Sustainable Innovations Inc

Harvesting Innovations for People

Fairfax, VA   |  www.si-usa.org

Mission

Sustainable Innovations' mission is to harvest innovations for people and pioneer sustainable enterprises for delivery of services, like water and health to vulnerable communities.

Ruling year info

2008

President and Executive Director

Dr. BP Agrawal

Chairman

Mr. Atul Jain

Main address

12150 Monument Drive Suite#700

Fairfax, VA 22033 USA

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EIN

20-8813518

NTEE code info

Human Services - Multipurpose and Other N.E.C. (P99)

IRS filing requirement

This organization is required to file an IRS Form 990 or 990-EZ.

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Communication

Programs and results

What we aim to solve

SOURCE: Self-reported by organization

Rajasthan, India is an arid state. Land use patterns show that grazing lands are declining, there is very low forest cover and newly released land is increasingly being used in the non-agricultural sector. But 75% of Rajasthan’s population still lives in rural areas where people have to cope with scarcity of water and lack of access to quality healthcare. Where healthcare options are available, the barrier to access them is too great. The average distance of healthcare centers range from 4-8kms, which means that if a patient seeks care, they spend the entire day or more -- lost wages, lodging and medicine cost -- without a guarantee that the provider will even be there upon arrival. Thus people really wait for illnesses to become acute before accessing these vital services. Sometimes up to 50-60% of their income will go towards out-of-pocket medical costs. Our Care-on-the-Move and Aakash Ganga can help deliver primary healthcare and drinking water to a large at-risk population.

Our programs

SOURCE: Self-reported by organization

What are the organization's current programs, how do they measure success, and who do the programs serve?

Aakash Ganga or 'River from the Sky'

The Problem: Rajasthan is the driest state in India. The women in the villages must walk for miles across the desert to fetch water from the well, a chore that can take all day. Due to the lack of lakes and rivers, the people of Rajasthan depend on aquifers, underground geological formations that contain water, for their water supply. India’s aquifers are losing 60 cubic miles annually - a rate that would turn Lake Erie into a dust bowl in two years.
The Solution: Aakash Ganga (or "River from the Sky" in Hindi) is a rainwater harvesting system specifically developed by Sustainable Innovations to assure safe drinking water to rural communities. The program is based on a public utility model, where every homeowner in the community with a roof is asked to lease the rights to harvest their rooftop rainwater. They are provided with the gutters, spouts, and pipes that are connected to a network of interconnected underground storage reservoirs.
The rainwater harvesting system collects rain during the monsoon season for use year-round. The captured rainwater is divided into two parts: one part is stored at the homeowner’s premises for their exclusive use and the other channeled into the community reservoir. The sharing affords equal access to poor families. However, this part of the program is yet to be implemented. There are two types of reservoirs: A “Griha Tanka” (home reservoir in Hindi) of typically 25,000-liter capacity, is connected to each house for the sole use of the homeowner. The overflow is channeled into a larger “Gram Tanka” (village reservoir in Hindi) of about 400,000 to 1 million liters to provide drinking water to those who live in houses with thatched rooftops that cannot be used for harvesting. Additionally, a portion of the water in the village reservoir is meant to be used for horticulture so that it can generate enough revenue to cover operational costs and then pay a return to social investors. The latter part of the program is yet to be implemented.
Aakash Ganga is currently implemented in seven villages in Rajasthan, home to 10,000 people. The villages are Raila, Harinagar, Indrasar, Lasedi, Kakreu Kalan, Sanwold and Pilani campus. Aakash Ganga is ready for large-scale replication in thousands of villages serving millions of people.

