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Rural and Business

Fueling the Need for Holistic and


Inclusive Growth
Piyush Kant
Merck Biopharma
Indian Economy is
Booming!

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But healthcare scenario in India is not!

World Average India Other BRICs


Public Health Spend1
6% 1.4% 3.1-3.8%
(% of GDP)
Physicians1
1.5 0.7 1.9-4.3
(per 1000 people)
Out of Pocket
Expenditure1 45.8% 89% ~71%

Hospital Beds2
2.9 0.7 2.3-9.7
(per 1000 people)

 India lags behind World Average and other BRIC nations in critical
healthcare parameters
3

Sources:
1. http://data.worldbank.org/
2. https://www.cia.gov
Think Of Rural
 ~70% Population
 Low Income group ~65%
 Roads
 Electricity
 Water
 Schools
 Health care services

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Rural Healthcare is far worse!
Challenge of accessibility!

50% patients travel up to


100kms for health care services

Only 13% rural population has


access to PHCs

Only 9.6% rural population has


access to Hospitals

5 Sources:
1. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4248476/
2. https://www.pwc.in/assets/pdfs/publications-2012/healthcare_financing_report_print.pdf
Despite these challenges, in IPM, rural sector is growing faster than Urban sector

Rural
Urban
CAGR MAT 2012-16

17%

16%

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Driven by key role played by Healthcare Providers of Rural India

Accessibility

RMPs AYUSH

Availability Affordability

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However, the treatment standards of AYUSH/RMPs practitioner need evolution

Very Low to
NO Access to
Continuing
Medical
Education
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With these insights we developed a holistic business
model to tap Rural Growth opportunity
Community Care- Legacy Brands
Division with clear focus on Rural Geography
Our objectives were clearly defined…

Customer engagement Build customer


through skill building loyalty and long
program term relationship

Leverage customer
loyalty and
relationship to grow
legacy brands

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We screened & identified various markets for potential and identified
Increasing reach to 4000 rural HCPs and serving 3 million people

Rural Market’s
screened
(2 months)

 Population size 50 Routes per


 No. of HCPs Van
 Road connectivity (route = cluster of villages)

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Insight based resources were deployed
Human resources

Planning &
Market marketing
Screening strategy

Regional
Marketing
Manager

Monitoring & Optimizing


tracking operations
outcomes
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Insight based resources were deployed
Capital resources – using technology

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Knowledge upgradation of HCPs
Medical videos updating the HCPs about day-to-day medical procedures

Diabetes Video Incision & Drainage of Abscess

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of Presentation |Techniques
DD.MM.YYYY Basic Suturing Techniqes
A typical day in Swasthya
Yatra!

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Staying connected through mobile solutions!
Medical updates shared with HCPs

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The holistic customer connect model helped drive growth across brands, irrespective of price point!

9.52%
CAGR 2012-15

2.7%
CAGR 2007-11

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Our key learnings!

Rural sector is the next big growth


driver!

Skill development platforms help build


loyalty and relationships!

Rural sector is more emotion driven


than cost driven

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Going forward!

More pharma companies to reach Rural


sector!

Helping Rural HCPs through Webinars,


CME, Online specialist Support!

Disease awareness programs, do’s and


don’ts thru Mobile/internet for
consumers

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Entry of more pharma cos in Rural sector!

Grow
pharma
business

Its high
Time to
seed rural
sector

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