Written by Dr. Ismail Sayeed
Founder & CEO - ViOS
Most patients in Bangladesh use Google and social media posts to look for recommended doctors and online doctors chamber appointments in Dhaka. As there is a lack of medical knowledge about finding the best doctors, there are a number of online appointment websites being created to help patients find specialist numbers and doctors chambers in Dhaka and in major cities in Bangladesh.
Health care apps are becoming as popular and widely used as ride-sharing apps, food delivery apps and various social media communication channels. Although the health startup ecosystem is still in its infancy, the market has great potential for high value medical innovation. All it needs now is the right product-market fit to fully utilise the increasing middle class sector and demands of a more tech-savvy population.
Healthcare has traditionally been resistant to disruption, or in other words, sudden technological upgrades. Not from lack of trying, as history will mention the countless medical innovations that have taken decades to become mainstream. There are countless examples of truly life-altering inventions and processes, that could have had massive impacts on the course of humanity, but were suppressed or delayed, due to the myriad of issues such as geography, timing, credibility of the inventor, international & domestic politics and the true elephant in the room, the corporatization of healthcare that intentionally creates a scarcity to drive up market value.
But beyond such challenges, there are moments of true human endeavour that brings forth an innovation at the right time and the right process, that millions have benefited immensely. I am ofcourse speaking about the entrepreneurial spirit that has persevered and persisted to promote unique healthcare products, either in their own little niche markets initially, and then through the powerful influence of social media, was able to cross borders and policies to make them accessible and affordable to many more.
It is difficult to list out the total number of innovative healthcare concepts that have been made, created, analysed, funded, acquired and even finally laid to rest (that too in 2019!). Such diverse designs in healthcare inventions and vested interests in health startups, is a testament to the growing global demand for truly impactful healthcare interventions. As per Maslow’s Hierarchy of Needs, good health is the most basic yet desired of human needs, any economic venture that invests in it is sure to reap a profit of some measure. After all, in this era of global inequality, pollution & climate change, we may be living longer, but we are also chronically ill.
As the saying goes, in life you need two good friends, one a lawyer, another a good doctor.
Total number of medical graduates are increasing, more medical professionals are investing in super-specialisation, pharmaceutical & diagnostic products are more accessible than ever before ...but, why is it still so hard to find a decent doctor, at the right time and the right place?
Before we dig deep into high end topics like health sector capacity building, health system responsiveness, health economics and even as far as medical anthropology, we should learn the basics of a Health Systems.
In this article, we will be discussing:
What is a Health System?
Opportunities for Innovation in the Bangladesh Health Industry
Creating Impactful Health-Tech Innovation
Pros & Cons of Healthcare Apps
How to use Design Thinking & Blue Ocean Strategy
Healthcare Apps & Innovation for Sustainable Deveopment Goals (SDG)
What is a Health System?
Who is in it, what do they do & how are they all connected?
Throughout history, we have all clustered around like-minded individuals, we created families, cults, societies and professional industries. As nations became civilised and structured, individuals and entities tasked to provide highly specific services organised themselves (and their resources) to meet the needs of the larger population. Healthcare organisations were probably the primary group of people that joined together to set out their own targets, roles, remuneration processes, values and access in a type of macro-relationship, all actively oriented around the health needs of their constituents.
In broad terms, a health system is interconnected with providers, payers, policy-makers, users, auditors, resources, managers, administrators, advisors and last but not least, financiers. It is hoped that all players are wholly motivated by the overall well-being and health concerns of their stakeholders, but in the history of mankind, the real motivator for activity is based on return of investment i.e. investments in money, skills, people, politics and even power plays.
Such an oversimplified definition is needed when we briefly discuss the impact of health sector performance & healthcare economics. Quite simply, the more money is invested in the right skills sets, the right resources and the right value metrics (KPI of Healthcare Outputs) the right people can make the decisions that decide the future of a nation.
A population who is always chronically sick can never reach the true potential of a country’s position in this world. Alternatively, when healthcare is the least of your daily struggles (in terms of access, quality, relevance etc), that individual can now evolve themselves into self-education and empowerment of communities; as we have noticed with the generosity of Sandinavian, Japanese and other Developed nations through their capacity-building ventures, after all their population is healthy, wealth and well thanks to a high-functioning health system.
That being said, where does Bangladesh fit into this discussion?
