programs focused on rural, poor & scale building multilevel incentives for a tiered network of...
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Programs Focused on Rural, Poor & Scale
Building Multilevel Incentives for a Tiered Network of Private Providers
Gopi Gopalakrishnan, PresidentPrachi Shukla, Country Director
World Health Partners (WHP)
• A non-profit organization• Draws on Janani program lessons in Bihar
for using private sector resources to deliver care to rural poor
• How to use resources outside the public sector to supplement the public sector
Broad Framework
• Private Sector is the only other option to achieve scale
• Taking risk is an important factor to enhance stakes
• Volumes to reduce cost, Value to enforce standards
• Creation of a premium segment to benchmark• Advocacy focused on better regulation
Network Structure
VIDEO SLIDE
C e n t r a l M e d i c a l F a c i l i t y :
GP + Specialists
V i l l a g e s
S p e c i a l i s t s
Incentive Structure
Franchised Clinics
TB incentiveSale of SkymedsFee from cell consultationsStature, credibility, recognition
TB incentiveSale of SkymedsGovt. linkagesFee from consultationsStature, credibility, recognition
Govt. linkagesReferrals from Sky networkGovt. accreditation
RNTCP training Incentives on consultations
Sky network = increased patients; increased profits
Sky network incentives
• Tangible incentives:• Incentives on case identification, adherence
and reporting• Increased profit due to increased caseloads• Reimbursement from Govt. scheme
• Intangible incentives:• Enhanced social status and credibility• Govt. recognition• Training and communication support
Financial Strategy: Sustaining Provider Interest
Franchise designed for ‘Horizontal Programming’
Broad Range
of Services
generates Adequate Caseloads
Economic Viability
Enforce Standards
Mandate Delivery of Services
e.g. Family Planning
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