Health Services Fund Progress ReportJan.- Jun. 2013 | Issue 2

Pro Mujer(Nicaragua)

Partner

Fonkoze(Haiti)

COMIXMUL (Honduras)

Espoir (Ecuador)

Education Screenings Consults MedicinesAccess to

HEALTH SERVICES MODELS

WHERE WE WORK EXECUTIVE SUMMARY

Global Partnerships’ (GP) Health Services Fund was launched in July 2011 with the goal to reach at least 100,000 people with improved health services via sustainable and scalable business models within a three-year period. GP is progressing towards the target goals at the expected rate, and has active grant investments with 4 partners, including: Pro Mujer (Nicaragua), Fonkoze (Haiti), COMIXMUL (Honduras) and Espoir (Ecuador).

• Pro Mujer in Nicaragua has scaled education and screening to all of its branches and has expanded its consults package into a second site with plans to offer it at all its branches by early 2015.

• Fonkoze expanded education and screening into a second branch and is working towards developing a reliable and consistent payment mechanism to collect mandatory payments.

• COMIXMUL launched its pilot of 201 rural pharmacies to bring essential medicines to low-resource settings.

• Espoir launched its pilot program in March to strengthen health education with a focus on prevention; to provide screening for diabetes, heart disease, cervical cancer; and to open Espoir owned clinics to provide primary care for clients.

INVESTMENT

• Grant investment disbursements will increase as additional partners are added and existing partners move into pilot/expansion phase.

• The upfront investment in time and technical assistance to cultivate partners and to design a business model that can achieve impact, scale and sustainability is much greater than anticipated.

• GP continues to fundraise for the additional $410,000 grant capital, and to cultivate the pipeline of future HSF partners.

Haiti (Fonkoze)

Mexico

Nicaragua (Pro Mujer)Honduras (COMIXMUL)

Peru

Bolivia

Ecuador(ESPOIR)

Guatemala

Active PartnersNext PartnersPotential Partners

GRANT INVESTMENTS

$430K

$1.6M

$2.0MTotal Grant Capital

Total Grant Capital Committed

Total Grant Capital Disbursed

INSIGHTS

• Utilization of existing resources and “touch points” is integral to reaching both scale and sustainability.

• Management has to be dedicated and focused on making health a top priority for the institution. This includes limiting involvement in other areas and making financial decisions to ensure sustainability.

• Education and basic screening components seem to scale far more easily and reach sustainability faster than other components. This is due to the lower cost per client, and delivery channels that piggyback on existing financial services touch points.

• The scaling of medical consults seems to be slowest when directly delivering services; however, it allows for consistent provision of high quality services and controls for costs.

• Negotiating alliances with existing providers for services should be faster, but also comes with less control over quality.

• Clients greatly appreciate the ability to pre-pay for services as it eliminates the liquidity barrier to accessing services.

• Quality care appears to be more important to clients than geographic distance when deciding to utilize services.

• Microfinance institutions and cooperatives have an unique opportunity to leverage their networks to potentially play an important role in the epidemic of chronic disease.

Health Services Fund Progress ReportJan. - June 2013 | Issue 2

*Reached 56,539 out of our 100,000+ target of people served.

REACH / SCALE

*Sustainability:Revenue generated covers total costs over reporting period.

SUSTAINABILITY

0

20

40

60

80

100

83%0% 63%

Pro Mujer (Nicaragua)

Fonkoze(Haiti)

COMIXMUL(Honduras)

*Sustainability:Revenue generated covers total costs over reporting period.

SUSTAINABILITY

100%

Espoir(Ecuador)

*Reached 56,539 out of our 100,000+ target of people served

SCALE

87% Pro Mujer(Nicaragua)

4% Fonkoze (Haiti)

7% COMIXMUL (Honduras)

2% Espoir(Ecuador)