Health Care in Bangladesh:
A system in crisis? Or opportunities for innovation?
Bangladesh Health System is a global health paradox
There is an infrastructural deficiency in the total number of healthcare professionals and the right skills mix needed for the 160 million and growing population (the ratio of doctors to patients is 0.4, the WHO recommendation is a minimum of 2.3). There are issues with funding allocation, skills development policies, regulation on the quality of public and private medical institutions and the poor adoption of updated technologies (in pharmaceutical, medical and health information sectors).
However, even in the absence of a structured policy on human resources in the health system, the lifespan is actually increasing. There has been some improvement in select health indicators, including a reduction in under-five mortality, immunisation coverage, maternal mortality, and total fertility. Bangladesh has improved women’s education, economic conditions, and life expectancy. The rapidly increasing urban population may reverse these gains, unless immediate and deep structural changes are made to support the healthcare workforce.
There are various published articles that highlight the growing healthcare ‘brain drain’ to developed countries and of course the billions of dollars exported to neighboring healthcare systems as part of international medical tourism. Due to the severe absence of adequately skilled healthcare professionals, of standard quality and with the basics in healthcare soft skills (patient communication, bedside manners, empathy skills), there is great difficulty for patients to find good quality doctors in Dhaka, who are indeed qualified, but there is a lack of a patient referral system to connect with them.
There are a number of public health events, healthcare skills development workshops and sponsored courses that dedicated and motivated doctors can avail. Perhaps due to inadequate promotion and coordination with the existing residency training programs, it becomes difficult for many doctors to allocate their time to skills development. The absence of an updated and user-friendly public domain, to access healthcare information services is a particular pain for the Dhaka population.
In these dire situations, there is a great opportunity being utilised by the small but brave entrepreneurial ecosystem, made up of skilled professionals who seek to upgrade the healthcare delivery system in Bangladesh, with widespread availability of high speed internet providers and cutting-edge affordable smartphone devices. There are various health startups in Bangladesh that have devised and executed innovative methods to promote better health to their target customers; either in health information, online doctor appointment, telemedicine, recommended specialist reviews, social media groups to review and assess the best doctors in Dhaka, pharmaceutical drug delivery platforms and as well as online consultations with mental health professionals.
Are Healthcare apps paving the way to better health for Dhaka citizens?
There is an interesting phenomena known as leapfrogging technology, whereby developing countries have access to certain technologies from developed countries, sourced locally without going through the socioeconomic and sociodemographic changes that was necessary during the early innovative processes. A commonly cited example is that of 3G mobile technology in areas without running water, in this case high end cellular technology superseded basic infrastructure needs that were of course needed during the early research and development period in North American and Far-east tech laboratories i.e. the humble farmer can take a selfie even though his crops need better irrigation because his social circle has leapfrogged into more commercially available consumables.
This democratization of wireless technology has created ripple waves in the social fabric entire generations, unlike any social movement in the history of South-East Asia. Content creation and consumption is at pace with rapid economic development, even at grassroots levels. Financial inclusion, mass education, social media influence, women empowerment and now the emergence of healthcare apps have changed, and continue to change how people expect and experience healthcare services.
Government initiatives, healthcare entrepreneurs and ofcourse public-private partnerships (PPP) with the corporate world had invested significantly in mobilising the emerging middle class; because they are suffering the most chronic diseases (diabetes, heart diseases, mental illnesses, etc) and due to their relative affluence to earlier generations, can now afford high value medical interventions, previously accessible to the elites.
& HEALTHCARE TRAPS
Speed is the ultimate indicator of progress. Nature prefers the dominant species by sheer evaluation of speed - speed to reach safety, speed to escape predators, speed to nutrition. The human world ofcourse works much faster than Nature, we value our dominance by speed of acquisition - how fast can we avoid a pain, or acquire a gain/pleasure. Mobile technology has streamlined the art of consumption, much faster than humanity itself, we are highly demanding of how quickly a base need is fulfilled. How quickly will I get my dinner, my hotel booking, my transport and various consumable items.
As we start to measure personal health as a commodity, we value the impact of a healthcare app based on how quickly a certain outcome is met - speed & ease of doctor appointments, medications, health information and even on demand telemedicine. Healthcare apps are unique tools in democratizing the health system in ways unimaginable a few decades ago, in a bygone era, healthcare information was accessible only possible to people who are in direct relation to the health industry i.e. medical professionals only. But widespread technological access allows people to not only consume healthcare information but also to evaluate the direct value it may have on them beforehand (eg. relevance, quality, comparable costs & public opinions).
