Smiling Sun Franchise Program

Smiling Sunbuilds on previous investment

• 30 NGOs• 319 static clinics (159 Urban

– 160 rural)• 8,500 satellite clinics• 5,000 trained staff • 6,500 community workers• 61 Districts

SS Clinics in 61 districts

Services & ProductsVital:– FP (Injectables, pills, condoms, IUD, BTL & VSC) – MCH (Immunization, ORS, Zinc, cotramoxizole), – ANC and curative services (general medicine, pediatrics and some gynecological consultation) – Basic lab services –Soon cervical cancer screening.

Ultra:– Same as vital plus:– extended lab, diagnostic (sonogram) – EMOC (emergency obstetric care) services.

Maxi:– Ultra clinic that offers extended stay services.

Clinics StaffingPosition Vital Ultra

Clinic Manager 1 1

Medical Officer 1 4

Paramedic 1 (Satellite 2-4) 4 (Satellite 2-4)

Service Promoters 1 (Satellite 2-4) 4 (Satellite 2-4)

Counselor/Receptionist/MIS 1 1

Lab Technician 1 1

Clinic Aid 1 1

Labor room attendant 4

Admin Assistant/Pharmacist 1 1

Cleaner 1 1

Guard 1 1

Results & ClienteleIndicator Baseline

Year 1Target

Performance(Oct 07 to Sep 08)

Percent of cost recovery 25% 25%35%

(Oct 07 – Aug 08)

Total customer contacts (in millions) 22.02 NA 21.64

Total service contacts (in millions) 27.6 29.5 27.23

Number of poor customer contacts (in millions) 7.18 7.99 7.31

Couple-years of protection  (in millions) 0.90 0.97 1.23

Number of antenatal care visits (in millions) 1.17 1.19 1.01

Number of deliveries 8,000 8,400 12,713

Financing Model

– Out of pocket most common mean of payment– All services and products are charged– Poor clients get subsidized services– Voucher scheme is being offered to clients, partners, & stakeholders– A health card is on the making– Cross subsidization active at clinic and franchisee levels– Cross subsidization between franchisees is planned through third party payers (i.e. vouchers, direct service sales contracts and SS card)

Ownership Model

• Full franchise

• Clinics owned by franchisees

Linkages/Referrals

• Franchisees refer to public sector facilities to deal w/ difficult cases when resources not available at SS.

• Because of Tihart amendment concerns SS did not refer BTLs or NSVs to public sector facilities

• CSPs get commission for services referred to clinics.

Quality Assurance •Quality monitoring based on 9 variables tracking and composite index analysis (concept under revision)

• Clinics are forming quality circles to find solutions where needed, when needed.

Innovations

•Active use of ITC MIS systems to provide real time information.

•Mobile based SMS reporting under development

THANK YOU