Projects

Health Sector

Investing in a population's health is critical for improving livelihoods and creating sustainable, long-term development. We invite you to explore Banyan Global's health projects.

Targeted States High Impact Project (TSHIP)

Nigeria, April 2012—July 2012

Banyan Global is a subcontractor to the JSI Research & Training Institute on the United States Agency for International Development-funded Targeted States High Impact Project (TSHIP) in Nigeria. TSHIP is a five-year integrated maternal, newborn, and child health; family planning; and reproductive health project designed to increase the use of high-impact interventions in Bauchi and Sokoto states. This public-sector project works at the local government authority level within both states. Banyan Global provides technical support in budget analysis and planning for primary health care services. Specifically, Banyan Global analyzes trends in budget allocation and release and expenditure, and develops projections of budgetary requirements for primary health care services in Bauchi and Sokoto for the next three years. Banyan Global also works on advocacy at the local, state, and federal levels to improve budgeting and funding of these important services.

Zambia Integrated Systems Strengthening Program

Zambia, July 2010 – June 2015

Banyan Global is a subcontractor to Abt Associates on the Zambia Integrated Systems Strengthening Program (ZISSP) under the United States Agency for International Development (USAID) Technical Assistance and Support Contract, Three (TASC3) indefinite quantity contract. The program is designed to increase the use of high-impact public health interventions at the district and community levels through a health-systems strengthening approach. ZISSP's areas of clinical and technical focus include HIV/AIDS; malaria; family planning; and maternal, newborn, and child health and nutrition. The program promotes integration of polices, resources, and service-delivery systems in these interrelated sub-sectors of health care. Banyan Global provides a long-term Global Development Alliance advisor and is responsible for developing Global Development Alliances and other public-private partnerships in support of the project's health objectives.

Georgia Health Systems Strengthening Project

Georgia, October 2009–September 2014

The United States Agency for International Development (USAID)-funded Georgia Health Systems Strengthening Project plays a critical role in transforming Georgia’s health care system from the public to the private sector, leading to efficiency gains and better consumer satisfaction as a result of market forces. The project contributes to these efforts by strengthening insurer’s capacity to provide quality health insurance services, provider’s capacity to manage and deliver quality health care services, and government’s capacity to guide and monitor health reforms. Banyan Global, as a subcontractor to Abt Associates, builds local capacity to support private-sector development, including increasing the capacity of the private insurance industry and enabling health care providers to manage within this newly privatized health system. We are building the capacity of a local university to train health businesses. We also work with local hospitals to increase their capacity to manage and operate large health facilities based on best management and business practices. And Banyan Global will be working to expand access to financing for newly privatized health care businesses, including structuring and supporting a health-sector Development Credit Authority guarantee with local financial institutions.

Strengthening Health Outcomes through the Private Sector (SHOPS)

Global, October 2009–September 2014

SHOPS is the United States Agency for International Development’s (USAID) flagship project to increase the private sector’s provision of high-quality reproductive health, family planning, HIV/AIDS, and other health services and products in developing countries. To achieve these goals SHOPS provides technical leadership in optimal private-sector strategies; explores innovative approaches to expanding and improving the private sector’s provision of priority services; synthesizes and disseminates proven strategies, research findings, and tools; and provides country-level support in developing and scaling up successful private-sector approaches. As a subcontractor to Abt Associates on SHOPS, Banyan Global strengthens the private health sector in the areas of expanding access to finance and increasing providers’ viability by improving their business management capacity and strengthening their ability to access business support and linkages. SHOPS is a Leader with Associates Award funded by USAID’s Office of Population and Reproductive Health and the Office of HIV/AIDS. Banyan Global is working in Zambia and Nigeria through the SHOPS project.