This rapid ‘disruption’ in the centuries old information inequality (doctors were primary decision makers before the internet - because they know so much) of the health system, comes at a significant societal cost. As a frequent consumer of wireless space-age technology, I am ofcourse leaning towards the positive gains of mobile apps in the overall capacity building impact on the health industry, but this literature would be incomplete without the consideration of the pros and cons that comes with new technology:
Healthcare apps have the unique benefit of data segregation, all the little bits of user-generated data, can be manually filtered on distinct characteristics that they represent eg. by age, disease, comorbidities and even insurance coverage. This systemic coordination & optimisation improves point-of-care as it lessens the probability of system errors (eg. wrong prescriptions)
Greater communication pathways between 2 or infinite number of parties. The doctor-patient relationship can go beyond the physical chamber, or even across borders. What was once a sacred and secretive conversation, third (and even fourth) parties have a legal jurisdiction to such interactions, namely medical audit boards, health insurance companies and maybe even Big Pharma? (who knows). After all patient health data is the critical denominator for ad-campaigns and wider healthcare economic drives.
Expansion of patient data beyond just paperwork. Before each and every patient data had to be manually catalogued into out-dated libraries, stowed away, retained and then inconveniently re-access to re-assess. Now a few clicks later all files and all data is at your fingertips, speed of access to information.
Breaking rocks is hard work, and you are reimbursed accordingly. For healthcare professionals, hard work has no value. A truly optimised workforce does not need more doctors to work around the clock (those in residency can agree with me here) but rather human resource efficiency guided by all that data, may or should make it easier to carry out impactful tasks, and make the right evidence-based decisions.
But all is not gold in the mobile healthcare app ecosystem. True, we have experienced mixed benefits and mixed economic gains due to the abundance of food delivery portals, ride-sharing startups, instant messaging apps; but why is it so hard to make a decent return on healthcare apps, not just globally but here in the Bangladesh Health Market? An economist may argue that we as a nation have very recently experienced the transition from least developed country to a developing country, an immature middle class, widespread English-language and tech illiteracy, poor health-seeking behaviour among the masses or maybe something socio-cultural. All of these are valid points, but as a serial entrepreneur myself, I would point out some of the near-misses (in terms of value proposition or business model design) that existing healthcare apps may be committing.
(Rest assured the contents of this blog and upcoming points are purely from my own judgement.)
Difficulty in explaining the value to the right stakeholders, or in business-speak, poor product-market fit. If the healthcare app does not actually have anything to do with health or wellness directly, then there is no relevance nor usability. Quite frankly a large number of existing healthcare apps in the online marketplace, do not directly impact the health needs of the user. If the healthcare app does not actually solve a health problem, it is in danger of being deleted indefinitely. A healthcare app that measures an obscure health physiology indicator, with no real value to the person or the healthcare provider, then that becomes junk data. The same applies to the large number of IoT devices like fitness apps and health monitors that sound cool, but due to lack of regulations and poor standards, they simply become another gimmick.
As I have mentioned, healthcare apps and innovations seek to improve or upgrade the health system, but without direct involvement and input in the critical design of the process, by the actual players in the health industry i.e. clinicians, policy-makers and related industry experts, then the entire activity becomes futile. Simply installing an app or sending a download link to a doctor’s email is not enough. If the doctor (who is the critical piece in the health system) does not understand or gain an advantage, there will be no cooperation from these gatekeepers. Therefore healthcare entrepreneurs need to be well aware of the inherent business model and value proposition to all stakeholders, not just the patients. That is why in the first sentence of this writing I had mentioned how the health industry is resistant to disruption - solely because of non-involvement of the changemakers.
An amateur/outsiders view of the health system is often derived from a personal inconvenience or tragedy experienced from some fault of the patient experience. Many feel that it is unnecessary to complete formal medical career education, residency periods and actually be responsible for a human life; in order to have a million-dollar healthcare app idea to tip over the trillion-dollar health industry. Much like the Pareto Principle, 80% inconvenience experienced at the front end, is in fact due to the 20% system defect existing in the back end. Therefore a simple app idea that does not impact the underlying system errors or true pains of the stakeholder will not be sustainable.
