SHOPS Plus – HANSHEP Health Enterprise Fund Research Study (Year 4)
Funded by USAID through Abt Associates, this is a longitudinal study checking in annually with a cohort of the original SHOPS grantees – Jacaranda (a low-cost maternity center), Afya Research Africa (health kiosks located in urban slums) and Telemed (call center). The study will capture quantitative data on the extent to which these enterprises increased access to family planning during and since the end of the Health Enterprise Fund. The study will also capture qualitative data through in-person and remote interviews to better understand the role of the Health Enterprise Fund interventions in these results and how such interventions might be improved in the future.
In the first year of this study, the research identified a set of capacities that were considered by participating enterprises to be important in achieving increases in access to family planning. In the second year of the study, the team sought to better understand the sources and types of support received by these enterprises in addition to the Health Enterprise Fund, any gaps that remained and how the implementation of donor interventions to increase access to family planning, such as the Health Enterprise Fund, can be improved. Yearthree of the study focused on understanding the quality assurance standards and quality improvement processes put in place by these enterprises, and the motivations for implementing high-quality services.
Year four of the HHEF study will seek to better understand and document the experience of HHEF grantees thus far in their efforts to balance affordability, quality and sustainable growth. This work will also explore the barriers these enterprises face in taking the next step towards sustainability at scale, and how such private enterprise approaches might be enhanced and replicated in the future. WDI will research and write a brief to be published as a SHOPS Plus document to include lessons learned and provide recommendations to USAID Missions, and impact investors for supporting the development of private sector health enterprises.