Introduction to Clinical Social Franchising

Private Sector Healthcare Initiative (PSHi)

Introduction and History

NGO or Hospital

PrivateClinic

PrivateClinic

PrivateClinic

Problem:Many private clinics but limited range of services,

uncertain quality

Social Franchising: Common Situation

PrivateClinic

PrivateClinic

PrivateClinic

Franchisor

FranchiseeClinic

FranchiseeClinic

FranchiseeClinic

Branding

Training

Standards

Commodities

Membership fee

Goals: Access/Scale Cost-effectiveness

QualityEquity

Social Franchising: Components

Franchises around the world

PSHi’s Role in Franchising

Funding

Compendium• Origin: modeled on DKT’s Social Marketing

compendia – 4 annual updates to date• Intent: designed to give the casually interested

party an informative document outlining the social franchising landscape– Includes both broad information general franchising

scope and then specific information about each franchise

• Target audience: donors, implementers, donors, and donors

• Timing: surveys go out in Jan/Feb, data collected in March, compiled and written in April, published late April/early June

• 2013 changes/additions– Incorporating our pilot for health impact reporting– Formatting adjustments – one page per franchise,

more infographics

Metrics Working Group• History: Begun in 2010 (?), Watamu meeting in Nov 2011, Toronto meeting

planned for April 2013• Partners: members come from PSI, MSI, Pop Council, JHMI, UCSF, WHP, DKT,

Gates, Rockefeller, USAID, IPPF, (R4D), [IHME]• Products:

– Metrics to match the 5 “pillars” of social franchising: equity, cost-effectiveness, health market expansion, health impact, quality

– Completed metrics: equity, health impact (still being piloted)• Timing: monthly meetings with periodic in-person meetings, often around

conferences• Process: design, pilot, analyze, vote, promote• Toronto plan: Quality and Health Market Expansion• Advocacy and engagement:

– How do we actually get everyone to start using our metrics?– How do we impart to organizations the importance of using standardized metrics?

Why is it important to know the poverty status of your clientele?– What technical assistance will smaller franchises need and how can we facilitate that?

Demand Side Financing Working Group• History: Franchising taken by UCSF, DSF by R4D. Left fallow for some

time, revived in Dec 2012.

• Partners: MSI, PSI, Pop Council, Options, UCSF, [others?]

• Products: Still writing scope of work, but preliminary conversations on similar indicators as SF MWG – equity, health impact, cost-effectiveness, health market expansion, quality

• Meetings: once every 4-6 weeks, more once scope of work and targets are defined

• Process: Similar to SF MWG – design (or adapt), pilot, analyze, vote, promote

Case Studies

Stakeholders from the SF4Health community are increasingly undertaking qualitative case studies to encourage comparison and cross-pollination among programs worldwide. The GHG and partner organizations have published a series of case studies on social franchises around the world. The case study template is now available for public use.

DKT’s Andalan Indonesia, October 2012World Health Partners, February 2012Tinh Chi Em (Sisterhood), February 2012Child Family Wellness, January 2012Top Réseau Madagascar, September 2011BlueStar VietNam, July 2011RedPlan Salud Peru | Spanish, June 2011Smiling Sun Bangladesh, April 2011Tunza Kenya, January 2011Sun Quality Health Myanmar, September 2010

Suraj Pakistan, July 2010

BlueStar Pilipinas, April 2011Amua Network Kenya, January 2010BlueStar Ethiopia, January 2010BlueStar Ghana, September 2009CareShop Ghana, World Resources Institute, April 2008Green Star Pakistan, Population Council, October 2005Green Star Pakistan, September 2001

The First Global Conference on Social Franchising

• 165 participants• Representatives of franchise organizations and managers, government, donor

organizations, researchers• Implementer-focussed• Unique components: quality awards, new service contest, trainings, field visits

Conferences

• Conferences planned for early 2014 and late 2015(?)• Seed funding from CHMI (Gates) but need to fundraise to

cover full costs• Planning for 2014 is a priority!

Growing the Community of Practice

• Sf4health• Newsletters

Communications

• Twitter• Blog

Conference communications

• Improve engagement among CoP members

• Increase our external communications

Goals

Social Franchising Officer Goals

Compendium

• Work with Eric to produce the 2013 compendium of SF programs

• An ongoing goal is to think about how this resource can be improved and made more useful each year

Conferences

• Planning for 2014 needs to start immediately• Steering

committee• Location/venue• Participants• Draft Agenda

Case Studies

• One Case study for 2014

• Think about how to improve case study methodology

• Work with programs to conduct their own case studies using template

CoP

• Maintain and improve SF4Health website

• Create social franchising communications strategy to improve dissemination and engagement

Metircs

• Participate in metrics working group

• Work with Eric on specific metrics projects and metrics dissemination activities and tools as they arise

Engage community of practice members Document current practices and programs

Create useful tools and resources Disseminate available tools and resources

Questions and Discussion