Population(s) Served
Economically disadvantaged people

The Problem: The lack of adequate healthcare is detrimental to villagers in rural communities. Many villagers believe that common, treatable ailments are simply signs of growing older and thus do nothing to treat or prevent them. Even when healthcare options are available, the barrier to access them for most is too great to be able to get the care they need.
The average distance of these healthcare centers range from 4-8kms, which means that if an individual seeks care, they may end up spending the entire day or more -- meaning lost wages, in addition to costs for lodging and medicine, all without a guarantee that the provider will even be there upon arrival. Additionally, at these clinics, physicians may try and funnel them towards their own private clinics, resulting in even more time and money invested in the process to receive care. As a result, people really wait for their illness to become more acute before accessing these vital services, and sometimes up to 50-60% of their income will go towards out-of-pocket medical costs.
The Solution: Care-on-the-Move is an enterprise model for delivering low-cost healthcare services through trained, local women in the community, supported by a physician. Care-on-the Move brings healthcare to the doorsteps of vulnerable people and rural communities by providing local youth with the training and technology to be able to diagnose common ailments and offer treatment options.
Care-on-the-Move is a platform that provides primary healthcare diagnoses for common ailments and preventable diseases to vulnerable communities in India. It was piloted on an experimental basis in a few villages in Rajasthan and the lessons incorporated into its design. It is now ready for a proof-of-concept roll-out with the objective of readying the model for delivering healthcare to a broader cross-section of vulnerable communities that lack healthcare access. Year 1 will cover 5,000 people going upto 125,000 in year 3. As an enterprise, Care-on-the-Move is meant to be holistically sustainable on various counts: economic viability, affordability, cultural acceptance, technological robustness and reliability of delivery.
The key to Care-on-the-Move is the enterprise model that forms its core. By empowering local women with the training and tools necessary to be door to door health workers, we encourage entrepreneurship.
The proof of concept implementation will test the platform for its robustness in delivering care and the enterprise model that underpins it.

Population(s) Served
Economically disadvantaged people

Where we work

Our results

SOURCE: Self-reported by organization

How does this organization measure their results? It's a hard question but an important one.

Number of communities provided clean water

This metric is no longer tracked.
Totals By Year
Population(s) Served

Adults

Related Program

Aakash Ganga or 'River from the Sky'

Type of Metric

Outcome - describing the effects on people or issues

Direction of Success

Increasing

Number of people with improved water access

This metric is no longer tracked.
Totals By Year
Population(s) Served

Adults, Children and youth, Low-income people

Related Program

Aakash Ganga or 'River from the Sky'

Type of Metric

Outcome - describing the effects on people or issues

Direction of Success

Holding steady

Number of people receiving safe drinking water from community systems

This metric is no longer tracked.
Totals By Year
Population(s) Served

Adults

Related Program

Aakash Ganga or 'River from the Sky'

Type of Metric

Output - describing our activities and reach

Direction of Success

Increasing

Number of water projects built

This metric is no longer tracked.
Totals By Year
Population(s) Served

Adults

Related Program

Aakash Ganga or 'River from the Sky'

Type of Metric

Outcome - describing the effects on people or issues

Direction of Success

Increasing

Context Notes

Sustainable Innovations implemented Aakash Ganga in 7 communities, home to 10,000 people, in Rajasthn, India. Aakash Ganga collects 7 million liters of rainwater annually.

Goals & Strategy

SOURCE: Self-reported by organization

Learn about the organization's key goals, strategies, capabilities, and progress.

Charting impact

Four powerful questions that require reflection about what really matters - results.

(Our immediate goal is to launch a proof-of-concept for our healthcare program, for which we need funding of $250,000. This application is mostly focussed on our healthcare program, Care on the Move.)

India has a shortage of health workers in rural areas, with an estimated 40.8% health workers where 72.2% of the population resides, as per a World Health Organization (WHO) report (2019) . Furthermore, Telemedicine is therefore seen as a critical sector in India since it bridges the healthcare gap between rural India and urban India.

