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S.Shankar Narayanan Director-TB/NCD Population Services International India

Social Franchising for Reproductive Health PSI Cambodia. S.Shankar Narayanan Director-TB/NCD Population Services International India. Context – Overview of the project. 60% of first time treatment seeking behavior in the private sector

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S.Shankar Narayanan Director-TB/NCD Population Services International India

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  1. Social Franchising for Reproductive Health PSI Cambodia S.Shankar Narayanan Director-TB/NCD Population Services International India

  2. Context – Overview of the project 60% of first time treatment seeking behavior in the private sector Yet, only 1500 registered providers recognized by the MOH Low knowledge of pharmacy and drug sellers Public providers often own and operate private service delivery points

  3. Type of PPP

  4. Partnership/Actors Involved KfW & other Donors NGO Partners MOH Franchise providers Private Pharma

  5. Project Objective Ensuring access to subsidized products and services, therefore ensuring that limited government resources remain targeted to the poor and vulnerable. Improving private sector providers quality and effectiveness to serve the poor and vulnerable Ensuring public private linkages, referrals and information sharing

  6. Project Set-Up and Arrangements -- supply side interventions: practical skills building, medical detailing, training, QA, performance based financing… -- demand-side: mass and mid media, IPC and referral, loan and voucher programs Franchise network support for quality birth spacing. Medical detailing – a technique proven to be successful in the private sector to change provider behavior -- Structured discussion and role play identifying barriers to behavior.

  7. Key Milestones Since 2009, franchise network expanded from 40 to 180 providing 74,000 birth spacing visits, including 23,000 IUDs Training to hundreds of providers who have skills in public or private facilities. Over 1800 providers detailed to change behaviors regarding malaria testing and treatment, diarrhea treatment, and family planning

  8. Challenges and Mitigation Plans Public employees owning and operating private facilities Addressing provider behavioral barriers and measuring provider behavior change MIS and regulation

  9. Lessons Learnt/Best Practices Follow the health seeking behavior Address provider behaviors with clear and realistic expectations Work with public sector to help build stewardship of the total health system

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