A look at health franchises, a comparison of existing franchising approaches, and lessons learned.

1. Title Page Franchising
How can
Expand Access to Quality Health
Services in Developing Countries?
Elvira Beracochea
President
Copyright ©2012 MIDEGO
elvira@midego.com

2. Poster Objectives
1. Compare existing franchising
approaches and lessons
learned
2. Describe the key components
of a health franchise
3. Discuss the steps to franchise
health services and the
MIDEGO Model www.midego.com
Copyright ©2007 MIDEGO

3. What is a Health Franchise?
A Contractual Relationship
Between Franchiser and
Franchisee to Deliver an
Affordable “Menu” of Health
Services with Consistent
Quality Efficiently in a Clean
and Pleasant Environment
Copyright ©2007 MIDEGO

4. Why Franchising?
• Need for rapid scale up of proven
interventions
• Increase access to quality health services
• Contribute to reaching the Millennium
Development Goals
• Develop the private sector in countries
with high out of pocket health
expenditures
www.midego.com
Copyright ©2007 MIDEGO

5. Existing Franchising Approaches
1. Gold Star Project, Egypt
2. Green Star, Pakistan
3. CFW Shops Project, Kenya
4.The MIDEGO Model
www.midego.com
Copyright ©2007 MIDEGO

6. Gold Star
• Operated by the Government
• 2,400 Clinics
• Started as a USAID-Funded Project
• Performance-based Incentives
• Revenue is Kept at Clinic Level
• Branding: Gold Star Logo
• Extensive Quality Standards
www.midego.com
Copyright ©2007 MIDEGO

7. Green Star
• Operated by For-Profit Private Sector Providers
• Over 2,000 Clinics
• Started as KfW-Funded Project
• Monthly Competency-based Training Provided
to Franchisees
•Recommended pricing
•Branding: Logo
•Extensive Management and M&E Support to
Franchisees
www.midego.com
Copyright ©2007 MIDEGO

8. CFW Shops
•Operated by Non-profit Private Sector but Generates
“Surplus”
•Over 300 Outlets
•Provision of Medicines and Pharmaceutical Services
•Operational Standards
•HQ and Regional Offices provide Drug Procurement and
Logistics and Training and Support Franchisees
•Community Health Workers promote services
•Branding: CFW Shops
www.midego.com
Copyright ©2007 MIDEGO

9. MIDEGO
•Streamlined Technical Assistance to deliver consistent results in
global health.
•MIDEGO is the only company with a money back guarantee if the
desired results are not achieved.
•Developed online training and coaching programs that improve the
capacity of local health care providers without the cost of
transportation, per diem, or workshop venue, and without having to
take time off from patients.
•The programs are documented and MIDEGO provides training and
support to implement online training and coaching.
• Reached more than 700 participants from over 50 countries
www.midego.com
Copyright ©2007 MIDEGO

10. Key Components
1. Prototype: a turn key operation that delivers
quality services to every patient every day
2. Franchiser: the owner and fist operator of the
prototype model
3. Franchisee: an entrepreneurial health care
provider that is prepared to incur financial
risk for economic incentives
www.midego.com
Copyright ©2007 MIDEGO

11. Key Components (cont.)
4. Reliable Suppliers: to Provide
Medicines, Medical Supplies and all the
Required Inputs
5. Market: find who needs the services
and is willing to pay
6. Training: To Ensure Every Franchisees
Provide the Same Quality of Services
Everywhere Every Day
7. Branding and Marketing Plan
www.midego.com
Copyright ©2007 MIDEGO

12. Steps for Franchising
1. Demonstrate you have a Turn Key Operation
that delivers Quality services Consistently and
Efficiently
2. Develop an Operations Manual
3. Develop a Training Program for Franchisees
4. Develop a Business Plan for the Franchise
5. Location, Location, Location. Choose a good
location to start
6. Market, Market, Market. Create a BRAND and
Market you Prototype to Potential Franchisees
and Market Services to Clients
7. Develop the Legal Contract between Franchiser
and Franchisee www.midego.com
Copyright ©2007 MIDEGO

13. MIDEGO’s Franchising
1. MIDEGO has developed a turnkey operation to
provide online training and coaching for health
professionals worldwide
2. MIDEGO has an Operations Manual
3. MIDEGO offers a Training Program for
Franchisees
4. We assist to develop a Business Plan
5. Location, Location, Location. We help you
choose a good location to start
6. Market, Market, Market. We help you promote
MIDEGO’s BRAND and Market your Services to
Clients
7. Ask for a copy of the Legal Contract between
MIDEGO and the Franchisee www.midego.com
Copyright ©2007 MIDEGO

14. Visit us at www.midego.com
Remember to Download the
“Global Health Starter Program”
to start making a bigger impact right away!
Thank you!
Copyright ©2010 MIDEGO