© 2008 PSI

Population Services International

Social Franchising Networks

Brian SmithRegional Director

Asia & Eastern Europe

November 20, 2008

Multi-Site Franchise Study Meeting – Washington, DC

© 2008 PSI

Presentation Outline

• Growth of PSI’s work in franchising

• Diversification of services

• Some elements of the model

• Management take on the research agenda

• The Future

© 2008 PSI

Key Dates in PSI’s Franchising Work

• 1995: GreenStar in Pakistan• 1998: Profam in Zimbabwe• 1999: New Start VCT in

Zimbabwe• 2001: Sun Quality Health in

Asia• Today, franchising activities

in 18 countries in 10,000 sites

© 2008 PSI

Growth of PSI’s Global Franchise Network

0

5

10

15

20

25

1995 1999 2001 2002 2003 2004 2005 2006 2007

Nu

mbe

r of

Fra

nch

ised

Net

wo

rks

Networks with VCT Sites Networks with General Sites Total # Networks

© 2008 PSI

Where PSI Works in Franchising

© 2008 PSI

Franchise Networks by Region

© 2008 PSI

Franchisees by Country (all services)

© 2008 PSI

Overview of Network Providers

Physicians38%

Nurses58%

Medical Assistants

2%Other Staff

2%Midwives

0%

© 2008 PSI

Presentation Outline

• Growth of PSI’s work in Franchising

• Diversification of services

• Some elements of the model

• Management take on the research agenda

• The Future

© 2008 PSI

Range of Services Provided by Networks

© 2008 PSI

Range of Services Provided by Networks

© 2008 PSI

Range of Services Provided by Networks

© 2008 PSI

Building the Service Portfolio: A Look at Myanmar

Planning for additional services

underway, including ARVs and treatment

of pneumonia through 572 clinics

2001 2004 20082003

© 2008 PSI

Presentation Outline

• Growth of PSI’s work in franchising

• Diversification of services

• Some elements of the model

• Management take on the research agenda

• The Future

© 2008 PSI

Quality Assurance

© 2008 PSI

Advantages for Franchisees

© 2008 PSI

Presentation Outline

• Growth of PSI’s work in franchising

• Diversification of services

• Some elements of the model

• Management take on the research agenda

• The Future

© 2008 PSI

What do we make of the ongoing work?

• Seems to be a promising channel to diffuse innovations more rapidly

• Channel should not drive programming decisions

• Should fit into larger framework for changing behaviors

© 2008 PSI

A manager’s research agenda

• Must be actionable

• Informs design: When to use this approach? What should/must it look like?

• Informs implementation: What do I need to keep my eye on to keep the train on the tracks?

© 2008 PSI

Some basic questions

• Does it work?• Under what conditions?• Is it more effective than other ways to increase

use? What level of effort should I put into it vs. other approaches or channels?

• Does branding matter?• What is the value of our offer to clients and

providers?• How much does quality matter?• How to address financial constraints?

© 2008 PSI

The Future of Franchising at PSI

• Passionate individuals figuring out what’s best in their context will still be driving factor

• Stronger organizational commitment to improving our evidence base + a large award to scale up long-term methods presents an opportunity (and an urgency) to examine and scale up franchising work

© 2008 PSI

Questions?