Programs Focused on Rural, Poor & Scale Building Multilevel Incentives for a Tiered Network of Private Providers Gopi Gopalakrishnan, President Prachi Shukla, Country Director

World Health Partners (WHP) A non-profit organization Draws on Janani program lessons in Bihar for using private sector resources to deliver care to rural poor How to use resources outside the public sector to supplement the public sector

Broad Framework Private Sector is the only other option to achieve scale Taking risk is an important factor to enhance stakes Volumes to reduce cost, Value to enforce standards Creation of a premium segment to benchmark Advocacy focused on better regulation

Network Structure VIDEO SLIDE

C e n t r a l M e d i c a l F a c i l i t y : GP + Specialists V i l l a g e s S p e c i a l i s t s Incentive Structure Franchised Clinics TB incentive Sale of Skymeds Fee from cell consultations Stature, credibility, recognition TB incentive Sale of Skymeds Govt. linkages Fee from consultations Stature, credibility, recognition Govt. linkages Referrals from Sky network Govt. accreditation RNTCP training Incentives on consultations Sky network = increased patients; increased profits

Sky network incentives Tangible incentives: Incentives on case identification, adherence and reporting Increased profit due to increased caseloads Reimbursement from Govt. scheme Intangible incentives: Enhanced social status and credibility Govt. recognition Training and communication support

Financial Strategy: Sustaining Provider Interest Franchise designed for ‘Horizontal Programming’ Broad Range of Services generates Adequate Caseloads Economic Viability Enforce Standards Mandate Delivery of Services e.g. Family Planning