Health Sector Financing Reform (HSFR) Project in Ethiopia

September 2008-September 2013

The United States Agency for International Development-funded HSFR project is a task order under the Technical Assistance and Support Contract III indefinite-quantity contract. The project helps the Ethiopian government to advance its efforts to create a national health insurance program and implement health-sector financing reforms at the regional level. Banyan Global is a subcontractor to Abt Associates. Banyan Global focuses on strengthening the financial management in facilities that deliver care, improving hospital boards, and promoting private health providers.

AIDS Support and Technical Assistance Resources Program (AIDSTAR) Sector II: HIV/AIDS Institutional Capacity Building Indefinite-Quantity Contract (IQC)

Global, August 2007–July 2012

Banyan Global is a subcontractor to Abt Associates on the AIDSTAR IQC, which provides technical assistance to USAID’s Office of HIV/AIDS in countries where the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) is providing assistance, including both focus and non-focus countries. The purpose of this contract is to establish a funding mechanism to make technical assistance, implementation, and support available to the U.S. government in the 114 nations that benefit from the PEPFAR, including the 15 focus countries. The project will cover the following HIV/AIDS technical areas: prevention; care and support; treatment, antiretroviral therapy, and related services; stigma and discrimination; gender; program-related data collection and analysis; technical capacity building and systems strengthening; and technical leadership and knowledge management.

The Market-Based Partnerships for Health (MBPH) in India Project

India, November 2009–May 2012

Banyan Global is a subcontractor to Abt Associates on MBPH, a four-year USAID-funded project designed to build on, implement, institutionalize, and scale up market-based partnerships for health in USAID India’s key priority areas, including reproductive health, maternal and child health, tuberculosis, hygiene promotion, safe water, and HIV/AIDS. The project also is exploring new commercial-sector opportunities to accelerate public health improvements, especially for low-income and rural populations. Banyan Global assesses and addresses the business constraints that private health providers participating in networks face in achieving public health outcomes.

Population, Health and Nutrition Technical Assistance and Support Contract, Three (TASC3)

Global, January 2007–January 2012

The Population, Health and Nutrition Technical Assistance and Support Contract, Three (TASC3) aims to establish a worldwide mechanism to support USAID Missions and Bureaus in implementing Strategic Objectives that contribute to the agency's goal to improve global health in the areas of population, health, nutrition, and infectious diseases. TASC3 will expand the worldwide mechanism established by the original TASC IQC and the subsequent TASC2 IQC, focusing on obtaining the technical expertise and implementation support necessary to meet evolving USAID needs. Banyan Global, working with the Abt Associates consortium, will focus on capacity building through knowledge transfers to in-country institutions as well as on technical skills development in the areas of reproductive health/family planning, HIV/AIDS, and gender.

The Private Sector Project for Women’s Health–Jordan

Jordan, December 2004–September 2011

Banyan Global is a subcontractor to Abt Associates on the United States Agency for International Development-funded Private Sector Project for Women’s Health. The project helps the Hashemite Kingdom of Jordan to improve the health of Jordanian women and families through the increased availability of quality private-sector health care services, improved knowledge of how to self-manage illnesses, increased use of preventive and early detection measures, and a reduction in domestic violence. Banyan Global improves the sustainability and capacity of Jordanian nongovernmental organizations, strengthens the business capacity of female doctors in private practice, and explores the possibility of strengthening a network of women doctors. Banyan Global also prepared a financial analysis of a proposed national universal breast cancer screening program. The analysis examined the current and projected costs to the government of Jordan, as well as the relative costs and benefits of finding cancer early versus in its later stages.

The Ethiopia Private Health Sector Program (PHSP)

Ethiopia, March 2010–November 2010

Banyan Global is working with Abt Associates to implement PHSP, an associate award under the United States Agency for International Development’s (USAID) Health Systems 20/20. PHSP is supporting the sustainable provision of reproductive health, HIV/AIDS and TB services in the private sector in Ethiopia. In addition to providing clinical training and operational support to increase the provision and effective delivery of services, the project is building the private sector’s capacity to operate profitable enterprises, supporting a Development Credit Authority health sector loan portfolio guarantee with technical assistance, strengthening business and public-private linkages in the private sector, and improving the capacity of provider associations to meet the needs of their private practice members. Specifically, Banyan Global is working to increase access to finance for private health providers; build the management capacity of clinics with a focus on financial management, human resource management, and operations management; strengthen and foster business linkages and public-private partnerships through trade fairs; and increase the capacity of provider associations to sustainably meet the needs of their private practice members.