The entrepreneur’s ego states that one must continuously outperform with existing competitors, but in reality there is only one true ally and maybe antagonist in the startup ecosystem. The role of government legislature on the activity and existence of the healthcare business in the first place. Many healthcare apps are in fact in direct violation of various conventions related to patient/user privacy, autonomy and other issues related to Big Data. Whether knowingly or unknowingly, such data mining needs some serious consideration of the overall design and value of the healthcare app.
With all that said and done, one can conclude that there is still a long way to go for a healthcare entrepreneur to make something useful, usable and profitable. But as my business mentor had explained, the first step is to start, everything else will fall into place as you progress. Such difficulties in upgrading a complex system like healthcare should be seen as a challenge for proper deep thinking. The lone visionary cannot do much unless guided by a team of industry experts and future-proof medical professionals, who can have an entrepreneurial mindset too.
This brings us to the billion-dollar question, who should be responsible or capable of disrupting a complex institution as the Bangladesh Health System?
How to Create A Product from Design Thinking
& Blue Ocean Strategy
There is no way to accurately define the exact moment in time when true inspiration comes to you. For some it can be like an electric shock, a sudden realisation that stops time, an emotion that makes you drop your mug or even stop mid-sentence.
As dramatic as they sound, I do not truly believe that ideas come so suddenly or de novo. I may not have a PhD in Neuroscience, but I can state from my own insight, the human mind has an immense capacity to absorb all sensory information, all experiences, all emotions simultaneously. Through our cortical strength we can suppress it all to keep a one-track mind and work in auto-pilot mode eg. writing this blog, driving, watching tv.
Only when faced with a true appreciation for a unique obstacle, and our backs are pinned to the wall quite literally, does our mind start searching for solutions through our internal database. We are the products of our environment and our relationships to people and things that we are known to. To keep it short, let me ask you the probability of a person who is not from tech background, tech career, not living in a developed country, not in a major metropolitan urban city can suddenly chance upon the issue of on demand transportation? Highly unlikely. To summarize Malcolm Gladwell’s book ‘Outliers’, an innovator takes into account the accumulation of separate but related advantages, in order to fully exploit the potential of said innovation.
In such a short time, I cannot fully describe the moment of clarity that I had when I conceptualised the value process of my health-tech startup ViOS. To envision the journey from concept-to-company, I invite you to read my book ‘The ViOS Values’ available on Amazon. This chapter will briefly convey to you the essential methodology of coming up and implementing original ideas.
WHAT IS DESIGN THINKING?
Design thinking is not just a term used by creative architects and obscure thought leaders. Rather it can be defined as practical empathy. A genius may have a high IQ (Intelligence quotient), but an impactful innovator must have astronomical EQ (Emotional Quotient) in order to roleplay the intimate life course of his primary stakeholder. To really solve a pain, one must be fully knowledgeable about that experience, and how it had affected him as well. The saying, walk a mile in his shoes & thinking out of the box is a very important guideline. Design thinking takes into account every possible real-world context that a real live person (not a user or a customer) would go through and how a specific problem directly affects them, their social circles, their livelihoods and possible existing solutions at hand. Quality healthcare access is the best example of a universal pain for developing countries. One must fully immerse themselves in the day to day struggles of access, misunderstandings, values, perceptions and deep themes that we humans go through, when our health is at stake, and even worse when a loved one is ill.
The ViOS concept is a spider web of life stories that I had memorised as I compared by medical career to my supposedly successful peers. Only when digging deep into their daily struggles was it made apparent, that all is not gold after all. The accumulated degrees did not add up to the financial freedom that was promised during our medical college days. I had listened to their pains, I understood quite well the structural designs that the exploiter and exploited accepted as normal. In Design thinking, the first step is to become the storyteller, in every literal sense. Healthcare entrepreneurs without healthcare careers cannot fully understand the daily challenges in maintaining a sustainable career, as a private practitioner in a previous life, I understood very well the complex business angle in private practice (whether in a small chamber or in a mega-hospital). But now things are much more complex. Personal income and professional revenue did not join hands in many cases, as interpreted by my peers’ life stories.
The next part was to come up with as many random nonsensical ideas as the human brain can comprehend. In reality there are no stupid ideas, just stupid business models. The massive outflow of ideas serves two important purposes:
To relieve the mind of any self-restricting thoughts that would define an idea as worthless i.e. funding, economics, politics, skill sets so basically to come up with ideal ideas that would work in ideal universes.
