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The Private Sector Healthcare Initiative

Clinical Social Franchising Compendium Results. The Private Sector Healthcare Initiative. Rekha Viswanathan , Eric Schatzkin , Andrea Sprockett & Dominic Montagu September 2014. What is Social Franchising?. Social Franchising.

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The Private Sector Healthcare Initiative

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  1. Clinical Social Franchising Compendium Results The Private Sector Healthcare Initiative RekhaViswanathan, Eric Schatzkin, Andrea Sprockett & Dominic Montagu September 2014

  2. What is Social Franchising?

  3. Social Franchising Many private clinics in LMICs, but each has a limited range of services and uncertain quality Problem:

  4. Social Franchising Grouped into branded franchise. Still independent, but common standards and new services. Solution:

  5. Social Franchising Grouped into branded franchise. Still independent, but common standards and new services. Solution:

  6. Social Franchising - GOALS Health Impact + Quality ✓ Cost-Effectiveness $ Equity Market Expansion

  7. Social Franchising - GOALS Health Impact + A summary of health benefits resulting from avoiding a disease or unintended pregnancy.

  8. Social Franchising - GOALS Quality ✓ The ability to treat or refer clients with complications, and adherence to overall program protocols

  9. Social Franchising - GOALS Cost-Effectiveness $ Able to deliver a service to a target population at a lower cost than alternative delivery options.

  10. Social Franchising - GOALS Equity The percentage of patients receiving franchised services that are within the lowest two national wealth quintiles.

  11. Social Franchising - GOALS Provide services to patients in need who would otherwise receive lower quality care, delay seeking care, or go withoutcare. Market Expansion

  12. Fractional Franchising Typical private clinic Services • Provides a range of services • Some existing services are improved • Most existing services remain unchanged • Aches, pains, headaches • Cuts, abrasions • Stomach problems • Eye, nose, throat • Fevers and coughs • Diarrheal diseases • Infections • Chronic illnesses Private Clinic

  13. Fractional Franchising Typical franchise clinic services Aches, pains, headaches Cuts, abrasions Stomach problems Eye, nose, throat Fevers and coughs Diarrheal diseases Infections Chronic illnesses Family planning TB diagnosis and Care • New services are added • Some existing services are improved • Most existing services remain unchanged Franchise Clinic

  14. Fractional Franchising Typical franchise clinic services Aches, pains, headaches Cuts, abrasions Stomach problems Eye, nose, throat Fevers and coughs Diarrheal diseases Infections Chronic illnesses Family planning TB diagnosis and Care • New services are added • Some existing services are improved • Most existing services remain unchanged Franchise Clinic

  15. Fractional Franchising Typical franchise clinic services Aches, pains, headaches Cuts, abrasions Stomach problems Eye, nose, throat Fevers and coughs Diarrheal diseases Infections Chronic illnesses Family planning TB diagnosis and Care • New services are added • Some existing services are improved • Most existing services remain unchanged Franchise Clinic

  16. Definition • Outlets are owner-operated • Payment is for services delivered • Services are standardized • “Clinical” services are provided

  17. Global survey of clinical SF programs In 2009, PSHilaunched a global survey to understand the scale, quality, impact, implementation models, and financing models of clinical social franchising programs. • The results were reported in the First Compendium of Clinical Social Franchising. • In June 2014, the sixth annual edition was released. It is available at http://www.sf4health.org/ • Profiles about each of the programs are also available at http://healthmarketinnovations.org

  18. Growth Worldwide

  19. Countries with programs, 2009

  20. Expansion of programs, 2013

  21. Franchise Funding

  22. Use of Demand-side Financing

  23. Health ImpactDALYs averted by service area Over seven million DALYs, or healthy years of life lost, were averted in 2013 by the 50 programs that reported service provision numbers. The greatest contribution came from the provision of family planning services.

  24. A look at MNCH services Disaggregation of MNCH service provision data shows: • 30+ programs offer safe abortion or post-abortion care services • 19 programs offer safe motherhood services, many of which include cervical cancer screenings and/or treatment

  25. Health ImpactDALYs averted due to FP Long-term family planning methods accounted for over 80% of the health impact attributable to family planning services.

  26. Trend in CYPs

  27. Conclusion The model of health service delivery through social franchising continues to grow, with over 90 programs worldwide. The principal attractions are: • Leverage of existing infrastructure • Scalability • Quality assurance As the reach of social franchises for health continues to grow, there is a need to focus on: • Improved data collection and reporting, through the use of consistent metrics • Sustainability, cost-effectiveness, and market expansion • Defined role in an evolving health system

  28. For more information Visit SF4Health.org to download Clinical Social Franchising Compendium: An annual survey of programs – findings from 2013.

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