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Mobilizing Conscious Capital To Transform
Health Outcomes in Africa
Seed –Series A | Reinvesting Profits for Impact
SEPTEMBER 2025
Entrepreneurship
Innovation
Prosperity
Health
+ Climate
HEALTH=PROSPERITY.
Madiro’sphilanthropicimpactinvestmentfundbacksAfrica-focusedstartupsthateliminatepoorhealthasabarriertopeople
buildingbetterlivesforthemselves,theirfamiliesandtheircommunities.
Our focus is on health —but the effects reach further. Healthier people can work, care for others, and build futures. Our
ventures create jobs, strengthen health systems, expand access to care andreduce the health impacts of climate change.
Conscious capital goes in. Impact and returns come out. Then we reinvest —fueling a cycle of growth, dignity, and prosperity.
4
68
UNDER 5
MORTALITY
42.6%>95%
ACCESS TO
BASIC
HEALTHCARE
Very LowMedium
CLIMATE CHANGE
RESILIENCE
SUB-SAHARAN
AFRICA
NORTH AMERICA &
WESTERN EUROPE
LIFE EXPECTANCY
6379
$1,550>$60,000
PER CAPITA
GDP
Per 1000 births
Per 1000 births
The World’s Most Urgent –and Investable –Health Challenge
3
Note:SSA data estimated using latest available per country data from WHO and population sizes, all other regions 2017 World Bank data (SSA unavailable).Health professional and infant
mortality data from World Bank
Africa faces the world’s toughest health and climate challenges –yet has the greatest entrepreneurial potential to solve them.
A Health Market Poised for Scale and Impact
THE STATE
OF THE
HEALTHCARE
MARKET
AFRICA:
A GROWING
MARKET
4
Investing in Africa’s Health Entrepreneurs
5
Entrepreneurship is Africa’s next wave of development —health is at its
leading edge.
Africa has made extraordinary health gains over the past two decades
—including an 80% drop in HIV-related deaths, a 60% drop in malaria
deaths, and an 11-year increase in life expectancy.
These gains were driven by decades of investment in public health
systems and local capacity. But pressure is rising. Climate shocks,
chronic disease, and displacement are pushing fragile health systems
beyond their limits.
Today, a new chapter is emerging —powered by African entrepreneurs
building scalable, sustainable, affordable health solutions.
Madiro invests in the missing middle —backing bold Seed to Series A
ventures solving real health challengesacross the continent, where
early-stage companies often struggle to thrive without catalytic capital.
How Madiro Grows Capital and Impact
A VIRTUOUS CYCLE
•Madiro’srigorousapproachtoventurephilanthropymaximizesimpactandprofit.
•Profitsarereinvestedintooursocialmission,expandingourcapitalpoolandamplifyingimpact.
•Alongsidecapitalweprovidevaluecreationservicesandsupportstronggovernancetoacceleratepathstoscale.
6
STARTUP INCUBATORS
& ACCELERATORS
LARGE FUNDS
PHILANTRHROPY,
FRIENDS & FAMILY
PRE
-
SEED
SEED
SERIES A
SERIES B
Conveyor belt of curated quality deal flow
•>350 health incubators in Africa
•$100s of millions invested
•1,000s of startups created
•“Missing Middle” gap investor
•Seed to Series A
•US$100k -$500k
•Value creation support to investees
•Deal flow for Series A+ investors
•Leverage via ecosystem co-investors
•Require novel quality deal flow
•Minimum US$3m-5m check size =
US$7—10m rounds.
•Fatal round size for most startups
exiting incubators
MADIRO DE-RISKS YOUNG COMPANIES IN PREPARATION FOR
LARGER ROUNDS
A SIGNIFICANT PORTION OF STARTUPS EXITING INCUBATORS
ARE NOT VENTURE BACKABLE. MADIRO SUPPORTS THESE AS
GOING CONCERNS FOR IMPACT AND LIVELYHOOD CREATION
7
Backed by Madiro: Ventures and Partners We’ve Invested In
8
STARTUPS:
HUMANITARIAN
PARTNERS:
Impact to date
9
20,000+ jobs
wasdeployedacrossimpact
investmentsandgrants
$6.45M
11 high impact
investments
madetodate
6x
Leverageforevery$1Madiro
invested
Givenaccesstohealthproducts
andservicesacrossAfricaby
Madiroanditspartners
5.1M+ people
createdorsupported
EXIT SPOTLIGHT
OurfirstinvestmentexitwithJazaEnergy,aninnovativeutilitycompany,providing
cleanenergytooff-gridcommunities.Weachieveda40%profitinjusttenmonths.
Thissuccessisnotonlyafinancialwinbutasignificantimpactmilestone.
OurinitialinvestmenthelpedextendJaza’soperationsinTanzaniaandNigeria,
reaching107,261peopleandpowering15,323homesthrough129sites.Madiro
investedinJazaEnergytoimprovelunghealthbyreducingindoorairpollutionfrom
burningcharcoalandkeroseneinhomes.
