LUMA · INVESTOR DATA ROOM YC S26

THE INGO LAYER IS GONE.
WE'RE WHAT REPLACES IT.

luma is an AI-native services company replacing the INGO operational layer for community health programs in sub-Saharan Africa. Two revenue lines on the same operational dataset: government contracts (multi-year MoH master service agreements) and pharma F100 RWE buyers (cohort data API). Pharma revenue is what lets the government-services tier scale without donor backing. Lesotho is live; the framework extends to every country with a stipended CHW network and WhatsApp penetration.

$8.4B
TAM · SSA digital health workforce
addressable annually by 2030
$1.1B
SAM · CHW workflow + pharma RWE
7 SSA countries × 4 buyer types
$28M
SOM · 36-month obtainable
Lesotho beachhead → 4 countries
$1.5M
Seed ask · 18-month runway
5 hires · MoU → 3 country contracts
Module 01 · Market sizing

The bottom-up math

luma is an AI-native services company with two primary revenue lines — government contracts (multi-year MoH master service agreements, recurring) and pharma F100 RWE buyers (cohort data API, high-margin) — with two smaller secondary streams (public-health surveillance APIs, academic research licenses). Pharma revenue is what lets the government-services tier scale without donor backing. The math is bottom-up, country-by-country.

TAM
Sub-Saharan digital health workforce platform. 1.4M+ stipended CHWs across SSA × $300/yr workflow license + $25M/yr per-country pharma RWE + $5M/yr per-country surveillance API + research licenses. WHO + AU "2 million CHWs" initiative locks in the denominator.
$8.4B
USD / yr (2030)
SAM
7 priority countries × 4 buyer types. Lesotho, Eswatini, Botswana, Malawi, Zambia, Zimbabwe, Mozambique — high-burden, English/Bantu language coverage, government-run CHW programs. Sums to ~85k CHWs and pharma trial-site demand for HIV/TB/MNCH.
$1.1B
USD / yr
SOM
4 countries by month 36, two anchor pharma contracts. Lesotho ($2.4M ARR full deployment), then Eswatini ($1.8M), Botswana ($3.1M), Malawi ($8.6M). Pharma RWE: 2 anchor contracts × $5–8M = $12M–16M. SOM = workflow + pharma layers only.
$28M
ARR by month 36
Sources:
  • African Union "2 Million CHWs" initiative (2017) for the workforce denominator across SSA.
  • UNAIDS country factsheets (2023–2024) for HIV-burden trial-eligible populations per country.
  • PEPFAR Country Operational Plans for ART/PMTCT cascade volumes per district.
  • WHO Africa Region health workforce density estimates (2021).
  • Pharma RWE comparable: Sermo / Truveta / Datavant per-country data licensing benchmarks.
Module 02 · 18-month plan

What $1.5M buys

5-person team, 18 months. The plan is paced to the partnership signal we already have, not invented backwards from a target raise.

Month 0–3 · Now
Ministry of Health Lesotho MoU → pilot agreement
Existing engagement; conversion into a paid pilot covering 3 districts (~250 CHWs) at $250k/yr.
Month 3–6
First pharma RWE contract — anchor partner LOI → executed agreement
Cohort builder + trial-site selection productised; one anchor at $1–2M/yr against Lesotho HIV/TB cohorts.
Month 6–9
National Lesotho expansion — all 10 districts, ~1,500 CHWs
Government-paid workflow line ramps to $2.4M ARR. Pharma layer crosses $1M ARR.
Month 9–12
Country #2: Eswatini deployment
Highest HIV prevalence on Earth + tiny country = fast cycle. siSwati ASR retraining off Sesotho base.
Month 12–18
Country #3 + second pharma anchor
Botswana (procurement-mature) or Malawi (largest CHW network). Second pharma at $5–8M/yr against multi-country cohort.
Month 18 · Series A
Run rate $6–9M ARR · 2 countries live · 2 pharma anchors
Series A target $8–12M to fund Country #4–7 + pharma RWE GTM team.
Module 03 · Product roadmap

From wedge to operating system, layer by layer

The chatbot is the wedge — what gets us into the ministry. The ten-year company is the rest of the INGO function, replaced one layer at a time. Each layer adds to the contract value, deepens the pharma data asset, and pushes the cumulative "% of INGO function luma replaces" number from ~30% today toward 85% at full stack.

