The Association of Social Franchising for Health(ASFH) is an association that was formed by the coming together of Kenya’s six leading Clinical Social Franchisee Networks (SFNs) in to one consolidated institutional body.
- Amua, run by Marie Stopes Kenya(MSK) in collaboration with the Government of Kenya (GOK)
- Child and Family Wellness (CFWClinics), operated by The Health store Foundation.
- Gold Star Network (GSN) by the Gold Star Kenya.
- Huduma Poa, under assignment of the Kisumu Medical and Educational Trust (KMET)
- Tunza Family Health Network, which falls under the responsibility of Population Services International (PSI).
Amua by Marie Stopes Kenya (MSK) in collaboration with the Government of Kenya (GoK)
Launched in 2004, Marie Stopes Kenya (MSK) is a fractional franchise that collaborates with the Government of Kenya in providing a wide range of high quality, affordable and client centred sexual and reproductive health services and information to men, women and young people throughout Kenya. MSK sets the gold standard for clinical quality in sexual reproductive health in Kenya via its extensive service network, which covers the whole country.
MSK centres and specialist obstetrics hospital offer many sexual reproductive health services, including the full range of family planning options, post-abortion care, emergency contraception, pre- and post natal care, safe delivery, ultrasound, prevention of mother to child transmission (PMTCT) of HIV/AIDS and cervical cancer screening and treatment.
Amua, run by Marie Stopes Kenya has strong ties with GoK, as Amua is a government brand and has a 24-hour call center for providers and health workers with questions regarding treatment and counseling. MSK though the Amua Brand will contribute to the Association in the following ways:
- Provide coordination and organization services
- Assist in the harmonization of tasks
- Take on leadership and management roles
Child and Family Wellness (CFW Clinics) by the HealthStore Foundation
The Health Store Foundation’s CFW model is a Full Franchise Network of micro pharmacies, Medical outlets and clinics whose mission is to provide access to essential medicines to marginalized populations in the developing world. The CFW outlets target the most common killer diseases including malaria, respiratory infections, and dysentery among others. They also provide health education and prevention services.
The CFW model incorporates all the key elements of successful franchising: uniform systems and training; careful selection of locations; and most importantly, strict controls on quality backed up by regular inspections. And importantly Health Store uses the combined buying power of the full network to obtain quality medicines at the lowest possible cost.
The network operates two types of outlets; basic drug shops owned and operated by community health workers, and clinics owned and operated by nurses who provide a deeper list of essential medicines as well as basic primary care. As the franchisor, Health Store can revoke a franchisee’s right to operate an outlet if the franchisee fails to comply with the franchise rules and standards.
The CFW model was recognised as “Best in Standards, systems, quality and documentation” during first global Social Franchising Conference in Kenya, 2011. Apart from its strong brand, CFW has qualified and friendly staff as well as high compliance rate. CFW will contribute to the Association in the following ways:
- Share expertise/best practices
- Lobby together with other network members
- Contribute to policy definition
Gold Star Network (GSN) by Gold Star Kenya
The Gold Star Network (GSN) is a Fractional Social Franchise network under GSK founded in 2006 and offers HIV, TB and reproductive health care services and treatment. It operates from Nairobi with regional presence in Nairobi, Central, Coast and Rift Valley to employed individuals who are capable of paying for part of their healthcare costs.
The franchise trains accredited doctors in private clinics, nursing homes, missions, for-profit hospitals, and workplace health centres to provide safe and affordable anti-retroviral therapy (ART) to employed persons and business people who can pay a portion of their healthcare costs. While the network was originally established to provide primarily HIV care and treatment, family planning services, TB case detection/screening, infection control, and prevention with positives services have been added. The providers are accredited and given a certificate with NASCOP (National AIDS and STI Control Programme) serialization.
In addition, Gold Star Network partners with insurance companies in the provision of HIV treatment services, a monthly stipend is paid to community health workers, and clients are linked to telecommunications support for treatment adherence and support.
To the Association of Social Franchising for Health, Gold Star Network will not only Influence and advocate for the management of practices of chronic diseases in the public and private sector but will also share experiences especially in chronic diseases.
The Huduma Poa Health Network operating under the slogan “quality healthcare for all” is a social franchise run by KMET in partnership with USAID APHIA plus Health Communications and Marketing (HCM) program.
It was unveiled on 30th January 2013 in a gala graced by partners from Population Services International (PSI), Ministry of Health, Pharm Access Foundation, Medical Credit Fund, Safe Care, Innovations for Poverty Action (IPA) and healthcare providers from the Social franchise.
Huduma Poa Social health network has already recruited 46 privately owned facilities using a social franchising approach. The approach aims at giving quality healthcare, sustainable and affordable health insurance plan through KMET’s network of healthcare providers in Nyanza, Western and Rift valley Provinces. This is done through offering a considerable opportunity to integrate health services hence ensure a – one stop shop service delivery for the target population.
The integrated services at the franchised facilities include: family planning services, cervical cancer screening, HIV Counselling and Testing (HCT), Maternal Neonatal and Child Health (MNCH) with great emphasis on integrated Management of Childhood illnesses and promoting provision of HIV and TB services. These integrated services’ range is expected to increase from one implementation quarter to another.
KMET has introduced a Community Healthcare Access plan (CHAp) to be used by ultra-poor populations in accessing care at selected franchise facilities. This is meant to reduce out of pocket payments necessary to expand on provision of health services in the private sector.
Huduma Poa has successfully improved private-public partnership with the Ministry of Health with its franchises recognized by the government and is able to source family planning commodities from the Ministry’s stores.
To the ASFH, Huduma poa will act as a sub-coordination partner at community level, provide assistance in capacity building and also assist in conducting/providing research data.
Tunza Family Health Network by Population Services Kenya (PS Kenya)
Tunza is a Kiswahili word that means “to nurture” or “care for”, and the brand promises friendly, quick and affordable services offered by qualified health providers.
The Tunza Family Health Network was established in 2008 with funding from USAID and UKAID to serve the low income populations in Kenya. The franchise is managed by PS Kenya a social marketing organization harnessing the private sector to serve low income Kenyans for the last 25 years.
The Tunza network currently has a membership of just over 300 privately owned clinics in all of Kenyan’s former 8 provinces; and according to the new geo-political divisions, is present in 40 out of the 47 counties. PS Kenya plans to expand the franchise by about 50 clinics annually for the next 4 years.
PS Kenya uses a “fractional” model of social franchising whereby existing and licensed private health facilities/providers enter in to contractual agreements with PSI K to deliver a specified package of services in accordance with franchise standards under a common brand.
By agreeing to serve as a Tunza franchisee, a provider commits to adhere to the high quality service delivery standards and procedures of the network, and in turn enjoys several benefits including but not limited to training, brand marketing, demand creation, and linkages to quality commodities.
Family Planning services, with a focus on the more cost-effective, long-term and reversible methods (IUDs and implants) was the flagship of Tunza services after inception; however within the last two years, the Franchisor has integrated other services into the Tunza franchise, and these include Integrated Management of Childhood Illnesses (IMCI), HIV Testing, Counseling and Treatment (HTC), Cervical Cancer Screening and Preventative Treatment (CCS&PT), and Voluntary medical male circumcision (VMMC).
The new health areas which the Tunza Network is moving into include Safe Motherhood, Tuberculosis, and elimination of Mother-to-child transmission of HIV (eMTCT).
PS Kenya has also evolved the franchising model beyond quality of services to include other aspects of strengthening service delivery such as accreditation, demand side financing, supply side financing and ICT.