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CROSS-CUTTING INCLUSIVE INNOVATIONS Scaling and Replicating Inclusive Business Model Innovations How inclusive businesses are scaling and replicating, and how they can be supported in these efforts Sarah Farhat, World Bank Introduction This paper explores why scaling and replication is important for enterprises delivering goods and services in low-income markets and how selected enterprises scale and replicate. Its main objective is to provide insight on how scaling and replication can be supported. This paper is based on the experience of over 300 enterprises delivering goods and services in low-income markets. To synthesize findings, these enterprises were classified into 27 stylized inclusive business model innovations (BMI) across five sectors -- Education, Energy, Finance, Healthcare, and Water and Sanitation (WASH), and are presented in separate papers. Each BMI represents several enterprises addressing a development challenge in a similar way, e.g. decentralized water treatment, low cost schooling, specialized clinics, etc. Individual BMIs were analyzed to identify patterns in the way these enterprises scale and replicate. A set of enterprises from each of the business model innovations were also interviewed to gain a deeper understanding of their operations in low-income markets 1 . The note is divided into three sections. The first section explains the why it is important to drive scaling and replicating of BMIs. The second section provides an analysis of the status of scaling and replication in the five focus sectors of this research effort. The last section of the paper provides recommendations on how to support scaling and replication of BMIs. Why scaling and replicating BMIs is important BMIs represent models that have already reached a certain scale or have replicated in different geographical contexts. Following a review of over 3,500 enterprises, 27 clusters of BMIs (see annex for HIGHLIGHTS Enterprises that deliver services to low- income consumers find it challenging to scale and replicate their business models. Standardization, ICT, government support and hybrid financing partners are key levers for growth. Adopters, or second-generation businesses, provide another means of expanding impact to new areas, and often reproduce an existing model without the active involvement of the originator. This series on Cross-Cutting Inclusive Innovations explores thematic lessons from businesses that improve the lives of those living in poverty. Editors are Elaine Tinsley and Natalia Agapitova. Researched and developed by Endeva UG and Ashley Insight.

Scaling and Replicating Inclusive Business Model Innovations

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CROSS-CUTTINGINCLUSIVEINNOVATIONS

ScalingandReplicatingInclusiveBusinessModelInnovationsHowinclusivebusinessesarescalingandreplicating,andhowtheycanbesupportedintheseefforts

SarahFarhat,WorldBank

IntroductionThispaperexploreswhyscalingandreplicationisimportantforenterprisesdeliveringgoodsandservicesinlow-incomemarketsandhowselectedenterprisesscaleandreplicate.Itsmainobjectiveistoprovideinsightonhowscalingandreplicationcanbesupported.Thispaperisbasedontheexperienceofover300enterprisesdeliveringgoodsandservicesinlow-incomemarkets.Tosynthesizefindings,theseenterpriseswereclassifiedinto27stylizedinclusivebusinessmodelinnovations(BMI)acrossfivesectors--Education,Energy,Finance,Healthcare,andWaterandSanitation(WASH), and are presented in separate papers. EachBMI represents several enterprises addressing adevelopment challenge in a similar way, e.g. decentralized water treatment, low cost schooling,specializedclinics,etc.IndividualBMIswereanalyzedtoidentifypatternsinthewaytheseenterprisesscale and replicate. A set of enterprises from each of the business model innovations were alsointerviewedtogainadeeperunderstandingoftheiroperationsinlow-incomemarkets1.Thenoteisdividedintothreesections.ThefirstsectionexplainsthewhyitisimportanttodrivescalingandreplicatingofBMIs.Thesecondsectionprovidesananalysisofthestatusofscalingandreplicationinthefivefocussectorsofthisresearcheffort.ThelastsectionofthepaperprovidesrecommendationsonhowtosupportscalingandreplicationofBMIs.WhyscalingandreplicatingBMIsisimportantBMIs represent models that have already reached a certain scale or have replicated in differentgeographicalcontexts.Followingareviewofover3,500enterprises,27clustersofBMIs(seeannexfor

HIGHLIGHTS• Enterprisesthatdeliverservicestolow-

incomeconsumersfinditchallengingtoscaleandreplicatetheirbusinessmodels.

• Standardization,ICT,governmentsupportandhybridfinancingpartnersarekeyleversforgrowth.

• Adopters,orsecond-generationbusinesses,provideanothermeansofexpandingimpacttonewareas,andoftenreproduceanexistingmodelwithouttheactiveinvolvementoftheoriginator.

ThisseriesonCross-CuttingInclusiveInnovationsexploresthematiclessonsfrombusinessesthatimprovethelivesofthoselivinginpoverty.EditorsareElaineTinsleyandNataliaAgapitova.ResearchedanddevelopedbyEndevaUGandAshleyInsight.

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the full listofBMIs)were identified.Eachbusinessmodel isbasedonabout10examplesofdifferententerprisesthatdelivergoodsandservicestothepoorand/orcreateincomeopportunitiesinsimilarways.ThefactthatsomanysimilarmodelsexistwithinaBMIshowsthatthereisagroupofearlymoverstestingandtweakingthemodel,and,insomecases,providesevidenceofreplicationactivity.The BMIs show that enterprises have foundmarket-based solutions to tackle social, economic andenvironmentalchallengessustainably.Theyprovidenewgoodsandservicesthatwouldotherwisenotbeaccessibleoraffordabletolow-incomegroups.Forexample,AravindEyeCareHospitalsispreventingneedlessblindness.Itconducts378,000eyecataractsurgeriesperyearwithover50percentofpatientsin the low-income bracket. Furthermore, Enterprises support job creation or enhance the chances ofemployment.Forexample,97percentofeducationenterpriseDigitalDivideDataalumniareinfull-timeemploymentandearning3-4timestheregionalaverage.Yetmoremodelshelpincreaseproductivityandtheefficientuseofresources.Forexample,Clarohasbroughtover3,160acresoflandunderirrigationthrough the installation of over 1,200 pumps that reach 17,000people across 12 states in India, andreducedalmost511 tonsof carbondioxideeveryyear.Whilemanymodelshaveachieved impressiveresults, the scale of their impact has been limited given the size of the challenges they are tackling.EnablingmoreEnterprisestotakeonsuccessfulBMIscanbeaneffectivestrategytotacklingdevelopmentchallenges.Replicationcanbecomeakey tool forpolicymakers to sustainablymultiplypositive social,economicandenvironmentalimpact.Replicationmaystircompetition,furtherimprovingtheofferfortheend-consumeraswellasimprovethereachofsolutions.Theemergenceofseveralvariationsofabusinessmodel,forexample,maytriggerlearningbetweencompetitorsor increasechoicefor low-incomeconsumersandhelpspreadpro-poorsolutionswidely.Understanding the impact ofmodels and building a stronger evidence base is crucial to successfulreplication.WhilemanyBMIsappeartobecreatingpositiveresultsforunderservedpopulations,muchoftheevidenceremainsanecdotalorself-reported.Thefirststeptousingmodelsasatoolforchangemustbetounderstandwhichmodelsareeffectiveandwheretheirlimitationslie.2HowdoesscalingandreplicatingofBMIswork?Scalingupabusinessmeansincreasingthesize(e.g.intermsofrevenueorsalesvolume).Replicationrefers to the action of reproducing or copying a businessmodel or parts of it in another location.Thereforetheseareoverlappingbutdistinctterms.Abusinessthatcreatesvariousnewbranchoffices,forexample, is increasing in size,and is thus scalingup,but isalso reproducing itsmodel indifferentlocations,andisthusreplicating(seeFigure1below).Generallyactors inthesocialsectortendtouse“replication”and“scale”interchangeablywhilebusinessactorsoftensimplyspeakof“growth”.Forthispaper,thefulldefinitionsofscaleandreplicationused:• Scalingupreferstoanincreaseinsizeofaninclusivebusinessmodel,intermsofpeopleserved,

revenues generated, or the expansion of key targets related to the model’s social andenvironmentalimpact.

• Replicationreferstotheactionofcopyingorreproducingallorportionsofaninclusivebusinessmodel.Replicationdoesnotmean creatinganexact copyof thebusiness.Rather, theaim is toreplicatethebusinessmodelorkeycomponentsofitwhileadaptingtothenewtargetmarketandenvironment.Replicationcanbedrivenbytheoriginalorganization,aloneorwithpartners,orcanbemanagedbyacompletelyseparateentity.

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Figure1.MethodsofScaling-Up

Source:EndevaWeidentifiedsixapproachesthatenterprisescanusetoreplicateandscale.Thesecanbeplacedonacontinuumthatmovesfromthemostclosedapproachesthatofferanoriginatormodelandahighdegreeofcontroltothemostopenwhichofferlittletonocontrolinexchangeforgreaterspeedofreplication.Seefigureabove.Enterprises expand by replicating the model on their own (through a branch strategy) - or bycollaboratingwithothers(throughafranchise,jointventureorpartnershipstrategy).Enterprisestendtochooseareplicationstrategythatfitsthemissionandvisionoftheirbusiness.Entrepreneursprimarilyaimingtoincreasetheirowncompanyprofitstendtofavouramoreclosedapproachtoreplication.Thehighlevelofcontrolretainedbysuchapproachesallowstheoriginatortoprotectitsintellectualpropertyandbrand.Otherschoseaclosedapproachtomaintainahighlevelofquality.Highlymission-drivenentrepreneurssetouttodisseminatetheirmodel,enablingotherentrepreneurstoadoptit.Theyoftendosorealizingthattheycanreachonlyafractionoftheworld’spoorthroughtheirown business activities. Opening a business model to others for replication can be accomplished indifferentwaysandwithdifferingdegreesofinvolvementbytheoriginator.Forexample,businessescansimplydocumenttheirmodel,bestpracticesandlessonslearned,andmakethisinformationavailabletoothers. Alternatively, they can provide hands-on learning opportunities, for example by allowinginterestedorganizationstovisittheirbusinesssitesorsettinguplearningcentrestoteachentrepreneursmoreontheirmodel.However, expanding and disseminating are not mutually exclusive paths to replication. In fact,businessescandoboth,eithersimultaneouslyorsequentially.Businessesoftenchoosetoexpandwithintheirownterritories,wheretheyalreadyunderstandtheneedsofconsumersandcanbestensurethemaintenanceofquality,whileoptingtoprovideinformationontheirmodeltothosethatareexpertsinothermarkets.Adopters,orsecond-generationbusinesses,oftenalsoreproduceanexistingmodelwithouttheactiveinvolvementof theoriginator. Such businesses are often colloquially referred to as “copycats”. They

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adapt and apply the essence of the original model to their own specific context and circumstances.Sometimes,thecopiedversionofamodelcanoutperformitsoriginator.Mostly,however,successfulmodelsdon’thaveasingleoriginator.Rather,theybeginwithagroupofearlymoversthatadaptandtestamodel.Fromthisgroupofearlymovers,onebusinessmayemergewiththemostwidelyknownandsuccessfulformofaparticularbusinessmodel.

