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Mr. Payan Ouko

I have partnered with Maternal health nonprofit grass-root organisations to provide radiology services to pregnant women in the remote areas

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In no more than 3 sentences, please tell us who your idea is designed for and how it reimagines the new life experience.

Designed for the poor and vulnerable in the community. That pregnant woman who has no awareness of prenatal screening services, who cannot access a healthcare center due to factors like long distances and affordability. This involves partnership with maternal health institutions and non profit grass root organisations serving the BOP, we make antenatal care easier by providing ultrasound services to the pregnant women thus reducing pre and post natal mortality rate by providing early diagnosis.

Kenya grabbles with under developed, under-equipped and unsophisticated facilities stretched to cater for more than they can. Currently access to such facility involves traveling long distances, incurring costly transport burdens and waiting in long queues in public hospitals that are understaffed and ill-equipped to handle vast numbers of referrals. World Health Organization (WHO) estimates that 80 percent of the medical equipment in developing countries is donated. A 2011 study looked at inventory lists from 16 low-income countries and showed the number of nonfunctional medical equipment in that pool is at about 40 percent. Most donations in radiology equipment suffer from mismatched with equipment requirements or operational expertise, or it may not be maintained properly or used safely. This makes donated medical equipment unusable in underdeveloped countries. Kenya needs help in improving diagnostic medical imaging to increase healthcare delivery to its nearly 50 million citizens and the solution is not For-Profit Private Healthcare provision, because – the private sector service delivery is of negligible value compared to the demand, also people living in poverty are not the main beneficiaries of private services, and the high cost of these services also place services out of reach of those who need them most. We see that social entrepreneurship is, key to deliver better health outcomes for the bottom of the pyramid that would otherwise find it difficult to get access to quality diagnostic healthcare. Social Entrepreneurships in healthcare will protect against the impoverishing effects of illness’, with an ‘emphasis on the underserved’

We provide access to medical equipment, expertise, training, and supports organizations that provide primary care to the under served bottom of the pyramid (BOP) in society that lack access to their healthcare needs due to financial constraints. Cedars employs an innovative social entrepreneurship program; Managed Radiology Equipment and Skill Service (MRESS) this is the outsourcing of overall departmental needs, specifically equipment and technical skills required for improving clinical care, in a way that ensures management of responsibilities and functions; it’s a strategic method for improving operations and cutting expenses by placing efficiency at the heart of operations. Cedars Diagnostics providers Managed Radiology Equipment and Skills Service that in partnership installs diagnostic imaging equipment, maintain expert skills(sonographers Radiographers or Radiologists) and technical support in delivering quality diagnostic imaging to the populations served by these caregivers

In this case, we support maternal health centers serving the BOP by partnering with them and provide the equipment and skilled personnel for them to provide comprehensive pre and post natal care.

At what stage is your idea?

  • Full-scale roll-out: I have completed a pilot and analyzed the impact of that pilot on the users I am trying to reach with my idea. I am ready to expand the pilot significantly.

What early, lightweight experiment might you try out in your own community to find out if the idea will meet your expectations?

We have already tested the concept. So far we have impacted 5,105 pregnant women by engaging in maternal screening and educating them on fundamental maternal issues in the urban and rural remote areas. Impacted 1,200 expectant women’s lives saved from fatal maternal conditions such as ectopic pregnancies as a result of early maternal screening. 927 children impacted as a result of early diagnosis of conditions such as heart diseases, cancer, major communicable and non communicable diseases.

What skills, input or guidance from the OpenIDEO community would be most helpful in building out or refining your idea?

- OpenIDEO may provide forums or networks to other organisations, accelerator programms, impact investors with the same goal. - May be of help in helping to fine tune the idea on every level so that we can be able to make a bigger social impact. - Workshop forums for us to learn more about othe organisations and how they tackle same social issues on the ground.

Tell us about your work experience:

I am the Managing Director of a social enterprise based in Kenya who's main mission is to provide access to quality and affordable medical imaging services to the Kenya's poor.

This idea emerged from...

  • An organization or company

Are you an expecting, new, or experienced mom?

  • no

Are you a healthcare practitioner?

  • yes

Are you a current employee of UCB Pharmaceuticals or Sutter Health?

  • no


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While the world has made significant progress in gains in curtailing maternal and child deaths, such advances have been painfully slow in Kenya, Kenya ranks in 21st for worst countries for mothers to be in, 1 in 300 women die in Kenya during child birth and a perinatal mortality rate of 23/1000 total births. High number of maternal deaths reflects inequities in access to health services.
Mother and child morbidity is on the increase from preventable causes related to pregnancy and childbirth, according to the World Health Organisation. Ultrasound imaging now forms an essential part of antenatal care around the world. WHO recommends that women have at least four antenatal visits and an ultrasound procedure done on each visit to:-
Accurate assessment of gestational age and diagnose any abnormalities in the womb, as well as the condition of the fetus (detection of possible fetal malformation, placental localization and confirmation of multiple pregnancies),
Early detection and monitoring of the conditions that give rise to fetal and maternal compromise, detect any complications in pregnancies to enable planning for early intervention, and monitor the fetal development and its viability to survive.
In addition to the crucial medical indications for antenatal ultrasonography some pregnant mothers have certain expectations of ultrasound examination; they may also want to or do actually have ultrasonography for various reasons. These include checking for fetal abnormalities, to see that all was normal, for their own reassurance, and assessing fetal growth. Others include checking for fetal viability, fetal sex determination, checking for number of fetuses, determination of gestational age and placental localization.
Many in rural and urban centres areas do not have the means or the access to facilities to undertake much needed ultrasound procedure, even on a single one of those ante-natal visits.
Cedars Diagnostics is a social enterprise whose key mission is to deliver better health outcomes for the bottom of the pyramid populace of Kenya, the urban poor by providing access to quality and affordable diagnostic healthcare.

Social Entrepreneurship in healthcare will protect against the impoverishing effects of illness’, with an ‘emphasis on the undeserved’.Through MRESS, Cedars Diagnostics hopes to innovate, using technology to make a meaningful contribution to primary and referral care by building capacity, enhancing skills and driving better outcomes for mothers and babies and for the communities we operate in.

Cedars Diagnostics under the flagship program Managed Radiology Equipment & Skill Service (MRESS), seeks provide Ultrasound imaging equipment and trained sonographers required to do ultrasound procedures to centres of care that cater to maternal and child health.
MRESS is proposed to be an effective, efficient and innovative strategy to achieve sustainable, equitable and accelerated improvements eliminate preventable maternal and child deaths and improve outcomes in reproductive health to Kenyans of reproductive age.
We would like to scale up this innovation inorder to make a bigger social impact to the BOP population of Kenya inorder to mitigate the high maternal and perinatal mortality rate.