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Outline
Taking PPP models to scale
under Innovations in FP
Technical Assistance Project
(ITAP): success factors
Four examples
The Sambhav (Possible)
Voucher system
The Accredited Social Health
Activist (ASHA) Plus program
The Mobile Health Van
Initiative
The MerryGold Social
Franchise Model
Way forward
Demand
Policy
Public
Private
Supply
Analysis
Create an enabling
environment
Balance Public
Private Sector roles
Build Public Private
Partnerships
Action
5D Approach
DESIGN
Develop
the
concepts
for the
innovation
DEVELOP
Design the
details of
the
innovative
approach
DOCUMENT
Demonstrate
feasibility of
the innovation
through
piloting
DEMONSTRATE
Document
achievements,
challenges,
and lessons
learned
Disseminate
findings to
inform
scale-up
DISSEMINATE
Voucher Distribution
Payment for
Services
ANM/ASHA
Voucher
Redemption
Voucher Redemption
BPL Families
Voucher Distribution6
DEMAND CREATION
Conduct formative research
Identify communication
needs
Design communication
strategy
Develop BCC/ IEC
materials for PNH and
clients
QUALITY ASSURANCE
SYSTEMS
Prepare quality standard
guidelines for PNH
Develop accreditation
guidelines
Assess and accredit PNH
Design client verification
system
Conduct Medical Audit of
PNHs
Conduct Client Satisfaction
Survey
Provide Continuous
Medical Education for PNH
50
9,500 FP methods
Percentage
30.8
34.8
36
30 26.7
20
10
38.5
40
43
Use of modern
contraceptive
use
Institutional
delivery
Source: : IFPS Technical Assistance Project (ITAP). 2012. Sambhav: Vouchers Make High-Quality Reproductive Health Services
Possible for Indias Poor. Gurgaon, Haryana: Futures Group, ITAP.
State
Government
ITAP
NGOs
ASHA plus
Workers
Scale up:
6 blocks to 6 districts
Population coverage increased from .26million to 3.13million
47 Block Coordinators and 550 ASHA Facilitators support 11,086 ASHA at block and
sub block levels
Rural Development Institute and 10 NGOs are implementing ARCs across the state
Facilitating Implementation
Pilot phase
Evaluation of early MHV models
Van specifications
Route design and operations
Service provision
Personnel
Capacity building
Community engagement and demand
generation
Management and oversight
Links to public health system
Private sector engagement
Cost recovery
Financial allocation and expenditures
Scale Up
Expansion of MHV operations
in the state
Evaluation of MHVs and design
of a synchronization plan
MHV synchronization strategy
Refinement of monitoring
activities
Financial scale up
13
Scale up
Mobile Health Vans
Scale up
From 1 van to 30 vans
throughout UK
Population coverage from
0.5 million to 10 million
L3
L3
133,900 deliveries
L2
10,600 sterilizations
L2
L3
L3
L2
L0
L3
L3
L1
L2
L3
L3
Source: IFPS Technical Assistance Project (ITAP). 2012. Social Franchising as a Public Private Partnership Model - Lessons
Learned from the MerryGold Health Network of Uttar Pradesh, India. Gurgaon, Haryana: Futures Group, ITAP.
17
Thank You!