Development through Venture Philanthropy: Acumen Fund's Philosophy

Beatrice Nguga, a wide-shouldered woman with a firm handshake and warm eyes, raised eight kids as a single mother in Kibera, a Nairobi slum that is home to more than a million people. In the 1990s, she buried each of her children—and their spouses. All had died of AIDS, leaving her to raise 12 grandchildren. She had no job and few prospects. “At one point,” she said, “I was so desperate, and the world felt so dark, that I could think of nothing but to beg for some money so that I could buy porridge and poison and end the suffering of myself and all of those children.”

In December 2006, Ms. Nguga was overseeing the management of several businesses. She started by selling French fries. She then sold water in the slums. She added rooms to her house with the intention of renting them and started a butcher shop, a hair salon, and a restaurant, employing scores of people. Her youngest grandchildren were in school, and a number of the older ones had graduated from college. Today, she has 11 employees and 21 rooms, most of which she rents for income. She has reached this position by taking small loans from a community organization called Jamii Bora, repaying them in a timely manner, and borrowing again. Beatrice Nguga is a woman of integrity, strength, fierce determination, and faith in life.

Hers is a great success story, but what would have happened to her grandchildren if she too had fallen ill or died? In this sense, her story illustrates a larger theme: one of the greatest challenges in escaping poverty is inadequate health care. The resources, the technologies, and the knowledge to provide adequate medical services to everyone do exist. What we don’t have are innovative and efficient business models to deliver them.

“It was to solve problems of this kind that I founded Acumen Fund”, says Jacqueline Novogratz. Acumen Fund is a nonprofit venture capital firm for the poor started in 2001. The fund, which invests philanthropic capital raised from more than 200 partners, starts from the perspective of people as users or consumers of services. We also believe that health systems must be economically sustainable and scalable, for only then will they reach the poor and the very poor. "We invest in social enterprises experimenting with sustainable approaches to the delivery of health care and clean water, because we believe that integrating the creativity of poor people and the entrepreneurs who serve them is the most efficient way to find some of these solutions."

Solving endemic health problems will require a mix of public and private resources, market incentives, and large-scale public awareness campaigns. For conditions such as malaria, HIV/AIDS, and tuberculosis, the market gives the major drug companies few incentives to research treatments for low-income people. Fortunately, the Bill & Melinda Gates Foundation has pioneered ways of intervening to ensure that this critical research is undertaken. Large-scale vaccination campaigns, like those that eradicated smallpox and are now on the way to wiping out polio, also play an important role in improving health on a global scale.

Innovative business models are essential if we are going to offer good, affordable health services to the world’s poor. Her background as a banker made her realize that to deliver social goods such as health care and clean water, getting the economics right is no less important than it is in any other kind of investment. Acumen Fund buys equity in companies that are carefully evaluated. Any returns are reinvested in the portfolio.

By identifying business models that work for at least a large percentage of the population, Acumen Fund hopes to help lead the way in using private innovation to solve large-scale public-health problems. The fund’s $20 million health portfolio also includes A to Z Textile Mills, Africa’s largest insecticide-treated anti-malarial bed net supplier, which produces 16 million nets a year and employs 6,000 women; Dial 1298 ambulances, Mumbai’s leading ambulance provider, with a service-for-all pricing model that gives free or reduced-cost rides to the poor; and First Micro-insurance Agency (a partnership with the Aga Khan Agency for Microfinance), which aims to provide health insurance to 500,000 customers in its initial two years of operation as Pakistan’s first health micro-insurance provider.

Novogratz says, “We are confident that this laboratory of investments will uncover innovative service delivery models that can be scaled up further through private, semiprivate, or public investment. The goal is expansive but not impossible—to show the world a whole new world of possibilities.”

Excerpts taken from "McKinsey:What Matters"