CaseStudy:AravindEyeCareHospitals,IndiaWorldwide,37millionpeopleareaffectedbyblindness;80percentofthesecasescouldbeeitherpreventedortreated.Cataract,adiseasegloballyontherise,isoneofthemajorcausesofblindness.InIndiaalone,3.8millionpeoplegoblindbecauseofcataractseachyear.Yetmostcasesofcataractsareoperable,whichmeansthatblindnesscouldbeavoidedifpatientsweregivenaccesstosurgery.ThisiswhereAravindEyeCareHospitals’missioncomesin.Foundedin1976byDr.Venkataswamy,thehospitalaimstoeliminateblindnessbyprovidinghigh-qualityeyecaretoboththerichandthepoor.FromamodestbeginninginMaduraiwithonly11bedsandfourmedicalstaffmembers,AravindEyeHospitalshasnowexpandeditsoperationsacrossthestateofTamilNaduinIndia,operatingbranchesofitseyehospitalinninelocations.Aravind’shospitalshandleover3.1millionoutpatientvisitsandperformover370,000surgeriesperyearwithover50percentofthepatientspayingnothingorverylittlefortheservices.Besidesestablishingmultiplewhollyownedbranches,Aravindalsoengagesinjointventuresandpartnerships,forexampleinNigeriaandBangladesh.Thesemodelsputstrongemphasisonlocalownership.Thecompanyalsoactivelydisseminatesitsapproachsoastofacilitateeffectiveadaptationofitsmodelinothercountries.Tothisend,itcreatedtheLionsAravindInstituteofCommunityOphthalmology(LAICO)traininginstitute,whichhassupportedreplicationoftheAravindmodelinover300eyehospitalsin30countries.Interestingly,someofthehospitalstrainedbyAravindhavealreadybecomedisseminatorsoftheapproachintheirownregion.Forexample,theVisualizahospitalinGuatemalahasdisseminatedthemodelinHaitiandPeru.TheLumbiniEyeInstituteinNepalismentoringhospitalsinNepalandCambodia.Source: Endeva (2014): “Multiplying Impact: Supporting the Replication of Inclusive Business Models”; Interview withThulasirajRavilla,AravindEyeCareSystem.

StatusofscaleandreplicationindifferentsectorsStandardization, information communication technology (ICT), government support and hybridfinancingpartnersarekeyleversforgrowth.Financialviabilitywithoutexternalsupportisnotnecessarilyapre-requisite for scale.We identifiedhybridmodels thatoperateat scaleandhavenotyet reachedfinancial viability and still rely on various sources of support such as governments and donors. Somemodelsseehybridstatusasatransitoryphaseandfinancialviabilityasanattainableobjectivetheyexpecttoreach.Othersseetheirhybridstatusaspartoftheirbusinessmodel.Inthesecases,thefullcostofaproductorservicecannotbepassedontoBaseofthePyramid(BoP)customersandsubsidizingthecostbecomes an efficientway to sustainably reach such clients. Both approaches are valid strategies andunderstandingwhen to usewhich financial viability approach is important for successfully promotingreplication.Most Enterprises have replicated through expansion, either replicating on their own (e.g. by creatingbranches/subsidiaries)orbycollaboratingwithothers(throughfranchises,jointventureorpartnershipstrategy).Partnershipsandthecreationofbranchesorsubsidiariesarethemostpopularapproachesto

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replicating.Franchisingisbecomingincreasinglypopular;thismodeloftenencouragesentrepreneurship,ownershipandjobcreation.Veryfewcompaniesactivelydisseminatetheirmodel,encouragingsecondmoverstopickitup.TheidentifiedBMIsshowthatthereissignificantreplicationineachsector—witheachBMIbeingbasedon at least 10 exampleswith very similarmodels. For thesemodels, one can rarely identify a singleoriginator;rather,agroupofearlymoversusuallypilotandadaptsthemodel.Nevertheless,thereislittleevidenceofsystematiclearningwithinaBMIcluster,i.e.,betweenenterprisesinacluster.Thesectorsectionsbelowprovideanaggregatedviewofeachsectoron

• Thereachbusinessmodelshaveachieved• Thereplicationapproacheschosen • Thefinancialviabilityofeachmodel

Itisimportanttonotethattheanalysisbelowisonlybasedonalimitednumberofmodelsthatwerepre-selected,withoneselectioncriteriabeingthescaleachieved.HealthsectorMostbusinessmodel innovations in thehealth sector are replicatingwithinor evenacross countries.Standardizingmodels for social franchisinghasbeenakey lever for replication.Reach—particularly inruralareas—isoftenachievedbyinvolvingandtraininglocalentrepreneurs.ModelsareoftenseedfundedbydonorsorincubatedbyNGOs,buthavethepotentialtobecomefinanciallyviableoncetheyreachasignificantscale.Figure2.Replicationandfinancialviabilityinthehealthsector

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Noteongraph:Reachreferstotherangeofthespecificmodelsstudied.Thereplicationrankisbasedonhowmuchreplicationactivityhastakenplacewithinamodel,thespeedofreplicationandthegrowthpotential.Withineachofthe3rankingsoflow,mediumandhigh,thereisnofurtherrankinge.g.learningcentersarenothigherinreplicationthanteacherquality.Differentshapesofferanindicationofwhichfinancialviabilitylevelaparticularmodelaparticularmodelismostcommonlyoperatingat.Mostmodelsarescalingupandexpanding,alsotoothercountries.Forexample,GreenstarinPakistanhasdevelopedanetworkofover7,000 clinicsproviding reproductivehealth services to thousandsofwomen.LivingGoods’networkoffemaleentrepreneursinUgandaisreachingonemillionpatientsandexpanding its operations to Kenya. Jayaashree Industries (JI) has enabled sevenmillionwomen in 17countriestoaccesssanitarypads.Standardization and focus are amongst the key levers for expansion. For example,most of the clinicnetworksfocusonaparticulartherapeuticarea—suchasfamilyplanning,reproductivehealthoreyecare.This focus facilitates the trainingofhealthcareprofessionalsand leverageseconomiesof scale.Somecompanies also standardize via a “business in a box” model, which they provide tofranchises/entrepreneurs(e.g.,LivingGoods)orpartnercompanies(e.g.,JayaashreeIndustries).Reachintoruralareasisoftenachievedbyinvolvingandtrainingpeoplefromlocalcommunitiesashealthentrepreneurs(e.g.,LivingGoods,LVPrasadEyeInstitute(LVPEI)).ICTsolutionssupportscalingandreplication—buthaveyettoliveuptotheirexpectation.Increasingaccesstomobilecommunication–eveninthemostremoteareas–providesthepotentialtoreachmillionswithsuitablemHealthservicestargetedatpatientsorhealthworkers.However,onlyafewmHealthsolutionshavereachedsignificantscale.Rather,mHealthandtelemedicinesolutionsareoftenusedas“plug-and-play”featurestoenhanceorhelpstandardizeanexistingbusinessmodel–andhenceimproveitsreach.Forexample,somespecializedclinicsmakeuseoftelemedicinetoincreasetheirreach(e.g.,Narayana,salaUno),oremploysocialmediatoattractneworretainexistingpatients(e.g.,salaUno).ICTsolutionscanalsohelpwithstandardization.Forexample,salaUnoappliessociallylicensedsoftwaretoimproveinternaldatamanagement.Computerizedtreatmentprotocolsimprovethequalityofserviceprovided by community health workers, also allowing them to reachmore patients in less time andfeeding data back into the health system. And services such asM-PESA facilitate payment for healthservicesortohealthentrepreneurs(e.g.,inthecaseofComprehensiveCommunityBasedRehabilitationinTanzania(CCBRT)DisabilityHopsital).Mostmodelsusesocial franchisingorbranchapproaches toexpand; somehave replicated toothercountriesthroughapartnershipsordisseminationapproach.Specializedclinicsareusuallysetupasnetworksofbranchesorfranchises.Forexample,Sorridentsoffersdental services through its franchised network of 180 affiliated clinics in Brazil, Greenstar providesreproductivehealthservicesthroughitsover7,000clinics inPakistan.Businessmodelsthatworkwithcommunityhealthworkerstoprovidetheirservicesarealsooftensetupasfranchises(e.g.,LivingGoods).Partnershipmodelsareappliedforexpansioninothercountries.Forexample,TechnologyforTomorrow(T4T) exports to Sierra Leone via a partnership with One Girl. Ruby Cup expands its reach to othercountriesbypartneringwithNGOnetworksacrossAfricatodistributetheirproduct,andLivingGoodspartnered with BRAC to tap their networks. Besides running its own clinics, RG Stone Urology &LaparoscopyHospitalscalesbypartneringwithurologists in jointventuresorsettingupandoperatingurologydepartmentsinotherlargeprivatehospitals.

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Aravind as well as Jayaashree Industries (JI) actively disseminate their business models. Aravind hastrainedover300hospitalsthroughLAICO;JIhasexportedover250sanitarypadproductionmachinesto17countries,supportingreplicatorsviaemailandvideotutorialsandalsowelcomestheminIndiatostudythemodel.Thescaleamodelhasachievedalsohasaninfluenceonitsfinancialsustainability.Manymodelsareprofitableatthelevelofthefranchiseeorbranch(i.e.,theclinicorthehealthentrepreneur),butonlyreachfinancialsustainabilityatthefranchisorleveloncesignificantscalehasbeenachieved.Thesameistrueformodelsproducingandsellingsanitarypadsorspeciallyformulatedfoodforinfants.Whilemostenterprisesgeneratesignificantrevenues,theyareonlyexpectedtobecomeprofitablewithhighersalesvolumes.Nevertheless,somemodels—particularlythoseincubatedorbackedupbyNGOs—maynotbeexplicitlyprofitoriented.Manyofthefinanciallyviablemodelshavereceivedfundingfrominternationaldonors.Anotherleveris the integration of the solution into the health system. For example, Living Goods receives donorsupporttocover itsoperationalcosts.TheclinicsMerrygoldandTunzaweresetupbyNGOsassocialfranchises.Theyareprofitableorbreakevenatthefranchiseelevel.However,itisoftennotclearifthefranchisorisanon-profitbydesignorduetoalackingbusinesscase.Mhealthmodelshavehighcapitalcostsatthebeginning—butthepotentialtoleverageeconomiesofscaleisgreat.However,manymodelsarestillworkingontheirbusinesscase.EducationsectorThereplicationofeducationbusinessmodelinnovationsisatanascentstage,withseveralfastgrowingmodels.ICTandstandardizationhavebeenkeyleversthatarepavingthewayforrapidexpansionandgrowth.Despiteattractinginvestment(USD3billion)aswellasgovernmentanddonorfunding,financialsustainabilityremainsoneofthekeychallenges.Figure3.Replicationandfinancialviabilityintheeducationsector

