Learning from practice

Three healthcare franchises in developing countries

Kisumu Medical Educational Trust, Kenya


  • The Trust’s areas of practice are family planning, post-abortion care, and sexually transmitted infections.  

  • Franchisees are nurses, midwives, and clinical and medical officers working with community-based doctors.

  • The franchiser provides training and some supplies.

  • Franchisees are monitored via monthly visits from coordinators.

  • The franchisees pay a token annual membership fee.


Greenstar Network, Pakistan

  • The network’s areas of practice are family planning and reproductive health. 

  • Franchisees are mostly obstetrician gynaecologists or doctors from disadvantaged areas.

  • The franchiser provides training, advertising (radio, television, print) and personal contacts, and some subsidised supplies.

  • Franchisees are monitored via monthly visits from Greenstar doctor and ‘mystery clients’, and a biannual evaluation by qualified doctors.

  • The franchisees do not pay a fee, although a fee is charged for any additional training.


Well-Family Midwife Clinic Network, Philippines


  • The networks’ areas of practice are family planning, and maternal and child health.

  • Franchisees are registered and practising midwives.

  • The franchiser provides technical and business training, advertising (radio and television) and some supplies. 

  • There is regular monitoring of franchisees by the regional franchiser.

  • The franchisees pay a monthly fee, plus an extra fee per delivery.  Fees are also charged for continuing training.




Source: Desk research for NHS Institute by Matrix Consulting

 

Categories for this entry:
Accreditation
Local Delivery Planning
GUM
Sexual health
Social enterprise

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