The document discusses the Sun Quality Health (SQH) network in 3 paragraphs or less: The SQH network develops due to issues like unbalanced health coverage, private providers being preferred, and doubts about quality in healthcare settings. The network operates through community health workers, informal providers like drug shops and grocery stores, and public healthcare providers. It provides services for issues like STIs, tuberculosis, malaria, HIV, family planning and more. The network aims to improve health outcomes and promote healthy behaviors through standardized services, product supply, technical support and social franchising.

1. Why does SQH network develop?
Unbalanced coverage of health services
Private providers as the people’s preference
Doubtful quality of care at health care setting

2. Where does Sun network work?
CHWs+
Quacks*
Grocery shops*
Who provide the servicesWho provide the services
HA and MWs ¶
Quacks*
Grocery shops*
Who provide health services
Township health staff ¶
GPs+
Drug shops*
GPs
CHWs
¶ - public health care providers
+ - trained private providers
* - informal providers
?
coverage

3. Health services with..
Payment by client
Standard services
PSI/M’s Social franchise
Franchisee Consumer
Product supply
Technical support
Improved health
Promoted Behavior
Franchiser

4. Diagnosis & Treatment
STIs, TB, Malaria, Pneu, HIV
Family planning services
Short-term, Long-term
Diagnosis & Treatment
Malaria, and Pneumonia
Referral services
Contraception, and TB
What services Sun network provide?

5. Products distributed through SUN channels
Brand
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
# of
Product
7 6 6 3 2
A total of 25products
Orasal
1

6. SQH and SPH coverage in a township
+
+ hospital
RHC
v
v
SPH

7. >1900 in 90
townships
>1400 in 210
townships

8. Branded clinic
Quality services
3 features of the network
Keeping records

9. How to manage the network?

10. HS
Tech unit Opt unit
Health Services department
Department
Unit

11. Tech unit
training
Managers by
health area
Technical Unit
M & E of Health programs
Trainings to providers
Technical support

12. Technical Unit
Dy Director
Training
managers
Training team
HS manager
RH
HS manager
TB
HS manager
HIV
HS manager
Malaria/Penu

13. Technical Unit – Training package
RH
• Short-term
contraceptives
• Long-term
contraceptives
• Cervical Ca
prevention
• Clinic assistant
• IPC
TB
• Case
management
• Clinic assistant
• TB for SPH
HIV
• STIs
management
• HIV C & T
• ART services
• TB-HIV case
management
• VCT for
counselors
Malaria
• Case
management
for SQH & SPH
• Product
promoters
(IPC)
• Sales forces
Under -5
• Pneu case
management
for SQH & SPH
• DTK product

14. Opt unit
Managers
by regions
Operation nit
Field monitoring
Expansion of new providers
Oversee business development

15. Dy Director
HS manager
(Region I)
Sr HSO
HSO
Jr HSO HSS
HS manager
(Region II)
Sr HSO
HS manager
(Region III)
Sr HSO
HS manager
(Region IV)
Sr HSO
HS manager
(Region V)
Sr HSO
HS manager
(Region VI)
Sr HSO
Team work approach to manage
each territory:
>120 SQH clinics
>150 SPH providers
to serve 2-5 million population
(1)
(2) (4-5)

16. Advocacy to local authorities
Business plan (MBOs, expansion, events)
Oversee overall territory business management
Medical detailing for product and quality
Sales and distribution
Record keeping
Financial transaction
Health promotion
Sr HSO
HSO
Jr HSO
HSS
Operation unit - Job Description

17. HSO monitoring trip to SQH clinics

18. SrHSO/HSO monitoring SPH activities

19. HS supervisor’s monitoring SPH services site

20. Awareness
Advocating
Training
Supervision
Supervision
Interest
Trial
Adoption
Advocacy
Products
knowledge
Service fees
Quality Assurance check
Review meeting
Refresher training
Clinic renovation
Annual appraisal

21. Program
SQH/SPH Provider
(Supply)
Reproductive health Reimbursement for IUD services (SQH)
Payment based on clinic assistant’s performance (SQH)
Clinic renovation (SQH)
Service fees for selling/referring contraceptives (SPH)
STIs/HIV Reimbursement of STIs vouchers
Service fees for PICT (HIV) -SQH
TB -Service fee for each registered TB case
-Transport fees for Sputum collection (SPH)
-Referral fees (SPH)
-Service fees for observing DOTS (SPH)
Malaria Service fees for diagnosis and treatment of malaria (SPH)
Pneumonia and diarrhea Service fees for diagnosis and treatment of malaria
(SPH)

22. Awareness
Health talk
Enquiry
Visit to Sun
compliance
Interest
Trial
Adoption
Advocacy
Allowance
Quiz prize
IECs
Transport fees
Affordable prices
Non-monetary
supports
??

23. Program
Client
(Demand)
Reproductive health Transportation fees for Contraceptives
TB -Transportation fee for TB pt to get VCT
-Monetary support for the poor TB client
-Nutrition support to TB clients
-Contact tracing referral fees

24. Behavior change
continuum
SQH Provider
(Supply)
Client
(Demand)
Mobilizer
(Demand)
Awareness to
interest
Services fee for PITC of TB
case
Interest to trial Reimbursement for IUD
service
-Transportation fee
for TB pt to get VCT
-Transportation fee
for BS (IUD)client
-RH promoter incentive
for BS referral
-Clinic assistant incentive
(IUD)
Trial to adoption - Service fee for each
registered TB case
-Reimbursement for IUD
service
-Clinic assistant incentives
(IUD)
-Reimbursement for STIs
voucher
-monetary support
for poor TB patients
Adoption to
advocacy
Clinic renovation for IUD - TB contact tracing
referral fee
7 incentives for RH, TB,
HIV-TB, & STIs
4 incentives for RH,
TB, & HIV-TB
2 incentives for RH

25. Behavior change
continuum
SPH Provider
(Supply)
Client
(Demand)
Awareness to
interest
Interest to trial -Transportation charges for bringing
sputum cups to lab
-Transportation fee for TB initial
investigation
-Transportation fee for BS (IUD)client
Trial to adoption -Referral fee for registered TB case
-Service fee for TB DOTS observer
-services allowance fees for RH, TB,
Malaria, Pneumonia, DTK
-monetary support for poor TB
patients
Adoption to
advocacy
- TB contact tracing referral fee
4 incentives 4 incentives