social franchising welcome introductions thanks review agenda
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Amua, Kenya
ProFam, Benin
ProFam, Cameroon
NewStart, Lesotho
Blue Star, Ethiopia
Blue Star,Vietnam
20021994 1998 2006
A few points in history
20042000 20081996
GreenStar, Pakistan Janani, India
Well Family Midwife Clinic, Philippines
Smiling Sun Bangladesh
Blue Star, Ghana
Blue Star, Malawi
Blue Star, Philippines
Blue Star, Sierra Leone
Top Reseau, Madagascar
ProFam, Mali
Dushishoze Centres, Rwanda
New Start, S.Africa
New Start, Swaziland
PSI,Togo
New Start, Zimbabwe
SkyHealth Centers (WHP), India
SEWA/PSSN/Sangini, PSI, Nepal
Congo
PSI,Cambodia
PSI, Uganda
MSI Nicaragua
MSI Honduras
20021994 1998 2006
A few points in history
20042000 20081996
MSI Report on Franchising FP and RH servicesSmith
Options EU Report on Social Franchising; Smith
Franchising Health Services in Developing Countries. Montagu
Private sector, human resources and health franchising in Africa Prata, Montagu, Jefferys
Social franchising of TB care through private GPs in Myanmar Lonnroth, Aung, Maung, Kluge and Uplekar
Social Franchising to Improve Quality and Access in Private Health Care in Developing Countries; Bishai, Shah, Walker, Brieger, Peters
The Impact of Franchised Family Planning Clinics in Poor Urban Areas of Pakistan; Hennink and Clements
Social Franchising as a Strategy for Expanding Access to Reproductive Health ServicesMcBride, Ahmed
Franchising Reproductive Health Services Stephenson, Tsui, Sulzbach, Bardsley, Bekele, Giday, Ahmed, Gopalkrishnan, and Feyesitan
Public policy and franchising reproductive health: Current evidence and future directions; WHO
Private Provider Networks; PSP-One
Reaching Youth through Franchise Clinics Decker and Montagu
The effect of social franchising on access to and quality of health services in low- and middle-income countries Koehlmoos, Gazi, Hossain, Zaman
Social Franchising Health Services: WFMC Case Study. Jones and Moore
The impact of a reproductive health franchise on client satisfaction in rural Nepal Agha, Karim, Balal and Sosler
Changes in preceptions of quality of, and access to, services among clients of a fractional franchise network in Nepal Agha, Gage and Balal
http://homepage.mac.com/domdiep/FileSharing15.html
http://homepage.mac.com/domdiep/FileSharing15.html
20021994 1998 2006
A few points in history
20042000 20081996
MSI Report on Franchising FP and RH servicesSmith
Options EU Report on Social Franchising; Smith
Franchising Health Services in Developing Countries. Montagu
Private sector, human resources and health franchising in Africa Prata, Montagu, Jefferys
Social franchising of TB care through private GPs in Myanmar Lonnroth, Aung, Maung, Kluge and Uplekar
Social Franchising to Improve Quality and Access in Private Health Care in Developing Countries; Bishai, Shah, Walker, Brieger, Peters
The Impact of Franchised Family Planning Clinics in Poor Urban Areas of Pakistan; Hennink and Clements
Social Franchising as a Strategy for Expanding Access to Reproductive Health ServicesMcBride, Ahmed
Franchising Reproductive Health Services Stephenson, Tsui, Sulzbach, Bardsley, Bekele, Giday, Ahmed, Gopalkrishnan, and Feyesitan
Public policy and franchising reproductive health: Current evidence and future directions; WHO
Private Provider Networks; PSP-One
Reaching Youth through Franchise Clinics Decker and Montagu
The effect of social franchising on access to and quality of health services in low- and middle-income countries Koehlmoos, Gazi, Hossain, Zaman
Social Franchising Health Services: WFMC Case Study. Jones and Moore
The impact of a reproductive health franchise on client satisfaction in rural Nepal Agha, Karim, Balal and Sosler
Changes in preceptions of quality of, and access to, services among clients of a fractional franchise network in Nepal Agha, Gage and Balal
•Comparative studies of franchises with other types of health interventions
•Reaching a consensus on uniform indicators, e.g. CYPs or disability adjusted life years (DALYs)
•health-care provider behaviours ... motivational factors for joining and retaining membership in a franchise.
