Our Projects

Instiglio conducts a wide range of work on social impact bonds and results-based financing programs in developing countries. Projects here have been posted with permission of our clients. To discuss potential project opportunities, please email [email protected].

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Control of Diabetes in Mexico

The Social Problem: Over the last 20 years, there has been a significant increase in adult on-set diabetes in Mexico. According to the 1994 census, the percentage of the adult population diagnosed with diabetes had reached 6.7%. In 2006 that number had already doubled. Today diabetes is the number one cause of death in Mexico, responsible for 14% of deaths in the country and reaching more the 7.31 million Mexican adults. According to studies, this illness has cost the Mexican government approximately $1.16 billion in direct and indirect costs, not to mention the social cost.

Our Approach: The Mexican Institute of Social Security asked Instiglio for assistance in the design and implementation of a diabetes prevention program financed through a Results-Based Financing (RBF). The RBF financing model has the potential to transform the way diabetes prevention services are executed in Mexico. The contract will be realized during 2014.

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School Dropouts in Colombia

The Social Problem: Colombia has seen a dramatic increase in access to education, but has struggled to enroll rural students and to students in school. Nearly two-thirds of people in Antioquia over age 25 have had less than six years of schooling and a quarter of Antioquians age 18-24 have had less than six years of school. Of all people eligible to be enrolled in grades 6-11, only 68% are enrolled, dropping to 40% for grades 9-11.

Our Approach: The Governor of Antioquia asked Instiglio to investigate the application of Social Impact Bonds to reduce the dropout rate among secondary school students. Instiglio partnered with academics, service providers, government officials and among others on a feasibility study to evaluate determinants of school dropouts, understand what programs are effective against this problem, and propose the government with a Social Impact Bond.

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Universal Healthcare in Southeast Asia

The Social Problem: While Southeast Asian countries have advanced significantly toward universal healthcare, challenges in the coverage and usage of healthcare services plague further progress. For example, in some Southeast Asian countries as few as 10% of births are attended by a skilled health worker; by contrast, countries with the lowest rates of maternal mortality have attendance rates near 100%. In usage, problems persist as well. The out of pocket burden is often catastrophic, with up to 5% of the population forced into poverty by out of pocket costs for unexpected healthcare expenditure.

Our Approach: The World Health Organization has asked Instiglio to investigate the application of social impact bonds to universal healthcare for its Technical Meeting on Universal Health Coverage. Instiglio worked with experts in performance based contracts for health services to research case studies, and presented that research in New Delhi in July 2013.

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Teen Pregnancy in Colombia

The Social Problem: Adolescent pregnancy often time derails the transition of young girls into educated and fully developed adults. In Colombia, over 16% of girls aged 13-19 have been pregnant or are mothers. Each year in Medellin, girls aged 10-19 give over 20,000 live births, coming out to 38 births per 1,000 girls.

Our Approach: The Governor of Antioquia asked Instiglio to explore, design and potentially implement a Social Impact Bond or Results-Based program to reduce teen pregnancy in Antioquia. Instiglio advised the government on legal, financial and implementation components of a Social Impact Bond program.

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Gender Gap in Education in India

The Social Problem: India’s large gender gap in education threatens its economic development. Over 60% of out-of-school children are girls. Of girls who dropped out, 42% say they did so because their parents told them to quit. As a result, 47% of children in Grade 5 cannot read paragraph in their own language. The problem is concentrated in Rajasthan, which has 9 of the 25 worst districts.

Our Approach:  Educate Girls, an education NGO, had asked Instiglio to design a Social Impact Bond as part of its multi-million dollar application to a development agency in which it would be paid for improving retention and learning outcomes for marginalized girls in Rajasthan. Instiglio designed this program, created a plan to operationalize its design and assisted the NGO with implementation.

 

 

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