Transcript No Slide Title

Franchising
Private Sector
Midwives
for FP/MCH Service Delivery
THE PHILIPPINE SETTING
FP/MCH Market
-----------------------------------------------• 22 million Women of Reproductive Age (WRA)1
• 7 million WRA at high risk for pregnancy2
• 2.6 million expected to become pregnant each year2
• 1 in 6 pregnancies ends up in abortion due to
unwanted/unplanned pregnancies2
• 2 million married WRA have unmet need for FP2
• An estimated maternal mortality rate of
172 deaths/100,0003
___________________________
Sources:
1
2
3
NSO, 2000
DOH, 2001 Report
1998 NDHS
THE PHILIPPINE SETTING
Demand-Supply Gap in the FP/MCH Market
------------------------------------------------------------• Middle-income competing with lower-income population
for government services;1
• 40% of public sector clients have the ability to pay;1
• 54% of women go to nurses/midwives for pre-natal care services;2
> 43 nurses/midwives for every 100,000 Filipinos
• High fertility rate and low contraceptive prevalence;3
> Modern Methods: 33%; All Methods: 49.5%
• Difference of one child between actual and desired family size.4
___________________________
Sources:
1
2
3
4
1998 Market Segmentation Study
2001 MCHS
2001 FPS
1998 NDHS
THE STRATEGY:
COMMUNITY-BASED ENTERPRISE MODEL
The Well-Family Midwife Clinic
The WFMC is a specially
designed ambulatory health
facility for the efficient &
effective provision of family
planning services and
maternal and child health
services that serves the
working poor.
At the core of the project is the consistent theme of entrepreneurship,
ownership and empowerment as epitomized in a franchise-type health
service delivery approach that combines business and social development.
The Well-Family Midwife Clinic
Waiting/Reception Area
Counseling & Procedure Room
Recovery Room
Delivery Room
The Well-Family Midwife Clinic
----------------------------------------------
Menu of Services
Family Planning
Maternal and Child Health
• IUD Insertion/Removal/Check-up
• Pill Supply
• Condom Supply
• DMPA Injection
• Referrals for Bilateral Tubal Ligation
(BTL) & Vasectomy
• Referrals for Natural Family Planning
• Counseling
• Physical Exam
Others
• Blood Pressure-Taking
• Weight-Taking
• Wound Dressing
• Ear Piercing
• Other Services
• Breast Exam
• Pelvic Exam
• Pregnancy Test
• Safe Delivery
• Pre-natal Care
• Post-natal Care
• Pap Smear
• Well-Baby Care
- Deworming
- Cord Dressing
- Weight-Taking
Expanding FP/MCH Service Delivery:
The Franchising Option
---------------------------------------------------------------
Franchising. A method of product or service delivery
distribution governed by a contract between the franchisor
and the franchisee.
Franchising Elements
•
•
•
•
•
•
Product or service with a brand identity
Partnership between a franchisor and a franchisee
Payment of franchise fee/royalties
Defined market for the product or service
Presence of operations system and training program
Central system for certain business support systems
Franchising Midwives for FP/MCH
Service Delivery
-------------------------------------------------------The transformation process
• Clinic Site Selection
• Product Supplies
• Midwife Selection
• Customer Targeting
• Midwife Training
• Pricing of Products and
Services
• Product Range
• Product Standards
• Product Positioning
• Marketing Efforts
STICKER
FLYER
BROCHURE
MENU BOARD
FP POSTER
LIGHTED SIGN
BUSINESS CARD
OTHERS – FROM
NETWORK PARTNERS
The Well Family Midwife Project:
Lessons Learned
-----------------------------------------------------------
• Continuous search of key determinants of the”model clinic”
Utilize evidence/research-based data for decision-making.
• Establish clear indicators and milestones
Install a performance-based payment mechanism.
• Be very selective in the choice of partners
Deselect NGO partners and midwives, if necessary.
• Introduction of the business planning process
Transform benchmarks into meaningful business-oriented
results and midwives into entrepreneur-clinic managers.
Well-Family Midwife Clinic
-----------------------------------------------Recent Successes
• Over 200 WFMCs in-place nationwide
• Over 250,000 MCH services provided every year
• 30,000-40,000 CYPs generated every year
• Average clinic income of $670 per month with
13% coming from FP services
• WFMC Partnership Foundation, Inc. in-place
Thank You!
For more information, contact:
Nilda Perez / USAID Philippines
[email protected]