7/9/2010 1

Mat Troi Be Tho FranchiseViet Nam2014 Global Conference on Social Franchising for HealthOctober 22 – 24, 2014, Cebu, Philippines

Oct 2014 2

Alive & Thrive

• Multi-year initiative (2009–2017)• Bangladesh, Ethiopia, Viet Nam &

India• Save more than half a million

children’s lives by significantly improving breastfeeding and complementary feeding policies and practices at scale

• Funded by the Bill & Melinda Gates Foundation

Oct 2014 3

Franchise model – Viet Nam

First franchise model providing Infant and Young Child Feeding counseling services

~800 franchises across 15 provinces; nested in the government’s health system

Objectives:• Double the exclusive breastfeeding rate• Improve quality and quantity of

complementary foods• Reduce stunting by 2% each year

Oct 2014 4

1. EBF Promotion

3rd Trimester

Pregnancy

3 Contacts- 7th, 8th, and 9th

month of pregancy

2. EBF Support

Delivery

1 Contact- At delivery & during stay at health facility

3. EBF Management

0-6 months

4 Contacts- One contact

2-4 weeks post delivery; 3

between 1-6 months

4. CF Education

5-6 months

1 Contact- 5-6 months

5. CF Management

6-24 months

6 Contacts- Between 6- 24 months of

age

Standardized Face-to-Face Counseling Services

15 contacts over 27 months (minimum = 9 contacts)

8 contacts 7 contacts

Oct 2014 5

Television• National & Provincial

Out of Home• Billboards, LCD Screens, Print ads on outside of buses, Loudspeakers

Digital• IYCF Website, Forum, Online Counseling, Fan Page, Mobile App, iTVCs

Print• Posters

Supported by Mass Media & Online Counseling

Oct 2014 6

Performance Metrics: Service Delivery

• Coverage: Reached more than 80% of mothers with children under 2 years• Reached ~600,000 unique clients (January 2012 to

July 2014)• Volume: ~100,000 counseling contacts

delivered per month across the network• ~2,000,000 counseling contacts (January 2012 to

July 2014)

Source: A&T Monitoring Data

Oct 2014 7

Performance Metrics: Outcome

Baseline 2010

Process Evaluation 2013

0

20

40

60

80

100

19

62

18

40

A&T area Non-A&T area

%21%

Data Source: Process Evaluation 2010 & 2013 Data

n=2042 n=2,045

Exclusive breastfeeding more than tripled

Oct 2014 8

Sustainability & Replication

SUSTAIN781 franchises

REPLICATE240 franchises

> 1,000 franchises

Financing mechanisms:– User fee collection– Selling Micro Nutrient Powders– Selling Mother and Baby booklet– National Nutrition Target Program Budget– Provincial budgets

Oct 2014 99For more information, visit

www.aliveandthrive.org and www.mattroibetho.vn