Supervision System a Key Link to
Productivity and Quality
GREENSTAR SOCIAL MARKETING PAKISTAN
Dr Aleya Ali
CONTENT
1. Country Demographics
2. Greenstar Network
3. Product & Services
4. Objectives
5. Support supervision
6. Results
7. Lesson Learnt
Pakistan: Country Demographics
• 188 million to 300 million by 2020
• Growth rate 2 % and Total Fertility Rate 3.8
• Contraceptive Prevalence Rate: 35% (26% modern
methods)
• Large Unmet Need 20%
• Stagnating CPR
• Government goal is to double CPR by 2020
• Women want to adopt FP but face socio cultural
hurdles
PDHS : 2012-13
GREENSTAR NETWORK - Social Marketing
• Covering 107(134districts) districts of
Pakistan through Social marketing
• 135 Sub distributors
• 400 Sales force
• 54,000 FMCG: retail outlets carrying
condoms
• 21,000 Pharmacies and Medical stores
GS NETWORK – Social Franchising
• Covering 96 (134 districts) districts of Pakistan
through Social franchise
• 7200 GS Trained providers
• 56 Trainers (Doctors)
• 90 Medical detailers
• 400 Community mobilizers
PRODUCTS & SERVICES
CONDOMS
IMPLANTS
PILLS
VSC
INJECTABLES
IUCDs
WATER PURIFICATION
TB DOTS
Objective
• To improve access, productivity and quality of long
term contraception
• Greenstar selected 1874 out of 7200 provider
network for a two year project
Supportive Supervision
• These providers were given maximum support
– Technical Support Supervision (1 medical trainer
responsible for 45 providers)
– Community mobilization
– Product detailing & promotion
• 200 providers were trained in post placental IUCD.
RESULTS
Provider Productivity
Monthly IUCD
8
14,000
6.74
7
6
12,000
10,000
5
8,000
4
3
2.87
11,433
6,000
4,000
2
5,374
1
2,000
0
Start Project
Total # of IUCD Insertion
End Project
Average/provider/month
Provider Productivity
Monthly PPIUCD
3.75
4
900
4
800
3
700
600
3
500
2
794.00
2
300
1
1
-
400
200
0.33
100
2.00
Start Project
Total # of insertion /month
End Project
Total # of PPIUCD Insertion/month
Quality of care
100%
90%
89%
94%
85%
86%
90%
76%
80%
70%
60%
50%
40%
30%
20%
10%
0%
Decontamination
High-Level Disinfection Storage
Start Project
End Project
Pre-Insertion Task
LESSONS LEARNT
• In clinical work provider need ongoing support &
encouragement.
• Product availability for continuity of services
• SF key contribution is in strengthening private care
provision
• Women FP methods uptake is highly dependent on clinical
SF services
• Greater efforts are required to motivate private sector to
proactively provide FP services
QUESTIONS?