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TEDIndia 2009

Jane Chen: A warm embrace that saves lives

November 5, 2009

In the developing world, access to incubators is limited by cost and distance, and millions of premature babies die each year. TED Fellow Jane Chen shows an invention that could keep millions of these infants warm -- a design that's safe, portable, low-cost and life-saving.

Jane Chen - Social entrepreneur
TED Fellow Jane Chen has spent years working on health issues in the developing world. Full bio

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Double-click the English subtitles below to play the video.
Please close your eyes,
00:15
and open your hands.
00:18
Now imagine what you could place in your hands:
00:21
an apple, maybe your wallet.
00:24
Now open your eyes.
00:27
What about a life?
00:29
What you see here is a premature baby.
00:31
He looks like he's resting peacefully, but in fact he's struggling to stay alive
00:33
because he can't regulate his own body temperature.
00:36
This baby is so tiny he doesn't have
00:39
enough fat on his body to stay warm.
00:41
Sadly, 20 million babies like this
00:43
are born every year around the world.
00:46
Four million of these babies die annually.
00:49
But the bigger problem is that the ones who do survive
00:51
grow up with severe, long-term health problems.
00:54
The reason is because in the first month of a baby's life,
00:57
its only job is to grow.
01:00
If it's battling hypothermia, its organs can't develop normally,
01:02
resulting in a range of health problems
01:05
from diabetes, to heart disease,
01:07
to low I.Q.
01:09
Imagine: Many of these problems could be prevented
01:11
if these babies were just kept warm.
01:14
That is the primary function of an incubator.
01:17
But traditional incubators require electricity
01:19
and cost up to 20 thousand dollars.
01:21
So, you're not going to find them in rural areas of developing countries.
01:24
As a result, parents resort to local solutions
01:27
like tying hot water bottles around their babies' bodies,
01:30
or placing them under light bulbs like the ones you see here --
01:33
methods that are both ineffective and unsafe.
01:36
I've seen this firsthand over and over again.
01:39
On one of my first trips to India, I met this young woman, Sevitha,
01:42
who had just given birth to a tiny premature baby, Rani.
01:45
She took her baby to the nearest village clinic,
01:49
and the doctor advised her to take Rani
01:52
to a city hospital so she could be placed in an incubator.
01:54
But that hospital was over four hours away,
01:58
and Sevitha didn't have the means to get there,
02:01
so her baby died.
02:04
Inspired by this story, and dozens of other similar stories like this,
02:06
my team and I realized what was needed was a local solution,
02:09
something that could work without electricity,
02:12
that was simple enough for a mother or a midwife to use,
02:14
given that the majority of births still take place in the home.
02:17
We needed something that was portable,
02:20
something that could be sterilized and reused across multiple babies
02:22
and something ultra-low-cost,
02:25
compared to the 20,000 dollars
02:27
that an incubator in the U.S. costs.
02:29
So, this is what we came up with.
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What you see here looks nothing like an incubator.
02:34
It looks like a small sleeping bag for a baby.
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You can open it up completely. It's waterproof.
02:39
There's no seams inside so you can sterilize it very easily.
02:42
But the magic is in this pouch of wax.
02:45
This is a phase-change material.
02:49
It's a wax-like substance with a melting point
02:51
of human body temperature, 37 degrees Celsius.
02:53
You can melt this simply using hot water
02:56
and then when it melts it's able to maintain one constant temperature
02:59
for four to six hours at a time,
03:03
after which you simply reheat the pouch.
03:05
So, you then place it into this little pocket back here,
03:08
and it creates a warm micro-environment
03:15
for the baby.
03:17
Looks simple, but we've reiterated this dozens of times
03:20
by going into the field to talk to doctors, moms and clinicians
03:24
to ensure that this really meets the needs of the local communities.
03:27
We plan to launch this product in India in 2010,
03:30
and the target price point will be 25 dollars,
03:33
less than 0.1 percent of the cost
03:37
of a traditional incubator.
03:39
Over the next five years we hope to save the lives
03:42
of almost a million babies.
03:44
But the longer-term social impact is a reduction in population growth.
03:46
This seems counterintuitive,
03:49
but turns out that as infant mortality is reduced,
03:51
population sizes also decrease,
03:54
because parents don't need to anticipate
03:56
that their babies are going to die.
03:58
We hope that the Embrace infant warmer
04:00
and other simple innovations like this
04:03
represent a new trend for the future of technology:
04:05
simple, localized, affordable solutions
04:09
that have the potential to make huge social impact.
04:12
In designing this we followed a few basic principles.
04:15
We really tried to understand the end user,
04:18
in this case, people like Sevitha.
04:20
We tried to understand the root of the problem
04:23
rather than being biased by what already exists.
04:25
And then we thought of the most simple solution we could
04:28
to address this problem.
04:31
In doing this, I believe we can truly bring technology to the masses.
04:33
And we can save millions of lives through the simple warmth of an Embrace.
04:37

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Jane Chen - Social entrepreneur
TED Fellow Jane Chen has spent years working on health issues in the developing world.

Why you should listen

Jane Chen is the co-founder and CEO of Embrace, a social enterprise that aims to help the millions of vulnerable babies born every year in developing countries through a low-cost infant warmer. Unlike traditional incubators that cost up to $20,000, the Embrace infant warmer costs around $200. The device requires no electricity, has no moving parts, is portable and is safe and intuitive to use.

Chen received her Masters in Public Administration from the Harvard Kennedy School of Government. Prior to her graduate studies, Jane was the Program Director of Chi Heng Foundation, a nonprofit organization that sponsors the education of children affected by AIDS in central China. She was also formerly a management consultant at Monitor Group.

In 2009, Chen was a TEDIndia Fellow

The original video is available on TED.com
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