Clinical Social Franchise Network Sun Quality Health and Sun Primary Health are social franchises run by an NGO to achieve social goals. They use a franchise model to scale up standardized health services through branded clinics and providers. The networks aim to improve quality, equity, cost-effectiveness of services. They have over 120 urban clinics and 150 rural providers serving 2-5 million people. The franchises distribute various health products and have expanded services for reproductive health, malaria, STIs, pneumonia, tuberculosis, and HIV testing.

1. Clinical Social Franchise Network
Sun Quality Health
Sun Primary Health

2. 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

3. 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

4. Two-tiered franchise
2001
2008
Sun Quality Health
Sun Primary Health
1st tier
2nd tier
In Urban/slum
In rural

5. The Franchise coverage in a township
+
+ hospital
RHC
v
v
Sun Primary

6. Operator owned branded clinic
Payment by clients who receive the services
3 features of the network
Standardized Services at all Franchised outlets

7. Fractional Franchise
Services 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

8. 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

9. Regional operational management
Regional manager
Sr field officer
1 field officer
2 Jr field officers
4-5 field supervisors
>120 SQH clinics in urban/peri-urban
>150 SPH providers in rural areas
to serve 2-5 million population
Each team led by Sr FO manages:
Sr field officer
1 field officer
2 Jr field officers
4-5 field supervisors

10. Products distributed through SUN channels
Program
Product
OK pills
OK 3 month
OK EC
OK condom
OK FC
OK IUD
Pregnancy test
Cure U (urethritis)
Cure U (ulcer)
Cure U (Vaginitis)
d4T+3TC+NVP
Determine HIV test
UniGold HIV test
Supa Tab
RDT
Coartem I
Coartem II
Coartem III
Coartem IV
Cat I
Cat II
Cat III
Pneumox 125
Pneumox 250
No. of
Product
7 6 6 3 2
A total of 25products
Orasal
1
RH STIs/HIV Malaria TB Pneumonia Diarrhea

11. The networks’ achievement in 2011
RH: family planning
Malaria
STIs
Pneumonia
Tuberculosis
HIV test/counseling
Number of people served

12. Health impact
Program effectiveness
Quality Equity Access Efficiency
Provider given
better services
Poor users are
given preference
More users are
able to reach
services
Program achieves
Q-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

13. Thanks