for example, went from making
adequate resources. Parents are willing providing them with the capital (donors), $80 with her informal daycare to $300 in
to pay almost 20% of their monthly know-how (Training), and curriculum her first month running her Playcare
income to these informal daycares (Montessori) to build and run a
in order to be able to work. In Latin successful daycare with more students, IMPCT has already reached more
America alone, there are an 200,000 IMPCT allows these young mostly than 9m people with hundreds of
such informal daycares with on average female entrepreneurs to double or triple major media appearances across
4 kids each charging $2 / day which their previous income, while better three continents. They have convinced
means that $1.6m are spent every day connecting children and parents to high 50 companies representing 65,000
on childcare services. quality, dependable, and safe daycare employees to develop matched
services. On average, mothers earn investment programs on their platform,
By scaling up the quality and capacity between $80-120 per month with their and engaged 750 donors from 45
of these informal structures, IMPCT informal daycares. Owning an IMPCT countries to build their first playcare.

DRAFT v2.1
27 Doubling Income by Connecting People, Goods, Services, and Capital

PROFESSOR ROB ANTHONY

AHMAD ASHKAR

KARIM SAMRA

KRISTEN TYRRELL

ACKNOWLEDGEMENTS

DRAFT v2.1
28 Doubling Income by Connecting People, Goods, Services, and Capital

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DRAFT v2.1

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