The Zimbabwe HIV/AIDS Partnership Project

Zimbabwe, October 2005–September 2010

Banyan Global is a subcontractor to Abt Associates on the Zimbabwe HIV/AIDS Partnership Project, a five-year task order that is part of the USAID Private Sector Program (PSP) indefinite-quantity contract (IQC). This project promotes behavior change through improved knowledge and increased access to HIV-related products and services to reduce the risk of sexual transmission of HIV. Our team improves the sustainability of local implementing partners. We also work with social franchises to enhance the sustainable delivery of HIV/AIDS services.

Social Marketing Plus for Diarrheal Disease Control: Point-of-Use Water Disinfection and Zinc Treatment

Global, October 2005–September 2010

Our firm is a subcontractor to Abt Associates on the Social Marketing Plus for Diarrheal Disease Control: Point-of-Use Water Disinfection and Zinc Treatment Project, a five-year task order under the USAID Private Sector Program (PSP) indefinite-quantity contract (IQC). This program's goal is to reduce child mortality by expanding the use of zinc for diarrhea treatment and point-of-use water-quality interventions for prevention efforts. Social marketing approaches, complemented by public-private partnerships in the manufacture and distribution of zinc and point-of-use products, will increase these products' reach and help ensure the program's sustainability. Banyan Global assists in the development and structuring of public-private partnerships. We also assess opportunities to structure Development Credit Authority (DCA) guarantees and develop Global Development Alliance partnerships.

Guide for Investors in Private Health Care in Emerging Markets

Global, March 2010 – June 2010

The International Finance Corporation hired Banyan Global to develop The Guide for Investors in Private Health Care in Emerging Markets. It is intended primarily for potential investors and financiers, such as commercial banks, investment funds, microfinance institutions, leasing companies, and other types of financial institutions. The guide reveals market opportunities, promotes understanding of the most common business models, and assists investors in identifying opportunities and evaluating potential projects. It also discusses the most common risks and barriers that investors face in the sector as well as ways to manage these risks and overcome barriers.

IFC Financing Guide for Health Care SMEs in Emerging Markets

Global, April 2010 – June 2010

The International Finance Corporation hired Banyan Global to develop The Financing Guide for Health Care SMEs in Emerging Markets. It is intended primarily for owners and finance managers of health care businesses to expand their access to financing. It reviews the different types of financing and assists health care businesses to understand how bankers' perceive risks and opportunities in the sector, how bankers analyze loans, and how to present a case for financing. The guide examines common mistakes in applying for a loan and strategies for success, illustrating key points with real world cases.

Technical Assistance for Capacity Building in Midwifery Information and Logistics (TACMIL) Project

Pakistan, December 2007–December 2009

Banyan Global was a subcontractor to Abt Associates on the United States Agency for International Development-funded TACMIL project. The two-year project provided technical assistance to the public and private health sectors to improve health service delivery with a focus on maternal, reproductive, and child health. The effort addressed a principal focus of the government of Pakistan: to significantly reduce maternal and infant mortality rates by introducing a cadre of community-based midwives to the continuum of health care provision. Through the Community Midwife Program, women between the ages of 17 and 35 were recruited and trained as midwives to be based in their villages to provide safe antenatal, postnatal, and birthing services; reproductive health care; and family planning services to rural women. And each new community midwife is expected to establish a private birthing station in her village. Banyan Global also designed a business-training program to facilitate the transition from a student midwife to a private practitioner at the village level. Banyan Global built the capacity of local partners, including the government and the Midwifery Association of Pakistan, to offer the training to midwives. More than 900 community midwives received training by the end of the project.

