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Society for Family Health (SFH) is a foremost Nigerian charitable, non-governmental social marketing organisation established in 1985 with a mission to empower Nigerians, particularly the poor and vulnerable, to lead healthier lives by working in Nigeria's health and development sector. SFH uses social marketing and behavioural change communication to improve access to essential health information, services and products to motivate the adoption of healthy behaviours by individuals and families.
SFH supports the Federal Government's efforts in improving
quality of health services for its citizens by rendering services in
three major health areas – Maternal and Child Health services
specifically, Maternal health, Integrated management of Neonatal
and Childhood Illnesses (IMNCI), malaria, nutrition, and diarrhea
control. Other areas include, HIV&AIDS prevention and control
and Reproductive Health (Child Spacing, Cervical cancer
screening and preventative treatment as well as Post abortion
care).
In 2008, SFH received funding from a Large Anonymous Donor
(LAD) through Population Services International (PSI) to
implement a nationwide family planning project with specific
emphasis on long acting reversible contraceptives (LARCs). This
was to be implemented in the private sector. SFH subsequently
recruited providers from the private sector across 22 states of the
federation from all the six geo political zones. By 2010, SFH had
organised and trained providers in over 200 private facilities
across the selected states to implement LARC services. This gave
rise to the first Social Franchise organisation in Nigeria then
called the Happy Mothers Network. This network was highly
successful in organising providers in the private sector, building
their capacity in Long acting contraceptives (IUCD and Implants),
and building a robust demand generation team of interpersonal
communications agents (IPCs) that created demand and
mobilised clients to these facilities. By 2010, SFH, through the
Happy Mothers Network had provided over 48,000 IUDs and
4500 implants through the network.
Due to the success of the Happy Mothers network, SFH took a
strategic decision to expand the scope of the franchise beyond
family planning services to include other maternal health care
services, integrated management of childhood illnesses, HIV
counselling and testing, cervical cancer screening and
preventative therapy, malaria, and diarrhoea disease prevention.
“Before joining the franchise, Otobi Clinic was providing few services and almost anyhow, just the way we were taught in school- practicing the old school way” but now, everything has changed. I have been trained by SFH on several health areas. I am so very happy because I have learnt a lot, my skills have improved and the clinic now offers more range of services such as family planning, CCS&PT, maternal and child health servicse. Otobi clinic has changed, there is increased client �ow, and the look of the clinic have improved”. -Mrs. Atinuke Raheem, Otobi Clinic and Maternity, Imeko, Ogun state.
SUCCESSSTORY
Society for Family Health...Creating Change, Enhancing Lives
www.s�nigeria.org
ADDRESSING�HEALTHNEEDS�IN�NIGERIA�THROUGH�SOCIAL�FRANCHISING
SFH ‘markets’ the social franchise in communities through the support of interpersonal communication agents which is an important offering to a private sector provider.
This later expansion in scale and scope led to the transformation
of the Happy Mothers Network into the Healthy Family Network
brand of the organisation. This new and expanded franchise
brand was supported by funding from the Bill & Melinda Gates
Foundation, the British Department for International
Development (DIFD) with continued support from the Large
Anonymous Donor. This additional funding supported the rapid
expansion in the scale and scope of the network and services
provided.
The Healthy Family Network is aimed at strengthening the
existing health care system in Nigeria by engaging private sector
providers at primary and secondary levels in the provision of
essential quality health services that are accessible and affordable
to the poor and vulnerable. The network expanded its scale to
recruit more privately owned hospitals, maternities, pharmacies
and patent proprietary medicine vendors (PPMVs) located in
urban, semi-urban and rural areas. In addition, the network
supports its providers through capacity building, commodity
supply and quality improvement initiatives, the facilitation of
medical credit by making facilities bankable and demand
generation through strategic behavioural change communication
activities. Presently, the network comprises of 340 hospitals and
clinics, 195 pharmacies and 185 PPMVs across 22 states of the
federation.
There was also an expansion in the scope of services. Presently,
the network trains and provide quality services in the areas of
Family planning (short and Long acting), maternal and child
health, including BEmONC services and safe motherhood,
Integrated Management of Childhood Illnesses (IMCI), Post
Abortion care services, HCT and STI management, Malaria
services, Cervical Cancer screening and Preventative therapy,
clean and safe water treatment, diarrhoea prevention and
treatment. Plans are underway to include non-communicable
diseases as well as tuberculosis into the scope of franchised
services.
In 2015, the HFN provided services to over 1.4 million Nigerians,
averted a total of 656,722 DALYs, provided 350,220 CYPs,
averted 7,813 Deaths and prevented 118,408 pregnancies. From
inception, SFH has provided a total of 263,448 IUD insertions,
64,419 implant insertions, screened over 40,000 women for
cervical cancer and treated over 1000 women using cryotherapy
through the network. These services are delivered at a cost of less
than $10 per DALYs/CYPs.
The key pillars of the network has been Quality, Access, Equity
and Cost effectiveness. SFH staff provides quarterly supportive
supervisory visits to the providers consistently to ensure the
quality of service delivery. Through our work with the
PharmAccess foundation under the African Health Markets for
Equity project, SFH implements the SafeCare Stepwise quality
improvement programme to ensure that the quality of service is
enhanced across the entire facility. This is in addition to the
annual quality audit and the bi-annual external quality audits
conducted to ensure that providers adhere to SFH's and
international quality standards. They have also been able to
drastically reduce the price of services through the provision of
affordable quality commodities at a subsidised rate through social
marketing and the provision of consumable supplies. SFH has also
conducted a number of business trainings for most of our
network members, and providers have been able to access bank
loans to improve their practices.
Twitter: @SFHNigeria Facebook: Society for Family Health, Nigeria Youtube: SFHNigeria
Society for Family Health HeadquartersPlot 8 Port Harcourt CrescentOff Gimbiya Street, Area 11, Garki, Abuja
Tel: +234 (0) 709 822 1440, 709 822 1445, 709 822 1447E-mail: info@sfhnigeria.org | Website: www.sfhnigeria.org
Quality | Access | Equity | Cost effectiveness
THE SFH PILLARS OF SFH SOCIAL FRANCHISING
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