Developing and measuring healthcare capacity and quality in Burundi: LifeNet International’s horizontal conversion franchise model

  • Michael F Brooks LifeNet International
  • Maggie Ehrenfried LifeNet International

Abstract

In a departure from traditional “vertical” healthcare interventions in low-resource settings that work to combat a single specific health issue, LifeNet International (LN) uses a horizontal conversion franchise to develop and measure healthcare capacity and quality in primarily faith-based health centers in East Africa. Through a comprehensive franchise package of Medical Training, Management Training, Pharmaceutical Supply, and Growth Financing, LN is able to leverage existing resources and respond to a greater number of the obstacles preventing facilities from providing quality care. Through its Quality Score Card, LN measures improvements in quality of care within its network. This tool has measured consistent and significant improvements in quality of care following LN partnership. Together, these services improve quality of care at East African primary care facilities in ways that issue-specific, “vertical” interventions cannot.

Author Biographies

Michael F Brooks, LifeNet International
Communications Officer, LifeNet International
Maggie Ehrenfried, LifeNet International
Development Officer, LifeNet International

References

1. Olivier J, Tsimpo C, Gemignani R, Shojo M, Coulombe H, Dimmock, F, et al. Understanding the roles of faith-based health-care providers in Africa: review of the evidence with a focus on magnitude, reach, cost, and satisfaction. The Lancet. 2015;386(10005):1765-75.
http://dx.doi.org/10.1016/50140-6736(15)60251-3

2. Woodward D, Smith RD; WHO. Global public goods and health: concepts and issues. Available from: http://www.who.int/trade/distance_learning/gpgh/gpgh1/en/index11.html

3. Elzinga G. Vertical–horizontal synergy of the health workforce; WHO. Available From: http://www.who.int/bulletin/volumes/83/4/editorial10405/en/

4. Primary Health Care Performance Initiative [Methodology Note]. Available from: http://www.phcperformanceinitiative.org/sites/default/files/phcpi methodology note_0.pdf Published 2015 Sept.

5. Woodward D, Smith RD; WHO. Global public goods and health: concepts and issues. Available from: http://www.who.int/trade/distance_learning/gpgh/gpgh1/en/index11.html

6. Knippenberg R, Lawn J, Darmstadt G, Begkoyian G, Fogstad H, Walelign N, et al. Systematic scaling up of neonatal care in countries. The Lancet. 2005;365(9464):1087-98. http://dx.doi.org/10.1016/S0140-6736(05)74233-1

7. Rosenfield A, Min CJ, Freedman LP. Making Motherhood Safe in Developing Countries. N Engl J Med. 2007;356(14):1395-7. http://dx.doi.org/10.1056/NEJMp078026

8. Béhague DP, Storeng KT. Collapsing the vertical–horizontal divide: an ethnographic study of evidence-based policymaking in maternal health. Am J Public Health. 2008;98(4):644-9. http://dx.doi.org/10.2105/AJPH,2007.123117

9. Kieny M-P, Evans DB, Schmetsa G, Kadandalea S. Health-system resilience: reflections on the Ebola crisis in western Africa. Health-system resilience: reflections on the Ebola crisis in Western Africa. Available from: http://www.who.int/bulletin/volumes/92/12/14-149278.pdf

10. WHO. Toolkit for assessing health-system capacity for crisis management. Available from: http://www.euro.who.int/__data/assets/pdf_file/0008/157886/e96187.pdf

11. Kieny M-P. Ebola and health systems: now is the time for change. World Health Organization. 2014 Dec 12. Available from: http://www.who.int/mediacentre/commentaries/health-systems-ebola/en/

12. WHO. 24 healthcare delivery innovations selected for research and international recognition. 2015 June 3. Available from: http://www.who.int/tdr/news/2015/25_healthcare_delivery_innovations/en/

13. USAID/Smiling Sun Health Services. Quality & monitoring supervision clinic preparedness guide. 2010 January.

14. Management Sciences for Health. The financial management assessment tool. 2015.

15. Mango's financial management health check: how healthy is your NGO? 2005;2.0

16. Access Project, Columbia University. Questionnaire for evaluation of management capabilities in health centers.

17. International Finance Corporation. A self-assessment guide for health care organizations: March 2015.
Published
2016-11-08
How to Cite
BROOKS, Michael F; EHRENFRIED, Maggie. Developing and measuring healthcare capacity and quality in Burundi: LifeNet International’s horizontal conversion franchise model. Christian Journal for Global Health, [S.l.], v. 3, n. 2, p. 49-59, nov. 2016. ISSN 2167-2415. Available at: <http://journal.cjgh.org/index.php/cjgh/article/view/113>. Date accessed: 26 sep. 2017. doi: https://doi.org/10.15566/cjgh.v3i2.113.

Keywords

Franchise Model, Burundi, Horizontal model, Quality Score Card, Monitoring & Evaluation, Healthcare Development