Banyan Global- Innovative market approaches to development

Innovative market approaches to development

Banyan Global

Health Sector

Uganda: Malaria Action Program for Districts Project

Uganda, September 2016 - June 2021

Banyan Global is a subcontractor on the five-year United States Agency for International Development/President’s Malaria Initiative-funded Uganda Malaria Action Program for Districts (MAPD). Led by The Malaria Consortium, MAPD prevents and controls malaria illnesses and deaths to minimize the social and economic effects of the disease among Uganda’s overall population. On the MAPD project, Banyan Global addresses gender and youth issues related to the access to malaria treatment and prevention services and ensuring that gender and youth considerations are integrated across all program components. Banyan Global will conduct gender and youth analyses and facilitate gender and youth training for project staff and stakeholders to improve awareness and understanding with regard to constraints that prevent women, men, boys, and girls from accessing malaria treatment and prevention services, as well as how such challenges might be addressed. In addition, we will review all current malaria protocols and guidelines for gender and youth inputs and work with the team to develop a behavior change communication strategy and materials that encourage critical thinking amongst men, women, boys, and girls around malaria prevention and treatment. We also will establish girls’ and boys’ clubs in and out of schools to create safe spaces and opportunities for youth—particularly girls—to learn malaria prevention and treatment behaviors and activities. These clubs also will enable youths’ voices to be heard. Banyan Global will hold women’s and youth malaria forums,  where we will assemble representatives and stakeholders to share and discuss opportunities, perspectives, and constraints. Banyan Global hopes to play a leadership role in developing and sharing promising approaches and best practices on integrating gender and youth concerns into malaria programming.

Sustaining Health Outcomes through the Private Sector Project Plus (SHOPS Plus)

Global, October 2015—September 2020

Banyan Global is a subcontractor to Abt Associates on the USAID-funded Sustaining Health Outcomes through the Private Sector Project Plus (SHOPS Plus). This $150 million project focuses on improving health outcomes through the private sector by strengthening provision of private sector health information, products and services; increasing effective public-private engagement to improve public health outcomes; improving the enabling environment for the private sector within the health system at the global, regional and country level; surfacing, disseminating, and applying innovative, emerging, and tested private sector models. Banyan Global is leading the access to finance and business strengthening component of the project. We are supporting health financing and accreditation of private providers, health franchising, NGO sustainability and provider networks. Moreover, we are helping to improve the human resources for health through the private sector.

USAID Ghana SHOPS Project

Ghana, September 2015—May 2020

Banyan Global is a subcontractor to Abt Associates on the USAID Ghana SHOPS project, which will scale up USAID’s efforts in improving private sector providers’ access to finance and capacity to provide quality maternal, neonatal and child health, and malaria services. Banyan Global is leading work to expand access to finance and business strengthening for the private sector. Specifically, this includes the following: working with Fidelity Bank and other banks to expand lending to the health sector; supporting the utilization of a Development Credit Authority (DCA) guarantee to Fidelity to stimulate lending to the health sector; providing technical assistance to the Christian Health Association of Ghana (CHAG) to support financing to its members; developing a mutual guarantee for CHAG as a strategy to expand financing; and developing and rolling out a business training program for CHAG members and other private health providers.

Rwanda Health Systems Strengthening Activity (RHSSA)

Rwanda, December 2014–September 2019

USAID’s Rwanda Health Systems Strengthening activity provides integrated and coordinated technical assistance in the area of health systems strengthening at the central, decentralized and community levels in order to improve leadership and advocacy; strengthen governance, policy and planning; increase revenue mobilized by the health sector through domestic and private sector sources to achieve sustainability; improve and expand quality health services through more effective and efficient use of resources; and improve monitoring and evaluation and learning. Banyan Global’s role on the project is to formalize, strengthen and incentivize public-private partnerships (PPP) and support the development of a PPP unit in the ministry of health; strengthen revenue generation and mobilization by supporting the scale-up of a community health worker model; support public facilities in business planning and strengthening self-sufficiency; and create a framework for private sector investment in health. Banyan Global is also leading gender integration on the project. This includes designing and conducting training for project staff on gender integration; developing gender integration action plans for each of the project’s technical areas; developing a gender integration policy for the project; implementing gender integration activities; and assisting in monitoring and evaluation.

