Publication: Franchising in Health : Emerging Models, Experiences, and Challenges in Primary Care

Thumbnail Image
Files in English
English PDF (495.16 KB)

English Text (28.93 KB)
Ruster, Jeff
Yamamoto, Chiaki
Rogo, Khama
A franchise is a type of business model in which a firm (the franchiser) licenses independent businesses (franchisees) to operate under its brand name. A firm might choose to expand its business through franchising because the arrangement shifts capital investment and day-to-day managerial responsibilities to independent businesses, overcoming two major constraints to rapid growth. The franchiser typically has established a successful product line and so is able to provide specialized business strategies to franchisees in exchange for a fixed fee or royalty payment. Franchisers in the health sector, often supported by international donors and nongovernmental organizations (NGOs), establish protocols, provide training for health workers, certify those who qualify, monitor the performance of franchisees, and provide bulk procurement and brand marketing.
Link to Data Set
Ruster, Jeff; Yamamoto, Chiaki; Rogo, Khama. 2003. Franchising in Health : Emerging Models, Experiences, and Challenges in Primary Care. Viewpoint: Public Policy for the Private Sector; Note No. 263. © World Bank, Washington, DC. License: CC BY 3.0 IGO.
Report Series
Report Series
Other publications in this report series
  • Publication
    Competition and Poverty
    (World Bank, Washington, DC, 2016-04) Begazo, Tania ; Nyman, Sara
    A literature review shows competition policy reforms can deliver benefits for the poorest households and improve income distribution. A lack of competition in food markets hurts the poorest households the most. Competition in input markets and between buyers helps farmers and small businesses. And more competitive markets bolster job growth over the longer term. More research is needed, however, to better understand the impact of competition reforms and antitrust enforcement on poverty and shared prosperity.
  • Publication
    Small Business Tax Regimes
    (World Bank, Washington, DC, 2016-02) Coolidge, Jacqueline ; Yilmaz, Fatih
    Simplified tax regimes for micro and small enterprises in developing countries are intended to facilitate voluntary tax compliance. However, survey evidence suggests that small business taxation based on simplified bookkeeping or turnover is sometimes perceived as too complex for microenterprises in countries with high illiteracy levels. Very simple fixed tax regimes not requiring any books or records tend to be overly popular but prone to abuse. System reforms will require more precise tailoring of the simplified regimes to their target beneficiaries, coupled with strong compliance management to detect and deter abuse. The overall objective of simplified taxation for micro and small enterprises (MSEs) in developing countries is generally to facilitate voluntary tax compliance and remove obstacles in moving toward business formalization and growth.
  • Publication
    Contract Farming
    (World Bank, Washington, DC, 2014-10) Minot, Nicholas ; Ronchi, Loraine
    Contract farming involves production by farmers under agreement with buyers for their outputs. This arrangement can help integrate small-scale farmers into modern agricultural value chains, providing them with inputs, technical assistance, and assured markets. Critics contend that contract partners may subject farmers to abuses. The literature shows that in fact contract farming can raise farm income, but mainly for high-value crops. It also indicates that in many cases firms are willing to work with small farms. This note confirms that conflicts are common between buyers and farmers, and that alternative dispute resolution methods may help resolve them.
  • Publication
    Investment Climate in Africa
    (World Bank, Washington, DC, 2015-07-01) Bridgman, David ; Adamali, Aref
    The World Bank Group has been working on investment climate reform in Sub-Saharan Africa for nearly a decade, a period characterized by dramatic economic growth on the continent. Establishing links between such reform interventions and economic growth, however, is a complex problem. Although this note finds some connection between investment climate reform and economic growth, establishing more concrete evidence of causation will require greater focus at the country level, as well as on small and medium enterprises. This is where investment climate interventions generate change.
  • Publication
    Export Competitiveness: Why Domestic Market Competition Matters
    (World Bank, Washington, DC, 2015-06) Goodwin, Tanja ; Pierola, Martha Denisse
    This review of the empirical literature shows that industries with more intense domestic competition will export more. Competition law enforcement can be traced to export performance and is complementary to trade reforms. Pro-competition market regulation that reduces restrictions and promotes competition, where it is viable, is an important determinant for trade. The elimination of barriers to entry and rivalry, and a level playing field in upstream sectors contributes to export competitiveness in downstream manufacturing sectors. In some sectors, effective competition policy can directly lower trade costs.
Journal Volume
Journal Issue
Associated URLs
Associated content