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Making Better Investments at the Base of the Pyramid

Rama was a seamstress by trade, not an optician. Before she connected with VisionSpring, a venture providing vision care to the poor, she sold hand-sewn clothes and blankets from her home and used her earnings to help support her husband (a farm worker who was often between jobs) and their two children. She took home about $44 a month—not nearly enough to make ends meet. Despite Rama’s outgoing personality and strong work ethic, she was unable to drum up increased demand for her handiwork. Then, several years ago, she was trained to be one of VisionSpring’s “vision entrepreneurs.” Now she is selling eyeglasses and offering vision screenings in her rural Indian community, consistently earning around $100 a month.

A version of this article appeared in the May 2009 issue of Harvard Business Review.

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