Changes in perceptions of quality of, and access to, services among clients of a fractional franchise network in Nepal.

摘要: With declining levels of international donor funding for financing reproductive health programmes, developing country governments and donors are looking towards private sector strategies to expand the supply quality services. One challenges a franchise is improve services provided by independent practitioners. Private providers more likely abide standards set franchiser if they see financial benefit resulting from participation. This study was conducted measure whether (a) there were improvements in perceived care access facilities once these became part (b) associated with increased client loyalty franchised clinics. Franchisees given basic training seven days marketing two days. Exit interviews male female clients at facilities. A pre-test measurement taken April 2001, prior start project activities. post-test February/March 2002, about 9 months after pre-test. Multilevel regression analysis, which takes hierarchical structure data into account, used analysis. After taking provider-level variation account controlling characteristics, analyses showed significant provider participation network helps perceptions of, to, Improvements contribute Once translates higher volumes, benefits In turn, this should lead willingness remain franchiser.