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% Ethiopia Nigeria 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 Madagascar • Marie Stopes International Ethiopia • Marie Stopes Kenya 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 Pakistan: 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 .