Anne Roos-Weil est un alumni du réseau Ashoka. Pour plus d’information sur ce statut, veuillez nous contacter à firstname.lastname@example.org.
La mission de Djantoli est de prévenir, détecter et traiter rapidement les maladies bénignes, causes principales de mortalité infantile et maternelle en Afrique subsaharienne. En conjuguant micro-assurance, technologies mobiles et travail de proximité d’agents itinérants à bas coût, Anne fait entrer la santé au cœur des familles et facilite un accès précoce aux soins.
Djantoli agit au Mali (Bamako) et au Burkina Faso (Ouagadougou, Fada N’gourma) : 17 quartiers d’intervention en zones urbaines et périurbaines. Parmi les abonnés, le recours aux soins est multiplié par 3. Au total, ce sont plus de 9 000 enfants de moins de 5 ans abonnés, 10 000 mères de jeunes enfants, et 17 centres de santé communautaires. Seuls 7 décès sont à déplorer sur les 6 000 enfants suivis, contre un ratio national de 1 sur 7.
QUI EST-ELLE ?
Anne est passionnée des questions de santé publique et d’entrepreneuriat social. Diplômée de Sciences-Po, de l’Essec et de l’Ecole de Santé Publique de Nancy, elle a sillonné à pied des bouts de continents à la rencontre de leurs habitants avant de tomber amoureuse de ceux du Mali. Son projet remporte la finale européenne de la Global Social Venture Competition 2009 de l’université de Berkeley et le prix “Top Innovators” de la Fondation Rockefeller (2011). Anne a quitté la direction de Djantoli pour rejoindre une grande agence de développement en 2017.
Recognizing that the country’s rate of patient frequentation in healthcare facilities is very low (30 percent), Anne integrates her service into existing primary healthcare centers and develops local capacity to build efficient care systems. As a result of the Pesinet service, local infrastructures benefit from a 40 percent rise in visits and new incomes on medicine sales. Based on successful work in three centers in Bamako, Anne has signed a national agreement with the Ministry of Health and the Federation of community-based health centers that will enable her to easily replicate her solution throughout Mali and transform healthcare into a cost-effective and preventive system.
Anne’s sustainable and affordable health detection system has a twofold advantage: improving access to care while also cutting costs. Subscribing family members pay just 1€ (US$1.37) a month for a micro-insurance that includes preventative care, doctor consultations, and half priced medication. Also including a weekly visit, the Pesinet service enables families to reduce by 50 percent their annual average spending on health expenses while integrating the importance of prevention. Anne develops the sustainability of her market-based solution through subscriptions as well as a tiered pricing system that enables her to reach middle- and upper-class populations, new services for pregnant women, and the integration of her service into the existing mutual insurance systems. Anne’s model is shifting the healthcare system away from sick-care to promoting prevention and wellness.
The disconnect between community health needs and the country’s healthcare system is a major cause of the high rates of mortality. Due to financial and cultural barriers, as well as problem of quality service, less than one-half of people in Mali visit a doctor when they are sick. Self-medication and traditional medicine remain the preferred solutions and official doctors are only consulted in emergencies once the disease is at an advanced-stage and there is a higher cost of treatment. Furthermore, Mali’s public healthcare system lacks a basic level of healthcare coverage. The public healthcare system overlooks the 95 percent of the population working in the informal sector. Those 5 percent it does manage to cover comprises a mere 9 percent of total health care expenses in Mali.
Within this context of disparities and resource inequalities, it is extremely difficult to develop effective forms of preventive health. Health bodies focus on treating sick people rather than on preventative care due to a lack of resources and for the lack of immediate returns. For similar reasons, families are reluctant to pay for preventative care.
Primary healthcare is the key leverage point for improving a country’s failing healthcare system. Today, these community-managed structures are underused and ailing with financial instability. They fail to generate enough revenue from consultations or medication to self-finance their costs. Moreover, primary care centers are generally unable to treat the majority of patients, since patients often arrive in life-threatening situations and must go to the hospital in order to receive appropriate care. Promoted by the government, community-based medical infrastructures are essential to prevent and treat benign diseases and develop a holistic healthcare system.
Anne has built a methodology to easily spread her self-sustaining healthcare solution. She has started to expand into communities located near Bamako, so as not to create disparities between close communities. Anne currently pilots the adaptation of her service to follow pregnant women, in partnership with the French Red Cross. Finally, she implements a tier-pricing system with premium offers for middle- and upper-classes of populations that have shown great interest in her service and would be able to pay more to subscribe.
With the support of Deloitte, Anne has also identified new partners to accelerate her growth. The first are mutual insurance companies. Currently reformed, Malian insurance companies benefit from government support to reach new clients among low- and middle-income populations. As a result, Pesinet is a very attractive offer for them to succeed in that mission. Through the first pilot in the Sikasso area, with a potential of 11,000 beneficiaries, Anne tests and frames a win-win partnership model that will allow her to sustainably spread into new cities and rural areas. The second set of interesting partners includes private companies, especially in the mining industry and agriculture. Interested in offering health services to their employees, Anne is developing an offer that could cover the costs of the service to a whole new area, and envisions in that a great opportunity to expand to other African countries.
Finally, by leading the spread of the Pesinet network, Anne positions Pesinet as a knowledge partner for national governments and international organizations. Her network of affiliated organizations in urban and rural communities constitutes a great opportunity to collect data among populations and systematize national health watches. From a longer-term perspective, Anne aims to carry out regular health studies for Mali and other African countries, which has the potential to greatly influence the methodology and the outcomes of national health studies.
Anne came upon the idea of early detection of diseases by monitoring a person’s weight during a class called “Creation of Innovative Product,” in which she was presented with a failed project, Initiative France, a major venture capitalist firm in France. With this starting point, Anne decided to take the lead with a group of students and work on a new business plan to create an efficient, sustainable and self-financed system that would work. She took the time to understand the causes of the failure and realized that various key features could be added to the project to make it successful. First, Anne worked on the technological component and mobile applications based on her experience at Alcatel-Lucent, which made her fully aware of the potential of new technologies when applied to social problems. The next insight came about after a key encounter on the plane to Bamako, which led to the decision to build her service by partnering with local primary healthcare centers and using available medical resources, instead of working with expensive private doctors. Eventually, Anne’s training in social entrepreneurship at ESSEC encouraged her to adopt a social business approach and create a sustainable market-based solution independent of public funding.
Today, Anne heads Pesinet and is in charge of its spread and expansion throughout Mali and other African countries. She is a committed coordinator in the field, demonstrated by her work with international organizations and large companies (Orange, Alcatel, BNP Paribas, and PPR). Aware of cultural gaps, Anne has locally anchored her solution by offering jobs to long-term unemployed women, empowering local staff, and building a network of spokespersons within communities.