Post on 04-Jan-2016
description
transcript
1
The Private Sector Healthcare Initiative Clinical Social Franchising Compendium Results
Rekha Viswanathan, Eric Schatzkin, Andrea Sprockett & Dominic MontaguSeptember 2014
2
What is Social Franchising?
SOCIAL FRANCHISING
Problem:
Many private clinics in LMICs,
but each has a limited range of
services and uncertain quality
SOCIAL FRANCHISING
Solution:
Grouped into branded franchise.
Still independent, but common
standards and new services.
SOCIAL FRANCHISING
Solution:
Grouped into branded franchise.
Still independent, but common
standards and new services.
SOCIAL FRANCHISING - GOALS
+ Health Impact
✓ Quality
$ Cost-Effectiveness
Equity
Market Expansion
SOCIAL FRANCHISING - GOALS
+ Health Impact
A summary of health benefits resulting from avoiding a disease or unintended pregnancy.
✓
SOCIAL FRANCHISING - GOALS
Quality
The ability to treat or refer clients with complications, and adherence to overall program protocols
$ Cost-Effectiveness
SOCIAL FRANCHISING - GOALS
Able to deliver a service to a target population at a lower cost than alternative delivery options.
Equity
SOCIAL FRANCHISING - GOALS
The percentage of patients receiving franchised services that are within the lowest two national wealth quintiles.
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.
• Provides a range of services• Some existing services are
improved• Most existing services remain
unchanged
Typical private clinic
PrivateClinic
Services
• Aches, pains, headaches• Cuts, abrasions• Stomach problems• Eye, nose, throat • Fevers and coughs• Diarrheal diseases• Infections• Chronic illnesses
FRACTIONAL FRANCHISING
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
FranchiseClinic
FRACTIONAL FRANCHISING
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
FranchiseClinic
FRACTIONAL FRANCHISING
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
FranchiseClinic
FRACTIONAL FRANCHISING
• Outlets are owner-operated
• Payment is for services delivered
• Services are standardized
• “Clinical” services are provided
DEFINITION
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
Growth Worldwide
19
Countries with programs, 2009
20
Expansion of programs, 2013
Franchise Funding
22
Use of Demand-side Financing
Health ImpactDALYs 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.
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
Health ImpactDALYs averted due to FP
Long-term family planning methods accounted for over 80% of the health impact attributable to family planning services.
Trend in CYPs
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. Scalability3. Quality assurance
As the reach of social franchises for health continues to grow, there is a need to focus on:
4. Improved data collection and reporting, through the use of consistent metrics5. Sustainability, cost-effectiveness, and market expansion6. Defined role in an evolving health system
Conclusion
Visit SF4Health.org to download Clinical Social Franchising Compendium: An annual survey of programs – findings from 2013.
For more information