© 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?