Live
L01
WORKFLOW CHATBOT
Decision support · referral triage · safety guardrails
~30%
$250/CHW/yr
+6 months
L02
ASYNC SUPERVISORY LAYER
Replaces quarterly clinical-mentor visits — auto case sampling, deviation flagging, remote feedback
~50%
$400/CHW/yr
+9 months
L03
INDICATOR REPORTING
DHIS2 push · PEPFAR/Global Fund-equivalent quarterly reports · auto-generated for ministry submission
~65%
$500/CHW/yr
+12 months
L04
STOCK-OUT & SUPPLY CHAIN
Aggregate CHW stock signals → predict next stock-out → push resupply orders to district pharmacy
~75%
$600/CHW/yr
+18 months
L05
PROTOCOL AUTHORING / TA
Ministry uploads new WHO guidance → system localises into CHW dialogue → tracks comprehension across the network
~85%
$700/CHW/yr
+24 months
L06
PATIENT-FACING LAYER
Same WhatsApp infra reaches the patient: medication reminders, symptom check-ins, postnatal follow-up. Patient-reported outcomes feed the pharma RWE asset.
data ↑
opens new dimension
Side product
+
BANTU ASR API
The Sesotho/Setswana/siSwati/Chichewa fine-tunes we build for ourselves, productised as a per-minute API for other African health-tech companies.
per-minute pricing

The pricing trajectory. $250 → $400 → $500 → $600 → $700 per CHW per year as layers ship. At a 50,000-CHW network across four countries by year three, that's the difference between $12.5M ARR (workflow only) and $35M ARR (full stack) on the ministry side alone. Pharma RWE is additive on top, on the same data, growing in step. Every layer makes both sides more valuable.

Order of operations is deliberate. Don't build all six at once. Wedge → depth → upsell → moat. Each layer is a separate buyer conversation but the same install base, the same data pipeline, and the same engineering team — which is why this is a defensible expansion story rather than a six-product diversification.

Module 04 · Hiring plan

5 hires, 18 months

Founder builds (full-stack + clinical-product fluency). First five hires unblock the GTM and deepen the platform.

Hire 01 · Month 1
Lesotho country lead
In-country, Sesotho-speaking, public-health background. Owns ministry relationship, CHW onboarding, district expansion. Likely ex-PEPFAR / ex-MoH.
Hire 02 · Month 3
Senior backend / data engineer
Owns the Bayesian projection layer + cohort builder + the pharma RWE API surface. Python or Go. Comfortable with Bayesian stats + healthcare data.
Hire 03 · Month 4
Pharma RWE GTM lead
Sales + clinical research org. Books the first anchor pharma contract. Comp = base + commission tied to anchor signing.
Hire 04 · Month 8
Clinical content / safety lead
RN or MD with public-health field experience. Owns protocol corpus expansion, safety guardrails, evals. Reports on accuracy + refusal metrics.
Hire 05 · Month 12
Eswatini country lead
Mirrors Hire 01 for Country #2. Government relationship + CHW operations. Hires before launch, builds trust before deployment.
Module 05 · Pricing model

Four buyer types, four price points

Same platform, four pricing surfaces. The unit-economics of the pharma layer (high contract value, low marginal cost per query) are what make the workflow layer affordable for ministries.

Workflow · ministry
$250k–$3M / yr
By district size + CHW count. Volume-based commitment with a floor. National coverage target ARR per country: $2–9M.
Pharma RWE
$1M–$8M / yr
Per study × per country. Trial-site selection + cohort builder + ongoing data refresh. Tiered by exclusivity and number of indications.
Surveillance API
$50k–$500k / yr
WHO Africa region, US PEPFAR, Global Fund, country-specific surveillance programs. By data refresh cadence and indicator coverage.
Research
Free → $25k
Academic license, free with publication credit. Larger commercial-research datasets at modest fee. Generates papers that validate the platform.
Combined target by month 36
~$28M ARR
4 countries × workflow + 2 pharma anchors + 2 surveillance contracts + research licenses. Workflow $14M / pharma $12M / other $2M.
Module 06 · Competitive landscape

What we're up against

No single competitor sits in our position — workflow tool that is also a structured-data layer for pharma RWE. Closest analogs are split between workflow-only (CommCare, Ona, Medic Mobile) and data-only (Datavant, Sermo, Truveta).

Player
Workflow?
Data layer?
Notes
luma
Yes — WhatsApp + protocol RAG
Yes — Bayesian + cohort builder
Both layers in one platform. Pharma RWE subsidises the ministry license — that's the off-ramp.
CommCare
Yes — CHW forms-based
No — internal use only
Open source, low ARR per CHW. No structured-extraction layer for pharma reuse.
Medic Mobile
Yes — SMS-first
No
Strong NGO presence but no commercial pharma channel.
Ona / OpenSRP
Yes — forms
Limited
Open source. Government-grant funded; no commercial wedge.
Datavant / Truveta
No
Yes — US-only
US health-record networks. Doesn't reach SSA. The pharma-RWE comparable for what we sell.
Babyl / Babylon Africa
No — patient-facing
No
Telemedicine for patients, not workers. Partial Babylon Health acquisition; future uncertain.