Sustainable Innovation’s unique selling point: The Care-on-the-Move e-health platform and a business model where neighbors care for neighbors, makes the last mile delivery of care to vulnerable communities at their doorstep cost-effective and process efficient in various ways. First, Care-on-the-Move ‘lends legs’ to care, so that it reaches such low-income communities, avoided by medical personnel for being economically unrewarding. Care-on-the-Move utilizes AI, imaging and EMR technologies to computerize medical protocols. Second, a community health entrepreneur network quickens access to care by the building of neighborhood enterprises, owned and operated by the communities’ youth. The community health workers carry the Care-on-the-Move tablet, stocked with triage protocols and diagnostic devices, in their shoulder bags and go door-to-door delivering care at the patient’s doorstep for a small fee. Third, this model will monetize the data and use the revenues to subsidize the visit fee charged to the patient. Our enterprise model approach is parallel to Google's in making the search engine free by monetizing data or advertisements

Sustainable Innovations’ aims to establish its e-health platform, Care-on-the-Move as a low-cost solution for delivering quality healthcare services for common ailments and preventable diseases at home to vulnerable rural communities through trained, local community women, who are supported by a remote physician. We would like to demonstrate Care-on-the-Move’s holistic sustainability on various counts: economic viability, affordability, cultural acceptance, technological robustness and reliability of delivery via a proof of concept roll-out in a rural village in Rajasthan with the objective of readying the model for delivering healthcare to a poor rural community of 5000 people that lack healthcare access. The cost of the first year is estimated at approximately $250,000.

Sustainable Innovations would like to demonstrate economic and cultural feasibility of Care-on-the-Move system by delivering care to underserved, vulnerable rural communities in Rajasthan, India. It would like to validate financial, operational and personnel assumptions via a proof-of-concept implementation spanning 3 years.

Year 1: 5,000 people
Year 2: 25,000 people
Year 3: 125,000

1) First-year goals:
a) Provide basic care and Covid-19 tracking to aggregate 5000 people in rural India.
• Baseline survey: Define indicators of disparities in health equity such as
what are the common illnesses, how are they currently treated, how far is
the distance to the nearest doctor or clinic, etc
• Integrate a minimum of 20 commonly prevalent disease protocols
• Train 3 healthcare workers supported by one remote physician to offer basic
care to 5000 people in rural India.
• Integrate Covid-19 tracking and education
• Assess, evaluate and publish findings
b) In parallel, conduct a feasibility study to adapt the program in the US

2) Second year goals:
a) Expand services to an additional 20,000 people
b) Set-up, support and learn from the first set of healthcare enterprises owned by
Sustainable Innovations’ trained community health workers from year 1.
Document learnings
c) Augment Care-on-the-Move e-health platform for respiratory diseases like
Asthma, BP and other managed diseases; integrate vision and hearing devices
and offer these screening services in the community.

3) Third year goals
a) Expand services to 100,000 additional people
b) Design revenue generating health information services for higher end markets.
These services will be browser or mobile phone based
c) Develop data analytics to create services for health authorities, public policy
institutions, and others.
d) Form partnerships with NGOs and socially minded commercial outfits to
implement Care-on-the-Move in the regions they operate in.
e) Produce and publish an impact report

Sustainable Innovations has pioneered sustainable enterprises focused on safe water and primary healthcare for vulnerable communities; it has the experience and capacity to implement large programs. Its forte lies in devising holistically sustainable systems by mapping sustainability requirements -- cultural, societal, operational, environmental, institutional, technical, political and more – into the design; adapt technologies for and transfer to vulnerable communities overseas.
The organization has perfected its Aakash Ganga (River from the Sky) enterprise model to provide safe drinking water to 7 rural, low-income, water-starved villages in India. It has built 200+ structures (at 3 cents per liter) that collect 6M+ liters of rainwater annually and serves 10,000 people; cost $1M+
Transfer of Technologies: Sustainable Innovations' management has 30+ years’ experience of taking technologies, products, and innovations from laboratory to markets.
Dr BP Agrawal, Sustainable Innovations' founder, received 10+ patents for innovations while spearheading R&D at Fortune 100 companies. His own start-up in health informatics transformed health IT from cost to revenue center. He secured $3 million in grants, awards and in-kind donations for Sustainable Innovations.
The Care-on-the-Move system created by Dr Agrawal is backed by local knowledge, in-place expertise and a knowledgeable team of dedicated professionals driven by success. India relationships include government bodies and universities including Dr Agrawal’s alma mater the premier technology institute BITS Pilani which is involved in the design. Sustainable Innovations’ partnership with University of Santa Clara, CA has both faculty and students engaged in technology development, productizing Care-on-the-Move and service delivery.

