Cost-effective adaptations in social franchising

MSI experiences from the field

Brendan Hayes Channel Development Director -Social Franchising Marie Stopes International Costing analysis for 2 large SF networks: 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% Marketing Other Salaries Supplies Training Travel

Understand your costs and understand your return on investment (clients served per SF)

8 Marie Stopes International Franchisee segmentation and ‘dosage’ adjustment

• Marie Stopes International Organisation Nigeria

• Marie Stopes

• Marie Stopes International Ethiopia

• Marie Stopes

9 Marie Stopes International Franchisee segmentation and ‘dosage’ adjustment

Madagascar BlueStar Network

Intensify High potential, High potential, Intensify demand supportive Low behaviour High behaviour generation supervision

Low potential, Low potential, Reduce supportive De-franchise Low behaviour High behaviour supervision

Provider Potential

Provider behaviour

10 Marie Stopes International Know your providers

Current: Invest to maximise strengths and address weaknesses. Actively manage franchisees within your network and know when to cut your losses.

Going forward: Better screening and selection of franchisees at intake.

11 Marie Stopes International Marie Stopes Society : Lessons from two approaches to private provider engagement

12 Marie Stopes International Layered service delivery approach

13 Marie Stopes International Layered service delivery approach

Intensive SF approach

‘Lighter touch’ provider network

14 Marie Stopes International Points of difference

Suraj social franchise Pehli Kiran private provider network network

• Training • Training • Third party certification • Third party certification • Access to contraceptives • Access to contraceptives • Quality monitoring • Quality monitoring • Referral networking • Referral networking • CBM support for DG • FP voucher contracting • Basic equipment support

15 Marie Stopes International What does our data tell us?

Cost per CYP Comparison (YTD Sept 2016) LARC (YTD Sept) 250000 £2.50 400 LARC per Site 200000 £2.00

£1.50 150000 48 LARC per Site

£1.00 100000

£0.50 50000

£- 0 Suraj (550 franchisees ) PK (1000+ light touch) Suraj (550 franchisees ) PK (1000+ light touch)

16 Marie Stopes International Looking forward

1. Measuring costs and cost effectiveness is essential: http://m4mgmt.org/metrics-working-group/cost- effectiveness

2. However, important to keep in mind other program objectives (such as quality, equity, and scale) and how they respond to different interventions

17 Marie Stopes International