Defensibility: the moat is the operational data accumulated from CHW interactions over time. Once a ministry adopts luma, switching costs are high (protocol corpus, language model fine-tuning, district workflows). Pharma buyers are sticky because the data refreshes weekly — replacing it requires a five-year DHS cycle.

Module 07 · Risk register

What can go wrong

Honest list. The mitigation row is what we're already doing.

Government adoption is slow
Ministry decision cycles can be 12–18 months. Slow money = slow runway.
Pharma + research layers ship faster (8–12 weeks contract cycle); they de-risk runway while ministry deals close.
Clinical safety incident
A wrong answer harms a patient. Regulatory blowback could ban LLM-mediated CHW guidance.
Three-tier safety system: protocol-grounded, soft fallback, refusal. Audit log is public. CHWs are the deciders, not patients — luma never replaces clinical judgment.
WhatsApp policy change
Meta could throttle business-API access or change pricing.
Twilio is the abstraction; we can swap to MTN/Africa-native messaging APIs in <6 weeks. Voice path (Whisper) provides a non-WhatsApp fallback.
Pharma deal compression
First anchor pharma may pay less than $1M while the asset proves out.
$0 academic + research licenses validate methodology publicly; second pharma anchor benchmarks against research papers, not the first commercial.
Competitive entry by US health-tech
A funded entrant (US digital health unicorn) could enter SSA with deeper pockets.
First-mover government MoUs in 4 countries by month 18. Local-language ASR + protocol corpus is hard to replicate without 12+ months of in-country work.
Two-founder bandwidth
Lean team — founders carrying product, GTM, and ops simultaneously across two markets.
Hire #1 (country lead) and Hire #3 (pharma GTM) front-load the bandwidth bottleneck. Founders retain technical + product within first 12 months.
Module 08 · Why now

Four structural shifts converging

1. The off-ramp moment. The 2025 US foreign-aid restructuring forced a forty-year-overdue conversation about recipient-country independence from donor cycles. Ministries inherited the responsibility without the INGO implementation layer that used to deliver it. Software is the only substitution path that fits the budget.

2. WhatsApp is the universal SSA messaging layer. 80%+ smartphone penetration in Lesotho's CHW workforce. WhatsApp Business API stable since 2022. Not a hypothesis — a measured fact in our pilot.

3. Sesotho/Bantu-family ASR has crossed the usability threshold. Whisper v3 + minor fine-tuning gives transcription quality good enough for clinical Q&A. Five years ago this was not possible at this cost.

4. Pharma RWE budgets shifted to LMIC populations. ICH E17 (2018) and FDA RWE framework (2023) accept LMIC trial sites. Pharma are now actively budgeting for African RWE access — historically they could not. The same operational data the ministry layer generates is the asset pharma is now budgeted to buy.

Each on its own is a known trend; the intersection is a 5–7 year window. luma exists to occupy it before someone else does — and to make the resulting infrastructure government-contracted, not donor-funded.

Module 09 · The off-ramp dividend

The unit economics that turn aid-dependence into ministry-independence

The mechanism

The pharma RWE layer is the structural reason luma can be sold to ministries at $250/CHW/yr — below what any aid-funded INGO contract has ever achieved. It's possible because the same operational dataset has two buyer types, and the high-value buyer (pharma) subsidises the low-margin one (ministry).

What that means in practice. In year one, ministry-licence revenue is small and pharma revenue is small. Both grow. As pharma RWE contracts compound (one anchor, then two, then five), the share of luma's cost recovered from the ministry side can stay flat or even decline. This is the off-ramp made tangible: a country runs its primary-care workflow infrastructure at a price its own treasury can sustain — because the rest of the operating cost is paid for by a market the ministry doesn't have to participate in.

The bottom line

Software with two buyer types — where one of them is paying for global pharma R&D — is a private-market business, not an NGO.

The fact that it also happens to deliver the long-stated goal of foreign aid (recipient independence from donor cycles) is the second reason luma is the right vendor to win this moment.

→ 0%
Donor-share of luma's cost recovery, by year 5
Module 10 · Team

Why this team can do this

Two co-founders. Sebastian Buck — technical product, public-health-fluent, prior operator experience in regulated software, eight weeks of CHW fieldwork in Lesotho with pre-existing ministry relationships. Vrinda Sood — [domain expertise placeholder — replace with Vrinda's real bio: education, prior shipped work, the specific edge she brings to luma]. The combination is unusual — most US health-tech founders don't speak Sesotho; most SSA public-health professionals don't ship production software. luma is being built precisely at that overlap.

The plan above front-loads two hires (country lead, pharma GTM) that complement the founders' coverage. Series A buys the third country lead and engineering depth.

Module 11 · The ask

$1.5M seed

18 months of runway. Closes the Lesotho ministry contract, executes the first pharma anchor, expands to Eswatini, hires 5 people. Series A target month 18 at $6–9M ARR.

Anyone who's read this far: sebastian@meetluma.org.