Transcript Social Franchising for Reproductive Health, PSI Cambodia

Social Franchising for Reproductive
Health
PSI Cambodia
S.Shankar Narayanan
Director-TB/NCD
Population Services International
India
28 – 29 September 2011
Vedic Village Spa Resort
Kolkata, India.
• 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
28 – 29 September 2011
Vedic Village Spa Resort
Kolkata, India.
Social
Marketing Sales
• 6000
outlets
Medical
Detailing
• 1800
providers
Franchise
network
• 175
providers
28 – 29 September 2011
Vedic Village Spa Resort
Kolkata, India.
KfW & other Donors
NGO Partners
MOH
Franchise providers
Private Pharma
28 – 29 September 2011
Vedic Village Spa Resort
Kolkata, India.
•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
28 – 29 September 2011
Vedic Village Spa Resort
Kolkata, India.
Franchise network support for quality birth spacing.
-- 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
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.
28 – 29 September 2011
Vedic Village Spa Resort
Kolkata, India.
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
28 – 29 September 2011
Vedic Village Spa Resort
Kolkata, India.
Public employees owning and operating private facilities
Addressing provider behavioral barriers and measuring
provider behavior change
MIS and regulation
28 – 29 September 2011
Vedic Village Spa Resort
Kolkata, India.
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
28 – 29 September 2011
Vedic Village Spa Resort
Kolkata, India.