Clinical Social Franchise Network

Sun Quality Health

Sun Primary Health

Social Franchising

……is defined as a system of contractual relationships

“usually run by a non-governmental organization which

uses the structure of a commercial franchise to

achieve social goals”Montagu, 2002

PSI/M’s Social franchise: Sun Quality Health

FranchiseeFranchiser

Branding

Training

Standards

Commodities

Following the standards

Scale, Quality, Equity & Cost-effectivenessGoals:

(Since 2001)

INGO Private clinicians

Two-tiered franchise

2001

2008

Sun Quality Health

Sun Primary Health

1st tier

2nd tier

In Urban/slum

In rural

The Franchise coverage in a township

++ hospital

RHC

v

v

Sun Primary

Operator owned branded clinic

Payment by clients who receive the services

3 features of the network

Standardized Services at all Franchised outlets

Fractional FranchiseServices offered

Aches, pain, headache

Cut, abrasion

Stomach problems

Fever, cough

Fever with rigor

Diarrheal diseases

Family planning

STIs

Hypertension

TB, pneumonia

Malaria

ORS+Zinc

Contraceptives

Genital discharge

Franchised services

HIV test/counseling

Operational management

Technical unit Operation unit

Overseeing Health programs

Trainings to providers

Technical support

Field monitoring

Expansion of new providers

Product sales

Health Services Department

Health promotion

Regional operational management

Regional manager

Sr field officer

1 field officer2 Jr field officers4-5 field supervisors

>120 SQH clinics in urban/peri-urban>150 SPH providers in rural areasto serve 2-5 million population

Each team led by Sr FO manages:

Sr field officer

1 field officer2 Jr field officers4-5 field supervisors

Products distributed through SUN channels

Program

Product

OK pillsOK 3 monthOK ECOK condomOK FCOK IUDPregnancy test

Cure U (urethritis)Cure U (ulcer)Cure U (Vaginitis)d4T+3TC+NVPDetermine HIV testUniGold HIV test

Supa TabRDTCoartem ICoartem IICoartem IIICoartem IV

Cat ICat IICat III

Pneumox 125Pneumox 250

No. of Product

7 6 6 3 2

A total of 25 products

Orasal

1

RH STIs/HIV Malaria TB Pneumonia Diarrhea

The networks’ achievement in 2011

RH: family planning

Malaria

STIs

Pneumonia

Tuberculosis

HIV test/counseling

Number of people served

Health impact

Program effectiveness

Quality Equity Access Efficiency

Provider given better services

Poor users aregiven preference

More users areable to reach services

Program achievesQ-E-A cost effectively

Quality standards

Provider Behavior change

Voucher

Pricing

Patient incentives

↑ channels

↑ providers

↑ integration

↓ low performers

Incentives

Integration

Activities

Output

Purpose

Goal

HS framework

Thanks