We operate 33 health franchises in 30 countries in Asia, Africa and Latin America making our social franchise program the world’s largest. Our strong technical expertise, marketing savvy and our well-established relationships with franchisees has kept us on the cutting edge of health care innovation since our first franchise in Pakistan in 1995.
How does social franchising work?
Just like the franchising of restaurants or retail outlets. But for social good. Our social franchises apply commercial franchising strategies to improve health in developing countries. When you mail a package at a UPS store – in Washington state or Washington, DC – you expect quality service and consistent pricing from a reliable shipper. Our social franchises operate the same way for customers seeking affordable, reliable health services and products.
Who are the key players?
- Franchisee: An in-country health provider or business operator that owns and runs a health care franchise.
- Investors: An individual or an organization interested in giving or lending money to a health care franchise.
- Clients: The local community that is served by the health franchise.
The clinics and health centers in our network are owned and operated by health care providers who agree to deliver quality health services and products to clients at affordable prices. Franchises must maintain quality standards. As a result, franchises benefit from increased customer loyalty and the strength and name recognition a known and trusted brand provides.
How does social franchising strengthen health systems?
- Create and strengthen markets for health products and services.
- Help communities access preventative and life-saving services.
- Improve private sector quality, equity, impact and cost-effectiveness.
- Enable health workers to maintain jobs and grow their careers.
- Reach under-served populations who may not otherwise have convenient access to affordable health services.
How do clients benefit?
- Access to convenient and high-quality care.
- Convenient one-stop shop to meet a family’s wide range of health needs.
- Affordable prices.
- Reliable service.
- Counseling, support and referral services.
How do franchisees benefit?
- Increased revenue from an expanded paying clientele.
- Training that improves quality of care and increased client satisfaction.
- Enhanced reputation from brand affiliation.
- Access to lower bulk purchasing rates.
How do governments benefit?
- Relief from overburdened public health system.
- Improved national health indicators.
- More organized and regulated private health sector.
How can I get involved?
- Invest in a franchise:
Are you an individual or organization interested in giving or lending money to a health franchise?: Learn how you can change thousands of lives by investing in a single franchise.
- Become a franchisee:
Are you a health care provider or business person interested in owning or operating a health franchise?: Propel your career, gain business savvy, and use your professional skills to impact more people in your community.
Our network of social franchises bring preventative and life-saving services to people in the developing world by providing a variety of family planning options; reproductive health and maternal child health services; tuberculosis and pneumonia testing and treatment; HIV counseling and testing; malaria prevention, diagnosis and treatment; and diarrheal disease treatment.
Our franchises help strengthen national health systems and improve job growth for local communities.
Our 10,000 franchisees reach more than 10 million clients per year through 33 franchise networks across 30 countries.
PSI supports franchisees by:
- Training medical doctors, pharmacists, nurses and other health workers.
- Providing guidance on maintaining high-quality standards.
- Training community outreach workers to share basic health information and refer clients to local clinics.
- Offering newer equipment and more treatment options.
- Marketing the franchise brand.
- Providing basic business training.
- Using the power of bulk purchasing power to access resources at cheaper prices.
- Helping avoid inventory exhaustion or a stock-out.
Check out the chart below to see which health areas our various franchises work in across the world:
- A 2017 Review of Social Franchising Innovations at PSI
There is no one-size-fits-all solution to any health system challenge, so diverse models of social franchising are needed to respond to diverse challenges across countries. This programmatic brief highlights four models across all health areas—three of which are being tested to improve the sustainability and equity of franchising, and one of which is a cross-cutting approach to support quality improvement.
- Establishing and Scaling-Up Clinical Social Franchise Networks: Lessons Learned From Marie Stopes International and Population Services International
Family planning social franchising has succeeded in countries with an active private sector serving low- and middle-income clients, with services provided mostly by mid-level providers, such as nurses and midwives. Key support for social franchising includes: clinical training and supportive supervision, help building sustainable businesses, marketing and demand creation, and mechanisms to make services affordable for clients. The forward agenda includes selectively introducing other priority health services, improving cost-effectiveness of the model, and promoting sustainability and health systems integration.
- Developing Family Planning Markets in Francophone West Africa
In Francophone West Africa, PSI partners with Ministries of Health to achieve the goals set out by the Ouagadougou Partnership to reach at least 2.2 million additional family planning users by 2020. The pillars of our response are access, choice, quality, and equity.
- From Innovation to Scale: Advancing the Sexual and Reproductive Health and Rights of Young People
This brief reviews components of the approach PSI recommends to reach young people (15-24 years old) with programs that ensure their improved sexual and reproductive health and rights.
- Quality Measurement in Family Planning: Past, Present, Future Papers from the Bellagio Meeting on Family Planning Quality in October 2015
Taken together, the papers in this book provide a comprehensive summary of measurement issues for clinic-based FP quality. Evidence from forty years of implementation and quality assessment show the great amount that has been learned about quality measurement, assurance and improvement. The same evidence shows how much remains to be done to assure that past lessons are incorporated into current practice.
- Measuring the Impact of Interpersonal Communication on HIV Testing in Madagascar
PSI Madagascar uses its network of socially franchised health clinics (Top Reseau) to offer HIV services to high risk populations such as sex workers. Peer educators in collaboration with Top Réseau clinics use interpersonal communication (IPC) to promote the availability of this service. This paper examines whether the IPC intervention activities led by peer educators for female sex workers is resulting in higher rates of HIV testing in Top Réseau facilities.
- HIV Testing as a Critical Entry Point to a Range of Services: Results From New Start Sites in Four Sub-Districts in South Africa
125,531 New Start HTS client referral records from October 2014 to April 2016 from four sub districts were analyzed to determine rates of completed referrals. Overall, 5 % (5793/ 125531) of all HTS clients were diagnosed HIV-positive with 62% (3589) of these being female. Of the positives, 87% (5054) accepted referrals for treatment and care services and 59% (2971) of the acceptors completed referrals.
- Evaluating the Impact of Social Franchising on Family Planning Use in Kenya
This study seeks to understand whether access to the Tunza social franchise network increases the overall use of FP or provides another alternative for women who would have found FP services in the public sector.
- What Facilitates Uptake of Referrals for Family Planning? Results of a Study in Mozambique
As part of its commitment to the FP2020 initiative, PSI works with the Government of Mozambique to engage health agents and others in sharing information about family planning, and referring community members to sites that offer a wide range of family planning methods.
- Simplified Asset Indices to Measure Wealth and Equity in Health Programs: a Reliability and Validity Analysis Using Survey Data from 16 Countries
Many program implementers have difficulty collecting and analyzing data on program beneficiaries' wealth because a large number of survey questions are required to construct the standard wealth index. We created country-specific measures of household wealth with as few as 6 questions that are highly reliable and valid in both urban and rural contexts.