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There isamediumlevelscalebuthighpotential forgrowth inthissector.Giventherapidgrowthofemergingmodelssuchaslowcostchainschools,thepotentialforreachishigh.However,themajorityofmodelsstudiedtendtoreacharound100,000-350,000studentsonaverage.Thevastmajorityofmodelsareinscalingupandexpandingphases,whileseveralsecondmoversareinthestartupphase.Relativelyfewmodelshavereplicatedacrossnationalborders.SomeexceptionsincludeKenya’sBridgeIT,whichhasexpandedto10countriesglobally,andLINK,whichhasgoneinto5countriesinAfrica.Replicationinmultiple countries is hinderedbydifferent regulations and curriculums ineach countrybut it hasnotpreventedsecondmovers fromcopyingandadaptingamodel inanewcountry.Forexample, ITAhascopiedtheGrayMattersmodelofschoolevaluationsinPakistan.Inanumberofcaseslowstandardsinpublicschoolshaveincreasedparents’willingnesstoseekaffordablealternativesintheprivatesector.ICTandstandardizationarekeyleversforrapidgrowthandscale.ICTsolutionsareapotentcatalystforeducational development particularly when integrated in a holistic manner. Combining thestandardizationofprocessesandlessonswithICTcanreducethecostofeducation,therebyattractingmoreclientsthroughimprovedaffordability.Scriptedlessonsontabletsforexample,asusedbyBridgeAcademies, can facilitate the delivery of quality classes3 by young graduates with limited teachingexperience,significantlyreducingstaffcosts.Mostmodelsareexpansionandpartnershipmodelswithanincreasingnumberofsecondmovers.Manyofthefastexpandingmodelsareverticallyintegrated‘buildandoperate’branchmodelsthatrelyheavilyon standardization and the use of ICT to maintain consistent standards of instruction and monitorperformance.ExamplesincludeOmega,BridgeAcademies,Citizens’FoundationandEnova.Thereareveryfewexamplesoffranchising.Hippocampusachainofpre-school learningcenterstriedtouseamicro-franchisingmodeltogetlocalwomentotakeonownershipofthecenters.Howeverthiswaseventuallyabandonedasmostwomenpreferredtobeemployeesandhaveastablesalary.InsteadHippocampusisnowfranchisingitsmodeltootherprivateschools.Mostpartnershipsarewithgovernmentagenciesatdifferentlevels,particularlythosemodelsthataimtoimproveteacherquality,suchasBridgeIT.ModelslikeeducationorientedBusinessProcessOutsourcing(BPO)andchainschoolshaveseenanincreasingnumberofsecondmovers.Manymodelshoverbetweenbreakevenandnon-profitonthefinancialviabilityscale.ExceptionsaremodelsinstudentfinancingandeducationorientedBPOmodelsthattendtobemoreprofitable.Severalmodels report that theyhave reachedbreakevenoperationally (Omega,Hippo,Enova)and that somehavetransitionedtobecomeself-sustainingoperationally(DAM,BRAC,CDIlearningcenters).AmajorchallengeformodelsisthelowpurchasingpowerofmanyBoPclients.Investingineducationevenwhenatalowcostrequiresongoingpaymentsovermanyyears.Whilethisinvestmentcanpayoffwithhigherearningsinthelongrun,intheshortrunitcanevennegativelyreducehouseholdearnings.Government subsidies and donor support have played a critical role in increasing the affordability ofeducationtoBoPclientsandthusspurringtheexpansionofcertainmodelse.g.,GyanShalaandLEAP.Itfollows that the models that are profitable and rely less on external funding are focused on highereducationandincludeanopportunitytoearnanincomeduringthelearningprocess.EnergysectorTheenergysectorisatamaturestageofreplicationwithmanymodelsexpandinginmultiplecountriesandalargenumberofsecondmoversinexistence.TheproductiveuseBMIisthesingleexception.Itisatanearlystagewithmostmodels inpilotingorrolloutphases.Thissectorhasasolidevidencebaseonimpacthoweverfinancialviabilityisaproblemforcertainmodels.Appropriatefinancingforbusinesses

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particularlyworkingcapital topre-financeproducts ismore important forscale,as thissector ismoredependentonimportmaterialsthanothers.Figure4.Replicationandfinancialviabilityintheenergysector

Reachvariesgreatlyamongstmodels,withsolarlampsandsolarhomesystemsreachingthemostBoPclients.GrameenShakti,forexamplehasreachedmorethaneightmillionpeople.GridconnectionforBoPclientstendstoreachbetween10,000to400,000clientswhilemodelsforproductiveusemodelshaveonlyreachedseveralthousand.Ensuring affordability has been key to successful replication and scale. Partnerships with variousfinancing institutes,governmentsanddonors toeithercoverhighsetupcostsorprovide financing toconsumershasbeenvitaltothesuccessofsomebusinessmodels.Accesstoafter-salesserviceshasalsobeenpivotalforexpansion,extendingthelifetimeofproductsandincreasingclients’valueformoney.Formodelsthatprovideafter-salesservicesthishasbeenmorecosteffectiveindenselypopulatedareas.Models have replicated using all the approaches with expansion and partnerships being the mostpopular.Thesolar lampmodel isthemostreplicatedmodelandtheeasiesttooperate.Consequentlythere are a significant number of secondmovers.Many solar home systems have replicated throughexpansionandareoperatinginmultiplecountries.Gridconnectionhassomereplication,whichisalmostalwaysdonethroughexpansion,whileminigridstendtoreplicatethroughbothexpandingontheirownorinpartnership.Thebusinessmodelinnovationsstudiedcoveredtheentirefinancialviabilityspectrumasshownabove.ExtendinggridconnectiontoBoPclientssuchasslumdwellersisoftenaCSReffortofprofitableutilitycompanies.InothercasesaddingBoPclientshasbeenprofitableduetogriduseintensificationandortheconversionofnon-payingconsumersintopayingcustomers.Whilesomesolarhomesystemmodelsareprofitablemanyarehybridmodelstemporarilyrelyingondonorfundingorgovernmentsubsidiesasthetransition to break even and eventual profitability. Mini grid models are the most difficult models

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regardingfinancialviabilityduetohighcapitalexpenditurerequirements.Modelsanalyzedcoveredtheentirefinancialviabilityspectrumandthemodelimplementedbyarangeofactors.Companiestendtooperatethemodelonaprofitableorpartiallysubsidizedbasis,whilecommunitydrivenmodelstendtobepartiallyorfullysubsidized.Productiveusemodelsareatanearlystageandnotyetfinanciallyviable.Modelsareoftenhybrid,partnershipswithbanks,MFIs,donorswhohelptomaketheendproductmoreaffordablefortheenduser.Mostofthebusinessesanalyzedarehighlydependentonsubsidies,with30-90percentoftheproductcostsbeingsubsidized.Productive usemodels are at an early stage and not yet financially viable.Models are often hybrid,partnershipswithbanks,MFIs,donorswhohelptomaketheendproductmoreaffordablefortheenduser.Therearelimitstoscalabilitygiventhatthissectorismoredependentonimportmaterialsthanothers.Oftenproductsarebought inonecurrency,butconsumerspayingforthemoveraperiodoftimeinadifferent currency. The interest rate and inflation pushes up the price for end consumers. This isparticularlythecaseincountriesvulnerabletoexchangeratevolatility,andinflation.FinancesectorThereissignificantreplicationactivityinthefinancesector,althoughthistendstobeconcentratedarounda fewmodels,namelymobilemoney,consumer financingparticularly in thehousingsectorand indexbasedagriculturalinsurance.Oneotherhighlyreplicatedmodelismicrofinancehoweverthiswasnotoneofthemodelscoveredinthisstudy.Mostmodelsthataresuccessfulstandouteitherasbeingprofitableorreceivingsignificantgovernmentsubsidies.Akeydriverforthesuccessfulmodelswasthatproductsmetdemandsatasatisfactorypricepoint;thisoftenwasfacilitatedbytheuseofICTandorsubsidies.Mobilemoneyisthemostwidelyreplicatedmodelwhilewithinagricultureinsuranceandconsumerfinancingafewspecificmodelshavemanagedtoreachsignificantscale.Mobilemoneymodelshavesignificantlyscaledtoreachhighnumbers,forexample15millionM-Pesaclients,14millionBEAMclientsand6millionclientsWizzit.Therateofreplicationofthismodelacrosscontinentshasbeenremarkable.“Attheendof2013,therewerealreadymoreregisteredmobilemoneyaccountsthanbanksaccountsin10Africancountries.Whilemost indexbasedagriculture insurancemodels tend to reachonlyseveralthousandclients, thosethat receivegovernmentsupportsuchasNIASandAIC in IndiaandCadena inMexico,wereabletoreachmillionswithgovernmentsubsidizingupto90percentofpremiums.WithinconsumerfinancingthereareonlyafewexamplesofhighreachincludingCemexandEchaleatuCasawithoneandtwomillionclientsrespectively.Financingforentrepreneursthatarepartofthedistributionchainof inclusivebusinesses isamorerecentBMI.Mostmodelshaveprovidedfinancingforbetween600–150,000entrepreneurs.ICTandgovernmentsupportarethebiggestdriversofscale.TheuseofICTandmobilephonesinthemobilemoneymodels hasmade it possible to economically reachmillions of clients. In addition thedistributionmodel that reliesonanetworkofagentshas successfully reachedeven themost remoteareas.TheincorporationofmobilemoneyinothermodelslikeindexbasedagricultureinsuranceandBoPconsumerfinancinghasbeenmutuallybeneficialinscaling-upthemodels.Forinstance,ACRE’scloselinkstotheM-PESAmobilebankingsystemnotonlyreducedtransactionscostsbutalsoincreasedavailability.ForconsumerfinancingforhousinginMexico,oneofthekeysuccessfactorswastheroleoftheMexicangovernmentthatrecognizedatanearlystagethattheCemexmodelcouldhelpthemovercometheurbanhousingcrisis.Theyputvariousmeasuresinplaceincludingasubsidyforlow-incomepeoplebuyingself-builthomes,whichunlockedalargevolumeofsalesforcompanieslikeCemex.