Withthisexit,Jazawillreceiveanadditional$30,000,000investmenttogrowtheir
businessacrosstheAfricancontinent.Madiro'soriginalinvestmentplusprofitwill
bereinvestedintoanewstartupbytheendof2024,continuingourmissiontodrive
impact.
RAISE CAPITAL
Raise$100Mby2030–including$30MfortheMadiro
PhilanthropicImpactInvestmentFundand$70Mforthe
ConsciousCapitalEvergreenFund,acommercialvehicle
launchingin2026.
INVEST
50 new investments by 2028 additional start-ups. For every $4
raised, $1 will be invested in Value Creation Services.
IMPACT
Mitigatethehealthimpactsoftheclimatecrisis.Acrossall
ourinvestments,weaimtogiveaccesstohealthservicesand
productstoover100millionindividualsacrossAfrica.
LOCAL FOOTPRINT IN AFRICA
AttractmoreprivatecapitalforAfricanhealthtechthroughour
activeroleintheinvestmentecosystem—ledfromKigali.
2025-2030 Goals
10
Our Board and Management Team
Ourteamhasdecadesofexperienceinthepublicandprivatesectors,spanningglobalhealth,humanitarianservice,technologydevelopment,andsuccessful
start-upoperations,exitsandinvesting.Weunderstandhealthcaredeliverypainpointsinthecontextsinwhichwework,enablingustoidentifyinnovationswitha
higherprobabilityofimpactandsuccess.
BOARD MEMBERS
MANAGEMENT TEAM
Adrian Schauer
Co-founder, Chair
Founder & CEO AlayaCare.
Jean-PhilbertNsengimana
Chief Digital Advisor,
Africa CDC
EfosaOjomo
Author: The Prosperity
Paradox, Director of Prosperity
ChritensenInstitut
Dr. Gillian Morantz*
Co-founder, Asst. Prof. of
Pediatrics, McGill University,.
Dr. Adrienne Chan
Medical advisor,
Infectious Diseases Physician,
SunnybrookeHospital
Monica Kahindo
Co-Chair,
Fundraising Task Force
*BoardmemberoftheGillianandAdrianSchauerFoundation
JamesFraser
President&CEO
LeahEklandh
Director of Partnerships;
Madiro Global Health
(USA) Lead
AnoukHilti-Zingg
Madiro Switzerland Lead,
Founding and Managing
Partner, Assarée
SharonBatamuriza
Fund Manager, Kigali
Madiro Africa Lead
Michaël Bontyes
Director of Digital Health
and Technology
Alka Chaudhary
Manager of finance
and operations
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INVESTMENT COMMITTEE
The Investment Committee includes both Madiro staff and external experts. Staff members are responsible for sourcing, vetting, and presenting investment
opportunities. Independent IC members provide objective review and make final investment decisions. This structure ensures professional rigor while preserving
independence and fiduciary oversight.
COMMITTEE MEMBERS
INVESTMENT LEADS
Adrian Schauer
Co-founder, Chair
Founder & CEO AlayaCare.
Dr. Gillian Morantz
Co-founder, Asst. Prof. of
Pediatrics, McGill University,
JamesFraser
President&CEO
SharonBatamuriza
Fund Manager,
Madiro Africa Lead
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Monica Kahindo
Director & Co-Chair,
Fundraising Task Force
JesseMoore
CEO,M-Kopa
Nairobi,Kenya
AnoukHilti-Zingg
Madiro Switzerland Lead,
Founding and Managing
Partner, Assarée
Alka Chaudhary
Manager of finance
and operations
GerhardPries
Founder&Chair,
Sarona
Partners & co-investors
11
How we measure impact
A framework to track health outcomes across the entire healthcare value chain
12
STAKEHOLDER
Healthcare facility
Level 1
Health worker
Level 2
Patient or customer
Level 3
Household
Level 4
Making healthcare facilities more efficient,
affordable, and accessible
Supporting health workers to improve
accessibility and quality of their services
Improved access, affordability, and quality of
health-improving services and products
Entire household benefits from improved
health outcomes of a family member
Number of healthcare facilities services
Number of health workers supported
Number of jobs created
Number of patients or customers services
Level 3 multiplied by (1+ country fertility rate/ or
average size of household where data is available)
THEORY OF CHANGE
KEY PERFORMANCE INDICATORS
JAMES FRASER
President & CEO –Madiro
+1 647 760 0282
james.fraser@madiro.org
Toronto, Canada
SHARON BATAMURIZA
Fund Manager
+250 788 310 056
sharon.batamuriza@madiro.org
Kigali, Rwanda
Contact us
Our target investment criteria
IDEA
COMPANY
LEADERSHIP
EXECUTION
STAGE
GEOGRAPHY
FINANCIALS
