British International Investment

DCDC Health Services Private Limited

South AsiaConsumer - Health

DCDC is an India based single-specialty operator of haemodialysis clinics, with focus on the Public-Private Partnership (PPP) model providing subsidised treatments to low-income households. DCDC operates more than 120 dialysis centres across the country.

Our investment

Description of the investment.

Our facility will be used to fund the capital expenditure and roll-out of dialysis machines for both public-private partnership (PPP) centres and standalone centres accredited to public insurance schemes. This will enable the company to add more dialysis centres which provide subsidised life-saving treatment to low-income people in remote towns.

Impact information

Applies to investments made from 2019 onwards. The tabs in this section define what we expect to achieve through the investment, assessing the potential impact of the investment against six dimensions of impact. You can find more details on our methodology of assessing impact here.

What?

Impact
  • Improve health outcomes by reducing mortality rates from kidney disease through accessible and affordable high-quality healthcare for low-income patients (SDG 3).

  • Provide income generating opportunities through job creation (SDG 8).

How?

How?
  • Direct: Our capital will enable DCDC to expand its operations and roll out additional dialysis machines in new and existing PPP and standalone centres.

  • Direct: Create direct and indirect employment through business growth.

Who?

Stakeholder Geography Characteristics
Patients

India

  • Over 70 per cent of DCDC total revenue is from PPP centres.
  • Over 95 per cent of patients served at DCDC standalone centres are on government insurance schemes.
  • 69 per cent of DCDC patients live on or under $6.85 a day (2017 PPP).
Employees

India

  • Skilled medical professionals including dialysis medical officers and technicians as well as low skilled workers such as housekeeping staff.
  • DCDC currently has a total of 1149 employees – 869 FTEs and 280 contractors.
  • 34 per cent of the FTE workforce are women.

How much?

Scale Depth/Duration

PPP centres:

  • 15,000 unique patients will be treated by 2025;
  • PPP centres will expand from 78 to 137 by 2025;
  • Standalone centres will expand from 3 to 25; and
  • DCDC will roll out c.900 dialysis machines reaching a total of approximately 2,100 machines by 2025.

Employees:

  • Increase in total employees from 1,100 to 2,100 staff by 2025, comprising FTEs including dialysis medical officers, technicians, centre managers, head office employees; and contract staff, including support/housekeeping staff.

Contribution/additionality

Contribution/additionality

Financial additionality: Our contribution is driven by financial additionally, given our ability to provide long tenor debt and a higher risk tolerance for PPP contracts. Such contracts have a long receivables period but drive healthcare impact for low-income patients suffering from end-stage renal disease.

Risk

Alignment Risk

Risk that DCDC shifts its focus away from PPP clinics and low-income patients to private in-hospital clinics due to the long receivables period associated with PPP contracts. Mitigant: 75 per cent of our funding has been earmarked for PPP capex use and the remainder to be used for standalone centres serving low-income patients on government insurance schemes. We are also assured of DCDC’s intention to maintain a focus on low-income patients as this is their unique selling point.

Environmental and social information

  • Environmental and social summary

    A high-level description of the environmental and social aspects of the investment. This may include a summary of key environmental and social risks identified during environmental and social due diligence (ESDD); key elements of an environmental and social action plan (ESAP); or ways in which we plan to support the investee improve environmental and social standards, such as through their environmental and social management system (ESMS); as well as any other priority areas agreed with the investee.

  • Environmental and social risk

    A risk category rating, which indicates the level of environmental and social risk associated with an investment. For an explanation of the categorisations used, see here. We consistently provide an environmental and social risk category for all investments screened from 2023 onwards.

Environmental and social summary

We agreed an ESAP focused on the strengthening of the company’s Environmental and Social Management system (ESMS), the development of operational guidelines on OHS, biomedical waste management and fire safety, and conducting periodic training on the prevention of sexual harassment.

Environmental and social risk

Medium-Low

Reporting and Complaints Mechanism

The Reporting and Complaints Mechanism allows anyone outside BII to report alleged breaches of the business integrity or environmental and social provisions of BII’s Policy on Responsible Investing. This includes breaches made by BII, a BII investee, or a portfolio company of a fund in which BII has invested. The Reporting and Complaints Mechanism Rules are available here. Reports and complaints can be submitted by email to [email protected] or by mail. See more details on our Reporting and Complaints Mechanism here.

For any other general enquiries contact us at [email protected]

  • Key facts

    Last updated

    When the last quarterly update of the website database occurred.

    :
    June 2024
    Project number

    An identifier number shared by investments in the same project.

    :
    D6288
    Status

    The current status of the investment (green flag for active and red flag for exited).

    :
    Active
    Region

    The geographical region where the country is located. We currently invest in Africa, South Asia, South East Asia and the Caribbean. In 2023, BII’s investment mandate was extended allowing it to invest in regional funds linked to Ukraine, with the majority of activity expected to begin post-war. Investments outside these regions were made prior to 2012 under previous investment mandates.

    :
    South Asia
    Sector

    We prioritise those sectors that facilitate development and need our capital the most. Our priority sectors contribute towards many of the Sustainable Development Goals. They range from investing in the power infrastructure that will provide people with better access to electricity, to investing in financial institutions that direct capital to the individuals and businesses that need it the most.

    :
    Consumer - Health

    We provide capital in the following ways: directly – through direct equity, direct debt, guarantees and other non-intermediated financial instruments; and indirectly – principally through investment funds.

    For direct investments and fund investments, this is the date BII committed capital to the investments. This is typically the date on which legal agreements are signed by all parties.

    For the portfolio companies of our fund investments, this is the date (either the month or the quarter) on which the fund committed capital to the portfolio company.

    For direct equity investments, this is the date at which British International Investment exited the investment.

    For debt investments, this is the date at which the final debt repayment was made.

    For funds, this is the date at which the fund was terminated.

    For underlying fund investments, this is the date at which the fund manager exited the investment.

    The total amount committed, per financial instrument, per investment, on the date BII becomes subject to a binding legal obligation to provide funding or assume a contingent liability. This information is provided in US dollars.

    For direct investments, this is the amount that BII has committed to the business or project. For fund investments, this is the amount BII has committed to the fund.

    The currency in which the investment was made.

    Investment type :
    Debt
    Start date :
    December 2023
    Amount :
    $9.81m
    Currency of investment :
    INR
    Domicile

    The company or investment fund’s place of incorporation.

    :
    India
    2X Gender Finance

    Indicates whether the investment is ‘2X qualified’ using the 2X Challenge criteria. You can find out more here. It only applies to investments made from 2018 onwards, when the 2X Challenge was first launched.

    :
    Fully qualified

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