Country of Operation
- Pathfinder InternationalNot-for-profit
SummaryThe Biruh Tesfah social franchise in Ethiopia is a network of private providers initiated by Pathfinder International in 1991, with funding from the David & Lucile Packard Foundation, to increase access to RH/FP services in the private sector.
Key program components
The network is comprised of private clinic facilities, work-based sites and community based health workers or "market agents. Depending on their qualifications, providers offer maternal and child health (ante, post natal care, deliveries and child immunizations), family planning services, STI prevention and diagnosis, and VCT services. Among the key benefits that providers receive by participating in the network is support to improve the quality of care they provide – through clinical training like Norplant/IUCD implant/insertion, PAC, syndromic management of STI, program management for RH/FP, and the provision of equipment and contraceptive supplies. While Pathfinder continues to supply commodities and offer targeted technical advice to the network, the long-term goal is to increasingly shift responsibility of managing the franchise to MAPPP-E.” (Source: PSP-One).
During its first phase, the network grew to include approximately 120 private clinics, comprised of 90 market agents and 27 workplace sites spread across five regional zones of the country. As it entered the second phase of operations in 2002, the network shifted its focus on developing a strategy for sustainability. It sought to institutionalize the key functions of the franchisor by partnering with an existing professional association that would gradually take on the role of franchisor. A partnership with the Medical Association of Physicians in the Private Practice in Ethiopia (MAPPP-E) was initiated in 2005 with the idea to transition certain core functions, such as monitoring and quality assurance, from the franchisor to the association. The Biruh Tesfah network has since received additional support from USAID (through Pathfinder) and the Swedish Development Agency (SIDA) to help facilitate this transition.