Private Health Support Program

Uganda, June 2013–September 2018

The Private Health Support (PHS) program aims to strengthen, organize and mobilize the private sector to provide Ugandans with the option of obtaining high-quality health services from private providers in the areas of nutrition, maternal and child health, malaria, tuberculosis, HIV and AIDS prevention and treatment, and safe male circumcision. The project also supports orphans and vulnerable populations. In partnership with Cardno Emerging Markets, Banyan Global is strengthening the capacity of the private healthcare delivery system through the provision of business training and expanding access to financial services. Banyan Global is working through local organizations to build capacity to offer business training and counseling services to private health providers. Business training focuses on business and financial management, inventory and stock control, cash flow management, financial reporting, business planning and accessing finance. Banyan Global is also supporting two Uganda banks in using their USAID’s Development Credit Authority (DCA) guarantees for the health sector. Specifically, Banyan Global is delivering tailored training on health-sector lending and loan product development coupled with detailed market information and market linkage support.  Banyan Global assists the two DCA banks with developing a pipeline of potential healthcare borrowers, focusing on rural, first time, and female borrowers. Banyan Global is gathering baseline data on DCA recipients related to their business, finance, and health delivery systems to determine the impact of the loans. Banyan Global conducted an assessment on construction and housing finance for the health sector which was presented to leading Ugandan financial institutions and undertook a survey on the state of lending to the health sector.

Innovate for Health, Saving Maternity Homes in Ghana Project

Ghana, September 2014–September 2017

Banyan Global is the prime implementer of the USAID-funded Saving Maternity Homes in Ghana, Innovate for Health Project. This program focuses on the challenges and opportunities facing private maternity homes in Ghana, piloting an innovative approach to revitalize the private maternity sector in underserved areas. The project is working with existing private maternity home owners who may be nearing retirement on “transformation” options – selling the facility, leasing out the facility, bringing on a partner, bringing on a manager, or bringing on a specialist who will enable the facility to diversify its service offerings. New owners and/or managers may be other private maternity home owners, public sector midwives looking to transition to the private sector, other health professionals, or non-health professionals seeking investment opportunities. Ultimately, this program has the potential to increase access, improve efficiencies and expand quality maternal-child healthcare in rural areas. Banyan Global is also conducting operations research to examine the impact of programming and generate lessons learned for future replication. Banyan Global is implementing the project in partnership with the Ghana Registered Midwives Association.

Integrated Social Marketing Program

Madagascar, January 2013–December 2016

Banyan Global is a subcontractor to Population Services International (PSI) on the Integrated Social Marketing Program (ISMP) in Madagascar. The goal of this program is to improve the health of the Malagasy people—especially women of reproductive age, children under five, youth, and those living in rural and underserved areas—through an increasingly sustainable social marketing program that delivers essential health products and services with a focus on reaching rural and underserved areas. Banyan Global is working to strengthen the business management capacity and access to finance for private health providers that are participating in the Top Reseau social franchise. Banyan Global is also collaborating with PSI to strengthen the financial viability of its rural community distributors. Part of this effort includes a collaboration with Airtel to turn distributors into Village Phones Kiosks and mobile money agents. In addition, Banyan Global is designing and piloting a demand-side community health financing mechanism to improve access to health services in rural and urban areas.

Strengthening Health Outcomes through the Private Sector Project (SHOPS), Nigeria Associate Award

Nigeria, February 1, 2013–December 30, 2016

USAID Nigeria created an Associate Award under the SHOPS Leader with Associates to improve private sector clinic-based reproductive and maternal andchild health services in Nigeria. This five-year project is expanding key services in six states across Nigeria: Lagos, Kaduna, Nasarawa, Abia, Edo, and Benue. Banyan Global works with local commercial banks, private provider associations, and other stakeholders to increase access to finance for private health providers that are contributing to improving health outcomes. Banyan Global assisted USAID to structure Development Credit Authority (DCA) health-sector loan portfolio guarantees with two banks: Diamond Bank and Acción Microfinance Bank. These DCA agreements support up to $8.7 million in new loans to private health providers. Banyan Global also provides technical assistance to the banks in lending to the health sector. Additionally, Banyan Global has also developed a suite of business training courses specifically tailored to the needs of private health providers, including nursing and maternity homes, doctors, and pharmacists. In addition, Banyan Global is supporting the project’s efforts to strengthen “centers of excellence” – private health facilities that have a proven record of quality clinical service delivery. Banyan Global is helping these facilities to strengthen their business and financial management practices, including upgrading to efficient software-based accounting systems. Banyan Global is also exploring the business advantages available to providers who form group health practices.

Strengthening Health Outcomes through the Private Sector (SHOPS)

Global, October 2009–January 2016

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 and 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 led the access to the access to finance component of the project.  Banyan Global provided technical assistance to financial institutions to lend to the health sector; supported the structuring and utilization of USAID’s Development Credit Authority (DCA) guarantee to share risk with local banks; developed business training and consulting services for private health providers to improve business and financial management capacity; and improved market linkages through private sector trade fairs and association capacity building. Banyan Global also worked to support human resources for health by strengthening private medical training institutions and exploring options to expand medical student financing. Banyan Global worked in Zambia, Nigeria, Ethiopia, Ghana, Malawi, Tanzania, Rwanda, Senegal, Benin, Uganda, Kenya, and Bangladesh through the SHOPS project.