-Experiencedteamwithprovenabilitytoexecute
-Meaningfulownershipbymanagement
-Leadershipcommitmenttobalancedgender
representationasperthe2Xchallenge
-Impactdriven
-DefendableUniqueSellingPropositionwith
believableproduct/marketfit
-Ontracktostronguniteconomicsalongapath
toscale
-Pre-Seed(inexceptionalcases),Seed,SeriesA
-SeriesBfollow-on
-SignificantoperatingpresenceinAfrica.Initial
focusmarketsincludeNigeria,Ghana,Kenya,
Uganda,Rwanda,SouthAfrica
-Clearandquantifiablepathtoscaling
operationsandimpact
-Teamhashistoricallyeffectiveoperations
experiencedemonstratingtheabilitytoexecute
-Pre-seed&medicaldevices:pre-revenue
-Seed&SeriesA:revenue-generating;devices
withaclearpathtoprofitability
-Sounduniteconomics/marginpotential
MARKET &
CONSUMER
COMPETITION/
SUBSTITUTION
INVESTMENT
STRUCTURE
ORGANIZATION
REGULATORY &
LEGAL
TARGET CHECK
SIZE
-Canbeidentifiedasapotentialleaderinthe
definedmarket
-Sustainabledifferentiation
-DefensibleIPwhereappropriate
-Proofofcustomeradoptionand/ormarket
receptivity
-Sizeablepotentialmarket
-Corporatestructureinplace
-Definedandestablishedlegal®ulatory
environment
-Alignedshareholdercaptable
-Equity,debt,convertiblenote,revenue-based,
equity-linked
-InitialinvestmentfromUS$100kto$500k
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MadirohaspartneredwithMSFtoleadthe
developmentofOpenMRSv.3modulesfor
frontlinemedicalprogramsinhumanitarian
settings.OpenMRSisadigitalpublicgood.
Impact: First implementation to begun in Q4-24
in a 300-bed maternity hospital in Mosul, Iraq.
Leveragingtechnology-enabledcommunity-based
careandsupplychaininamicro-franchisemodel
toprovideremotecommunitieswithhealth
products,improvedaccesstohealthcare,and
betterlivelihoods.
Anoff-grid,blockchain-inspiredplatformdesigned
todigitizeandconnectruralandremotehealth
facilities—unlockingbottom-of-the-pyramidmarkets
forsoftwareenterprises.
Impact:Over5millionpeoplereachedand
11,600+jobscreated
Impact: Over 192,000 people reached since
Madiro’s investment
Impact investment portfolio
11
BenaCareaimstoalleviatetheeconomicand
emotionaleffectsoflong-termhospitalstaysfor
chronicallyillpatientsviaaatechnology-enabled
networkofnursesandphysicaltherapists.
Impact: 14,700+ patients served and 7,500+ jobs
created for women
Impact:by2027goalof1millionglassessales
annually.
Impact investment portfolio
Impact: 100% safe deliveries for pregnant mothers
who have used Malaica’s services.
Radicallycheaperandsimplervisioncorrectionfor
the1B+peopleinneedglobally.Micro-franchise
opportunitytosellspectaclesproviding“good-
enough”vision.
End-to-endmaternalcare,combiningonlineandin-
personservices.Theirplatformpersonalizescare
withAI,creatingKenya’slargestpregnancy
communityandreducingcostsby30%.
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CLIMATE-RELATED HEALTH IMPACTS
Risingtemperaturescontributetomoreheat-relatedillnesses,expandthe
rangeofdisease-carryinginsects,andextendtheseasonsofdiseaseslike
malariaanddenguefever.Floodingdisruptsaccesstocleandrinkingwater
andsanitation,heighteningtheriskofwaterbornediseasessuchascholera.
Droughtandshiftingprecipitationpatternsdestabilizeagriculture,intensify
foodinsecurityandmalnutrition,anddrivepopulationdisplacement,
worseningrelatedhealthcrises.
6
Complex and Rapidly Accelerating challenges Driving our Investment Thesis
These factors highlight the urgent need to leverage innovation for more
efficient and effective healthcare, protecting the health of African
populations in a changing climate.
7
RURAL, REMOTE & PERI-URBAN
Residentsofrural,remote,andperi-urbanareasfrequentlyfacesubstantial
barrierstoqualityhealthcare,suchlackofproperinfrastructure,under
resourcedfacilities,andalackofessentialmedicines,leadingtodelayedor
substandardmedicalcare.Malnutritionismoreprevalentduetolimited
accesstodiverseandnutritiousfoods.Theabsenceofeducationaland
economicopportunitiesalsocontributestolowerhealthliteracyand
reducedaccesstopreventativehealthcareservices.
As a result, residents in rural and remote areas of Africa often have
greater health disparities and a higher burden of preventable diseases
compared to their urban counterparts.