Sustainable Innovations Inc

(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.