1. Alice Garabrant Program Officer Results for Development Institute

2. H EALTH M ARKETS  Pharmacies Social marketing NGOs Private hospitals Informal providers Private clinicians Village health workers Where decisions about health care are made by consumers and providers

3. O UT OF P OCKET S PENDING = more than half of health spending in many countries Source: WHO National Health Accounts data for 2006 50% of health spending

4. C ENTER FOR H EALTH M ARKET I NNOVATIONS Current state of health markets

5. C ENTER FOR H EALTH M ARKET I NNOVATIONS Desired state of health markets

6. C ENTER FOR H EALTH M ARKET I NNOVATIONS (CHMI) 5 ways to improve health markets

7. C ENTER FOR H EALTH M ARKET I NNOVATIONS (CHMI) Informing and connecting those who strive for better health for all people F IND AND D ISSEMINATE I NFORMATION ON I NNOVATIVE P ROGRAMS * A NALYZE H IGH -P OTENTIAL I NNOVATIONS A NALYZE H IGH -P OTENTIAL I NNOVATIONS M AKE C ONNECTIONS T O E NCOURAGE D IFFUSION *Over 1000 programs identified in 105 countries Dynamic, Interactive Web platform HealthMarketInnovations.org Dynamic, Interactive Web platform HealthMarketInnovations.org

8. CHMI W EBSITE Screenshot of CHMI website homepage CHMI’s website offers freely accessible information on 1,000+ programs, a lively blog, funder database, and research tools

9. CHMI P ARTNER N ETWORK The Asia Foundation (TAF) – Pakistan ACCESS Health International – India, Brazil, Bangladesh Mercy Corps – Indonesia Philippines Institute for Development Studies (PIDS) – Philippines Consultation for Investment in Health Promotion (CIHP) – Vietnam, Cambodia Results for Development Institute (coordinating) - USA Partner organizations in 16 countries around the world

10. R EPORTED R ESULTS Objectives: Answer the question – which programs are “working”? Promote systematic tracking and sharing of programmatic performance Process: Development of categorization framework Pilot call for results sent to a subset of CHMI-profiled programs Launch of broad call for results Goals for this Work: Support the development of metrics Identify programs for evaluation Create demand for performance tracking Clear and quantifiable measures of program performance across key dimensions

11. U SE CHMI TO SUPPORT YOUR WORK Learn more about market-based programs by searching through program profiles or reading case studies Create or update a profile for your program(s) Let us know what works by submitting reported results for your program(s) Connect with innovators by contacting program implementers directly through the CHMI website Download the data for free by downloading the entire database or a subset selected based on your interests Connections made through CHMI website as of fall 2011 Ways that you can interact with CHMI

12. T HANK Y OU ! Contact us: Alice Garabrantagarabrant@resultsfordevelopment.org Nadira Sultanasultananadira@ymail.orgACCESSIndia Rizwan Mehboobrizwanmehboob@yahoo.comAsia FoundationPakistan Bui Thi Thanh Maimai@cihp.orgCIHPVietnam Tanti Liesmantliesman@id.mercycorps.orgMercy CorpsIndonesia Valerie Gilbert Ulepvgtulep@gmail.comPIDSPhilippines Visit us on the web at HealthMarketInnovations.org

13. W ORLD H EALTH P ARTNERS, I NDIA Provides care to poor in India using social franchising models for clinics 900 small village shops with inexpensive drugs Refer to rural providers or telemedicine centers for basic care Government insurance, coupons, and vouchers accepted Example: World Health Partners, India Subcategory: Organizing Delivery: Social Franchise Key program features: Programs that reduce fragmentation and informality of health care delivery

14. H EALTH M ANAGEMENT AND R ESEARCH I NSTITUTE, I NDIA Stats: – 24x7 free health helpline serving 80M people – 45,000 calls per day – 500 paramedics and doctors answer calls and follow protocols that detail advice for specific problems – Roughly 50% calls from small villages with no permanent medical facilities or staff Mobile vans provide monthly care for pregnant women and the chronically ill in remote villages Government of AP now contracts for services, paying 95% of costs “dial 104 for Health” Example: Health Management and Research Institute (HMRI), India Subcategories: Enhancing Processes, Informational technology, Mobile clinic Key features: Programs that apply new technologies and operational processes to improve quality, access or cost

15. P HIL H EALTH B ENCHBOOK, P HILIPPINES Provides list of standards for improving quality of care Incentivizes hospitals to adopt quality measures before PhilHealth will grant them accreditation Key components: (1) Patient’s right and organizational ethics; (2) Patient care standards; (3) Leadership and management; (4) Human resource management; (5) Information management; (6) Safe practice and management; (7) Improving Performance PhilHealth: Universal Health Coverage (UHC) program in the Philippines, started in 1995 Example: PhilHealth Benchbook, Philippines Subcategory: Regulating Performance, Licensing/accreditation Key program features: Programs that set standards, enforce and promote quality care

16. F INANCING C ARE Insurer and health service provider Affordable health microinsurance scheme Sliding fee scale based on if patient is a member of Grameen Bank; non- members pay slightly more Free preventative care, family planning, and health education regardless of enrollment Example: Grameen Kalyan Health Program, Bangladesh Subcategory: Micro/community health insurance Key program features: Programs that mobilize funds and give purchasing power to the poor

17. C HANGING B EHAVIORS Online platform that educates health care professionals and provides management software for clinics and pharmacies Database of patient records As of January 2012, adopted by over 1,000 pharmacies and 3,000 doctors Example: ThuocNET e-Health Network, Vietnam Subcategory: Licensing/accreditation Key program features: Programs that educate and train consumers and providers to seek and deliver better care