tragedy of easy problems
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tragedy of easy problems. easy problems. easy problems. easy problems have solutions:. easy problems have solutions:. economically feasible technically effective logistically scalable. easy problems are everywhere:. cataract blindness diarrheal disease childhood vaccination - PowerPoint PPT PresentationTRANSCRIPT
tragedy of easy problems
easy problems
easy problems
easy problems have solutions:
easy problems have solutions:
economically feasibletechnically effectivelogistically scalable
easy problems are everywhere:
cataract blindnessdiarrheal diseasechildhood vaccinationand more…
cataract blindness
cataract blindness
Nearly 40 million people in the world are blind.
Cataracts are the world’s leading cause of blindness, affecting almost 20 million people.
The backlog is growing.
cataract blindness
Nearly 40 million people in the world are blind.
Cataracts are the world’s leading cause of blindness, affecting almost 20 million people.
The backlog is growing.
cataract blindness
Nearly 40 million people in the world are blind.
Cataracts are the world’s leading cause of blindness, affecting almost 20 million people.
The backlog is growing.
cataract blindness
Nearly 40 million people in the world are blind.
Cataracts are the world’s leading cause of blindness, affecting almost 20 million people.
The backlog is growing.
cataract blindness
Nearly 40 million people in the world are blind.
Cataracts are the world’s leading cause of blindness, affecting almost 20 million people.
The backlog is growing.
There is a fast, cheap, and highly successful surgery.
But what are cataracts?
A cataract is an opacification of the eye’s lens that causes blindness.
It is treated by the removal of the lens and replacement withan intraocular lens (IOL).
An innovative model
High throughput: Thousands of free surgeries performedHigh quality:Small Incision Cataract Surgery with IOLLow price:Cost per surgery is $15-$20Sustainable:Paying patients subsidize costs for free patients
A little history
This model was pioneered by Govindappa Venkataswamy at the Aravind Eye Hospital
Emerged from the eye camps run by South Indian ophthalmologists
Sought to bring to eye care what McDonald’s brought to hamburgers: Scale, efficiency
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Other easy problems
A promising legacy: Smallpox, Rinderpest
The next big things: Polio, guinea worm
Seizing opportunities: Diarrheal disease
Innovating to easy: Malaria
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Other easy problems
A promising legacy: Smallpox, Rinderpest
The next big things: Polio, guinea worm
Seizing opportunities: Diarrheal disease
Innovating to easy: Malaria
QuickTime™ and a decompressor
are needed to see this picture.
QuickTime™ and a decompressor
are needed to see this picture.
Other easy problems
A promising legacy: Smallpox, Rinderpest
The next big things: Polio, guinea worm
Seizing opportunities: Diarrheal disease
Innovating to easy: Malaria
QuickTime™ and a decompressor
are needed to see this picture.
QuickTime™ and a decompressor
are needed to see this picture.
Other easy problems
A promising legacy: Smallpox, Rinderpest
The next big things: Polio, guinea worm
Seizing opportunities: Diarrheal disease
Innovating to easy: Malaria
QuickTime™ and a decompressor
are needed to see this picture.
QuickTime™ and a decompressor
are needed to see this picture.
Why do we fail to address easy problems?
The perception problem
The mission problem
Doing what works: The incentive triangle
community’s desires worker’s desires
opportunity
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What happens when we fail?
My own venture, CatarACT International, failed.
What did we learn?
How do we succeed well and fail well?
We have to get the most out of every stage.
How do we succeed well and fail well?
We have to get the most out of every stage.
We can with a process- oriented approach to identify new ideas and bringthem to scale.
How do we succeed well and fail well?
We have to get the most out of every stage.
A development research to action group.
How do we succeed well and fail well?
We have to get the most out of every stage.
Think broadly.Realize specifically.Yield sustainably.
Acknowledgements
•Dr. V. Panneerselvam & Dr. Michael Gyasi•The whole CatarACT team, especially Yuna Rapoport,Nick Naroditski, Amar Vira, Ashwin Anandani, YameiLiu, Chris Yim, Gokul Kumar, Hema Ramkumar, TanayDudhela, and Neha Malhotra.•Shivan Sivakumar•Leila Wilmers (TRYcycle)
Personal funding:•Northwestern University Medical Scientist Training Program•Fulbright Scholarship•St John’s College, Cambridge, Benefactors Scholarship
CatarACT funding:•Northwestern University and private donors