December, 2006

1
December, 2006
ADAPTING TO THE MARKET The Sun Quality Health N
etwork
Myanmar
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Context Burma/Myanmar

• Population approx 54 million, LLDC
• Health sector ranked second lowest performer by
  WHO (2000)
  
• Most health seeking behavior in private sector.
  8,000 GPs, most independent private providers
  

• PSI/Myanmar Established in 1995. Nationwide
  operations (social marketing and social
  franchising for health impact) with 490
  employees
• Sun Quality Health franchise network of private
  doctors launched with family planning services in
  2001. Now 709 SQH clinics in 123 townships (of
  326 townships)

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Evolution of the SQH Network
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Forces for Change

• PSIs organizational mission
• Responding to Myanmars health needs
• Meeting franchise network funding requirements

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Successes and False Steps

• Successes
• Services diversification
• Increased client load
• Increased cost efficiency
• Quality Improvements
• Equity
• False Steps / Challenges
• Not initially targeting the poor
• Commodity security
• Rural penetration

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Increased Client Load - FP
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Increased Client Load - STIs
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Increased Cost Efficiency
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Equity - SQH Clients by SES Category
1050
Source MMRD
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Future Plans for SQH

• Social marketing of family planning methods
  outside of franchise network.
  
• Expansion of VCCT/ART in franchise network.
• Integration of HIV/TB services in franchise
  network.
  

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Sustainability

• Sustainability will be dependent on
• Continued high performance
• Cost-efficiency and cost-effectiveness
• Continued donor investment

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Conclusion

• The SQH network has responded to the market by
• Diversifying services in line with health need
• Subsidizing the services across all the health
  areas
  
• Becoming a distinct distribution channel for
  higher-level, quality services