JANANI

Social Franchising Alternate service delivery channel

Presentation to Centre for Global Development

20.11.2008

JANANI

Only two channels available for large scale service delivery

Public sector 20% Private sector 80%

Major resources in the private sector in India

Overview of Indian Scenario

JANANI

Private sector resources can be utilized Through subsidies Economies of scale-Generating

clients through advertisement/referral

Franchising-a means of attaining this goal

Leveraging Private Sector resources

JANANI

•Phase I: 1998 to 2002 – no franchise fee (496)−Provided training−Set up a referral channel(Titli centres)−Provided communication support

•Phase II: 2003 to 2007 – $1,000 franchise fee (50)−Included other healthcare services−Provided benchmark through its 18 own clinics−Provided Clinic Coordinators −Strengthened the referral system−Communication support

•Phase III: 2008 to 2012 – −Scale up FP delivery…continued……

What did Janani do?

JANANIJanani Delivery Channel

PROVIDERS• 600 Doctors• 3000 Nurses

MOTIVATORS• 7500 TC/ ASHA• 4000 Chemists

Referral

Services

JANANI CLIENT

JANANI

•Own clinics – 40 for effective coverage of the two states and proper benchmarking

•Tie-up with approximately 200 outreach clinics as franchisee

•Train and network 3000 paramedics, 4000 chemist and 7500 motivators(titli centres)

•Potential for large scale delivery and revenue generation

•Social Marketing continues in urban areas

Overview Phase III

JANANI

•$35 per sterilization from the government • Free contraceptives from the government

−IUDs−OCPs−Condoms

•Donor funds for operations, communication, training and some commodities

•Revenues

Resources - Phase III

JANANI

−As an outreach clinic to provide pre and post operative checkup to clients −Help in accreditation−Training

-Female Sterilization-Male Sterilization-IUD-Abortion-STI screening and Treatment

−Regular supply of MVA kits, MA drugs, IUDs and STI kits− Advertisement/referral support

Franchisee Clinics-Phase III

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Referral incentive of $4 per client opting for a permanent method/IUD

Regular supply of pills and condoms

Training on counseling, FP, STI and MA

Communication

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Beyond Phase III: >2012

Move away from the “camp” approach

Maintain the prices during current period in case subsidies are withdrawn beyond 2012

JANANI

www.Janani.org

THANK YOU