To slowly hypothesis real-world applications where 1 or 2 of those crazy ideas would atleast have 1-2% chance of being market ready.
The critical next step was the value proposition, or validation. Quite simply how would that idea impact the person with the pain, and influence them to utilise your solution. All entrepreneurs want a win-win situation, as startups are mini-capitalist machines, profit making is an essential characteristic. Naturally the innovator should realise how an idea could have a dollar-value. This step requires construction and distribution to small groups, in order to get an early critical feedback. The more negative criticism the better. Investment in Design thinking, or user experience is expensive but worthy, not investing is even more costly.
Like toddlers taking their first steps, you must expect many falls and bruises. Design Thinking is a proactive iterative mental process; without waiting for your definition of a perfect product you must release into the hands of a select few and gauge their responses. Let that be your guide to what the larger customer population may expect. So if needed redesign and redeploy multiple times, you never know how many lifespans a single healthcare app or ride-sharing app has gone through before it reached your mobile device.
And just when you think you have a product worthy of a price tag, you must go even deeper into Design Thinking to contemplate the true value your solution may have. You must ask if anyone from your early adopter population would now agree to pay for a price, for your life-altering healthcare app, or any other product. If you are trying to compete with existing healthcare solutions, eg. online doctors appointment portals or online health monitoring devices, then as a newcomer you have no choice but to price down, just to grab a few customers. In the long run this is just shooting yourself in the foot i.e. a downward spiral in cost containment and value creation. What you need is a value-based pricing. Something that tells the consumer, why you are better without competing…..
WHAT IS BLUE OCEAN STRATEGY?
In any urban setting I am sure you have seen the same clones of pizza restaurants, barbers, groceries and other shops all right next to each other. You may wonder if they get any business whatsoever. One might be popular one week, then another, then another one joins next door. Sooner or later this marketplace become crowded and unsustainable. This scenario is like a red ocean, crowded with competitors in a tightly cramped market space with ever decreasing quality performance. You have no choice but to price down until you lose money even if you get a client!
Blue Ocean Strategy is about searching for uncontested waters i.e. new unexplored markets, creating demand for high value solutions with potential for quality-driven profits. Think of Apple products, solar-powered vehicles, 5G IoT devices and so on. The Healthcare Industry is badly in need of a Blue Ocean Strategy. It is not sustainable to only create curative and intervention-based products, either public health budgets become exhausted or people become bankrupted by medical bills. A Blue Ocean concept could potentially create a new demand for quality services that people actually want in the first place.
When you create a new demand, you create a new market.
When you control the market, you decide the price.
So where does ViOS, and any number of innovative healthcare apps, healthcare devices and other innovations fit in?
Deep thinking was used to understand the pains of the population when it comes to healthcare access. Various online groups frequently have posts regarding information about a doctor’s contact information, chamber address, timing & credentials. Offline conversations also revolve around peer recommendations for a ‘the best doctor in Dhaka’ based on personal patient experiences. As a physician, one must consider the difficulties in managing a household with meagre salaries with trying to earn extra from private practice. The inability to market the highly specialised skills, not being business savvy (private practise is a lot like working as a contractor) and dominance by third-party agents/touts is a perfect example of a super-Red Ocean. Design Thinking and Blue Ocean Strategy were the cornerstones in creating a solution to the combined pains of both parties.
Leveraging the collective dedication and demand for professional autonomy by value-centered medical professionals, and providing actionable real-time information to patients was the logical origin of the ViOS Platform, a unique solution to on demand real time connectivity to specialists who are ready and able to give patients the healthcare they are looking for. Separate doctors chambers in Dhaka scattered throught the city, become unified into a common online healthcare platform as if they were part of a large outpatient hospital - but with no contracts, no transaction fees and total freedom to work as long as they want, as independant healthcare providers.
Analyzing ‘Medical Democracy’ for
Sustainable Development Goals 3.c
Putting human-centered design is a crucial component of designing mobile apps, but is it enough for healthcare apps? Perhaps after all that planning for user interface and user experience; the next step is to really think deeply about a patient-centered design. Many apps are nicely made, very sleek and minimalist, with plenty of animations and user-generated content. But what of the outcome?
