Center for Health Market Innovations (CHMI)

Programs

Sangini-Tin Mahine Sui

last updated Jan 4, 2012

Overview

Implementing organization: 
Nepal CRS Company
Legal Status: 
Private (not-for-profit)
Year Launched: 
1994
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
Funders: 
German Development Bank (KfW), USAID

Scale

Personnel Employed: 
100<
Number of Clients Served: 
1221,838 (2009)
Number of Facilities Operated/Networked: 
3,072 (2011)
Other Measures of Scale: 
460,000 vials of injectable contraceptives sold in 2009
Upscaling: 
Since it has started, it has expanded from 3 districts to 74.
Scope: 
It has expanded from 3 products/services to 6.
Summary: 

Sangini-Tin Mahine Sui is a partial social franchise model that introduced family planning/reproductive health and MNCH services through a local pharmacy network.

Key program components: 

Now, the franchise provides a host of services including a variety of contraceptives, clean delivery kits, labor and delivery services, emergency obstetric care, and diarrheal disease treatment.

The social franchising of Sangini has now been expanded to 74 of 75 districts, and the total number of franchising outlets has reached 3,072, while sales went beyond 460,000 vials in the year 2009.

Sangini is planning on expanding the Misoprostol distribution to five additional districts in hilly, hard-to-reach region, in the coming fiscal year.

Program history: 

In 1994, with USAID support, Nepal CRS Company introduced social franchising of injectable contraceptives in Kathmandu Valley through a network of pharmacies under a the "Sangini-Tin Mahine Sui" brand. In the first year, Sangini was introduced through 50 trained and certified services providers (paramedics) in selected medical ships of Kathmandu Valley.

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