2007
DOI: 10.1016/j.jadohealth.2006.09.018
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Reaching Youth through Franchise Clinics: Assessment of Kenyan Private Sector Involvement in Youth Services

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Cited by 19 publications
(15 citation statements)
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“…When contracts explicitly included targets for reaching the poor, contractors improved health services for the most marginalized groups, although comparison was not made to the results of a similar investment in public sector services [88]. Several related World Bank initiatives took the form of social franchises, in which private providers pay a fee and are provided training, managerial assistance, and certification in a provider network [20],[89],[90]. Several case studies of social franchises [20],[89],[90] found higher care utilization among the lower socioeconomic groups of private franchisers than of control private clinics for contraceptive use, HIV counseling, antenatal care, and vaccination [17],[91],[92].…”
Section: Resultsmentioning
confidence: 99%
“…When contracts explicitly included targets for reaching the poor, contractors improved health services for the most marginalized groups, although comparison was not made to the results of a similar investment in public sector services [88]. Several related World Bank initiatives took the form of social franchises, in which private providers pay a fee and are provided training, managerial assistance, and certification in a provider network [20],[89],[90]. Several case studies of social franchises [20],[89],[90] found higher care utilization among the lower socioeconomic groups of private franchisers than of control private clinics for contraceptive use, HIV counseling, antenatal care, and vaccination [17],[91],[92].…”
Section: Resultsmentioning
confidence: 99%
“…About a quarter of adolescent females who took part in a health care voucher program in Nicaragua used their voucher to seek reproductive health care counseling (Meuwissen et al, 2006). In Kenya, a network of over 200 reproductive health care providers called the "Kisumu Medical Education Trust" found individuals who accessed their services used family planning counseling and Derek Christopher Johnson et al contraception counseling more often than individuals who did not access their services (Decker and Montagu, 2007). These studies and ours support the idea that health clinics can be both a source of medical care and a source of medical knowledge and education.…”
Section: Discussionmentioning
confidence: 99%
“…In addition, the evidence related to improvements in health care utilization is mixed (1,6). Impacts on health knowledge and behaviors have been documented among individual franchise clients (12)(13)(14), but there is little evidence of impact on populationlevel health behaviors and outcomes (1). In a previous study, we documented changes in quality of care at the franchisee level (15); in this article, we expand on previous research by using new data and documenting the impact pathways all the way to infant and young child feeding (IYCF) practices.…”
Section: Introductionmentioning
confidence: 91%