Big news! In July, Penda’s first Medical Centre hit cashflow positive. That means we’ve hit a long-time goal of ours: Delivering very high quality primary healthcare to Kenyans in a profitable fashion.
The team in Kitengela finally did it. They earned a profit of 22,000 ksh in July. Nice work.
High Quality Care
Last year, Penda Health was evaluated by Safecare, Africa’s leading medical quality auditor, and earned the highest medical quality score in East Africa of any first time audit. Read more about Safecare here.
Treating all types of Kenyans
99% of our patients at Penda have no health insurance. The median price for a visit at Penda is only $5 (including consultation, lab investigations, medicines and any preventative healthcare services). This compares to $35 average visit price at private sector chains (the only other quality option), $10 at “mom and pop” clinics and around $4 at “free” government clinics.
The Medical Centre earned 22,000 KSH in profit in July. This includes only revenue earned at the Medical Centre and includes all expenses needed to run it (all staff, rent, operations expenses, drugs, etc. etc.). It can now continue running indefinitely without any type of outside financial support.
Congratulations to the Kitengela Team
Schola, Stanley, Josephine, Hellen, Abu, Frida, Ann, Adams, Maureen and Calvin (and of course Yvonne, Cyrus, Beatrice, Kasmaba, Chege and many others) put in so much hard work and dedication to make this achievement happen. They are a truly fantastic team of people.
The Kitengela team is expecting to expand the Medical Centre soon, increase its patient numbers, quality, service offering (including ultrasound) and continue growing. Its profit and future profits will go to repay the social shareholders who invested their capital to start the clinic and then to expand and open new Medical Centres.
The wider Penda Health team is opening its 2nd Medical Centre this week, which we hope will hit cashflow positive within 6 months. The 3rd Medical Centre should open in 2013 and we hope to grow to 100 Medical Centres by 2020.
Here’s what happened this month:
Patient Volumes Keep Going Up
As you can see, we’ve pretty consistently grown our patient volumes ever since we opened. We now average more than 30 patients a day. This makes us the 2nd busiest outpatient clinic in all of Kitengela after the government clinic.
We’re doing lots of community outreach these days
Of this, 187 of the patients were seen outside the clinic in our partnerships efforts that lead to 66,000 ksh in revenue for the month. They held 3 events this month:
- Bouncy castle, vitamins and health education at a local school
- Family Planning and cancer screenings at a local flower factory
- Outreach to a nearby community in partnership with Tunza (PSI)
Preventative Healthcare Continues to Rise
We saw All-time percentages of patients accessing family planning, antenatal care, cancer screenings, well-baby visits and other preventative healthcare. We don’t know exactly what is driving these, besides that our team is working hard to make sure our members get the care they need.
Improving our Patient-Provider Interaction is paying off!
6 months ago we realized that we needed to pivot and rethink interactions in our exam rooms.
Today the PPI program is now at full-scale implementation. We’ve trained all our providers and are now using a rubric to evaluate communication in the exam room. We also continue to polish the interaction trainings we have developed. Currently we are working with University of Nairobi medical students to create Swahili- and Kenya-specific communication resources, with an eye on filming a set of training videos to accompany Penda’s patient-provider interaction curriculum.
The results: Our patients seem more satisfied and leaving feeling more confident in their care. We’ve also seen a huge shift in the happiness of our providers, who feel more capable of making our patients happy. This has been a ground breaking-success for us.