Using and joining a franchised private sector provider network in Myanmar.

Area of Science:

• Health Services Research
• Social Franchising
• Reproductive Healthcare

Background:

• Quality of care is crucial for provider retention and client choice in social franchising.
• Client-provider dynamics in Myanmar's social franchising network require further investigation.
• Understanding motivations is key to enhancing reproductive healthcare utilization.

Purpose of the Study:

• Examine client motivations for using Sun Quality Health network providers.
• Investigate provider motivations for joining and remaining in the Sun Quality Health network.
• Explore the relationship between client satisfaction and provider incentives to boost reproductive healthcare access.

Main Methods:

• Conducted focus group discussions with reproductive health clients.
• Engaged franchised providers in focus group discussions.
• Analyzed qualitative data to identify key motivations and perceptions.

Main Results:

• Clients perceived higher quality of care from franchised providers, linked to accessible, affordable medications.
• Providers were motivated to join and stay in the Sun Quality Health Network primarily by the opportunity to serve impoverished populations.
• Perceived quality and provider altruism emerged as significant factors in the social franchising model.

Conclusions:

• The Sun Quality Health network succeeds by offering quality services that attract clients and by aligning with providers' desire to serve the poor.
• Addressing both client quality perceptions and provider incentives is vital for the sustainability and growth of social franchising in reproductive health.
• Findings offer insights into optimizing social franchising models for improved healthcare delivery in resource-limited settings.