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Figure5.Replicationandfinancialviabilityinthefinancesector

Noteongraph:Reachreferstotherangeofthespecificmodelsstudied.Thereplicationrankisbasedonhowmuchreplicationactivityhastakenplacewithinamodel,thespeedofreplicationandthegrowthpotential.Withineachofthe3rankingsoflow,mediumandhigh,there isnofurtherrankinge.g. indexbasedagricultural finance isnothigher inreplicationthanconsumerfinance.Themostreplicatedmodelsuseexpansion,franchisingandpartnershipandattractedsecondmovers.For instance,M-PESAwas theoneof the firstmovers inMobileMoney. Theyhaveexpanded into10countriesthroughafranchisingmodelthatwastweakedtofitlocalrealitiesandregulations.Theyhavealsoenteredintomanypartnershipswithothermodelswhichhashelpedthemfurtherexpand.M-KopaSolarclientsinKenyaforexamplecanpaytheirinstallmentsforasolarhomesystemusingtheM-PESAmobilemoneyservice.Inadditionthereisamyriadofsecondmoversinlow-incomecountriesworldwide.InBoPconsumerfinancingandagricultureinsurance,expansionandpartnershipswerethemostpopularapproaches.Financialviabilitycanboostscalebutisnotapre-requisiteforreachingscale.Asshownindiagram4,financialviabilityhelpsmodelstoreachscale,asisthecaseformobilemoney.Forexample,BeamMoneybrokeeveninfouryearsandearnedrevenueofmorethanUS$15millionin2013bywhichpointtheyhadreachedatotalof14millionclients.4However,evenwhenamodelisnotfinanciallyviable,ifgovernmentsordonorssufficientlyvalueitsimpactit,forexampleitmaybemorecostefficientforthemtopaythemod5elstooffertheservicethanrelyonstandardnon-profitprograms,themodelcanstillreachscale.Thisisthecaseforindexbasedagricultureinsurance.InsomecasessuchasCemex,thislargecompanywasalreadyfinanciallyviablewhenitintroducedconsumerbasedfinancingforitsBoPproduct.WASHsector

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Thestudiedmodels intheWASHsectorreachhundredsofthousandsofpeopleandafewevenreachmillions.Mostorganizationshaveexpandedtoothercountries,withfranchisesbeingpopularamongstthe toilet and decentralized water treatment models. Some models are inherently set up fordissemination, fostering local entrepreneurship. In those cases, standardization of operations andprocessesarekeyleversforscale.Breakevenhasonlybeenreachedbyafew,butmostaimtobecomefinanciallyviablewithscale.MostmodelsintheWASHsectorreachhundredsofthousands.Afewmaturemodelsreachmillions,whileothersarestillintheirpilotstage.Themodelswiththehighestreachare,forexample,WaterHealthwith500sitesinsixcountriesin2012servingfivemillioncustomersorEcotacttoiletsinKenya,whichareusedby48,000peopleperday.SomeNGO-ledmulti-countryprogramstoactivatelocalvaluechainsforconstructionofhygienicandaffordabletoiletsalsoreachmillionsofhouseholds(e.g.,SNV’sSustainableSanitation&HygieneforAllResultsProgram).MostWASHmodelsarestillbeingpiloted.Forexample,X-runnerhasrentedlessthan100ofitswaterfreetoiletssofar.Also,theschemeinKotei(Ghana)isapilotthatprovidessafewaterfromtheutility’snetworkto5,000people.Forexample,X-runnerhasrentedlessthan100of itswaterfreetoiletssofar.Also,theschemeinKotei(Ghana) isapilotthatprovidessafewaterfromtheutility’snetworkto5,000people.Figure6.ReplicationandfinancialviabilityintheWASHsector

Mostorganizationshaveexpandedtoothercountries.Forexample,Ikotoiletoperatesitshigh-quality,public,pay-per-usesanitationfacilitiesinKenyaandTanzania,BlueDiversionoperatesitstoiletfranchisesinUgandaandKenya.WaterHealthisactiveinIndia,Bangladesh,Ghana,Nigeria,Liberia,PhilippinesandLifelinkoperatesitswaterprojectinUganda,HaitiandMalawi.Toiletandtreatmentplantbusinessesareoftenoperatedasfranchises.Forexample,SanergybuiltanetworkFreshLifeOperators—local residentswhopurchaseandoperatehygienic sanitation facilities.BlueDiversionworkswithlocalfranchiseesassalespeopletorenttoilets.Inadditiontheycollectthewaste

May2017/ 13

and transport it to off-site resource recovery plants, where it is converted into fertilizer. Sarjavalfranchiseesoperatethetreatmentplantandshareaproportionofrevenuewiththefranchisortocovere.g.maintenancecostsandcostsforwatertesting.Many models are inherently set up for dissemination, since they aim to activate the market andincentivizelocalentrepreneurship.Forexample,theIndianNGOGramalayasupportslocalproducersinmanufacturingbetterqualitylatrinesatlowercost—andcreatesthemarketthroughawarenessraisingand offering end-user financing. Likewise, SaniShop has sales entrepreneurs in Cambodia, India andMozambiquetriggerdemandintheircommunitythroughsalesandawarenessevents,withtoiletsbeingsupplied by local masons who have undergone SaniShop production training. Spring Health (India)providesservicestodevelopafiltrationsystemandensureswaterquality,whileanentrepreneursuppliesland,electricityconnectionandday-to-dayoperationalmanagement.MostmodelsintheWASHsectorarestrugglingtobecomefinanciallyviable.Asinmanyothersectors,manymodelsareprofitableonthelocallevel(e.g.,ontheleveloftheentrepreneursellingthetoiletoroperatingthewatertreatmentplant).However,theystruggletocoveroverheadcostsassociatedwith,forexample,creatingawarenessforsafewaterorforusingtoilets/latrinesortrainingentrepreneurs.However,manymodelsexpecttobreakevenoncetheyreachalargerscale.Forexample,CleanTeaminGhanaaimstoreachbreakevenat1,500toilets installedbyMarch2016,X-Runner inPerusimilarlyestimatesthatproductionof1,500toiletswouldenablethecompanytocoverallitscosts.Also,eKutirinIndia aims to reach breakeven in 2016, coveringmarket activation activities from its toilet sales. TheapproachbythesesocialenterprisesalsoencouragesNGOslikeGramayala,WaterSHED,iDEtoexplorewaystoevolvefrompuregrantfundingintoasocialbusinesstoachievelong-termsustainability.The fewcompanies thathave reached significant scaleareable to cross-finance their activities. Forexample,WaterHealthrunsthebusinessonaclusterbasiswheretreatmentplantsthatperformbettercross-subsidizethosethatarenotyetbreakingeven.Theclustersalsoshareservicestokeepoperatingcostslow.Sometimes,governmentinitiativeswithfullysubsidizedproductsundermineentrepreneur´sviability.Butgovernmentscanalsohelpcompaniesreachscalebypreferringsocialenterprises intheirtenders.However, frequently low-cost (andhenceoften low-quality)optionsarepreferredbypublicbuyers.Adriver for financial viability ispartnershipswithMFIs thatprovide loans toentrepreneursorend-userfinancing.StepstosupportingscalingandreplicationReplication-specific support ispracticallynon-existentdespite the fact thatBMIsareachievingsocio-economicandenvironmentimpact.Werecommendthefollowingthreeinterventionareasasawaytosupporttheexpansion,disseminationandadoptionofprovenmodels.

(1) Understandreplicationandcreateawarenessforit(2) Adjustexistinginterventionstoincludeareplicationfocus(3) CreatenewinterventionstosupporttheadoptionofprovenandviableBMIs

1) UnderstandreplicationandcreateawarenessforitScalingandreplicationisalreadyhappening—butthereisalmostnosystematiclearningamongstpeers.Whilecasestudiescanbefoundonanumberofthemodelsstudiedforthisproject,therehastodatenotbeenanefforttolearnsystematically.Thecomprehensivenatureoftheresearchproject;analyzingclose

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to300models clustered into26businessmodel innovationsacross five sectorswith54 in-depthcasestudiesisthusauniqueandvaluableresourcefororiginatorsandreplicatorsalike.Existing findingson scalingand replicationneed tobedisseminated amongstenterprisesandotherstakeholders. It couldprovideenterpriseswith ideasonhowto improve theirmodel,oroffer secondmoversinspirationandlessonsondesigninganewmodel.Tocreateawareness,researchresultsneedtobemadeavailabletoentrepreneurshipcenters,incubators,accelerators,atindustryconferences/fairsortomembersofindustryassociations.Current research isagoodstartingpointbut considerablegapsneed tobeaddressed. Forexample,additionalsectorsmaybeincludedintheresearch—andnewclustersmaybeidentifiedineachsector.Anindepth insight into the functioning,effectivenessandpreconditionsofmodels couldalsoaddvalue.Crucially,thereisaneedformorerobustdataontheimpactofmanymodels.Inalargenumberofcasestheeconomicandsocialimpactisbasedonanecdotalorself-reportedevidence.However,tobeabletofosterthereplicationofprovenmodels, it isvitaltoknowwhichmodelsactuallygenerateresultsthatmeritreplicationandwhereimprovementsarenecessary.Ensureresearchtranslatesintoaction.Toooftenvaluableresearchfailstoachieveitspotentialimpact.Thedisseminationofstudiesandpaperscanbeagoodstartingpointfordialogueandaction,butsomecreativethinkingmaybenecessarytoensurethishappens.DisseminationactivitiesshouldmoveawayfromthestandardPowerPointpresentationsplusQ&Asessiontomoreinteractiveandactionorientedformats. For example, a workshop could bring several originators together to discuss findings andencouragepeerlearningforreplication.Aninteractiveworkshopseriescouldbringtogetheragroupofpolicymakersandenterprisesaroundovercomingaparticularconstraintoraspecificsocialtargetsuchas50percentimprovementinlearningoutcomesforgirls.2) BuildonexistinginterventionstoincludeareplicationfocusActorscanreinforceexistingprograms,policiesand instrumentsby includinga replication focus.Anoverviewofthefactorsthatdriveandconstrainreplicationandscalerevealsthatmanyofthesefactorsarerelatedtothecommonchallengesofdoingbusiness. Indeedreplicationdoesnotnecessarilybringaboutnewchallengesbutratheraddsalayerofcomplexitytoalreadyexistingchallenges.Forexampleunderstandingevolvingregulationrequirementsandadaptingabusinessmodelaccordinglyisallthemorecomplexwhenabusinessisoperatinginadozencountries.ThismeansmanyinterventionsthattacklethekeyconstraintsshowninTable1areimplicitlysupportingreplication.Basedonanunderstandingofthedriversandconstraints,actorscanbuildonanexistinginterventiontodeliberatelypromotereplication.For example, some models successfully scaled because a government realized that certain businessmodels offered a more cost efficient and sustainable way to achieve a specific development goal.Supportinggovernmentstousebusinessmodelstoachievesocialobjectivesmoresystematicallycouldbepartofanongoingpolicysupportprogram.Table1.ConstraintsofExpandingBusinesses

Constraint DriversandsupportbeingofferedInformationandawareness

• Lackofevidencebase.Whilesomemodelsreceiveawardsandhaveanecdotalevidence,itcanbedifficultforsecondmoversandecosystempartnerstobesureamodelisachievingitsallegedimpact.

