The Base of the Pyramid project is an initiative by Novo Nordisk to facilitate access to diabetes care for the working poor in low- and middle-income countries.
Around a half of the world’s population lacks access to essential health services including essential medicines like insulin.1,2 This is especially an issue in low- and middle income countries which also is home to eighty percent of people living with diabetes today.2 However, diabetes and other non-communicable diseases continue to be under prioritised in development assistance for health (DAH).3
The Base of the Pyramid project targets the more than one billion people globally with low incomes, the working poor, who have difficulties accessing health services.4 These people have some disposable income and could contribute to financing their own treatment.
The purpose of the Base of the Pyramid project is to create shared value by developing scalable, sustainable and profitable solutions that increase access to diabetes care for the working poor living in low- and middle-income countries as well as provide value to the business of Novo Nordisk.
The BoP project works to ensure:
The project was initiated in 2010
Geographical reach: Ghana, Kenya, Nigeria and Senegal
Partners: Primarily local health authorities and health care organisations
Patients reached in 2018
Four out of five people with diabetes live in low and middle income countries.5 In Kenya, the Base of the Pyramid project is identifying cross-sector collaboration to ensure good diabetes care for the thousands of people with diabetes in the country.
The diabetes epidemic is a global emergency in slow motion, where low and middle income countries carry the largest burden. This film zooms in on challenges and progress made in Kenya to improve access to diabetes care.
A public-private partnership has significantly improved supply of insulin in Kenya and established a price ceiling.
ASHA - Rural India
BoP in Kenya
Comfort and the empty shop - Ghana
Launch of two new clinics in Ghana
Kenya - A new era of diabetes care
A new business model to make insulin more accessible - Kenya
1. Tracking universal health coverage: 2017 global monitoring report. World Health Organization and International Bank for Reconstruction and Development / The World Bank; 2017. Licence: CC BY-NC-SA 3.0 IGO.
2. International Diabetes Federation. IDF Diabetes Atlas, 8th edn. Brussels, Belgium: International Diabetes Federation, 2017.
3. IHME. Financing Global Health 2015: Development assistance steady on the path to new Global Goals. Seattle, WA: Institute for Health Metrics and Evaluation (IHME). 2016.
4. The World Bank. Ending poverty and sharing prosperity: global monitoring report 2014/2015. Washington, DC: The World Bank, 2015.
5. International Diabetes Federation. IDF Diabetes Atlas, 8 ed. Brussels, Belgium: International Diabetes Federation;2017.