The Banking on Health Project

Global, October 2004–November 2009

Banking on Health was a five-year global project that sought to increase access to finance in the private health sector. Banyan Global was a subcontractor to Abt Associates and the technical lead. The project was funded through the United States Agency for International Development’s Private Sector Program indefinite-quantity contract. Banyan Global worked with local financial institutions, including commercial banks and microfinance institutions, to increase lending through bank training, loan product development, market research, and Development Credit Authority guarantees. The Banyan Global team also strengthened the creditworthiness of private health care providers by facilitating access to business-development services and improving market linkages. In addition, Banyan Global managed the Summa Foundation, a not-for-profit investment fund that provided financing to private health care providers. The project worked in 12 countries: Nicaragua, Peru, the Philippines, Jordan, Romania, Georgia, Uganda, Zambia, Nigeria, Ethiopia, Ghana, and Kenya.

Private Sector Partnerships-One (PSP-One) Project

Global, September 2004–November 2009

PSP-One was the United States Agency for International Development’s (USAID) flagship project to increase the private-sector provision of high-quality reproductive health, family planning, and other health services and products in developing countries. To achieve that goal, PSP-One provided technical leadership in optimal private-sector strategies; synthesized and disseminated proven strategies, research findings, and tools; and provided country-level support in developing and scaling up successful private-sector approaches. As a subcontractor to Abt Associates on PSP-One, Banyan Global strengthened the private health sector in the areas of private-sector finance, management, capacity building, market viability, provider networks and franchises, alliances, and public-private partnerships. PSP-One was funded through USAID’s Private Sector Program indefinite-quantity contract. Banyan Global worked in Nigeria, Kenya, the Philippines, and Nicaragua.

Private Sector Partnerships–Ethiopia

Ethiopia, October 2004–September 2009

Banyan Global was a subcontractor to Abt Associates on the Private Sector Partnerships–Ethiopia project, which was part of the United States Agency for International Development’s Private Sector Program indefinite-quantity contract with funding from the U.S. President’s Emergency Program for AIDS Relief. This project’s objective was to expand access to affordable and quality health care packages delivered by the private sector to mass markets of moderate- and low-income individuals, with specific emphasis on three strategies: fostering private-sector partnerships to address HIV/AIDS and tuberculosis (TB), promoting social franchising to improve the quality of private-sector care in HIV/AIDS and TB, and targeted social marketing to high-risk groups to prevent new HIV infections. Banyan Global focused on catalyzing partnerships by facilitating dialogue between the public and private sectors. Banyan Global strengthened private-sector capacity, workplace programs, and alternative financing mechanisms for HIV/AIDS treatment. Additionally Banyan Global conducted a cost-benefit analysis of HIV/AIDS workplace programs to persuade employers to invest in their workers’ health. Banyan Global assessed the potential of solidarity funds and formal insurance as mechanisms to improve HIV/AIDS coverage, conducted an assessment and made recommendations to develop the capacity and sustainability of the private medical practitioners association, and developed the private health sector by expanding access to financing and business training and improving market linkages. Banyan Global designed and rolled out a business-training program for the owners and accountants of private health facilities that offer integrated packages of family planning, TB services, and antiretrovirals (ARVs). The training focused on improving business and financial management with a case study on adding TB services and ARVs in a financially sustainable manner.

