“Empowering Healthcare” 5 May 2015

• Non-Profit Company, without members • Imperial Group’s enterprise development initiative • Empowering black women Professional Nurses • Creating employment • Improving healthcare access • Taking healthcare to our communities • Providing an affordable alternative • Improving healthcare quality • Mirroring NDOH Treatment Protocols & Guidelines

“Quality, affordable private healthcare”

• Concept developed out of the need for the urgent transformation in the healthcare system in South Africa;

• Fact that our country faces the triple affliction of HIV, AIDS & TB;

• Fact that 84% of our population are dependent on an overburdened Public Sector system; and

• A costly curative-care based model vs. disease prevention and promotion

• the concept was developed out of the need for the urgent transformation in the healthcare system in South Africa;

• the fact that our country faces the triple affliction of HIV, AIDS & TB;

• the fact that 84% of our population are dependent on an overburdened Public Sector system; and

• a costly curative-care based model vs. disease prevention and promotion

• Founded on an owner-operator model;

• Serving the “bottom of the pyramid” and under-served markets;

• An affordable, quality primary healthcare service and supply of quality medicines; and

• Based in our communities ensuring that the service is delivered at the point of need

• Objectives of initiative

• Establish sustainable primary healthcare clinics;

• Empower black female professional nurses;

• Create jobs;

• Provide alternative access to quality primary healthcare

• Project design

• Enterprise development funding;

• Simple, easily replicable model;

• Systems – education, operational, financial, clinical;

• Social franchise principals

• Unjani started with the opening of its first pilot in Etwatwa (Barcelona - Ekurhuleni) in 2010

• Subsequent openings: • Kwaggafontein (Mpumalanga) – Sept 2012 {ave 180 patients} • Villa Lisa (Ekurhuleni) – Oct 2012 {ave 280 patients} • Bram Fischerville (Soweto) – Feb 2013 {ave 222 patients) • Delft (Western Cape) – Feb 2013 {ave 275 patients} • Orange Farm (City of Johannesburg) – Feb 2013 {ave 298 patients}

• All of these Clinics have been in the Network for over 2 years now

• Average patient numbers per month = 250 odd

• From Sept 2014 to date, we have opened a further 8 Clinics: • Tembisa (Ekurhuleni) – 9 Sept 2014 {ave 282 patients} • Daveyton (Ekurhuleni) – 15 Sept 2014 {ave 316 patients} • Windmill Park (Ekurhuleni) – 21 Oct 2014 {ave 267 patients} • Winterveld (City of Tshwane) – 25 Nov 2014 {ave 170 patients} • Buhle Park (Ekurhuleni) – 28 Jan 2015 {ave 249 patients} • Klipfontein View (City of Johannesburg) – 12 Mar 2015 • Hebron (City of Tshwane) – 19 Mar 2015 • Tokoza (Ekurhuleni) – 15 Apr 2015

• All of these Clinics have signed 5 year Enterprise Development Agreements with the NPC

• Average patient numbers = 200 odd (in less than 9 months)

• Main activities • At the core is the provision of primary healthcare treatment • PHC Consultation @ R150 (incl. meds) • Education, baby clinics, ante and post natal care, wound care,

basic eye tests, blood screening and testing • Other services based on time and consumables cost

• Community outreach and NDOH campaign participation

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10 000

20 000

30 000

40 000

50 000

60 000

70 000

 247  293  333  400

Income

Nurse Salary

• Impact & Successes

• 14 Clinics opened to date

• Patient numbers

• Reduced burden on State facilities

• Improved quality of care

• Nurses are returning to the profession

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 50

 100

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 200

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Jan Feb Mar Apr May June July Aug Sept Oct Nov Dec

Bram Fischerville

Daveyton

Delft

Etwatwa

Kwaggafontein

Orange Farm

Tembisa

Villa Lisa

Windmill Park

Winterveldt

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 50

 100

 150

 200

 250

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 350

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Jan-15 Feb-15 Mar-15

Bram Fischerville

Buhle Park

Daveyton

Delft

Etwatwa

Hebron

Klipfontein

Kwaggafontein

Orange Farm

Tembisa

Villa Lisa

Windmill Park

Winterveldt

• Challenges & Learnings

• Site selection

• Operator selection

• Resistence to technology

• Recognition from NDOH / Local Health Authorities

• Imperial Funded • 25 Clinics by June 2016

• Open up funding to Imperial Partners from July 2016 • Add 12 Clinics by June 2017

• Add another 13 Clinics by June 2018

50 Clinics in 5 years (2013 to 2018)

Serving between 150 000 & 240 000 patients annually

150 Jobs created

Thank you!

Contact Details:

Lynda Toussaint

083 443 0549

ltoussaint@unjani.org