Damu-Sasa | Blood Now
Aaron Ochieng Ogunde Co-founded Damu-Sasa. Aaron holds a Bachelor’s degree in Business Information Technology from Africa Nazarene University in Kenya. Aaron is extremely passionate about youth entrepreneurship and their involvement in solving perennial challenges, especially through the use of ICT.
With over five years’ professional experience in Information and Communications Technology (ICT), Aaron plays pivotal roles in both software design and business development, having been instrumental in the negotiation and execution of the successful Damu-Sasa pilot in Kenya’s Kenyatta National Hospital (KNH).
Blood is key to quality healthcare delivery due to its central role in saving lives. Effective acquisition, management and use of blood and blood services is essential, but blood services management is a complex maze. Simple errors in mishandling or lack of organization can result in adverse patients effects, death, and blood spoiling via expiry or cold chain violations.
Damu-Sasa offers a unique solution to this challenge. The platform supports safety, timeliness, efficiency, effectiveness and a patient-centered approach in blood services dispensation. Our comprehensive platform covers all aspects of the blood services value-chain, including donor recruitment and recall; unit and product tracking; blood inventory management; and ecosystem scans for blood availability and sharing.
Our platform is a tried and tested solution that is currently running at multiple Kenyan hospitals. Since its pilot phase, the technology has provided notable improvements in hospitals’ management of blood and, consequently, patient health outcomes.
According to a 2016 report from the World Health Organization (WHO), there is a rising demand for donated blood and blood services in African countries, attributable to an increasing burden of bloodborne illnesses and vehicular trauma. Similarly, The Kenya National Blood Transfusion Service (KNBTS) published a 2016 report outlining a demand for 450,000 blood units/year. However, only 33% of this need is currently met. Furthermore, the WHO also reported poor quality management practices throughout the blood services value-chain in Kenya and other African countries, also contributing to the blood shortage. The Centre for Diseases Control (CDC) also reported that Kenya loses up to 1,000 usable units of blood/quarter due to poor handling, inaccurate tracking and expiry. This translates to USD 100,000 lost every quarter. Recently, underperformance of the blood donation system in Kenya has been greatly exacerbated by the COVID-19 pandemic and sudden sweeping budget cuts in foreign aid. As such, the need for rigorous cost-efficiency, resourcefulness and smart decision-making in the blood donation space has never been greater. Damu-Sasa is responding to this need by supporting stakeholders at every node in the blood services value-chain through our varied modules.
Damu-Sasa technology is a cloud-based end-to-end blood services information management system. The technology is comprised of six core modules: Donor-Relationship Management; Referral Management; Inter-hospital Collaboration; E-Learning; Internal Management; and Haemovigilance and Reporting. Through these modules, we are able to digitally support blood sourcing, blood donor and donation management, blood screening, inventory management, transfusion management and haemovigilance. The Donor Relationship Management Module provides a direct line of communication between the health provider and the donor to facilitate effective blood appeals. This user-friendly interface contains an appointment scheduling tool with an ability to book donations in accordance with physical distancing precautions. The Referral Management and Inter-hospital Collaboration modules increase connectivity in the blood services value-chain by relaying crucial data between transfusion centres. This minimizes blood waste through real-time supply and demand monitoring and redistribution, as required. The E-Learning module disseminates evidence-based and physician-written health information to users, ensuring appropriate knowledge exchange. The Internal Management Module catalogs, tracks and manages inventory in real-time, following blood through the supply chain - from blood appeal and collection, to successful transfusion. Finally, the sixth module, Haemovigilance Reporting coordinates with all end-users in the blood services value-chain for real-time monitoring and evaluation.
Transfusing facilities are focal points of the blood services ecosystem in Kenya. Thus, they are our main target client. Overcoming challenges in blood collection and management faced by transfusing facilities is key to rectifying the 60% blood collection shortfall in Kenya.
According to the Kenya National Blood Transfusion Services (KNBTS), there are 470 transfusing facilities across the 47 counties in Kenya. We estimate the total addressable market (comrpised of both public and private facilities) in Kenya to be in excess of $2,000,000 (USD) a year.
This estimate is based on the potential number of sales to be made with transfusing facilities. These will be contracts with county governments, national referral hospitals (KNH, MTRH and OTRH), health facilities in the private sector, and the Ministry of Health (MoH) through the KNBTS. It is expected that facilities would acquire the entire range of Damu-Sasa’s functionalities to address their challenges. Other potential clients include over 57 humanitarian and emergency services providers, dozens of haemovigilance partners, health planning professionals, and health promotion agencies.
Damu-Sasa also has plans to expand internationally in the future; both to countries within Africa and beyond.
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Damu-Sasa emerged in response to a continuing national blood shortage in Kenya. However, this crisis has worsened significantly during the pandemic and the surfacing of COVID-19 has weakened healthcare supply chains globally. Critical blood shortages are now emerging in developed and developing countries alike. Currently, there is a lack of awareness and problem-solving momentum directed towards vigorously combating this crisis, a challenging yet mitigatable problem of our time. The Elevate prize will greatly aid us in scaling up our operations to provide universal and accessible blood services in Kenya and other vulnerable global healthcare systems with similar needs.