As most healthcare apps are the primary revenue-generating tool of a private limited company, their actual value to the Health System is often under-represented. A Healthcare app that does not actually solve a health issue to a significant number of people, locally or regionally, is in danger of losing its relevance, and in many cases even banned from access in many countries. Just thinking about the bottom line is not enough, profit orientation is a primary consideration for startup lifespan but a healthcare entrepreneur must also consider impactfulness of an innovation. The ability to drive further innovation and true industry disruption (a hallmark of Blue Ocean Strategy) may require the integration of wider societal goals into the operations of a company.
Startups in developing countries have the unique opportunity to not only turn a profit, but also be an active participant in their development phase. The Sustainable Development Goals (SDG’s) mandated by the UN, can be assessed as the typical Call-to-Action (CTA) prompts seen in many marketing campaigns (download, sign up, watch video, click here). A health startup that aligns its vision to influence any of the SDG’s has the potential for far reaching value creation (not to mention non-equity grants and funding potential).
Design Thinking also led ViOS to consider mobilising the existing human resources potential of the Bangladesh Health system, under the SDG 3.c, which asks health policymakers to ‘increase health financing and the recruitment, development, training and retention of the health workforce in developing countries’. Clearly our concept was to optimise the medical careers of Bangladeshi physicians trying to earn a sustainable income in a fragmented referral health system. ViOS has aligned its overall vision to help the best doctors in Dhaka to earn a sustainable income, free from interference by local politics and third party agents so as to decrease the adverse incentive to overprescribe unnecessary over-promoted medications, to improve healthcare worker retention and decrease the rate of brain drain that is occuring.
It is in the guiding strategy that specialists in Bangladesh, even MBBS doctors, can maintain a decent income when a data-driven promotion and referral system that allows patients to gain direct access to the best doctors in Dhaka, be it nephrologists, cardiologists, skin specialists, oncologists and many other specialities, with the confidence to rely on local doctors in Dhaka (and elsewhere) for their healthcare needs. In essence our healthcare apps will act like the ‘blockchain of healthcare’. When healthcare demands by the public can be matched by existing human resources recruitment, with the assistance of public-private partnerships with local health startups like ViOS; a greater political initiative can be made to increase the annual health budgets, therefore leading to even greater socioeconomic investments in high value public health projects. Local private practice optimisation i.e. the ability to bring patients to the best doctors chambers in Dhaka, is only the beginning step in the wider health system optimisation and healthcare personnel development that we have planned.
The medical career for doctors in Bangladesh is very difficult, with so many obstacles and challenges. It is hoped that ViOS will provide a valuable solution to supplemental income for private practitioners, and become a source of inspiration for more physician entrepreneurs.
Professor Dr. Gias Uddin Ahsan
(Dept. of Global Health at North South University, Dhaka) discusses his opinion on the potential of healthcare startups working on Global Health initiatives
REDIFINING WHAT A HEALTH SYSTEM IS
& WHAT IT SHOULD LOOK LIKE
Every new healthcare app, new innovative medical intervention or even a new healthcare business model takes time to fully mature and be accepted into the mainstream macro-economy. As long as the product vision and the insight of vested individuals (founders, team players, investors and industry experts) meet at a junction; it is not impossible to globally participate in a unique life-changing moment in human history. The widespread use of affordable diabetes care, preventable infectious diseases and even sustainable income for doctors, can be in the same setting as ride-sharing platforms, communication systems and solar-powered IoT devices.
True democratization of cutting edge technology and Global Health disciplines can be the foundations for a healthcare system that is not structurally fixed to a capital city, a political affiliation or even the socioeconomic/cultural dependance on micromanagement by non-medical third party individuals. The ability to choose the best doctors in Dhaka, or wherever, when you need it at the right time with the right skills, can finally be automated and positioned to allow for greater participation in personal health choices, guided by the right information systems.
A health system defined by its responsiveness to the healthcare demands of the population and adapting to the real-time optimisation of existing human resources, with the right data analytics, can be the true marker of a rapidly developing and rapidly evolving nation.
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This article was endorsed by ViOS Ltd, to bring value and connection to our stakeholders. We are always trying to connect with our ever growing ViOS specialist doctors, therapists and other healthcare professionals here in Dhaka. We know the people of Bangladesh deserve top class healthcare services at affordable, trustworthy and convenient means. The team and I are dedicated to serve our constituents with even better products and services in the coming future.