How LifeBank is tackling maternal mortality by improving supply chains
In Nigeria, post-partum hemorrhage is a leading cause of maternal mortality. Health tech startup LifeBank is hoping to change that by providing lifesaving blood supplies to hospitals.
SPONSORED BY MSD FOR MOTHERS
A woman dies every two minutes due to pregnancy or childbirth. In 2020, almost 95% of these deaths were in low- and lower-middle-income countries and most could have been prevented.
In 2020, about 70% of all maternal deaths were in sub-Saharan Africa, where access to quality health care services and robust supply chains are often lacking. In Nigeria, for example, post-partum hemorrhage is a leading cause of maternal mortality. That’s why access to safe blood transfusions has been identified as a key lifesaving intervention needed during and after childbirth. Yet, the lack of robust supply chains in many sub-Saharan African countries makes the timely delivery of blood difficult.
In 2016, one social entrepreneur set out to change this. Temie Giwa-Tubosun founded the health tech company LifeBank to make sure mothers giving birth in Nigeria — where maternal mortality rates are among the highest in the world — could quickly and safely get access to blood.
In Nigeria, health centers have to approach individual blood banks directly when they need supplies. The lack of a coordinated system means the process of searching for blood can take hours. Such a delay can be a death sentence for a critically ill patient.
In contrast, LifeBank collates inventory information from across all the different blood banks, and their Nerve app — an online marketplace for medical supplies — can quickly tell a health care worker what’s available. By connecting hospitals and blood banks using Google Maps, health care workers know exactly where to request blood when they need it.
LifeBank worker arriving at a blood bank with cold blood. Photo: LifeBank
Today, LifeBank operates in 12 cities across three countries: Nigeria, Ethiopia, and Kenya. With its multimodal distribution network — which includes drones, tricycles, bikes, and trucks — they are able to deliver lifesaving medical supplies such as blood and oxygen in less than 45 minutes.
Using technology to save mothers
One of LifeBank’s 2,500 customers, the Zenith Medical and Kidney Centre in Nigeria’s capital Abuja, has been counting on LifeBank as their go-to center for blood banking for the past three years. Before, the center often faced challenges accessing safe blood for transfusions. But since partnering with LifeBank, “There is always blood available whenever we need it,” said Kanne Nzeribe Anuli, the center’s head of laboratory services, adding that “You can [sometimes] run around looking for blood for your patient, and LifeBank makes our lives easier.”
LifeBank’s technology makes it possible to track big-picture trends and predict upfront what type of blood is needed, and at what location. “A lot of blood that is collected goes to waste because it has a limited shelf life. So you have to match the blood coming in with the blood that you actually deliver,” said Yusuf Sidina'Allah Ismail, the public sector lead at LifeBank Nigeria.
LifeBank's Nerve app can quickly tell a health care worker where blood is available. Photo: LifeBank
LifeBank's Nerve app can quickly tell a health care worker where blood is available. Photo: LifeBank
Blood bags. Photo: Shutterstock / Schira
Blood bags. Photo: Shutterstock / Schira
With LifeBank's multimodal distribution network — which includes drones, tricycles, bikes, and trucks — they are able to deliver lifesaving medical supplies such as blood and oxygen in less than 45 minutes. Photo: LifeBank
With LifeBank's multimodal distribution network — which includes drones, tricycles, bikes, and trucks — they are able to deliver lifesaving medical supplies such as blood and oxygen in less than 45 minutes. Photo: LifeBank
Blood delivery. Photo: LifeBank
Blood delivery. Photo: LifeBank
Technology doesn’t only help with predicting need, it also helps ensure the safety of the blood delivered. LifeBank’s SmartBag technology, built on blockchain, makes the delivery of blood safer as it improves the transparency and accountability of each blood bag to make sure it’s traceable and tamper-proof. It also uses a QR code to collect and share critical information about each bag, explained Sidina'Allah Ismail.
