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Franchising Private Sector Midwives for FP/MCH Service Delivery

Franchising Private Sector Midwives for FP/MCH Service Delivery. THE PHILIPPINE SETTING FP/MCH Market ------------------------------------------------. 22 million W omen of R eproductive A ge (WRA) 1 7 million WRA at high risk for pregnancy 2

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Franchising Private Sector Midwives for FP/MCH Service Delivery

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  1. Franchising Private Sector Midwives for FP/MCH Service Delivery

  2. THE PHILIPPINE SETTING FP/MCH Market ------------------------------------------------ • 22 million Women of Reproductive Age (WRA)1 • 7 million WRA at high risk for pregnancy2 • 2.6 million expected to become pregnant each year2 • 1 in 6 pregnancies ends up in abortion due to • unwanted/unplanned pregnancies2 • 2 million married WRA have unmet need for FP2 • An estimated maternal mortality rate of • 172 deaths/100,0003 • ___________________________ Sources: 1 NSO, 2000 2 DOH, 2001 Report 3 1998 NDHS

  3. THE PHILIPPINE SETTING Demand-Supply Gap in the FP/MCH Market ------------------------------------------------------------- • Middle-income competing with lower-income population • for government services;1 • 40% of public sector clients have the ability to pay;1 • 54% of women go to nurses/midwives for pre-natal care services;2 • > 43 nurses/midwives for every 100,000 Filipinos • High fertility rate and low contraceptive prevalence;3 • > Modern Methods: 33%; All Methods: 49.5% • Difference of one child between actual and desired family size.4 • ___________________________ • Sources: 1 1998 Market Segmentation Study • 2 2001 MCHS • 3 2001 FPS • 4 1998 NDHS

  4. THE STRATEGY: COMMUNITY-BASED ENTERPRISE MODEL The Well-Family Midwife Clinic The WFMC is a specially designed ambulatory health facility for the efficient & effective provision of family planning services and maternal and child health services that serves the working poor. At the core of the project is the consistent theme of entrepreneurship,ownership and empowerment as epitomized in a franchise-type health service delivery approach that combines business and social development.

  5. The Well-Family Midwife Clinic Waiting/Reception Area Recovery Room Counseling & Procedure Room Delivery Room

  6. The Well-Family Midwife Clinic ---------------------------------------------- Menu of Services • Family Planning • IUD Insertion/Removal/Check-up • Pill Supply • Condom Supply • DMPA Injection • Referrals for Bilateral Tubal Ligation • (BTL) & Vasectomy • Referrals for Natural Family Planning • Counseling • Others • Blood Pressure-Taking • Weight-Taking • Wound Dressing • Ear Piercing • Other Services • Maternal and Child Health • Physical Exam • Breast Exam • Pelvic Exam • Pregnancy Test • Safe Delivery • Pre-natal Care • Post-natal Care • Pap Smear • Well-Baby Care • - Deworming • - Cord Dressing • - Weight-Taking

  7. Expanding FP/MCH Service Delivery: The Franchising Option --------------------------------------------------------------- • Franchising.A method of product or service delivery distribution governed by a contract between the franchisor and the franchisee. • Franchising Elements • Product or service with a brand identity • Partnership between a franchisor and a franchisee • Payment of franchise fee/royalties • Defined market for the product or service • Presence of operations system and training program • Central system for certain business support systems

  8. Franchising Midwives for FP/MCH Service Delivery -------------------------------------------------------- The transformation process • Clinic Site Selection • Midwife Selection • Midwife Training • Product Range • Product Standards • Product Supplies • Customer Targeting • Pricing of Products and • Services • Product Positioning • Marketing Efforts

  9. STICKER FLYER BROCHURE MENU BOARD FP POSTER LIGHTED SIGN OTHERS – FROM NETWORK PARTNERS BUSINESS CARD

  10. The Well Family Midwife Project: Lessons Learned ----------------------------------------------------------- • Continuous search of key determinants of the”model clinic” • Utilize evidence/research-based data for decision-making. • Establish clear indicators and milestones • Install a performance-based payment mechanism. • Be very selective in the choice of partners • Deselect NGO partners and midwives, if necessary. • Introduction of the business planning process • Transform benchmarks into meaningful business-oriented • results and midwives into entrepreneur-clinic managers.

  11. Well-Family Midwife Clinic ------------------------------------------------ • Recent Successes • Over 200 WFMCs in-place nationwide • Over 250,000 MCH services provided every year • 30,000-40,000 CYPs generated every year • Average clinic income of $670 per month with • 13% coming from FP services • WFMC Partnership Foundation, Inc. in-place

  12. Thank You! For more information, contact: Nilda Perez / USAID Philippines rperez@usaid.gov

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