•Cost-effectiveness and cost-benefit studies
•Operational research studies for:
- optimal mix of services
- cross-subsidization of different services within a franchise
-diversification of funding sources
Geneva meeting on Franchising for Reproductive Health
Clinical Service FranchisesChemonics International Bangladesh (Smiling Sun)
Janani/DKT International India (Surya Clinic)
Marie Stopes International Ethiopia (BlueStar)
Ghana (BlueStar)
Kenya (AMUA)
Malawi (BlueStar)
Philippines (BlueStar)
Sierra Leone (BlueStar)
Vietnam (BlueStar)
Population Services International Benin (ProFam)
Burma
Cambodia (Sun Quality Health)
Cameroon (ProFam)
Congo
India
Lesotho (New Start)
Madagascar (Top Reseau)
Mali (ProFam)
Nigeria
Pakistan (GreenStar)
Rwanda (Dushishoze Centres)
South Africa (New Start)
Swaziland (New Start)
Togo
Uganda
Zambia
Zimbabwe (New Start)
World Health Partners India (SkyHealth Centres and SkyCare Centres)
0 5 10 15 20
FP (IUD, Injectable, implants)
EC
Abortion
VSC / Sterilization
Male Circumcision
VCT & Condoms
STI
TB
Ob/Gyn and ANC
PAC
Commodities (Vitamins, LLTNs)
Immunization
Pediatric care
EMOC
PMTCT
Lab / Pap Smear / TB test Bangladesh (Smiling Sun)
India (Surya Clinic)
Ethiopia (BlueStar)
Ghana (BlueStar)
Kenya (AMUA)
Malawi (BlueStar)
Philippines (BlueStar)
Sierra Leone (BlueStar)
Vietnam (BlueStar)
Benin (ProFam)
Burma
Cambodia (Sun Quality Health)
Cameroon (ProFam)
Congo
India
Lesotho (New Start)
Madagascar (Top Reseau)
Mali (ProFam)
Nigeria
Pakistan (GreenStar)
Rwanda (Dushishoze Centres)
South Africa (New Start)
Swaziland (New Start)
Togo
Uganda
Zambia
Zimbabwe (New Start)
India (SkyHealth Centres and SkyCare Centres)
Services
40
564
107102144
60 66 0 32 36
846
25 78 6155
33 4 11 16 13 41 0
279
500
10042 240
434
250235
47 90
100
200
300
400
500
600
700
800
900
Bangladesh (Smiling Sun)
India (Surya Clinic)Ethiopia (BlueStar)Ghana (BlueStar)
Kenya (AMUA)Malawi (BlueStar)
Philippines (BlueStar)Sierra Leone (BlueStar)
Vietnam (BlueStar)Benin (ProFam)
Burma
Cambodia (Sun Quality Health)
Cameroon (ProFam)
CongoIndia
Lesotho (New Start)
Madagascar (Top Reseau)
Mali (ProFam)
Nigeria
Pakistan (GreenStar)
Rwanda (Dushishoze Centres)
South Africa (New Start)Swaziland (New Start)
TogoUgandaZambia
Zimbabwe (New Start)
India (SkyHealth Centres and SkyCare Centres)
Planned Additional
Existing
Number of Clinics 2500
0 5 10 15 20 25
Franchisee Reports
Franchisor Assessment
Mystery Clients
Government Accreditation
Quality Control
BeninBurma CameroonMadagascarMaliRwandaSierra-LeoneTogo
CYP Year-to-DateCYP Year-to-Date DALYs Year-to-DateDALYs Year-to-Date
Chemonics International Bangladesh (Smiling Sun)
Janani/DKT International India (Surya Clinic)
Marie Stopes International Ethiopia (BlueStar) 1486
Ghana (BlueStar) 10121
Kenya (AMUA) 165600
Malawi (BlueStar) 3952
Philippines (BlueStar) 5246
Sierra Leone (BlueStar) 0
Vietnam (BlueStar) 20294
Population Services International Benin (ProFam)
Burma
Cambodia (Sun Quality Health)
Cameroon (ProFam)
Congo 69391
India
Lesotho (New Start) 60106
Madagascar (Top Reseau)
Mali (ProFam)
Nigeria
Pakistan (GreenStar) 1400000
Rwanda (Dushishoze Centres)
South Africa (New Start) 72009
Swaziland (New Start) 6007
Togo 1340
Uganda
Zambia
Zimbabwe (New Start) 20833
World Health Partners India (SkyHealth Centres and SkyCare Centres)
Outcomes
What makes a franchise?
one possible definition
–Outlets are operator-owned
–Fee for service delivered
–Standardization
Clinical Service FranchisesChemonics International Bangladesh (Smiling Sun)
Janani/DKT International India (Surya Clinic)
Marie Stopes International Ethiopia (BlueStar)
Ghana (BlueStar)
Kenya (AMUA)
Malawi (BlueStar)
Philippines (BlueStar)
Sierra Leone (BlueStar)
Vietnam (BlueStar)
Population Services International Benin (ProFam)
Burma
Cambodia (Sun Quality Health)
Cameroon (ProFam)
Congo
India
Lesotho (New Start)
Madagascar (Top Reseau)
Mali (ProFam)
Nigeria
Pakistan (GreenStar)
Rwanda (Dushishoze Centres)
South Africa (New Start)
Swaziland (New Start)
Togo
Uganda
Zambia
Zimbabwe (New Start)
World Health Partners India (SkyHealth Centres and SkyCare Centres)
Clinical Service FranchisesChemonics International Bangladesh (Smiling Sun)
Janani/DKT International India (Surya Clinic)
Marie Stopes International Ethiopia (BlueStar)
Ghana (BlueStar)
Kenya (AMUA)
Malawi (BlueStar)
Philippines (BlueStar)
Sierra Leone (BlueStar)
Vietnam (BlueStar)
Population Services International Benin (ProFam)
Burma
Cambodia (Sun Quality Health)
Cameroon (ProFam)
Congo
India
Lesotho (New Start)
Madagascar (Top Reseau)
Mali (ProFam)
Nigeria
Pakistan (GreenStar)
Rwanda (Dushishoze Centres)
South Africa (New Start)
Swaziland (New Start)
Togo
Uganda
Zambia
Zimbabwe (New Start)
World Health Partners India (SkyHealth Centres and SkyCare Centres)
SHEF/CFW Kenya (HealthStore)
ProRedesSalud Peru (ProRedesSalud)
AED Nepal
all free services
all free services
all free services
may meet our franchise definition
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