By being technology-driven, LifeBank has managed to solve one of the biggest issues in maternal health. “They’re definitely on the forefront from a technology point of view. … There's a lot of talk about technology, but people actually doing it — that's amazing,” said Ruud van der Geer, the lead for global delivery strategy at pharmaceutical company MSD, who is providing technical assistance to LifeBank’s supply chain operations team.
Financing the maternal health gap
While the global development community has set the goal to reduce the rate of global maternal deaths by two-thirds by 2030, funding is not necessarily following suit. The cost to end preventable maternal deaths by 2030 is estimated at $115.5 billion. Yet, only $11.9 billion in development assistance is currently going to 120 priority countries over the next 10 years, leaving a $103.4 billion investment gap.
To help bridge this gap, MSD has committed $650 million so far to support MSD for Mothers, which works to support innovative solutions and entrepreneurs working to improve maternal health globally. Through its Maternal Outcomes Matters, or MOMs, initiative it seeks to support and scale the impact of social enterprises such as LifeBank. MSD for Mothers is not only providing financial support to these enterprises but also providing support through MSD’s business skills and scientific resources.
Source: UNFPA
“This grant capital is used to help entrepreneurs figure out things like, ‘What are some of their business problems? How can they use grant funding from MSD for Mothers to build the capacity they need to attract new financing and to scale and sustain their impact on maternal health?’” said Mark Allen, director of strategic partnerships and global programs at MSD for Mothers.
Nurse preparing for blood donation. Photo: Shutterstock / Otto Borik
Nurse preparing for blood donation. Photo: Shutterstock / Otto Borik
Since 2020, MSD for Mothers has supported LifeBank with $2 million in grant capital to help Giwa-Tubosun scale the business and become more investable by building more capacity around the finance team. “With improved finance capabilities, these enterprises may be better situated to secure funding from other investors such as the DFC [U.S. International Development Finance Corporation],” Allen said.
According to Allen, technology in itself is also helping to de-risk investments into social enterprises such as LifeBank. Data serves as a type of quality assurance that can quickly give anyone an overview of how a company is performing and potential areas for improvement, he explained. “You start to be able to crowd in more financing because you have viable businesses with very clear transparency in terms of how they're operating and what their economics are, and so they become less risky.”
For LifeBank’s Sidina'Allah Ismail, the collaboration with MSD for Mothers goes beyond just financing. It has also provided them with technical assistance around compliance and help in areas such as fundraising and recruitment. For example, the MSD for Mothers team was able to help LifeBank achieve a 100% compliance rate with their cold chain distribution standards. “They also supported us in securing funding for our SmartAccess Project which is aimed at scaling access to new and lesser-used drugs for postpartum hemorrhage,” he said.
Continued growth and expansion
Earlier this year, LifeBank announced a partnership with Barcelona-based artificial intelligence company benshi.ai to leverage their AI and machine learning platform to reach even more patients. “By integrating their technology with our blockchain and data science technologies, we will be able to expand our suite of innovative solutions aimed at rapidly accelerating the digitization of the health care supply chain and service delivery across the African continent,” Sidina'Allah Ismail said. The partnership will also help them scale their last-mile distribution network through the Nerve app and ultimately improve patient outcomes in LifeBank partner hospitals, he explained.
Sidina'Allah Ismail is excited about LifeBank’s growth in the coming years. Right now, they are working on consolidating their presence and reach in the three countries where they currently operate. “At the same time as we’re investing in these countries and trying to expand our operations, we're also laying the groundwork to expand to other African countries,” he said.
For potential investors, that means an opportunity to be a part of a company revolutionizing the health care industry economy, he explained. “We are pan-African, and our opportunities to grow are limitless.”
SPONSORED BY MSD FOR MOTHERS
This article and the Funding the Future series is supported by funding from MSD, through its MSD for Mothers program, and are the sole responsibility of the authors. MSD for Mothers is an initiative of Merck & Co., Inc., Rahway, NJ, USA.
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