Center for Health Market Innovations (CHMI)

Programs

Changamka Microhealth Limited

last updated Nov 6, 2011

Overview

Implementation Partner(s): 
GA Insurance
Legal Status: 
Year Launched: 
2008
Stage: 
Existing/expansion stage
Income Level of Target Population: 
Bottom 20%, 20-60% (lower to lower-middle)

Funding

Primary Source of Funding: 
Membership/subscription fees
Additional Source(s) of Funding: 
Other 3rd party (e.g. debt, equity)
Funders: 

Technology

Technology Used: 
Phones › SMS/MMS (Text Message), Smart-card
Technology Purpose: 
Improving Data Management › Data Collection, Mitigating Fraud & Abuse, Streamlining Financial Transactions
Technology Partner(s): 
Technology leverages widely available mobile telephony systems to create an ecosystem that enables clients to save on a smart card through mobile money systems [M-PESA] and make payments at designated providers.

Scale

Number of Clients Served: 
9500 Smart Cards and 3200 maternity cards distributed, 2300 women given monthly health education, 600 hospital transactions using the cards every month (June 2011)
Other Measures of Scale: 
As of June 2011, 500 "top ups" per month, and there were 600 hospital transactions using the cards every month. 35 providers accept the cards. In addition, it was found that since hospitals have started accepting the cards, they have seen the number of women regular visiting them increase by 30%.
Summary: 

Changamka Microhealth Limited helps the poor in Kenya better access health facilities by issuing them Smart Cards which allow them to slowly but steadily save money that can then be put towards visits to the doctor, medicines, and more.

Program goals/rationale: 

Changamka bases its work off of the idea that most Kenyans are not too poor to pay for healthcare, but they do not have the proper mechanisms for saving. The Changamka Smart Card fills this role. Once a client is issued their personalized card, they can add money whenever and in whatever increments they want, allowing them to save at their own pace. Money is added either at a GPRS terminal, or through a mobile phone. An unlimited amount of money can be added to the card and there is no expiration date.

Key program components: 

OUT-PATIENT SMARTCARD The Changamka out-patient smartcard is a bearer card that is available retail at your nearest retailer or select supermarkets or other distribution points. The card is ready for use, upon purchase, at any of more than 30 accredited medical establishments in Nairobi and environs, Kikuyu and Mombasa. The card provides a wallet for pre-paid purchases of health care which is available in a pre-determined price-contracted packages containing a]. Consultation b]. One laboratory test c]. Drugs, for a broad range of diseases. The card is sold for Kshs. 500/= and comes pre-loaded with Kshs. 450/=t and the bearer can then top-up [save] at any time for any amount using M-PESA for use by any bearer. Features include: •No expiry date •Treatment package cost KSh 450/- or 730/- depending on choice of Medical Provider •PIN for reporting in case of loss •No savings limit •Medical Providers within all high population zones in Nairobi, Mombasa, Kikuyu and Naivasha. •Quality Assured clinics The bearer procures services at discount prices whilst the Medical Providers benefits from the increased numbers, assured and timely payments every fortnight free of administrative costs.

MATERNITY SMARTCARD The Maternity card is a pre-paid card that allows the bearer to obtain ante-natal, maternity and post-natal services at listed prices in participating Maternity facilities. The card is available at participating Hospitals for KSh 250/- and can be topped up by M-PESA or at the hospital terminal. The bearer, therefore, has up to 9 months in which to save up the amount required for maternity at their facility of choice as long as it is accredited. Currently tenable at Pumwani Maternity Hospital the card will be rolled out to facilities in the rest of the country in 2011. The maternity card provides a dedicated savings mechanism for the mother to be that is convenient, safe, affordable and user friendly, and is subsequently usable for out-patient care. The cardholder may get a discount on listed prices depending on the program.

SMARTCARD FOR THIRD PARTY PAYERS SCHEMES Changamka seeks to provide the electronic administration platform for all available voucher programs in healthcare, maternal healthcare, hunger alleviation and education vouchers in Kenya and the Region. i) Voucher program sponsors ii) Voucher program Advisors iii) Voucher program Management Agencies iv) Third Party Payers e.g. Corporate CSR
This product is aimed primarily at Various Reproductive Health Schemes that utilize vouchers to facilitate service delivery to holders at designated Hospitals.
Changamkas voucher model is based on fees for usage of a percentage of the aggregate monthly cards usage. After maternity the card provides continuity into the Changamka out-patient [and later insured in-patient] scheme.

IN-HOUSE SMARTCARD Changamka engages institutions; particularly Universitieswho run their own clinics for student healthcare and are seeking a mechanism for administration of the scheme. The Changamka Smartcard is an ideal vehicle for monitoring and control of usage of such schemes with a minimum of administration in a paperless environment. Our experience indicates that as much as 30% savings on administrative costs can be achieved using the Changamka platform and smartcards.

Program history: 

The company was incorporated in 2008 following years of research, product and software development; culminating in a mobile technology solution that provides access to primary healthcare to those excluded from the formal healthcare economy.

Changamka has partnered with GA Insurance as both Underwriters, in compliance with Regulation and Custodian/ Fund Manager.

Key project drivers: •Poor maternal and child mortality statistics •High Mobile phone penetration •Product Innovation– Mobile Money •Unaffordability of health services for the lower income groups. •A low uptake of insurance due to high cost and lack of appreciation of the concept (only 6.8% of Kenyans use insurance products, 91%, have never taken up any insurance cover)

PreviewAttachmentSize
Changamka Power Point Presentation for mHealth Summit2.75 MB
Changamka Brochure134.38 KB

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