JANANI Social Franchising Alternate service delivery channel Presentation to Centre for Global Development

JANANI  Only two channels available for large scale service delivery  Public sector20%  Private sector80% Major resources in the private sector in India Overview of Indian Scenario

JANANI  Private sector resources can be utilized  Through subsidies  Economies of scale-Generating clients through advertisement/referral Franchising-a means of attaining this goal Leveraging Private Sector resources

JANANI Phase I: 1998 to 2002 – no franchise fee (496) −Provided training −Set up a referral channel(Titli centres) −Provided communication support Phase II: 2003 to 2007 – $1,000 franchise fee (50) −Included other healthcare services −Provided benchmark through its 18 own clinics −Provided Clinic Coordinators −Strengthened the referral system −Communication support Phase III: 2008 to 2012 – −Scale up FP delivery…continued…… What did Janani do?

JANANI Janani Delivery Channel PROVIDERS 600 Doctors 3000 Nurses MOTIVATORS 7500 TC/ ASHA 4000 Chemists Referral Services JANANICLIENT

JANANI Own clinics – 40 for effective coverage of the two states and proper benchmarking Tie-up with approximately 200 outreach clinics as franchisee Train and network 3000 paramedics, 4000 chemist and 7500 motivators(titli centres) Potential for large scale delivery and revenue generation Social Marketing continues in urban areas Overview Phase III

JANANI $35 per sterilization from the government Free contraceptives from the government −IUDs −OCPs −Condoms Donor funds for operations, communication, training and some commodities Revenues Resources - Phase III

JANANI −As an outreach clinic to provide pre and post operative checkup to clients −Help in accreditation −Training -Female Sterilization -Male Sterilization -IUD -Abortion -STI screening and Treatment −Regular supply of MVA kits, MA drugs, IUDs and STI kits − Advertisement/referral support Franchisee Clinics-Phase III

JANANI  Referral incentive of $4 per client opting for a permanent method/IUD  Regular supply of pills and condoms  Training on counseling, FP, STI and MA  Communication

JANANI Beyond Phase III: >2012 Move away from the “camp” approach Maintain the prices during current period in case subsidies are withdrawn beyond 2012

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