Center for Health Market Innovations (CHMI)

Programs

BlueStar Vietnam

last updated Oct 11, 2012

Overview

Implementing organization: 
Marie Stopes International Viet Nam (MSI Viet Nam), Center for Community Reproductive Health Viet Nam (VNCRH)
Legal Status: 
Year Launched: 
2008
Stage: 
Existing/expansion stage
Income Level of Target Population: 
Bottom 20%, 20-60% (lower to lower-middle)

Funding

Primary Source of Funding: 
Out-of-pocket payments
Additional Source(s) of Funding: 
Donor, Membership/subscription fees
Technology Purpose: 
Extending Geographic Access, Facilitating Patient Communications › General Health Education

Scale

Personnel Employed: 
10-49
Number of Clients Served: 
1,672,163 client visits(2008 to 2011)
Number of Facilities Operated/Networked: 
300 franchisees
Upscaling: 
The total number of franchisees has increased from 32 in 2008 to 300 in 2011.
Summary: 

BlueStar Vietnam is a clinical social franchise that provides a comprehensive set of reproductive health (RH) services in seven provinces in all three geographic areas of Vietnam. It is also the first intervention targeting the private health care sector to promote FP and safe surgical abortion services to date in Vietnam.

Program goals/rationale: 

BlueStar Viet Nam aims to improve access and quality to family planning and reproductive health services across the private sector in Vietnam. Contributing to the improvement of healthcare for all Vietnamese, especially the underserved. The project also seeks to increase utilization of modern clinical family planning and reproductive health methods, reduce unsafe abortions and increase access to and use of preventative contraceptive methods in Vietnam.

The BlueStar Vietnam demonstrated the power of result-based financing by providing family planning voucher package to 61,882 under-severed women during 2010 and 2011. Gynecological examination and cervical cancer check through Visual Inspection by Acid Acetic (VIA) are additional value-added services accessible through the voucher scheme.

Key program components: 

Most of BlueStar clinics deliver the complete package of reproductive health (RH) services, including family planning (FP) counselling and gynecological check-ups and treatment, ultra sounds, MSP, MSMP, IUD, pregnancy care, and a variety of FP products and services.

To access the nearest clinic (with address, phone number, name of health staff) clients can connect to a call center or search the BlueStar website. Community Health Workers (CHWs) also disseminate information about the location and services provided by clinics, and promote the Intrauterine Device (IUD) insertions plus cervical cancer screening package.

To better provide services to underserved populations, BlueStar networks private clinics in rural and peri-urban settings. Furthermore, a number of voucher schemes with the FOC services (e.g., free FP counselling and gynecological check-ups, free IUDs and visual inspection with acid acetic (VIA)-early uterus cancer screening) have been implemented to reach the poor and near poor.

These programs have been combined with mobile health services. From 2009 to 2011, the mobile services have delivered free RH services to 109,898 underserved women in rural areas of targeted project sites. In addition to providing care through its franchise clinics and mobile outreach, BlueStar also hosts an RH information page, "Client Education", on its website and allows individuals to call the phone number 1900 571 255 for support over the phone.

All franchisees/providers joining the network undergo training on a series of clinical and non-clinical courses, including Infection prevention (IP), MSP, MSMP, VIA, IUD, FP counseling, service quality, and emergency preparedness, among others. Over 1000 providers have thus been trained and certified. Once certified, the franchisee agreement mandates that every BlueStar clinic pay a franchisee fee of USD $120/year that is discounted annually based on location and clinic situation.

The BlueStar clinics are regularly monitored to ensure quality of client care and compliance with national clinical standards. Clinics are refurbished and updated as required and are provided with support to ensure ongoing quality compliance.

The total number of franchisees has increased from 32 in 2008 to 300 in 2011. This expansion of the BlueStar franchise network has also resulted in greater utilization of its safe reproductive healthcare and family planning services, from 95,291 clients in 2008 to 994,270 in 2011, a more than tenfold increase.

Innovation has been applied in the project

  • Public Private Partnership is promoted to improve efficiency, effectiveness and equity in the provision of healthcare services.
  • Initiative sexual reproductive health vouchers targeting low income population to improve client access to quality services
  • Revolutionized m-Health through SMS service to disseminate essential health information, refer clients by mobile phone in a confidential and convenient manner.
  • BlueStar clinics compete each year for the BlueStar Award of Best Practice and ceremonies are held for the Northern and Southern areas

BlueStar service delivery todate will prevent an estimated:

  • 153,055 unintended pregnancies
  • 164,662 unsafe abortions
  • 163 maternal deaths
    (Note: estimated by MSI impact calculator tool)

Moving forward: With the success of BlueStar program, MSI Vietnam will continue to expand the network of franchising clinics and strengthen the quality network to make it more sustainable and integral part of the national health sector.

Program history: 

Following the AMUA programme in Kenya, MSI launched BlueStar in Viet Nam, Ethiopia, Ghana, Malawi and the Philippines in 2007, most recently adding Pakistan and Sierra Leone, with more countries planned.

In Viet Nam, BlueStar was implemented as part of the SCALE project "Socializing reproductive health services to improve sexual andreproductive health in Viet Nam".

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