1. An individual has not started living until he can rise above the narrow confines of his individualistic concerns to the broader concerns of all humanity. -Martin Luther King

2. Motto: Harambee (all do it together)

3. Population: 1,187,039 Density: 163/sq. Km Gross Income : US$460 per capita CVD Prevalence Hypertension: 50.1% Obesitiy: 13% Diabetes: 6.6 % High Cholestrol: 21.1% Health Care Centers: 8/100,000 HIV Prevalence: 18% (Ntnl. Avg 14%) Few people received treatment for hypertension (15%). REGION IDENTIFICATION

4. Kenya’s Political Structure Central Provinces Divisions Sub-Divisions Villages

5. Plan of Actions (4 years) Initiate programs in one subdivision, consisting of few villages. Based on the learning, expand the program to neighboring villages. Work with the Division and Sub-Division authorities and help them take over. Expand the program to neighboring Sub- Divisions.

6. Cardiovascular Disease Problem Treatment Capacity Medical Worker Shortage Medical Drugs Shortage Disease Prevention Non-existence of Diagnostics Lack of Public Awareness PROBLEM ANALYSIS

7. Cardiovascular Disease Problem Treatment Capacity Medical Worker Shortage Medical Drugs Shortage Disease Prevention Non-existence of Diagnostics Lack of Public Awareness PROBLEM ANALYSIS

8. Medical Worker Shortage -Lack of incentives -Stressful working conditions -Lack of supplies and medical equipment -Lack of professional growth opportunities Non-existence of Diagnostics -Remote locations -Lack of equipment -Lack of staff -Geographic conditions Lack of Public Awareness -Poor education -Poor technology penetration -Poor exposure

9. POTENTIAL SOLUTIONS

10. Solutions Categories Outreach Increase awareness Increase accessibility Better diagnostics at grass root level Incentive Increase retention of Medical workers Enhance quality of medical care Sustainability Empower women Self sustaining Infrastructures

11. Global Public Health Fellowship Provide exposure to public health problems Fellows are appointed for an year Fellows are our primary agents to implement the education initiatives Program setup similar to Global Health Fellowship of USAID

12. Community Center Basic CVD Kits Remote connectivity to Hospitals Health care Vans Training and Awareness

13. Models in India (Airjaldi, WokFi) Home-made antenna : Strainer used as a parabolic antenna to propagate WiFi signals to distances more than 5 miles $10 wireless cards mounted on PC Total cost to network 1 community center, $450

14. Model in India (Arvind Netralaya + TIER, UC Berkeley) 1 Hospital, 6 community centers covering 100 sq. miles Overall investment = Community Centers + Relay nodes $5000 for networking 100 sq. miles in Nakuru !!!

15. Further Growth/Revenue Opportunities Telemedicine and diagnosis using kiosks at CCs Training and education UI/GUI based application services Weather prediction, agricultural and crop information Statistics collection Renting out the network to Private firms for advertisements

16. Medical Worker Incentives Foreign Rotational Programs Supporting higher education ambitions Professional Training and Networking Opportunities Recognition of their services- Honorary fellowship

17. “..some are more equal than the others” - George Orwell

18. “Women are treated as secondary citizens” Poor treatment, sexual abuse, physical trauma, disrespect Highly prone to HIV exposure GROOTS, Mibati

19. Inexpensive mosquito nets made from recycled plastic $200 per family to set-up Coal box iron instead of electricity Can be distributed/sold to nearby divisions/provinces Dr. Brad Elder, Doane College

20. Train women to become earners Train women to work in Community Centers Hold workshops and counseling sessions in between breaks to teach them new skills

21. Summary of KPIs IT infrastructure Number of patients being diagnosed in each Community Center Statistic on type of disease, remote care, referred to central hospital Incentive Program Enrollment of Medical Workers Quality of Healthcare Delivered Women empowerment program Number of women enrolling for the program Revenue generated Survey and counseling records

22. Progress Time Line

23. Cost Estimates

24. Akshay V S Incentive programs Anand SinghIT infrastructure Gaurav ShahDiagnostics, medical care Suman BasuWomen empowerment