Aaron Ogunde and Francis Kilemi were attending their Data Analytics class when they saw a long, winding line in front of their university. People were in a frantic rush to donate blood to over 200 victims of the 2013 Westgate Shopping Mall Attack. Seeing the unstructured appeals for blood and a slow response due to the lack of real-time data on blood levels, the classmates wondered what they could do to help. There had to be a better way.
Together, the duo created Damu-Sasa, an innovative end-to-end blood services information management system. The platform monitors blood donor relationship management, blood requisition and inventory and utilization management, blood unit tracking, emergency control and reporting, including haemovigilance and stakeholder collaboration. By using the platform, hospitals can communicate with one another and find available blood if needed from neighboring hospitals. The data it provides enhances decision-making, thereby resulting in the effective management of blood services. This leads to reduced costs in the provision of healthcare. The company also aims to address the cultural stigma against blood donation by offering free learning modules to educate the general public.
Coming from Meru county in Kenya, the co-founders of Damu-Sasa have grown up in the exact communities that they are now serving. In fact, a deal was recently finalized with Meru County, confirming the implementation of the Damu-Sasa platform into all five of its public hospitals. Company-wide satisfaction is fueled vigorously by the knowledge that every subsequent donor and hospital registered in their system has the potential to multiply their impact exponentially. The team continues to appreciate the gravity of the issue that they are tackling, as they consistently receive thank you cards from the families of transfusion recipients, expressing their thanks at us having contributed to saving the lives of their loved ones. The long-term motivation of Damu-Sasa is sustained by the exciting opportunity to create system-level change in Kenya by shifting popular culture, reducing dependency on foreign powers, and by protecting the vulnerable populations most acutely affected by the blood shortage. In keeping with a Swahili proverb, “Kikuu hukua kwao” (greatness grows at home), the Damu-Sasa team is honoured to support their neighbours, friends, and fellow Kenyans in overcoming the COVID-19 pandemic and in creating long-term sustainability and self-sufficiency in the country’s healthcare system.
As recognized graduates of the Presidential Digital Talent Program, co-founders Aaron Ogunde and Francis Kilemi built Damu-Sasa’s software from the ground up in its entirety, unburdened by any sub-contracting. Moreover, the two co-founders and another core member together leverage 35 years of experience in the ICT industry, both locally and abroad. In-house technical expertise on the platform's capabilities and underlying code are supported by a personal connection to the local culture and market. These assets work in synergy to position Damu-Sasa as an agile, fast-acting organization that responds rapidly to customer needs and user feedback. Conversely, longitudinal strategic decisions made by the Damu-Sasa co-founders are informed by counsel from a diverse body of trusted advisors. Specifically, Damu-Sasa benefits from the advice of organizations such as Innovative Canadians for Change, AMREF Health Africa, and Titans D’Afrique. This network of strategic partners grants the company access to expertise from humanitarians, clinicians, and business developers from across Africa and North America.
In summary, Damu-Sasa is a resourceful and agile organization led by ambitious young Kenyans with the hustle and drive required to move quickly, but also with the wisdom to know when to defer to experience and mentorship. These skills, backgrounds, and experiences are enabling Damu-Sasa’s ongoing expansion to capture a total addressable market of transfusion facilities with an unchallenged first-mover advantage, as no product with a similar range of functionalities exists currently in Kenya.
When the COVID-19 pandemic brought economic turmoil to East Africa, promising discussions with potential donors expired as both local and foreign investment in Kenya’s developing economy came to a standstill. Like many others, capacity for technology development and sales was greatly reduced under burdens of limited funding and country-wide lockdown protocol. Occurring just as the software was gaining traction through word-of-mouth referrals, these obstacles were a crippling blow to plans for scaling - a chilling realization in a time of widespread bankruptcy and liquidation among the global startup ecosystem.
Instead of giving up and accepting defeat at the hands of a worldwide pandemic, the Damu-Sasa team chose instead to find opportunities in misfortune. Damu-Sasa was built on the altruistic desire to save lives during one disaster, and it was to persevere, learn, and adapt during this new one.
Seeing healthcare facilities in dire straits, it was clear that a standard sales strategy would not suffice. As such, Damu-Sasa has been offering two of it’s modules free-of-cost to transfusions facilities as a trial prior to future purchases. As such, we are supporting front line healthcare, creating a sales pipeline, and benefiting our community all while during the COVID-19 pandemic.
Central to Damu-Sasa’s mission is the promotion and improvement of accessible and quality healthcare for all Kenyans. As leaders in our community, we strive to be advocates in healthcare promotion and education in our business and personal lives. We realized rampant misinformation as one of the issues polluting the public opinion around blood donation in Kenya. In responding to the situation, we provide a free E-learning module to all of our registered donors and consumers. Displaying a series of clinician-written health articles custom-written for our platform, this module helps to combat superstition that creates hesitation to donate. Damu-Sasa is the only known private sector entity working to change the unproductive public opinion of blood donation, which is a contributing factor in the blood shortage crisis in Kenya. Popular pseudoscience-based myths have been compounded with the erroneous belief that donating blood will expose oneself to the coronavirus, thereby substantially worsening the blood shortage since the beginning of the COVID-19 pandemic. In response, we have supplemented the blood donation-related content in our E-Learning module with guidelines on COVID-19 safety, self-care tips for social isolation, and reassurement in the safety of blood donation facilities.
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