1. © 2008 PSI Population Services International Social Franchising Networks Brian Smith Regional Director Asia & Eastern Europe November 20, 2008 Multi-Site Franchise Study Meeting – Washington, DC

2. © 2008 PSI Presentation Outline Growth of PSIs work in franchising Diversification of services Some elements of the model Management take on the research agenda The Future

3. © 2008 PSI Key Dates in PSIs Franchising Work 1995: GreenStar in Pakistan 1998: Profam in Zimbabwe 1999: New Start VCT in Zimbabwe 2001: Sun Quality Health in Asia Today, franchising activities in 18 countries in 10,000 sites

4. © 2008 PSI Growth of PSIs Global Franchise Network

5. © 2008 PSI Where PSI Works in Franchising

6. © 2008 PSI Franchise Networks by Region

7. © 2008 PSI Franchisees by Region

8. © 2008 PSI Franchisees by Country (all services)

9. © 2008 PSI Overview of Network Providers

10. © 2008 PSI Presentation Outline Growth of PSIs work in Franchising Diversification of services Some elements of the model Management take on the research agenda The Future

11. © 2008 PSI Range of Services Provided by Networks

12. © 2008 PSI Range of Services Provided by Networks

13. © 2008 PSI Range of Services Provided by Networks

14. © 2008 PSI Building the Service Portfolio: A Look at Myanmar PSI launches Sun Quality Franchise clinics with RH products & services Malaria and STI activities (products and services) are added to portfolio TB diagnosis and treatment services are added in select clinics Planning for additional services underway, including ARVs and treatment of pneumonia through 572 clinics 2001200420082003

15. © 2008 PSI Presentation Outline Growth of PSIs work in franchising Diversification of services Some elements of the model Management take on the research agenda The Future

16. © 2008 PSI Quality Assurance

17. © 2008 PSI Advantages for Franchisees

18. © 2008 PSI Presentation Outline Growth of PSIs work in franchising Diversification of services Some elements of the model Management take on the research agenda The Future

19. © 2008 PSI What do we make of the ongoing work? Seems to be a promising channel to diffuse innovations more rapidly Channel should not drive programming decisions Should fit into larger framework for changing behaviors

20. © 2008 PSI A managers research agenda Must be actionable Informs design: When to use this approach? What should/must it look like? Informs implementation: What do I need to keep my eye on to keep the train on the tracks?

21. © 2008 PSI Some basic questions Does it work? Under what conditions? Is it more effective than other ways to increase use? What level of effort should I put into it vs. other approaches or channels? Does branding matter? What is the value of our offer to clients and providers? How much does quality matter? How to address financial constraints?

22. © 2008 PSI The Future of Franchising at PSI Passionate individuals figuring out whats best in their context will still be driving factor Stronger organizational commitment to improving our evidence base + a large award to scale up long-term methods presents an opportunity (and an urgency) to examine and scale up franchising work

23. © 2008 PSI Questions?