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Social Franchising. welcome introductions thanks review agenda. A few points in history. NewStart, Lesotho. New Start, S.Africa. Dushishoze Centres, Rwanda. ProFam, Cameroon. Well Family Midwife Clinic, Philippines. PSI, Uganda. ProFam, Benin. GreenStar, Pakistan.

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Social Franchising

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Social franchising l.jpg

Social Franchising

welcome

introductions

thanks

review agenda


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A few points in history

NewStart, Lesotho

New Start, S.Africa

Dushishoze Centres, Rwanda

ProFam, Cameroon

Well Family Midwife Clinic, Philippines

PSI, Uganda

ProFam, Benin

GreenStar, Pakistan

Blue Star,Vietnam

ProFam, Mali

Janani, India

Top Reseau, Madagascar

Amua, Kenya

Blue Star,

Ethiopia

Congo

2000

2004

2008

1994

1996

2002

2006

1998

PSI,Cambodia

Smiling Sun Bangladesh

PSI,Togo

Blue Star, Ghana

SEWA/PSSN/Sangini, PSI, Nepal

Blue Star, Malawi

New Start, Zimbabwe

New Start, Swaziland

Blue Star, Philippines

MSI Honduras

Blue Star, Sierra Leone

MSI Nicaragua

SkyHealth Centers (WHP), India


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A few points in history

The effect of social franchising on access to and quality of health services in low- and middle-income countries Koehlmoos, Gazi, Hossain, Zaman

The Impact of Franchised Family Planning Clinics in Poor Urban Areas of Pakistan; Hennink and Clements

Public policy and franchising reproductive health: Current evidence and future directions; WHO

Franchising Reproductive Health Services

Stephenson, Tsui, Sulzbach, Bardsley, Bekele, Giday, Ahmed, Gopalkrishnan, and Feyesitan

Social Franchising as a Strategy for Expanding Access to Reproductive Health Services

McBride, Ahmed

2000

2004

2008

1994

1996

2002

2006

1998

Private Provider Networks; PSP-One

Social Franchising Health Services: WFMC Case Study. Jones and Moore

Private sector, human resources and health franchising in Africa Prata, Montagu, Jefferys

Franchising Health Services in Developing Countries. Montagu

Changes in preceptions of quality of, and access to, services among clients of a fractional franchise network in Nepal Agha, Gage and Balal

The impact of a reproductive health franchise on client satisfaction in rural Nepal Agha, Karim, Balal and Sosler

Options EU Report on Social Franchising; Smith

Social franchising of TB care through private GPs in Myanmar Lonnroth, Aung, Maung, Kluge and Uplekar

MSI Report on Franchising FP and RH services

Smith

Reaching Youth through Franchise Clinics Decker and Montagu

Social Franchising to Improve Quality and Access in Private Health Care in Developing Countries; Bishai, Shah, Walker, Brieger, Peters

http://homepage.mac.com/domdiep/FileSharing15.html


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A few points in history

The effect of social franchising on access to and quality of health services in low- and middle-income countries Koehlmoos, Gazi, Hossain, Zaman

The Impact of Franchised Family Planning Clinics in Poor Urban Areas of Pakistan; Hennink and Clements

Public policy and franchising reproductive health: Current evidence and future directions; WHO

Franchising Reproductive Health Services

Stephenson, Tsui, Sulzbach, Bardsley, Bekele, Giday, Ahmed, Gopalkrishnan, and Feyesitan

Social Franchising as a Strategy for Expanding Access to Reproductive Health Services

McBride, Ahmed

2000

2004

2008

1994

1996

2002

2006

1998

Private Provider Networks; PSP-One

Social Franchising Health Services: WFMC Case Study. Jones and Moore

Private sector, human resources and health franchising in Africa Prata, Montagu, Jefferys

Franchising Health Services in Developing Countries. Montagu

Changes in preceptions of quality of, and access to, services among clients of a fractional franchise network in Nepal Agha, Gage and Balal

The impact of a reproductive health franchise on client satisfaction in rural Nepal Agha, Karim, Balal and Sosler

Options EU Report on Social Franchising; Smith

Social franchising of TB care through private GPs in Myanmar Lonnroth, Aung, Maung, Kluge and Uplekar

MSI Report on Franchising FP and RH services

Smith

Reaching Youth through Franchise Clinics Decker and Montagu

Social Franchising to Improve Quality and Access in Private Health Care in Developing Countries; Bishai, Shah, Walker, Brieger, Peters

http://homepage.mac.com/domdiep/FileSharing15.html


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Geneva meeting on Franchising for Reproductive Health

  • 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


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Clinical Service Franchises


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Health Franchise Programs

Current

None

Unknown status


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Type

Location

Referrals-in


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Services


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Number of Clinics

2500


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Financing


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Quality Control

Benin

Burma

Cameroon

MadagascarMali

Rwanda

Sierra-Leone

Togo


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Outcomes


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What makes a franchise?one possible definition

  • Outlets are operator-owned

  • Fee for service delivered

  • Standardization


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Clinical Service Franchises


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Clinical Service Franchises

all free services

all free services

all free services

may meet our franchise definition


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Goals for today

  • Prioritize research needed to improve franchise operations

  • Commit to collaborate across programs to answer these questions

  • Begin defining how a study can be put into operation


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