The Private Sector Healthcare Initiative Clinical Social Franchising Compendium Results Rekha...
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The Private Sector Healthcare Initiative Clinical Social Franchising Compendium Results Rekha Viswanathan, Eric Schatzkin, Andrea Sprockett & Dominic Montagu
The Private Sector Healthcare Initiative Clinical Social
Franchising Compendium Results Rekha Viswanathan, Eric Schatzkin,
Andrea Sprockett & Dominic Montagu September 2014 1
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What is Social Franchising? 2
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SOCIAL FRANCHISING Problem: Many private clinics in LMICs, but
each has a limited range of services and uncertain quality
Slide 4
SOCIAL FRANCHISING Solution: Grouped into branded franchise.
Still independent, but common standards and new services.
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SOCIAL FRANCHISING Solution: Grouped into branded franchise.
Still independent, but common standards and new services.
Slide 6
SOCIAL FRANCHISING - GOALS + Health Impact Quality $
Cost-Effectiveness Equity Market Expansion
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SOCIAL FRANCHISING - GOALS + Health Impact A summary of health
benefits resulting from avoiding a disease or unintended
pregnancy.
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SOCIAL FRANCHISING - GOALS Quality The ability to treat or
refer clients with complications, and adherence to overall program
protocols
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$ Cost-Effectiveness SOCIAL FRANCHISING - GOALS Able to deliver
a service to a target population at a lower cost than alternative
delivery options.
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Equity SOCIAL FRANCHISING - GOALS The percentage of patients
receiving franchised services that are within the lowest two
national wealth quintiles.
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Market Expansion SOCIAL FRANCHISING - GOALS Provide services to
patients in need who would otherwise receive lower quality care,
delay seeking care, or go without care.
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Provides a range of services Some existing services are
improved Most existing services remain unchanged Typical private
clinic Private Clinic Services Aches, pains, headaches Cuts,
abrasions Stomach problems Eye, nose, throat Fevers and coughs
Diarrheal diseases Infections Chronic illnesses FRACTIONAL
FRANCHISING
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Typical franchise clinic New services are added Some existing
services are improved Most existing services remain unchanged
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 Franchise
Clinic FRACTIONAL FRANCHISING
Slide 14
Typical franchise clinic New services are added Some existing
services are improved Most existing services remain unchanged
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 Franchise
Clinic FRACTIONAL FRANCHISING
Slide 15
Typical franchise clinic New services are added Some existing
services are improved Most existing services remain unchanged
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 Franchise
Clinic FRACTIONAL FRANCHISING
Slide 16
Outlets are owner-operated Payment is for services delivered
Services are standardized Clinical services are provided
DEFINITION
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In 2009, PSHi launched 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 Global survey
of clinical SF programs
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Growth Worldwide
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19 Countries with programs, 2009
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20 Expansion of programs, 2013
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Franchise Funding
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22
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Use of Demand-side Financing
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Health Impact DALYs 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.
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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 A look at MNCH
services
Slide 28
Health Impact DALYs averted due to FP Long-term family planning
methods accounted for over 80% of the health impact attributable to
family planning services.
Slide 29
Trend in CYPs
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The model of health service delivery through social franchising
continues to grow, with over 90 programs worldwide. The principal
attractions are: 1.Leverage of existing infrastructure
2.Scalability 3.Quality assurance As the reach of social franchises
for health continues to grow, there is a need to focus on:
1.Improved data collection and reporting, through the use of
consistent metrics 2.Sustainability, cost-effectiveness, and market
expansion 3.Defined role in an evolving health system
Conclusion
Slide 31
Visit SF4Health.org to download Clinical Social Franchising
Compendium: An annual survey of programs findings from 2013. For
more information