• Difficultforsecondmoverstolearnfromfirstmovers.Thereisadearthofgranular

• HighdemandfromBoPclients.Modelsthatcanshowclearvaluetoclientsatanaffordablepricepointtendtoflourish.E.g.Mobilemoney.

• GovernmentsponsoredpublicawarenesscampaignsinHealthandWASHhavehelpedmodelsattractclients.Particularlyvaluablein

May2017/ 15

informationonsuccessfulbusinessmodelswiththeoperationalandfinancialdetailsthatwouldbeofparticularrelevance.

WASHwheregainingcustomersisagreaterchallengethanretainingcustomers.

Rulesandregulation

• Missingregulation.Forsomenewinnovativemodels,thereisanabsenceofregulatoryprovisionse.g.StudentfinancingandmHealth.

• Prohibitiveregulation:Thisaffectsallmodelsandincludespoliciessuchashighimporttariffs,strictrequirementsforregistrationorlicenses.ForexampleregulationinIndiathatrestrictsschoolsfromearningprofits.InMalawihighimporttariffsmakeitdifficultforbusinessmodelsthatrelyonimportedproductse.g.inthewatersector.ThesesectorswouldbenefitfromsimilartaxexemptionsthegovernmenthasofferedtothesolarsectorinMalawi.

• Destructivepoliciesanddisincentives.Insomecasessubsidiescandistortmarketsanderasewillingnesstopay.ThishasbeenobservedintheSolarandEnergysector.

• GovernmentsmainstreamingBMIintoexistingstructures.ForexampleGyanShalaachainofprimaryschoolshasbeenabletoimprovegovernmentschoolresultsbyupto35percentthroughanadditionalprogramthatadvisesgovernmentoncurriculumdesignandtrainsgovernmentteachersbasedontheGyanShalaapproach.

• Conduciveregulatoryenvironment.Insomecasesalackofregulationhasallowedmodelstoflourish,chainschoolsandmobilemoneyinEastAfricavs.India.Itisimportantthatregulationgrowswithasectorinawaythatencouragesgrowth.

• Supportivepolicies.Whengovernmentsseevalueinabusinessmodelandactivelysupportitthroughtaxbreaks,andsubsidiesthiscanhelprapidlyexpandmodels.E.g.consumerfinancingforlow-costhousinginMexico.

Financialresources

• BoPclients’lackofpurchasingpower.WhileclientsmayseesignificantvalueinaproductorservicetheirincomeconstraintsandirregularcashflowsremainakeybarrierthisisrelevantforallsectorsespeciallyEducation,HealthandWASH.Whereongoingcostscanbecomeasubstantialdrainonresources.

• Modelsneedfinancingtocoverhighsetupcosts.CommonconstraintinsomeEducation,WASH,energyandHealthmodels.ForexampleasettingupeachnewchainschoolcostsaroundUSD65,000.

• Relianceonunreliablefundingstreams.Overrelianceongovernmentordonorsupportcanberiskyasitissubjecttopoliticalandregulatorychange.Manyfinancing,educationandhealthmodelsfacethisconstraint.

• Affordablefinancingforoperatingcosts.Manycompaniesstruggledtogrowduetoalackofaffordableworkingcapital,particularlysmallbusinesses.

• Supportfromgovernmentorotherpartnerstomakeaproductaffordable.InagricultureinsurancemanygovernmenthaveprovidedsubsidiestoextendcoveragetoalargenumberofBoPmodels.

• Costsavingmechanisms:Hyperefficienciessuchaspara-skilling,standardizationandtheuseofICThavebeenabletodrivedowncostsinHealthandEducation.

• AppropriateandattractivefinancingoptionsforBoPclients.Optionslikeleasing-to-buyforBoPentrepreneurfinancingandrisksharingfinancingschemesineducationcanhelpaddresscashflowchallenges.

• IncreasingBoPclient’sincomeinarelativelyshorttimeframe.ModelsthataddressBoPclientsultimatechallenge-poverty-atareasonablecostandprofitablytendtoexpandrapidlye.g.educationorientedBPOandmobilemoney.

• Highdensityofclientshelpsreducethecostofdistributionandaftersalessupportofmodels.e.g.EnergyandWASHmodels.

StructureandCapacity

• Findingandretainingtalentedstaffparticularlyatmanageriallevelorskilledemployees

• Poorinfrastructureunstablepowersupply,missing3Gconnectivityandpoortransportnetworkscanbeamajorchallenge,particularlyforICTintensiveenterprisese.g.

• StandardizationandparaskillingByusinga“businessinabox”modelwithahighdegreeofstandardizationandbreakingdownskilledservicesintosimplifiedtasks,lessskilledstaffcanbehiredtoeffectivelycarryoutskilledwork.Thisalsohelpsbringdowncostsandis

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Mobilebanking,Telemedicine,educationorientedBPOinruralareas,andaftersalessupportinEnergy.

commonpracticeintheHealthandEducationsectors.

3)CreatenewinterventionstosupporttheadoptionofprovenandviableBMIsOriginatorsare interested inreplicatingtheirmodelwithpartners;secondmoversactivelyscoutforreplicableBMIs.Mission-drivenorganizationsandentrepreneursthathavedevelopedaviablebusinessmodelwithproven impactoftenactivelyseektoreplicate it.However,theythemselvesoften lacktheresourcesandtimetofosterreplicationinothercountriesorregions.Inaddition,theymaylackaccesstotherightindividualsornetworksinterestedincopyingtheirmodel.Whilethetopicofreplicationisslowlyrisinguptheagenda,atpresenttherearehardlyanyagenciesspecificallyfocusedonit.Atthesametime,motivatedsocialentrepreneursinotherregionsmaybescoutingforbusinessmodelswithpositiveeconomicandsocial results.Withtheirknowledgeontheirhomemarket, theymayalsohaveanadvantagewhen itcomestoadaptingexistingmodelstotheirspecificculturalandregulatorycontext.Intermediariescanplayacrucialroleinengineeringandbrokeringrelationshipsbetweenoriginatorsand potential adopters or expansion partners. For example, development partners or otherintermediariescanorganizehands-onworkshopsinaspecificcountryorregionthatshowcaseexistingmodels and invite adopters to learn from them. Inviting additional stakeholders and experts to suchworkshops could further enhance the value of the event. They could range from investors or otherfinanciers, legal specialists that could provide advice on social franchising to consultants that haveexperiencedadviceonhowtopackageand“hand-over”amodel.Disseminatorscanalsobesupportedtosetuptrainingprogramsandcenterstocoachsecondmovers.Indeed,someEnterpriseskeentodisseminatetheirmodeldeveloptheirowntrainingprograms,withthegoal of actively spreading their approach and building the capacities of potential secondmovers. Forexample,theeye-carehospitalAravindhastrainedover300hospitalsontheirapproach.TheprogramofferedbyLAICOisessentiallyalonger-termconsultancyprocess,includingaweek-longcapacitybuildingand strategic planning workshop in India. Development partners can help with financial or technicalsupport, such as curriculum development or even training implementation. When bringing togetheroriginatorsandadopters,alsobringtogetherotherstakeholdersthatcouldprovidethemsupport.New financing instruments specifically targeted at disseminators or second movers may furtherincentivizereplication.Arangeoffinancialsupportalreadyexistsforthosecompaniespilotingbusinessmodel innovations that cater to theunderserved.However, replicatingwhatworksmayactuallyofferfundersahighersocial returnon investment. Instrumentscould includegrants forbusinessestoopentheirmodeltothepublic(i.e.,documentit),financialsupporttoopenupdisseminationcentres,orstart-up loans for franchisees and second-generation businesses. Grants could also be provided for theorganizationofvisitsofentrepreneurstoothercountriestostudyspecificmodels(e.g.,immersionandon-sitetraining).

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AnnexI.OverviewofBMIsStudiedThetablelists27BMIclustersthatwerestudiedaspartofthisresearch.

Sector BMI AboutBMI Examplesstudied

Reach(Aggregatednumber)

Range Averagereach

Heatmap

Education ChainSchools Chainschoolsofferstandardizededucationtomanychi\ldreninlow-incomecommunitiesthroughacentralizeddesignoflow-cost,reliableandreplicableschoolmodels.

10 451,250 Students 950-125,000

45,125 Medium

10 23,566 Teachers 110-5,040

2,357

Education LearningCenters

Learningcentersoffernon-traditionalsourcesofeducationtothoseintheBoPcommunitiesbyprovidingnewspacesandformatsforlow-cost,locallydeliveredlearning.

11 9,380,000 Learners 1,000-5,000,000

852,727 High

11 223,010 Employees 510-200,000

20,274

Education EducationFinancing

Studentfinancingfromnon-bankingfinancialinstitutions(NBFI)canofferaffordable,realisticandlow-riskfinancingsolutions,aswellasguidanceandtrainingtoimproveemployabilityforBoPstudents.

9 3,150,000 Loansdisbursed

157-2,300,000

350,000 High

Education TeacherEducation

Trainingandeducatingteachersincost-constrainedareasbyequippingthemwithinnovativemodelsofteaching-kits,exchangenetworksandcloud-basedplatformscanpositivelyimpactthequalityandaccessibilityofeducationandimprovethelivelihoodsofthestudents.

10 146,050 Teachers 550-40,000

14,605 High

10 1,300,000 Students 3,000-700,000

130,000

Education ImpactSourcing

ImpactSourcingServiceProviders(ISSPs)offeremploymentopportunitiestolow-income,disadvantagedyouth,andoftensupportthemintheirtransitiontoworkingoutsidetheISSPsbyprovidingcareerguidanceandaccesstovocationaltrainingandhighereducation.

7 5,200 Employed 150-2,000

743 High

7 7,980 Trainees 300-7,000

1,140

Education 8 8,432 Schools 22-3,462 1,054 Medium

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SchoolEvaluationandManagement

Schoolevaluationandmanagementconsultantscutcostsandincreasethevalueofeducationbyassessingschoolstodeterminewhereimprovementscanbemadeandbyguidingtheimplementationphase.

8 3,000,000 Students 115-2,000,000

375,000

8 54,400 Teachers 288-30,000

6,800

Energy MiniGrids Mini-gridsexpandcommercialaccesstoelectricitybyofferingcoveragetocommunitiesthatareexcludedfromthenationalgrid.

