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Clinical Social Franchising Compendium an Annual Survey of Programs: Findings from 2014

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Clinical Social Franchising Compendium an Annual Survey of Programs: Findings from 2014 Clinical Social Franchising Compendium An annual survey of programs: findings from 2014 Social Franchising for Health innovate » demonstrate » replicate In many countries, private healthcare providers play a significant role in providing essential health services. They may be the first point of contact for people with the most common ailments or the preferred source of healthcare for people with the rarest conditions, and they may provide care for the poor as well as the rich segments of the population. Quite often, private healthcare providers operate as islands. They may have little to no engagement with other healthcare providers or accreditation and regulatory mechanisms. The quality of services they offer and their level of engagement with population-wide health initiatives can vary considerably. Given their importance in providing healthcare to the poorest and most vulnerable populations, constructive models for engagement are critical. Social franchising—a model for organizing private sector healthcare providers into networks using commercial franchising principles—presents a practical pathway for working with networks of private healthcare providers to carry out population-wide health initiatives. To learn about social franchising for health services, visit sf4health.org. Clinical Social Franchising Compendium An annual survey of programs: findings from 2014 Social Franchising for Health innovate » demonstrate » replicate Copyright © 2015 The Global Health Group Acknowledgments The Global Health Group Global Health Sciences The editors gratefully acknowledge the franchise program managers University of California, San Francisco and personnel from around the world that responded to the call 550 16th Street, 3rd floor, Box 1224 for data, though they are too numerous to name here. Thanks to San Francisco, CA 94158 Brendan Hayes from Marie Stopes International; Sarah Fox from the Email: [email protected] International Planned Parenthood Federation; and Amy Ratcliffe, Website: globalhealthsciences.ucsf.edu/global-health- Kim Longfield, and Lek Ngamkitpaiboon from Population Services group International for staying involved throughout the process of data collection, review and dissemination. Thanks to independent Ordering information consultant Kenzo Fry for his review and consultation related to Electronic download: This publication is available for the presentation of equity data. Thanks to Chris Purdy of DKT electronic download at sf4health.org. Print copies: Limited print copies are available from International for encouraging programs affiliated with DKT to the Global Health Group. To request a copy, please respond to the call for data. Thanks to the Social Franchising send an email to [email protected]. Information Metrics Working Group for their technical contributions. Thanks to will be updated over time and published online at Kerstin Svendsen for her excellent design work. Last but not least, sf4health.org. thanks to the members of the Global Health Group’s Private Sector Healthcare Initiative at the University of California at San Francisco Recommended citation Viswanathan, R. and Seefeld, C.A. (2015). Clinical for providing critical feedback. Social Franchising Compendium: An Annual Survey of Programs: findings from 2014. San Francisco: The Global Health Group, Global Health Sciences, University of California, San Francisco. Produced in the United States of America. First Edition, July 2015 This is an open-access document distributed under the terms of the Creative Commons Attribution-Non- commercial License, which permits any noncommercial use, distribution and reproduction in any medium, provided the original author and source are credited. This document is a product of the Global Health Group at the University of California, San Francisco. The information contained herein was provided by indi- vidual franchise programs and was not independently verified. This document is intended to serve as a guide, and the interpretation and use of the information is the responsibility of the reader. Country designations do not express any judgment by the Global Health Group concerning the legal status of any country or territory. References to companies or products do not reflect endorsement or preference by the Global Health Group. Graphic design: Kerstin Svendsen Cover photo: Jonathan Torgovnik. Photo courtesy of a Photography Resource on Women’s Empowerment in Africa developed by the William and Flora Hewlett Foundation and the Getty Foundation. CONTENTS Introduction 7 Madagascar 46 Malawi 49 Methods 8 Mali 51 Abbreviations and acronyms 10 Mozambique 53 Global overview and data highlights 11 Myanmar 54 Profiles 17 Nepal 55 Benin 19 Nicaragua 56 Burkina Faso 21 Nigeria 57 Burundi 22 Pakistan 59 Cambodia 23 Philippines 62 Cameroon 24 Rwanda 64 Democratic Republic of the Congo 25 Senegal 65 Dominican Republic (DR) 26 South Africa 66 El Salvador 28 Tanzania 69 Ethiopia 29 Uganda 71 Ghana 30 Vietnam 75 Guatemala 32 Yemen 78 Haiti 33 Zambia 79 India 34 Zimbabwe 81 Indonesia 40 Appendix 1: Reports and research articles 83 Kenya 41 Appendix 2: Overview of programs 84 Lao, People's Democratic Republic 45 INTRODUCTION Health and clinical social franchising is an Since then, data has been gathered and approach to building networks of private health- reported annually (all editions are available at care workers (franchisees) that are equipped with sf4health.org/research-evidence/reports-and- the knowledge, training and supplies needed case-studies). These reports were the first and, to deliver health services with an assurance of to the best of our knowledge, the only resource a minimum standard of quality. for data on health and clinical social franchises operating in low- and middle-income countries. Under this approach, an agency (also called a franchisor) creates and markets a brand for Keeping with tradition, this current edition certain health commodities and clinical services. includes data that demonstrates the scale of It offers the use of the brand, and access to programs, their geographic spread, their health subsidized commodities to private healthcare offerings, and financial activities and returns. This providers who agree to become purveyors of the report now also features new data on the types franchised services or products. These healthcare of linkages social franchise programs are providers also agree to receive periodic trainings establishing with the public sector in order to and performance monitoring visits, to abide by sustain or amplify their work. Last but not least, business and clinical protocols stipulated by the this report also includes data on the performance franchisor, to report on utilization data, and many of social franchise programs in relation to health agree to pay membership fees. Franchisees impact, equity, and activities undertaken to continue to retain complete ownership over their assure quality of health services. outlets, and can charge fees for their services. This report can be a valuable reference for social Under the model of fractional franchising (as investors, public health officials, donors and aid opposed to full franchising), participating agencies, population health programs with an healthcare providers also continue to offer a interest in private health sector engagement, menu of other non-franchised health services. and clinical social franchise programs. In 2009, the UCSF Global Health Group began surveying health and clinical social franchises in low- and middle-income countries to understand their scale, populations served, and health specializations. Introduction | 7 METHODS This report is a comprehensive survey of social franchise programs that deliver primary care and clinical services in low- and middle- income countries. In addition to reaching out to programs that are Malaria services: any of a range of malaria services, already known to the SF4Health community, the authors scanned including the distribution of long-lasting insecticide treated the Center for Health Market Innovations website (healthmarket- bednets, diagnostics, referrals, and treatment innovations.org) for newer programs, broadcast a call for franchise programs in public health newsletters and blogs, and inquired NCD or non-communicable disease services: any of a among social franchise programs to learn about offshoots. 70 range of services to diagnose, manage, or treat conditions programs that appeared to meet select criteria were invited to like asthma, diabetes, and hypertension and other participate in the survey. 65 responded. 64 were included, as one cardiovascular diseases was found to not meet the criteria after review of their data. Pediatric services: any of a range of services to support infant or child health, including nutrition support and # of Name of the international agency affiliated with the supplementation and integrated management of programs that program childhood illness responded RH or reproductive health services: any of a range 1 Alive & Thrive of reproductive health services, including abortion and abortion-related services; family planning; prevention and 5 DKT International management of cervical cancer and sexually transmitted in- 1 Futures Group fections (not including HIV, which is presented separately); pre-natal, peri-natal, and post-natal care of the mother; and 7 International Planned Parenthood Federation services for general reproductive health, like pap smears 1 LifeNet International Safe motherhood services: services for the prenatal, 1 Living
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