203601 Introducing POU water treatment as part of a comprehensive approach to diarrhea treatment and management through a franchised health network in Bangladesh

Tuesday, November 10, 2009: 11:00 AM

Juan Carlos Negrette, MBA , Smiling Sun Franchise Program, Dhaka, Bangladesh
Umme Salma Jahan Meena, MD , Smiling Sun Franchise Program, Dhaka, Bangladesh
Setara Rahman , Smiling Sun Franchsie Program, Dhaka, Bangladesh
Arefin Amal Islam, MD , Smiling Sun Franchise Program, Dhaka, Bangladesh
Ashraf Haque , Smiling Sun Franchise Program, Dhaka, Bangladesh
Tracey L. P. Koehlmoos, PhD, MHA , Clinical Sciences Division, International Centre for Diarrheal Diseases Research, Bangladesh, Dhaka, Bangladesh
James L. Griffin , International Health Group, Chemonics International, Washington, DC
Betsy Bassan, MA , Senior Vice President, International Health Group, Chemonics International, Washington, DC
While simple low-cost water treatment solutions for households have been available for a long time, behavior related to water treatment among populations without access to safe water has not changed significantly. There are multiple factors that affect water treatment, including the source of information about water treatment, time, cost, and the taste of treated water. The Bangladesh Smiling Sun Franchise Program (SSFP) aims to develop a service delivery based intervention that will help people understand the need for safe water and adopt critical behaviors intended to prevent recurrent diarrhea.

The SSFP model is based on a triangular approach that stresses offering its customers healthcare services while providing for an integral solution based on diagnostic, management, and treatment and prevention. SSFP has been working closely with ICCDR,B to establish an integrated approach in dealing with diarrhea. When a service provider deals with a diarrhea case, s/he diagnoses the severity of the case, prescribes adequate treatment, and delivers information and messages about water treatment and hand washing as preventive behaviors.

SSFP has a novel approach to health service delivery. Being a franchise requires constant negotiation between franchisor and franchisee and the dissemination of a new approach, such as including water treatment as a preventive measure, can be considered as a diffusion of innovation. This study will examine the process and speed of diffusion of this service delivery innovation and its acceptance within the social structure of the Smiling Sun Health Franchise in Bangladesh.

Learning Objectives:
Assess whether or not resorting to service providers during a diarrhea episode as the gateway for information, is an effective way to modify user behavior in a sustainable manner. Evaluate whether or not franchising is in fact an effective model for diffusion of new information to ensure consistent protocol adherence from service providers

Keywords: Diarrhea, Service Delivery

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am Senior Vice President of Chemonics International and President of the Society for International Development.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.