24
Social Franchising at MSI Presented by Dr Manoj Sojitra Marie Stopes India
Social Franchising at MSI
Presented by
Dr Manoj Sojitra
Marie Stopes India
MSI’s Business Model
MSI
Centre
Social
Franchise Outreach
Options for organizing
private providers
Unbranded
Training
Programme
Fractional or Partial
Franchise Branded
Training
Programme
Plural or Mixed
Social Franchise
Full
Social Franchise
Co
st a
nd
Co
ntr
ol o
ver
Pro
vid
ers
Complexity and Management Burden
Source: Barnes, Jeff, Cueller, Carlos, Melkamu Yilma. July 2008. Private Provider Networks in Ethiopia. Bethesda, MD: Private Partnerships-One project, Abt Associates Inc.
Current MSI BlueStar = 17 countries and 3000+
providers
1.8 Million FP Clients served through Franchised Outlets in 2012
Through…
3000+ quality assured outlets in 17 countries
48% clients living on less than $2.50 /day
Scale: Social Franchising at MSI
0
50,000
100,000
150,000
200,000
250,000
300,000
350,000
400,000
450,000
500,000
0
500
1,000
1,500
2,000
2,500
3,000
3,500
4,000
4,500
2008 2009 2010 2011 2012 2013 2014
Nu
mb
er
of
Wo
me
n S
erv
ed
Nu
mb
er
of
Fra
nch
isees
Total Franchisees LARC Clients
Network in Madhya Pradesh
• Launch Year -2012
• 220 SF across 30 districts
• 65 % Urban, 35 % Rural/Periurban
• Franchised service - FP, PAFP & Safe abortion care
• Payment source -100 % OOP & Government reimbursements
• Total clients : 21990
• CYPs - 52363
Social Franchising
• A network of trained
private providers
providing a
standardized set of
SERVICES and
products at the
franchise brand name.
• Not-for-profit franchisor
• For-profit franchisee
Access
Why franchise ?
Equity
Cost- effectiveness
Quality
Plan.it Steps
Branding/Marketing
Selection
Client Numbers
Franchise Fee £
£ £
£ £
£
Training T
Agreements
T
T T
T
T M&E, Supervision
Mapping & Baseline Data
M&E, Supervision
Franchise Fee £
Quality
Technical update workshops on Comprehensive Abortion Care (MVA/EVA), FP/PAFP services and MTP rules mandates
435 providers oriented
Infection prevention –onsite training for support staff
627 workers trained
Counseling training for support staff
29 field and franchisee staff trained
MTP and FP record keeping training of support staff with sharing all required record keeping registers.
Medical emergency management training
Vocal local training
Quality Call for action
Minimum Quality Monitoring & Evaluation for
Plan.it Activity Purpose Standard Tool Frequency Conducted by
Self
Assessment
To ensure providers
are engaged in
quality improvement
Current MD T
QTA tool
1 p er
franchisee
per year
Franchisee
Internal Audit To monitor quality
against standards
and develop action
plans for improving
quality
Current MD T
QTA tool
1 p er
franchisee
per year
Country
clinical team
External Audit To verify self report
and internal audit
findings
Current MD T
QTA tool
10% of
franchisees
with
completed
internal
audit
MDT/Third
Party/Clinical
Services
Manager from
another MSI
programme
Mystery client
/exit interview
To behaviour,
clinical skills and
pricing .
Global RMT
Mystery Client
Survey
Sample of
franchisees
Programme
Research and
Metrics Team
Annual Ranking Tool
Access
Building 250 franchise across 50 Districts of MP by mid of 2014
160 certified facilities to deliver safe legal abortion care
70 empanelled facilities under FP scheme
Focus on FP behavior change communications and demand generation that will increase clients for public and private sector and client flow increase
Call for action Access
ONE CALL - Toll free FP helpline
• To increase access to correct information and counseling services
about-
o Family planning methods
o Post partum/post abortion contraception
o Safe and legal abortion care
• To guide and refer the clients to conveniently accessible public
and private approved health facilities, if needed.
• To make out bound calls to follow up with clients who have
received services
Equity
o Increase participation under Govt PPP /FP scheme to reach poor clients
o Support for organizing Inreach/outreach FP camps at SF facilities
o Focus on High Impact CYPs
o Modern FP adopter
o Switching from ST to LTFP
o PAFP, PPFP
o Adolescents
Call for action
Cost- Effectiveness
Cost-effectiveness through synergies
within MSI
CHW CHW CHW CHW CHW CHW CHW CHW
Catchment
Area
MSI Centre
Referrals Referrals
Outreach at Govt Clinic
Outreach Outreach Ref
erra
ls
Balanced Approach to Sustainability
1. Cost
reduction
2. Cost
recovery
3. Government
interest
4. Donor
preference
SF and Health System Integration
Goals
More efficient
resource
utilisation
Increased supply
of health service
providers
Quality services to
the end user