15 819,125 Peoplereached

900-340,000

54,608 Medium

15 918 Mini-grid 10-500 61

Energy GridConnection

Bydevelopinglocalsolutionstoexpandconnectiontothegrid,distributioncompaniesandtheirpartnerscanofferaccesstolegal,safeelectricitytothoseinlow-income,urbanareas.

9 2,600,000 Peoplereached

26,000-1,000,000

288,889 High

Energy ProductiveUse

Innovativestand-alonerenewableenergysolutionsthatarecustomizedfortheBoPmarketcancreateaccesstoelectricityandthusmultiplyproductivityandprofitsofmicro,smallandmedium-sizedenterprises.

16 797,000 Peoplereached

17,000-450,000

49,813 Low

16 10,000 Dripirrigationsystems

0-10,000 625

16 2,500 Stoves 0-2,500 15616 140,175 Solar-

poweredpumpsinstalled

50-140,000

8,761

Energy SolarHomeSystems

Solarhomesystems(SHS)areanaffordable,easy-to-useandenvironmentallyfriendlysolutionforprovidingruraloff-gridpopulationswithelectricitythatcanhavecatalyticeffectforthedevelopmentforthem.

18 26,500,000 Peoplereached

9,000-7,977,765

1,472,222 High

18 2,623,287 Solarsystemsinstalled

500-1,595,553

145,738

Finance Agri-Insurance

Index-basedagriculturalmicroinsurancesubstantiallyreducestransactioncostsandremovesbureaucraticbarriersforlow-incomefarmers.

13 27,000,000 Farmersreached

100-17,500,00

0

2,076,923 Low

Finance MobileMoney

Mobilemoneyplatformsallowpeoplewithno,orlimited,accesstoformalbankingfacilitiestousearangeoffinancial

13 42,800,000 Users 60,000-15,000,00

0

3,292,308 High

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servicesthroughtheirmobilephones.

Finance EntrepreneurFinance

Inclusivebusinessesarenowestablishinginnovativemodelstoprovideaffordablecredittomicro-entrepreneursinboththeBoPandlow-incomemarkets.

8 346,700 Peoplereached

500-150,000

43,338 Low

Finance ConsumerFinance

Someinclusivebusinessesareofferingaffordablecredittotheirconsumerstoallowthempurchasehighquality,alternativeproducts.

5 4,200,000 Peopleserved

400-2,000,000

840,000 Medium

WASH DecentralizedCommunityWaterTreatment

Decentralizedcommunitywatertreatmentmodelsprovidesafeandaffordabledrinkingwaterbycombininggrantorimpactinvestmentcapitalwithpaymentforthewaterbytheusertocoverthedirectcostsofproduction.

22 7,000,000 Peopleserved

1,300-5,000,000

318,182 Medium

22 850 Plantinstalled

0-850 39

WASH MobileToilets Mobiletoiletsarecompacttoiletunitsservicedbyabusinessthatevacuateswaste,andcanthereforebeusedinurbanhomesandcommunitiesinareaswithoutaccesstocentralizedsewagesystems.

16 127,360 Peoplereached

380-48,000

7,960 Medium

16 7,150 Toiletsbuilt 100-3,450

447

16 200 Sewagetreatmentplants

0-200 13

16 52 Biocenters 0-52 316 995,000 Bio-

degradableself-

sanitizingbags

0-995,000

62,188

WASH RuralLatrines Market-ledsanitationprojectsaimtoactivatelocalvaluechainsforconstructionofhygienicandaffordabletoiletsinruralhomesandcommunities.

16 55,000,000 Peoplereached

500-25,900,00

0

3,437,500 Low

16 11,000,000 Toiletblocks

constructed

3,200-122,840

687,500

WASH HybridModelsforUtilityWaterDelivery

Hybridmodelsmakesafe,affordablewaterfromtheutility’spipednetworkavailableforsaletohouseholdsthatdonothaveaconnectiontothenetwork.

9 2,000,000.0

Peoplereached

2,000-1,500,000

222,222 Low

9 4,000 Stand-pipesinstalled

0-4,000 444

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Health Telemedicine Telemedicineisaninnovativesolutiontoexpandhealthcareservicesandeducationtoruralandlow-incomecommunitiesviaICTdevices.

1 1,000,000 Patientsreached

0-1,000,000

1,000,000 Low

Health SpecializedHospitals

Highlyspecializedhealthcareclinicswithloweroperatingcostsandcross-subsidizationofrevenuesacrosspatientsegmentscanprovideaffordableservicesforthoseattheBoP.

15 41,470,000 Patientsreached

4,200-6,000,000

2,764,667 Medium

Health mHealth mHealthcanimprovethehealthoutcomesforanypersonwithaccesstoamobiledevicebyofferingefficientandeffectivemobilehealthservices.

10 5,800,000 patientsreached

5,000-3,000,000

580,000 Low-medium

Health Nutrition Withadvicefromnutritionexperts,businessescandeveloplow-cost,fortifiedfoodforspecificgroupswithinlow-incomecommunities,whilealsoincludingtheminthevaluechainassuppliers.

7 ,770,000,000

portions/unitssold

3,200-1,755000

0

252,857,143

Medium

Health Microinsurance

Healthmicroinsuranceschemesprotecthouseholdsfromsteepout-of-pocketexpensesformedicalneeds.

7 40,200,000 Users 25,190-40,000,00

0

5,742,857 Medium

7 60,000 agents 0-60,000 8,5717 153 customer

touchpoints

0-153 22

Health Women'sHealth

Women’shealthfranchisesdeliverqualityreproductivehealthservicestolow-incomewomen,thusdecreasingbothmaternalandnewbornmortality.

16 87,000,000 Couplesreceive

protection

72,000-15,000,00

0

5,437,500 Medium-high

16 75,000 retailoutlets

0-75,000 4,688

16 7,968 clinics 370-7,000

498

16 80 hospitals 5Health Community

HealthWorkers

Usinglocallybasedcommunityhealthworkers(CHW)toprovideservicestotheircommunitiescanimproveequitableaccesstobasichealthserviceswhileaimingforfinancialsustainability.

7 6,600,000 peoplereached

2,500-2,500,000

942,857 Medium

7 250 facilities 0-250 36

Health FemaleHygiene

Socialenterprisesdeveloplow-costmethodsofsanitary

11 529,312 girlsandwomenimpacted

32-125,000

48,119 Medium

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padproductioncoupledwithinnovativemodelsofdistributionandmarketing,whileincludingwomenattheBoPatallstagesofthevaluechain.

11 505,000 sanitarypadsproduced

500-500,000

45,909

11 407 communities/villagesimpacted

5-300 37

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AnnexII.DescriptionofCompaniesMentioned(Alphabetical)Color-codingofexamples

EducationEnergyFinanceHealthWASH

Company Country Weblink SolutiondescriptionACRE(FormerlyknownasKilimoSalama)

Kenya,Rwanda,Tanzania

http://www.acreafrica.com/

ACREoffersmicroinsuranceproductsusingmobilebankingandindicesbasedonvariousdatasources.

AravindEyeCareHospitals

India http://www.aravind.org/

AravindEyeCareHospitalsprovidehigh-qualityeye-caretotherichandpoor.Thecompanyalsoactivelydisseminatesitsapproachsoastofacilitateeffectiveadaptationofitsmodelinothercountries.Tothisend,itcreatedtheLionsAravindInstituteofCommunityOphthalmology(LAICO)traininginstitute,whichhassupportedreplicationoftheAravindmodelinover300eyehospitalsin30countries.

BeamMoney India http://www.beam.co.in/

Beamhasdevelopedamobilemoneywalletthatallowsbothbanked&unbankedcustomerstotransactatanytimethroughapps,SMSandtheWeb.Servicesincludedomesticmoneytransfers,mobilerecharge,DTHTVrecharge,utilitybillpaymentsetc.OnceregisteredwithBeam,customerscantopuptheirBeamwalletsusingcredit/debitcardsorthroughdirectcashtransferthroughBeamfranchisees.

BlueDiversion Uganda,Kenya

http://www.bluediversiontoilet.com/

BlueDiversionworkswithlocalfranchiseesfromlow-incomecommunitiesassalespeopletorenttoiletstohouseholds,landlordsandcommunities.Thereare2pricemodelsforcommercialandhouseholdcustomers.Thereisanupfrontfeeforinstallation,paidforbyamicroloanfortheprivatecustomer.Thelocalfranchiseesalsocollectthewasteandtransportittooff-siteresourcerecoveryplants,whereitisconvertedintomarketablefertilizerendproducts.FieldtestsconductedincollaborationwithSanergy.

BridgeInternationalAcademies

Kenya http://www.bridgeinternationalacademies.com

Bridgeoperatesprivate,low-fee($6permonthin2014)nursery&primaryschoolsusingaverticallyintegrated,highlystandardized'school-in-a-box'business&educationalmodel.Itusesweb-enabledtechnologiestoconstantlymonitor,evaluateandstreamlineallprocesses,enablingrapidscale-upatlowmarginalcost.

BridgeIT Philippines,Tanzania,Chile,Colombia,India,Bangladesh,Indonesia,Nigeria,SouthAfrica,Haiti

http://text2teach.org.ph/

BridgeITisapublic-privatepartnershipthatusesmobilephonestodeliverprofessionaldevelopmentmaterialsandeducationalresourcestoteachers(videos,lessonplans,onlinenetwork).Schoolsreceiveapackagecontainingamobilephone,throughwhichtheyareabletoaccessanddownloadavarietyofeducationalcontentandteachertrainingmaterial.Thepackagefurtherincludesacableandaprojector/screenthroughwhichvideoscanbedisplayedinclass.

CCBRTDisabilityHospital

Tanzania http://www.ccbrt.or.tz/disability/

CCBRTDisabilityHospitalprovidessurgicalandoutpatientservicesforophthalmology,obstetricfistula,orthopedics,andreconstructivesurgeryandanesthesia,targetingthelowestincomecommunitiessubsidizinglowpricesorfreeofchargeservicesthroughcharginghigherpricesatthePrivateClinicwhereextrassuchasconvenienceofappointmentsandfasttrackserviceisavailable.thequalityofcareisthesameforallincomegroups.

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Cemex(PatrimonioHoy)

Mexico www.cemex.com PatrimonioHoyprovideslow-incomefamilieslivinginurbanandsemi-urbanareaswithaccesstobuildingmaterialsandtechnicalassistancetobuildgood-qualityhouses.Thecompanyoffersfinancetocustomersthroughasavingsandcreditfacility.

