As a regular feature of my blog, I will be interviewing investors in the frontier markets of sub-Saharan Africa, to better understand the ways that perceptions of political and social risks impinge on their investment decisions. First up is an interview with Zain Latif, a principal at TLG Capital, which is a private equity investment firm focused on frontier markets, especially in sub-Saharan Africa. TLG is targeting companies that are poised to benefit from the rise of Africa’s middle class and increased consumer spending—companies in the healthcare, real estate, food processing, and retail sectors. For example, TLG owns a 12.5% stake in the Ugandan pharmaceuticals manufacturer, Quality Chemical Industry Limited (QCIL), which manufactures triple combination HIV antiretroviral and anti-malarial drugs, under license from the Indian drug company Cipla. TLG also owns a 40% stake in the Snapper Hill Health Clinic in Monrovia, Liberia, which was founded by Dr. Sirleaf in 1980 and survived the country’s civil wars. I met Zain at a recent Columbia University conference on investing in Africa, where he participated in a panel on healthcare. He expressed a view I found intriguing: “When we invest in India we are considered visionaries. When we invest in Africa we are viewed as the Peace Corps.”
TLG Capital has made some interesting investments in the African healthcare space. What factors have driven your decision to invest in for-profit healthcare in Africa?
One factor is simply the size of the market. In Uganda the middle class is growing rapidly. In Liberia, 70% of its 4 million people do not have access to healthcare. People will get sick, so there is a market. And in countries such as Uganda, there is a rising middle class, so people can afford to pay for it. The big question is how to price it so it is profitable. That is, how do we price the product for the so-called “bottom of the pyramid.” Our investors need to make money.
We can lower the cost of the product if we lower the costs of production per person. For example, in the Snapper Hill Clinic, the largest cost is medical equipment. If you can bring in low-cost equipment the cost per person is lower. We have secured agreements to purchase equipment at a lower cost from distributors. In terms of healthcare providers, we use local providers so those costs are relatively low. We are also trying to get qualified personnel from Bangladesh. Right now, at Snapper Hill, there are about 20 primary healthcare providers.
Finally, we hope to scale these businesses regionally. The intended market for the QCIL drugs is East Africa. We also hope to scale the Snapper Hill model regionally throughout West Africa. So we think about our potential market in broader, regional terms.
On your website you say that one of your investment strategies is to bring technology and expertise from India into Africa because of the similarities between India and Africa. Can you elaborate?
The QCIL investment is a joint venture with the Indian drug company Cipla. We feel that collaboration with Indian companies has been really beneficial. I have seen several similarities between the Indian operating environment and Africa: a similar work ethic and similar challenges with infrastructure. There is no question that these are challenging environments within which to operate businesses. Operating a business in India is useful preparation for operating in Africa. On the other hand, we have struggled when we have tried to work with European management teams who lacked experience in these emerging market environments. For example, we exited an investment in a cancer care provider in Ghana that was co-managed by European partners.
How does perception of political risk affect your investment strategy?
In my view, political risk and instability in Africa are over-emphasized. Political instability in emerging/frontier markets is one reason there is such a high return. So emerging markets are defined by political risk. One of our strategies to mitigate political risk is to focus on sectors where there is less exposure to corruption risks. The sectors we are involved in—such as healthcare—are not sectors where there is tremendous exposure to corruption through concession processes. It is not like the extractive sector. We have strong political and government support for our investments in both Uganda and Liberia, so we are not overly concerned about political risk.