Power of networks : a study of health franchises in resource limited settings

Billions of dollars are spent to develop drugs for infectious diseases in developing countries. How will these drugs along with clinical services be delivered to the patients who currently do not have access to them? Health franchises have been around since early 1990s, creating networks of shops and clinics that provide specialized care to low income individuals. This thesis attempts to understand the underlying mechanisms of successful health franchises. Two cases are taken into consideration, CFWshops in Kenya and Mi Farmacita Nacional (MFN) in Mexico. Both are pharmaceutical shops with small clinics attached to them. The two cases were examined through a framework derived from successful commercial franchises and franchise theory. The elements that were addressed include operational structure, marketing strategy, product and service offerings, monitoring of businesses, and financial structure. CFWshops and MFN had some stark differences in how they addressed each of these elements. Unlike typical commercial franchises, health franchises aim to provide social benefits to the population. This goal requires franchises to not only create a business strategy to be financially sustainable and take advantage of networks, but also show health improvements in the community. The success of a health franchise is dependent on the health impacts it provides because its mission is not to generate a profit for the stakeholders but rather the value added to the customer by providing access that was not there before.

Department dc:contributor.department

Massachusetts Institute of Technology. Engineering Systems Division

Grantor dc:publisher

Massachusetts Institute of Technology

Year dc:date.issued

2009

Author dc:creator

• Sankar, Ramya

Advisor dc:contributor.advisor

• Anjali Sastry.

• Engineering Systems Division.
• Technology and Policy Program.

Statement dc:rights

• M.I.T. theses are protected by copyright. They may be viewed from this source for any purpose, but reproduction or distribution in any format is prohibited without written permission. See provided URL for inquiries about permission.

Licence dc:rights.uri

• http://dspace.mit.edu/handle/1721.1/7582

Language dc:language.iso

eng

Handle dc:identifier.uri

http://hdl.handle.net/1721.1/57524

OAI identifier oai:identifier

oai:dspace.mit.edu:1721.1/57524