Every three minutes, nearly 50 children under the age of five dies. In the same three minutes, 2 mothers lose their lives in childbirth. Every year, malaria kills 655,000 people, despite the fact that it can be prevented with a mosquito net and treated for $1.41.
Sadly, this list goes on and on. Millions are dying from diseases that we can easily and inexpensively prevent, diagnose, and treat. Why? Because even though we know exactly what people need, we just can’t get it to them. They are dying not because we can't solve a medical problem but because we can’t solve a logistics problem.
In this profoundly important book, Eric Bing and Marc Epstein lay out a solution: a new kind of bottom-up health care that is delivered at the source. We need microclinics, micropharmacies, and microentrepreneurs located in the remote, hard-to-reach communities they serve. By building a new model that "scales down" to train and incentivize all kinds of health-care providers in their own villages and towns, we can create an army of on-site professionals who can prevent tragedy at a fraction of the cost of top-down bureaucratic programs.
Bing and Epstein have seen the model work, and they provide example after example of the extraordinary results it has achieved in Africa, Asia, and Latin America. They describe the principles and practices involved in implementing it and explain how to apply it to overcome specific health challenges.
This is a book about taking health care the last mile—sometimes literally—to prevent widespread, unnecessary, and easily avoided death and suffering. Pharmacy on a Bicycle shows how the same forces of innovation and entrepreneurship that work in first-world business cultures can be unleashed to save the lives of millions.