Small-Scale Private Health Sector Finance Assessment

Azerbaijan, January–March 2009

Banyan Global assessed the financing needs of small-scale private health care providers, distributors, and retailers in Azerbaijan for the European Bank for Reconstruction and Development (EBRD). The objectives of the assessment were to identify the market’s composition, size, financing needs, and potential financing options, as well as to define the regulatory and operating environment for the small-scale private health sector. The final report included the results of a document review, stakeholder interviews with public- and private-sector representatives, focus group discussions, and individual interviews with health-sector businesses and the EBRD’s partner financial institutions in Azerbaijan. The assessment describes the risks and opportunities in the sector and provides essential market information for the EBRD and its partner financial institutions that are interested in deepening their exposure to private-health-sector micro-, small-, and medium-sized enterprises. The results of this assessment informed internal EBRD discussions on strategies to support microenterprise and small and medium enterprise lending to the health care sector in Azerbaijan and the region.

Primer on Microinsurance Business Models

Global, May–June 2008

Banyan Global developed a primer on microinsurance business models for the Financial Markets for Safety Net Unit program at the International Finance Corporation, World Bank Group. The primer reviews the models for offering insurance services to the poor and discusses their organizational characteristics and coverage by region and type of insurance product, as well as their comparative advantages and limitations. The document is part of an insurance primer series to build knowledge of insurance principles among industry operatives and policy makers in developing countries.

Best Practices in Microinsurance, Accelerated Microenterprise Advancement Project, Knowledge Generation Project

Global, October 2007–May 2008

USAID and the Consultative Group to Assist the Poor (CGAP) Working Group on Microinsurance commissioned Banyan Global to consolidate lessons learned in delivering insurance services to the poor and offer recommendations to enhance the effectiveness of donor support. Banyan Global conducted literature reviews, interviewed major stakeholders, and presented preliminary findings to the working group in November 2007. This work was completed as part of a subcontract to Development Alternatives, Inc. on the Accelerated Microenterprise Advancement Project.

Microinsurance and HIV/AIDS, Accelerated Microenterprise Advancement Project, Knowledge Generation Project

Global, March–May 2008

Banyan Global developed a brief MicroNOTE for USAID on insurance products available for communities affected by HIV/AIDS. This note is part of a series on microfinance and HIV/AIDS that addresses the type of insurance products available in HIV/AIDS-prevalent communities, the institutional models used to underwrite risk and deliver these products, and future considerations for donors and implementers. This work was completed as part of a subcontract to Development Alternatives, Inc. on the Accelerated Microenterprise Advancement Project.

The Summa Foundation

Global, April 2004–September 2004

Banyan Global, as a subcontractor to Deloitte Touche Tohmatsu, managed the Summa Foundation as part of the USAID-funded Commercial Market Strategies Project. The Summa Foundation, a not-for-profit investment fund, provides financing and technical assistance to private health care providers in developing countries. Banyan Global oversaw a $4.6 million loan portfolio and was responsible for all aspects of portfolio and investment management. Loans ranged between $200,000 and $1 million. Small and medium-sized health care providers received direct loans, while micro-health providers received the funds through on-lending agreements with microfinance institutions. Banyan Global maintained a delinquency rate of less than 1 percent and was responsible for meeting the Summa Foundation's financial, legal, and tax requirements.

Alternative Rural Marketing in Ghana

Ghana, March 2004–April 2004

Working under contract with Freedom from Hunger (FfH) in Ghana, Banyan Global participated in the Alternative Rural Marketing Program. The goal was to disseminate information on insecticide-treated bed nets to prevent malaria. Group-based microfinance-lending programs comprised the communication network. Our team conducted a desk review of the microfinance industry in Ghana and made recommendations for involving local microfinance institutions (MFIs). GlaxoSmithKline funded this project.

Franchising Chemical Sellers in Ghana

Ghana, March 2003–April 2003

In Ghana, under a contract from Management Sciences for Health (MSH), Banyan Global conducted an assessment and designed a program to provide micro-credit services to more than 500 franchised chemical sellers participating in the GSMF Enterprises Limited franchise. The Bill and Melinda Gates Foundation funded this franchise to support the delivery of essential medicines. During the visit to Ghana, we also examined options to improve the sustainability of drug procurement within the Catholic mission hospital sector.