Pro Mujer - Pioneer in Direct Service Delivery_Jana Smith_4.23.13
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Transcript of Pro Mujer - Pioneer in Direct Service Delivery_Jana Smith_4.23.13
Pioneer in Direct Service Delivery Integrating Microfinance and Health
1
Women
Latin America
Integrated Approach
Pro Mujer
Serves more than 270,000 women and
their families
Operates in 5 countries
Runs more than 100 clinics with 160 health staff members
Pro Mujer’s Reach
What does it mean to be a female microentrepreneur?
• Work 6+ days a week from early in the morning until late at night
• Seated all day long
• Eat whatever food is available and at odd times
• A day away from work is a day without income
What does this mean for the women’s health?
No time for preventive health care
Consumption of street food
Sedentary Lifestyle
Puts women at high-risk for chronic disease
How does Pro Mujer deliver health?
• Education and counseling in monthly loan repayment meetings and Pro Mujer in-house clinic
• Scheduled yearly screening in loan repayment or disbursement (BMI & Blood Pressure)
• Primary health consults for diagnosis, treatment, and follow-up in Pro Mujer offices where loan activity is as well
• Facilitate access to external services with preferential prices through Pro Mujer’s referral network
Barriers to the use of Health Services
PRICE
CONVENIENCE
OPPORTUNITY COST OF TIME
Health Service Model
Universal Component
• Training by Credit Officers • Basic Screening (BPM & BMI) • Counseling
Optional Package
• Paid with credit, savings, or cash • High Impact Preventive Services • Impactful Services with Commercial Draw
Fee for Service
• In-house or Third-Party • Competitive pricing • Clients or External
Screening Results
• Positive PAP smears (need follow up): 3.4% • Breast exams sent to referral: 1.8% • Positive glucose tests: 9%
• BMI: overweight 31%, obese 30% • Blood pressure measurement: 4.5%
Pro Mujer Consult Trend
2013- 3 months: 21,000
nutritional consults
Payment mechanisms through microfinance facilitate access
Packages can be High Demand and High Impact
• Package is popular
– 23% uptake in less than a year
– 80%+ satisfaction
• Package promotes preventive health and expands access to services
– 1,670 dental cleanings and fillings delivered
• Model is replicable and financially self-sustaining
– Already covers >50% (direct and indirect expenses)
– Full model operates in 2 sites- 7 by end of 2013
Conclusions
• Microfinance is powerful platform to reach at-risk populations
• Cross-subsidize to reach high coverage of preventative services
• Health financing and convenience are key
• More commercial offerings can expand reach and impact
www.promujer.org