CentersforDigitalInclusion(CDI)

Brazil,Chile,Colombia,Spain,UnitedStates,England,Mexico,Portugal,Venezuela,Wales,Ireland,Scotland,Poland,Romania,Latvia

http://www.cdi.org.br/

CDIpartnerswithcommunitygroupsandpublicinstitutionstoestablishinformalcentersequippedwithdonatedcomputerequipmentwhichprovidecomputeraccessandskillstrainingforallages,aswellasciviceducationandentrepreneurialskills.CDIcentersintimebecomeautonomousself-financingcommunityenterprises.CDIoperatesinlow-incomecommunities,publicschools,prisons,psychiatricinstitutionsthatcareforpeoplewithphysicaland/ormentaldisabilities,indigenousvillages.

TheCitizensFoundationSchools(TCF)

Pakistan http://www.tcf.org.pk/

TCFprovidesaffordableprimaryandsecondaryprivateeducationtolow-incomestudentsinPakistan’surbanslumsandruralareas,withafocusongirls.Allschoolprincipalsandteachersarefemale,therebyaddressingculturalconstraintsongirls’education.

CleanTeam Ghana http://cleanteamtoilets.com/

CleanTeamchargesamonthlysubscriptionfeeforaninhouseportabletoiletwithawastecollectionservice2-4timesperweekforhousesnotconnectedtosewageorwaterinfrastructure.Itisamoreprivate,safeandhygienicsolutionthandefecatinginthestreetoruncleanpublictoilets.

ComponenteAtenciónaDesatresNaturales(CADENA)

Mexico http://www.sagarpa.gob.mx/Paginas/default.aspx

TheCADENAprogramcontainstwomaincomponents:theCatastropheAgriculturalInsurance(SAC):macro-levelindex-basedcropandlivestockcatastropheinsuranceprogram,andinStateswhereSACisnotprovided,thecontinueddirectsupport(ApoyoDirecto)compensationpaymentstofarmersforclimaticdisasters.

¡Échale!aTuCasa

Mexico http://www.echale.com.mx/

InMexico,¡Échale!atucasa,anaffordablehousingprovider,hascommittedtomakingUS$25millioninlow-costfinancingavailableoverthenextfiveyearstoenable25,000low-incomefamiliestobuildtheirown“eco-friendly”homes,whichincludewood-savingstovesorbio-digestersforenergyneedsandrainharvestingwaterpurificationsystems.NearlyninemillionfamiliesinMexicohaveinadequatehousing,andtwothirdsofthemfacedifficultyobtainingloanstopurchasehomes.Asaresult,millionsresorttobuildingunsafeandunsecurehousingstructures.¡Échale!atucasa‘sself-builtkitsareuptohalfasexpensiveasbuyingalreadybuilthomes.

Ecotact(Ikotoilet)

Kenya,Tanzania

http://ecotact.org/

EcotactrunsIkotoilet,buildingandoperatinghigh-quality,public,pay-per-usesanitationfacilities.Eachblockcontainsatoilet,showerfacilities,taps&soap,tanksforrainwaterharvesting,watertapwithtreateddrinkingwater,babychangingareas&sanitarybins.Eachunitalsocontainsashop&shoeshinearea,tocreateacentralmeetingplace.Publiclandinurbancentersisprovidedbylocalgovernmenttomaketheprojectaffordableandpartofthecommunity.

eKutir India http://www.ekutirsb.com

eKutir(Svadha)trainslocalentrepreneurssothattheycanestablishself-sustainingbusinessestosupply,installandmaintainhygienictoiletsinruralhouseholds,andeducatelocalcommunitiesontheimportanceofsanitation.Svadhaisasocialbusinessthatbuysgoodsinbulkandsellsthemontoentrepreneursatacheaperprice.

EnovaDigitalCenters

Mexico http://www.enova.mx/en

Enovaofferstechnologyaccessandaffordablee-learningcoursesforallageswithpersonalizedsupportindigitalcentersanddigitallibrarieslocatedinBOPcommunities.Enova'saimistocreateanetworkofcommunitycentersthattriggersocialchange.

GhanaWaterCompanyLimited(GWCL)

Ghana http://www.gwcl.com.gh/pgs/hmp.php

Themodeldeliverswaterviastandpipestolow-incomeconsumersinpartnershipwiththeseunder-servedcommunities.IthasbeenpilotedonKotei,adistrictofthecityofKumasi,andisnowbeingrolledoutinaseconddistrictinGhana.GWCLretainstheownershipofthepiped

May2017/ 24

infrastructureandisresponsibleforupkeepandmaintenancebutawardsamanagementcontracttotheCMC(CommunityManagementcommittee).

Gramalaya India http://www.gramalaya.in/

NGOGramalayaengageslocalcommunitiesinawarenessraisingprogramandworkswithcommitteesresponsibleforsanitationprovisionintheirarea.Itpromotesarangeoftoiletmodelstohouseholds,supportslocalproducersinmanufacturingbetterqualitylatrinesatlowercost,trainsmasonsininstallingthem,andoffersend-userfinancingthroughitsspinoffarmGuardianorpartnershipswithlocalMFIs.

GrameenShakti

India http://www.gshakti.org

GrameenShaktihasdevelopedoneofthemostsuccessfulmarketbasedprogramswithasocialobjectiveforpopularizingSolarHomeSystems(SHSs)includingotherrenewableenergytechnologiestomillionsofruralvillagers.GSisthefirstcompanyintheworldtopromotesolarenergytechnologytoruralcommunitiesanddevelopasustainableandcost-effectiverenewableenergyprogramforthepoor.

Greenstar(SabzSitara)Network

Pakistan www.greenstar.org.pk/Sabzsitara-Clinic.html

GreenstarworksthroughbothprivateandpublicchannelstowardsimprovinghealthcareinPakistan.AreasofactivityforGreenstarincludesocialmarketingoffamilyplanningproductsandservices,trainingforhealthcareprofessionals,motherandchildhealthservices,clinicconstructionandrehabilitation,vouchersforsafedelivery,outreachactivitiesandtuberculosisdetectionandtreatment.

GyanShala India http://www.gyanshala.org/

GyanShalaprovideshigh-qualityprimaryclassestoout-of-schoolchildreninnetworksof400-500single-roomcentersinrentedpremises,staffedbycommunitymemberstrainedaspara-teachers.Resultsshowstudentsoutperforminggovernmentandprivateschools.

Hippocampus India http://www.hlc.hippocampus.in/hlc/

HippocampusLearningCenters(HLC)providesafee-payingKindergartenprograminsmallcentershousingthreeclasses(max.25childreneachclass)inrentedpremisesinIndianvillageswhilecreatingjobsforvillagewomenbyhiringthemasteachers.

iDE(InternationalDevelopmentEnterprises)

Honduras,Nepal,Zambia

http://www.ideorg.org

Solar-poweredpumpsforimprovedirrigation.iDE’sCleanIrrigationSolution(CIS)cancompetewithfossilfuelpumpsbothintermsofcostandenhancingagriculturalproductivity.CIS’suniversalpistonpumpcanrunonavarietyofpowersources—solarsteampower,photovoltaicpower,andgrid-connectedalternatingcurrent(AC)whereavailable.Thesystemaccessesgroundwaterfromdeeperdepthsthanconventionalpumps,andmaintainsaslow,steadydischargerate.iDEwillworkwithlocalbusinessestosellandservicetheCIS.

JayaashreeIndustries

India http://newinventions.in/

JayaashreeIndustriescurrentlyhasmademorethan1300low-costmachinestoproducesanitarytowels,whichareinstalledacross27statesinIndiaandsevenothercountries.Thelowcostmachinesaresolddirectlytoruralwomenthroughthesupportofbankloansandnot-for-profitorganizations.Amachineoperatorcanlearntheentiretowel-makingprocessinthreehoursandthenemploythreeotherstohelpwithprocessinganddistribution.

LEAPScienceandMathSchools

SouthAfrica http://leapschool.org.za/

LEAPSchoolsareachainofno-feeindependenthighschoolsoffering'whole-child',learner-centerededucationinrelativelysmallclassestounderprivilegedSouthAfricans.LEAPrequiresallstudentsstudyMaths,Science,Englishandhasanextendedschoolday/Saturdayclasses.Itincorporatesextended'LifeOrientation'self-awareness/confidencetraining,communitywork.Inaddition,LEAPprovideslearningcenterswithincommunitieswhereschoolsarelocated.

LifeLink(Grundfos),WaterMissionsInternational

Uganda,Haiti,Malawi

http://www.grundfos.com/cases/find-case/sustainable-private-water-service-delivery-by-Water-Missions-International.html

TheTradeWaterprojectisrunbynon-profitWaterMissionsInternationalwhobuildsGrundfospumps,withLivingWaterfiltrationsystemsinthecenterofcommunities.WMImaintainsresponsibilityforallfinancialmanagementandadministrationofthesystem.Alocallyrecruited‘wateragent’istrainedtoberesponsiblefordailyoperationsandcustomerservice.Additionalrevenuestreamshavebeenaddedincludingsolarchargingofmobilephonesandsolarlamps.

May2017/ 25

LINKCommunityDevelopmentInternational

Ethiopia,Ghana,Malawi,SouthAfrica,Uganda

http://www.lcdinternational.org/

Link’sSchoolPerformanceReview(SPR)processisapartnershipwithruralgovernmentschooldistricts.Linktrainslocaleducatorstogatherschooldatacoveringmultipleindicatorsofquality.Linkanalyzesthedataandproducesrecommendationsthattheschool'sstakeholdersdiscussestoformulateaschoolactionplan.Theprocessisrepeatedforallschoolsinadistrict,buildingadistrict-widepictureofschoolquality.Linkco-facilitatesdistrict-levelmeetingstohelpformulatedistrictimprovementplans.LinkalsoprovidesaSolarConnectprogram,whichenhancesschools'capacitytouseICTtosharedata.

LivingGoods Uganda http://livinggoods.org/

TheLivingGoodsmodelcombinespracticesfromtheworldsofmicrofinance,franchising,andpublichealthtocreateasustainablesystemfordefeatingdiseasesofpoverty.LivingGoodsreducesillnessanddeathbysignificantlyimprovingaccesstoandadoptionofhealthinterventionsinthemanyplacesthesearescarceornon-existent.Networkoffranchisedcommunityhealthpromoterswhoprovidehealtheducationandearnalivingsellingessentialhealthproductsdoor-to-dooratpricesaffordabletothepoor.

LumbiniEyeInstitute

Nepal http://www.lei.org.np/

Atthegrassrootslevel,LEIprovidesprimaryeyecareservicesthatareprovidedthroughhouse-to-housevisit,schoolscreening,screeningcampsatsubhealthpostandhealthpostlevels,whicharevitalcomponentsofprimaryeyecareandtreatmentofeyedisease.Atthedistrictlevel,eyecareservicesareprovidedthroughprimaryeyecarecenterswherebasiceyediseasearetreated,glassesareprescribed,outreachsurgicalcampsareorganizedandspecialinvestigationarereferredtothebaseeyehospital.Tertiaryeyecareservices,aswellashighvolumecataractsurgery,areprovidedatthezonallevelattheShreeRana-AmbikaeyehospitalinBhairahawa.

