Summary of Pharmacy on a Bicycle

Looking for the book?
We have the summary! Get the key insights in just 10 minutes.

Pharmacy on a Bicycle book summary
Start getting smarter:
or see our plans




  • Innovative
  • Eye Opening
  • Inspiring


Millions of people in developing countries continue to die from common, easily curable diseases, but health care providers are fighting back and making a tremendous difference – while many more need support and the right strategic foundation to succeed. Marc J. Epstein and Eric G. Bing, veterans in the struggle to improve global health, offer that foundation, which they call the “IMPACTS Approach.” It provides seven guidelines or strategic handles for improving health care in developing countries: “innovation, efficiency, effectiveness, accountability, demand creation, task shifting” and “scaling.” The authors explain these components and cite successful efforts that use Impacts’ principles, including the international GAVI Alliance, Child and Family Wellness outreach in Kenya and Rwanda, and Smiling Sun in India, among others. getAbstract recommends this useful and sometimes moving text to NGOs, health care practitioners, students, entrepreneurs, innovators and anyone concerned about global health.

About the Authors

Marc J. Epstein is distinguished research professor of management at Jones Graduate School of Business at Rice University. Eric G. Bing is director of global health at the George W. Bush Institute and Professor of Global Health at Southern Methodist University.



A Tool for Action

Finding ways to provide affordable health care to the people who need it at the right place and time is a worldwide problem. Although various global funds have cooperated effectively to reduce maternal deaths and fight AIDS and other infectious diseases, countless people still die in developing countries from easily preventable illnesses and hazards. Effective measures include using mobile devices, modernizing testing and providing health care on a “franchise” basis. Despite these incremental improvements, obdurate challenges stymie attempts to provide basic health care, lessen the fragmentation of care and improve programs’ financial self-sufficiency.

This crisis demands a battle plan for improving and broadening health care at minimal cost. “The IMPACTS Approach,” a strategic response to this need, is the result of decades of investigation into developing countries’ rural and urban health care conditions, intense work in the trenches, and in-depth consultations with experts, officials and dedicated health care providers on three continents.The research that led to the Impacts Approach found that successful efforts often emerge from the collaboration...

More on this topic

Customers who read this summary also read

Your Health at Work
Burn the Business Plan
The Tyranny of Metrics
How Population Change Will Transform Our World
Health Design Thinking

Related Channels

Comment on this summary