Aakash Ganga:
Over the years Aakash Ganga faced an avalanche of obstacles — social disharmony, trust deficit, engineering adaptation, and more. These obstacles fueled a multitude of systemic innovations. For example, Aakash Ganga rents existing infrastructure, rooftops, from homeowners for a fee that is proportionate to their rooftop area. The rooftop rental fees caused disharmony as manual measurements of every rooftop was prone to errors and thus perceived unfairness, which not only caused community disharmony, resolving it was time-consuming. Our Atlanta-based partner, GISCorp, devised a methodology to estimate the rooftop area based on the village’s satellite image. This approach won the people’s trust. Aakash Ganga is an embodiment of numerous such innovations.

We have implemented Aakash Ganga in 7 communities, home to 10,000 people. Aakash Ganga collects 7 million liters of safe drinking water during the monsoons. The cost is less than $3 per 1,000 liters.
What next with Aakash Ganga: Having creating a water utility in 7 villages, Sustainable Innovations would like to demonstrate Aakash Ganga’s viability as a small scale enterprise through its implementation in 25 to 50 villages, mitigate all perceived risks and then launch an advocacy program to secure government participation.

Care-on-the-Move
Sustainable Innovations has built its e-health platform with funding from the World Bank, Merck Foundation, Jain Family Foundation and the Indian diaspora.

What next with Care-on-the-Move
Sustainable Innovations now seeks to implement a full-fledged proof of concept in rural Rajasthan covering a community of 125,000 people in three years to not only test the robustness of the platform but also the enterprise model. Once the viability for both has been tested, Sustainable Innovations would like to form partnerships with NGOs and socially minded commercial outfits to implement Care-on-the-Move in the regions they operate in.

Sustainable Innovations also seeks to conduct a feasibility study for the US market in 2021.

Sustainable Innovations has won numerous awards for its innovations, social enterprise model, and sustainability. These awards came from World Bank, Lemelson-MIT Foundation, Energy Globe Foundation, CNN Heroes, Purpose Prize and others.

Financials

Sustainable Innovations Inc
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Operations

The people, governance practices, and partners that make the organization tick.

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Sustainable Innovations Inc

Board of directors
as of 3/15/2021
SOURCE: Self-reported by organization
Board chair

Mr. Atul Jain

TEOCO

Term: 2019 - 2021

Atul Jain

TEOCO

Bhagwati Agrawal

Sustainable Innovations

Nayna Agrawal

Disney

Kanad Tiwari

Merrill Lynch

Dave Hilfman

Ex United Airlines

Anshu Shukla

Neuro-radiologist

Naren Karanam

Millennium Limited Partners

Karthik Krishnamurthy

Deutsche Bank

Debra Chang

Salesforce

Organizational demographics

SOURCE: Self-reported; last updated 11/28/2020

Who works and leads organizations that serve our diverse communities? GuideStar partnered on this section with CHANGE Philanthropy and Equity in the Center.

Leadership

The organization's leader identifies as:

Race & ethnicity
Asian American/Pacific Islanders/Asian
Gender identity
Male, Not transgender (cisgender)
Sexual orientation
Heterosexual or Straight
Disability status
Person without a disability

The organization's co-leader identifies as:

Race & ethnicity
Asian American/Pacific Islanders/Asian
Gender identity
Male, Not transgender (cisgender)
Sexual orientation
Heterosexual or Straight
Disability status
Person without a disability

Race & ethnicity

Gender identity

 

Sexual orientation

Disability