M-KopaSolar Kenya solar.m-kopa.com M-KOPAmakessolarproductsaffordabletolow-incomehouseholdsonapay-per-useinstallmentplan.Customersacquiresolarsystemsforadepositandthenpurchasedailyusage“credits”forUS$0.45,orlessthanthepriceoftraditionalkerosenelighting.Afteroneyearofpaymentscustomersowntheirsolarsystemsandcanupgradetomorepower.

M-PESA Kenya http://www.safaricom.co.ke/personal/m-pesa/m-pesa-services

M-PESAbeganin2007andquicklybecameapioneerinthemobilemoneyspace.Itprovidescustomerswithbasicfinancialservicesthroughamobileplatform.Customers,mostofwhoareformerlyunbanked,sendmoneyquicklyandeasilyusingthepay-as-yougoservice.M-PesastartedoffasasimplemobilewalletbutnowalsohaspartnershipswithbanksandMFIstoprovideotherbankingservices.

MerrygoldHealthNetwork

India www.merrygold.org.in

MerrygoldHealthNetworkcreatesaccesstolowcostgoodqualityMaternalandChildHealth(MCH)servicesbynetworkingwithPrivatehealthserviceprovidersasfranchisees.

Narayana India http://www.narayanahealth.org/

Byapplyingtheprinciplesofassemblylineproductiontocardiacsurgeryhewasabletodemonstratethatworld-classcardiacsurgerycouldbeperformedatlowercosts.Heachievedthisdifficultfeatbyenhancedproductivity(morenumberofsurgeriesinadaythanothersurgeons),whichinturntranslatedintoaffordabilitythatbroughtprofitabilitytothehospital.

OmegaSchools

Ghana http://www.omega-schools.com/

Omega's38schoolsofferlow-feeprimaryandjuniorhighschooleducationtoover20,000childreninlow-incomecommunitiesinGhana(2013-2014),paidforwithanall-inclusivedailyfeeincorporatingmeals,uniforms,learningmaterialsetc..Its“school-in-abox”businessmodelisbasedonscale(largenumbersofstudents)andstandardization,in-houseteachertraininganddevelopmentoflessonplans,withatechnology-enabledcentralizedmanagementsystemregularmonitoringandevaluation.

OneGirl(Launchpad)

SierraLeone http://www.onegirl.org.au/what-we-do/launchpad

LaunchPaddeliversaffordable,biodegradablesanitarypadstowomenandgirlsinSierraLeone,usinganetworkoffemaleentrepreneursandschoolsystems.

RGStoneUrology&

India http://www.rghospitals.com/

RGisspreadingtheservicesofurologythrougheitherestablishingownclinics,partneringwithdoctorsinJVsorestablishingadepartmentinalargeclinic.

May2017/ 26

LaparoscopyHospitalRubyCup Kenya,

Zambia,SouthAfrica,Uganda

http://www.ruby-cup.com

RubyCupdevelopedamenstrualcupwhichleveragedcanbeusedfor10years.RubyCupisnowpartneringwithNGOnetworksacrossAfricatodistributetheirproduct,andisalsousingabuyonegiveonefreemodeltosubsidizethedistributioninAfrica.

salaUno Mexico http://www.salauno.com.mx/

SalaUnoeradicatesneedlessblindnessthrough6linesofactivitiesthatpreventorrevertblindness:cataractssurgery,photocoagulationlasertotreatdiabeticretinopathy,pterygiumsurgery,glaucomatreatment,prescriptionglassesandcornealtransplants.

SanergyInc. Kenya http://saner.gy/ Sanergyhasdevelopedalowcosttoiletwhichitrents/sellstomicro-entrepreneursinareaswithoutaccesstopipedsewagesystems.Thetoiletsareusedbythecommunityatanaffordableprice.ThewasteiscollectedbySanergyandprocessedintousefulproductssuchasorganicfertilizer.

SaniShop(WorldToiletOrganization)

Cambodia,India,Mozambique

http://worldtoilet.org/what-we-do/sanishop/

Lowcosttoiletproductsbuiltwithlocallyavailablematerialsanddistributed/soldbylocalentrepreneurs.

Sarvajal India http://www.sarvajal.com/

For-profitsocialenterprisethatoperatescommunitywater-filtrationplantsthroughlocalfranchiseesinmid-sizedIndianvillages(approximately5,000inhabitants).FranchiseepaysSarvajal40percentmonthlyrevenuesTheyhavealsorecentlyexpandedtolinkWaterATMs,whichsellsmalleramountsofwateratseparatelocations.

SNV’sSustainableSanitation&HygieneforAllResultsProgram(SSH4A)

Multi-regional

http://www.snvworld.org/en/sectors/water-sanitation-hygiene/sustainable-sanitation-hygiene-for-all-results-programme

SNVanditslocalpartnersimplementedtheSSH4Aapproachin15countriesacrossAfricaandAsia.Theprogrambuildscapacitytoimplementdemandcreationinpartnershipwithlocalgovernmentsandlocalcommunityledtotalsanitationfacilitators.Itdevelopsthemarket-basedsolutionsinthesupplychainforhardwareandservices.

Sorridents Brazil http://sorridents.com.br/

Sorridentsisthelargestchainofdentalclinics,eitherfullyownedorfranchisedinLatinAmerica.Theseclinicsaimtoprovideaccessible,affordabledentalcareclosertohome,typicallyontheoutskirtsoflargeandmid-sizedcities,whererealestateismoreaffordableandmostlow-incomepeoplelive.Sorridentsclinicsofferavarietyofdentalprocedures,servingasamuch-neededone-stopshopfordentalcare,especiallyfortheelderlyandpeoplewithdisabilities.

SpringHealth India http://www.springhealth.co.in/

Providingcleansafedrinkingwatertocommunitiesoflessthan200to500householdsinIndiasufferingfrommicrobialcontaminationthroughapartnershipmodelofwaterkiosks.SpringHealthprovidesthefiltrationsystemandensuresitsongoingqualitybutthekiosksaresetupwithalocaloperatorwhoisresponsibleformanagingthedaytodayofthefacilityaswellassales.Entrepreneurscoverthecostofland,watersource,andelectricityconnectionaswellasansubscriptionfeeof5,000(US$80),tocover20percentofcapitalcost.ThishelpsSpringHealthcovernotonlytheoperatingcostsbutalsothecapitalcoststoo.ThefiltrationsystemremainsthepropertyofSpringHealth.

TechnologyforTomorrow(T4T)

SierraLeone http://t4tafrica.co/

MakaPad,asanitarynapkinmadeofpapyrusandpaperwaste,manufacturedlocallyinUgandawithouttheuseofelectricity.Thisisamoreaffordablealternativetotraditionalstore-boughtproducts,cuttingthecostbyabout50to75percent.Healsoinventedspecialincineratorstodisposenon-biodegradablewasteinschools.Theyarealsobuiltonalargerscalesotheycanbeusedinhospitalsandclinics

TunzaFamilyHealthNetwork

Kenya http://www.psikenya.org/index.php?id=73

TheTunzafranchiserecruitsandtrainsprivatepractitionersintheprovisionofarangeofcontraceptivemethodswhilepromotinguptakeinthecommunityandprovidesaccesstoqualityandaffordablehealthservicesincludingcervicalcancerandSTIscreening,HIVcounseling,malecircumcisionandchildhooddiseases.

Visualiza Guatemala,Haiti,Peru

http://visualiza.org.gt/

Visualizaoperatesclinicsinthatprovideprivatecarealongsidefreevisionservicesforthepoor.Leadingthenation,Visualizaperformsover20

May2017/ 27

Endnotes

percentofallcataractsurgeriesinGuatemala,andistheonlyinstitutioninthecountrythatprovideseyecarescreeningforchildren.

WaterHealthInternational

India,Bangladesh,Ghana,Nigeria,Liberia,Phillippines

http://www.waterhealth.com/

WHIusesabuild-operate-transfermodel,tobuildwater-filteringplantsinlocalcommunities.CAPEXexpensesarecoveredbygrantssowatercanbesoldatamoreaffordableprice.Accesstoland,electricityandwaterareprovidedbythecommunity(orcouncilonbehalfofthecommunity).

Waterlife India http://www.waterlifeindia.com/

Waterlifeworksthroughpublic-privatepartnershipssettingupatreatmentsystemandoperatesitunderamanagementcontractfor5–15years.Itchargesthelocalcommunityforwateratafixedratetocoveroperationalandmaintenancecosts.ThesystemoperatorisfromthelocalcommunityandistrainedbyWaterlife.Thecompanyhasaservicingteamof120employees,andhasdeployedanationaltoll-freenumberfortechnicalsupport.

WaterSHED Cambodia http://www.watershedasia.org/

NGOactingasmarketfacilitator,Watershedcreatessupplychainnetworks,workingwithlocalbusinesses,governmentandcommunitiestocommercializelow-costlatrines.Itcurrentlyworkswith165latrinemanufacturers

Wizzit SouthAfrica www.wizzit-int.com

WizzitisthefirstcompanyinSouthAfricatodevelopamobiletechnologyplatformandabranchlessbankingmodelthatallowspeopletoopenfull-fledgedbankaccountsthroughtheirmobilephones.Accountholderscanconductfinancialtransactions,remitmoney,payaccountsandgettheirbalancethroughtheirmobilephones24hoursaday.

X-runner Peru www.xrunner-venture.com

Mobile,waterfreetoiletsrentedbyhouseholdswithoutaccesstofixedsewageorwaterinurbanslums.Thewasteiscollectedonaweeklybasisandturnedintobiofertilizer.

May2017/ 28

1 Thenote also takes into accountprevious researchundertakenby Endeva.Mostnotably, the study“MultiplyingImpact:SupportingtheReplicationofInclusiveBusinessModels,”whichwascommissionedandpublishedin2014bytheGermanMinistryforEconomicCooperationandDevelopment. 2Thediscussionontheevidenceofimpact,whileintegraltoreplication,isreservedfortheEvidenceCrossCuttingpaper.SeeWorldBank.2017.GatheringandusingevidenceforinnovativebusinessmodelsservingtheBaseofthePyramid.Washington,D.C:WorldBank3Thisisparticularlythecasewhenthescriptisadaptedtonationalcurriculaanddevelopedbyteachingexperts.4BEAMMobile,“BeaminNews,”BEAMMobilehttp://blog.beam.co.in/category/Beam-in-News