I recently had the chance to give the keynote speech at Boehringer Ingelheim's #MakingMoreHealth conference. Given the host is one of Germany's most successful pharma businesses, I asked a somewhat provocative question: what if "aid" was run like a business?
I think it would be different in four areas:
1️⃣ We would be much more strategic: we would say yes to some things, and no to many others. We would choose our playing fields much more carefully - not in terms of “health” or “girls’ rights” or “hunger”, but in terms of hero products and solutions and what makes them unique.
2️⃣ We would spend our money much more carefully. Of course you need money to deliver results. But the aid industry is the only industry I know where we celebrate costs - in the sense that we talk about project spending as opposed to the results we achieve with as little money as possible.
3️⃣ We would be much more accountable. I know the attribution gap is real, and it's difficult to measure impact. And often, what’s most easily measurable isn’t what drives the biggest change. But that shouldn’t be an excuse. We need to move away from statements like “we have contributed towards” and start measuring really specific results - not at the input/output level but through proxies. A good proxy for poverty is jobs, a good proxy for hunger is the number of meals per day. I know this isn’t perfect, but it’s clear. And if you are transparent about your reasoning, most people will follow you.
4️⃣ - and probably most controversially - we would stop stuff when there is no "product-market fit", when the products and solutions don’t solve the problem of the people we are trying to support. And that can be as big as “promoting democracy” in regions where that isn’t desired and as small as stopping water kiosks when there is no entrepreneur to take it over, or stopping toilet projects when people don’t use them.
Don’t get me wrong - I left the private sector for a reason. I don’t think we should manage aid like a Fortune 500 company. But I still think there's a thing or two we can learn to make us better. What do you think?