HYBRID TO OPTIMISE RESOURCES

The UP model presents a new paradigm of hybrid programming–resources located in various sectors are combined on the basis of core competencies to optimise efficacy. Rural entrepreneurs use their social relationships to generate demand, counsel clients, procure products and materials and manage logistics. Public sector quasi-medical personnel called Auxiliary Nurse Midwives (ANMs), usually the first available skills-based formal provider for rural communities, visit the entrepreneurs’ centres to provide family planning, antenatal and gynaecological services either on their own or in electronic consultation with city doctors. (Refer to technology).

A backend call centre (refer to technology) provides registration and follow-up care, particularly for ANC services. WHP procures good quality IUDs and injectable contraceptives in large volumes and sells to the entrepreneurs and neighbourhood pharmacies. The clients pay a fee which meets the cost of the service including earning of the entrepreneurs. Clients from poor families who could not afford the prices were earlier subsidised with donor funds and currently efforts are underway to get the government to absorb the costs.

Support: the project started as a collaborative venture with Pathfinder International with $3 million support from Merck for Mothers in 2013. In its second phase starting June 2016, WHP is implementing it alone again with support of Merck for Mothers.

SUPPORT:

WHP’s premise that communities will not travel long distances or incur high expenses to receive preventive or low-end curative services is strongly validated by this model. The use of an ANM reduces the cost sharply and the availability of service and follow-up care within easy access also improves client response.

Lessons and results:

WHP’s premise that communities will not travel long distances or incur high expenses to receive preventive or low-end curative services is strongly validated by this model. The use of an ANM reduces the cost sharply and the availability of service and follow-up care within easy access also improves client response.

Numbers:

WHP welcomes the opportunity to collaborate to implement this commitment.

World Health Partners Inc.| BB-11, Greater Kailash Enclave II
New Delhi 100 048 India | amitabh@whpindia.org