Taziz Project

Jordan, July 2010–July 2015

As a subcontractor to Abt Associates, Banyan Global worked to improve reproductive health services in Jordan by strengthening the capacity of the Jordanian Association for Family Planning and Protection (JAFPP) to build sustainable financial and operational systems to deliver high-quality family planning and reproductive health services throughout the country. Banyan Global’s work focused on JAFPP’s financial sustainability and increasing their competitiveness within the Jordanian family planning sector. Banyan Global worked closely with JAFPP’s team to undertake feasibility studies to assess the viability of diversifying its product and service offering, analyze its cost structure and realign its product pricing, draft business plans for its growing clinic network, and develop more streamlined and effective internal financial and procurement systems. A training of trainers (TOT) was held for all clinic doctors on business management and setting targets to manage each clinic as an independent cost center. Banyan Global collaborated with JAFPP’s board of directors to monitor its financial sustainability and pricing policy, offering guidance and support to determine the most competitive and viable outcomes. Banyan Global held several trainings and workshops for the board of directors to improve governance and support the board’s development of a long-term investment plan to better manage its financial assets.

Zambia Integrated Systems Strengthening Program

Zambia, July 2010–June 2015

Banyan Global was 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 was 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 included HIV and AIDS; malaria; family planning; and maternal, newborn, and child health and nutrition. The program promoted integration of polices, resources, and service-delivery systems in these interrelated sub-sectors of health care. Banyan Global was responsible for identifying and advising on 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 played 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 contributed to these efforts by strengthening insurers’ capacity to provide quality health insurance services, providers’ 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, built local capacity to support private-sector development, including increasing the capacity of the private insurance industry and enabling health care providers to manage within Georgia’s newly privatized health system. We worked with local hospitals to increase their capacity to manage and operate large health facilities based on best management and business practices. Banyan Global also worked to expand access to financing for newly privatized health care businesses, including structuring and supporting a health-sector Development Credit Authority (DCA) guarantee with local financial institutions. This work included training on environmental safety standards and the development of environmental safety plans for DCA borrower health facilities.

Business Training Program

Global, 2013

Banyan Global was hired by Population Services International (PSI) to develop a two-phased training program that introduces and reinforces basic business concepts, including both a one-day basic business management training and additional modules on specific operational issues that are delivered as just-in-time learning modules, taking advantage of teachable moment opportunities when PSI makes on-site visits with local franchisees. The topics for the short modules include various practical areas of operations such as equipment maintenance, facility maintenance, customer loyalty, managing key stakeholders, customer service, keeping business records, managing medical records, using data, cashflow planning, collections and payment management, controlling costs, budgeting, funding the healthcare practice, organizing financial systems, delegation, employee performance, employee orientation and training, employee staffing and hiring, staff retention, time management, developing a marketing strategy, pricing, understanding the market, long term planning, inventory management, quality assurance, and risk management. The training was designed to be adapted and rolled-out at the country level.

Health Sector Financing Reform (HSFR) Project in Ethiopia

September 2008-September 2013

The United States Agency for International Development-funded HSFR project was a task order under the Technical Assistance and Support Contract, Three (TASC3) indefinite-quantity contract. The project helped the Ethiopian government advance its efforts to create a national health insurance program and implement health-sector financing reforms at the regional level. Banyan Global was a subcontractor to Abt Associates. Banyan Global supported health-sector financing reform by exploring and providing technical assistance to develop innovative public-private partnerships. Banyan Global developed and rolled out a training for public facilities on opening a private wing to increase revenues. Banyan Global also developed and rolled out a training for public facilities on outsourcing services, such as laundry and catering, to the private sector in order to reduce costs and increase efficiencies.

SIFPO-Marie Stopes International (SIFPO-MSI) Project

Ethiopia and Sierra Leone, 2011 - 2012

Banyan Global was contracted by Marie Stopes International (MSI) to strengthen the business management capacity of MSI BlueStar social franchise health providers in Ethiopia and Sierra Leone. Specifically, Banyan Global conducted a training needs assessment of BlueStar franchisees in Ethiopia and Sierra Leone. Based on the findings of this assessment, Banyan Global adapted the Financial Management and Record Keeping Guide that it developed for BlueStar Malawi social franchisees under the USAID-funded SHOPS project. This training covered topics such as goal setting, record keeping, financial statements and analysis, cashflow planning, and accessing finance. Banyan Global then conducted a training of trainers with MSI staff and trainers and observed the pilot of the business training. The training was very well received and the training materials were distributed to its franchises.