A fintech start-up makes healthcare more accessible

How can a digital wallet put basic healthcare in financial reach for millions of underserved people?

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In Uganda, health insurance penetration stands at less than 1%, and about 40% of healthcare costs are paid out of pocket. For low-income people, even basic care such as malaria treatment, which costs between USD 10-30 depending on the healthcare centre, can be prohibitively expensive. Many people delay seeking help or resort to self-treatment and half measures.

Fintech start-up clinicPesa offers a digital wallet that allows Ugandans, 60% of whom have a mobile phone, to save for their future healthcare rather than forego treatment or risk a financial shock that could send them into poverty. As saving for pregnancy and childbirth requires special planning and cost-awareness, the venture launched another wallet tailored for expectant mothers in 2022.

This solution is more than a virtual piggybank. Thanks to a partnership with a major financial institution, clinicPesa receives 7% to 13% interest on deposits, passing on 5% to 11% savers and keeping the rest to run the business and pay mobile platforms for promoting its services. If the cost of treatment exceeds their balance, users may take a loan top up to clear their medical bill.

To help customers find quality care, clinicPesa works with clinics, hospitals and pharmacies throughout Uganda. For providers in its network, the 1% fee on payments from clinicPesa customers is worth the patient referrals and the assurance they won’t have to chase people for payment or turn them away.

This business-minded approach to closing a vast gap in healthcare financing made clinicPesa a finalist for the Swiss Re Foundation’s Entrepreneurs for Resilience Award in 2021. Bolstered by the award grant, coaching and technical assistance – and by a tie-up with mobile provider MTN – the start-up soon dramatically increased its customer base and capacity for further growth.

An enterprise prepares to scale

In this video, CEO Chrispinus Onyancha explains how clinicPesa improves healthcare access, what’s special about financing pregnancy and childbirth care and where the venture is headed next. COO Sharon Anyango shares how learnings and contacts from her recent Executive MSc studies from The Marshall Institute at the London School of Economics and Political Science, for which the Swiss Re Foundation provided half the funding, have benefited the business.

Also featured: Harriet Igalu, a clinicPesa customer who has used the savings wallet for expectant mothers, and Gorret Nankya, a member of its provider network.

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  • 1.2 million

    people enrolled to use clinicPesa’s savings wallet as of end 2023, up from 20 000 users three years earlier
  • 987 235

    users saving on at least a monthly basis as of end 2023, up from 17 778 three years earlier
  • 33 437

    women enrolled to use the wallet for expectant mothers as of end 2023
  • 2 717

    clinics, hospitals and pharmacies in clinicPesa’s network as of end 2023, up from 1 400 three years earlier

Further Information

The copyright for all images and video displayed lies with Mukasa S. Francis/Fairpicture

​Independent impact report

We engaged the impact measurement company 60 Decibels to assess clinicPesa’s impact on customers, including their quality of life. Read the findings and recommendations of this survey-based study.

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