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Financial Schemes applicable to Surya clinic

The Surya network is moving toward exploring entrepreneurial energies among providers to ensure optimal levels of efficiency . The network of Surya Clinics are grouped under two broad categories:

Franchisee Surya clinics
Janani-owned Surya clinics

The franchisee Surya clinics are those in which the doctors own the clinics. They follow norms set by Janani and enter into a legally binding contract. Each franchisee pays Janani an annual membership fee of Rs. 60,000 ($1,300), which is collected quarterly. In return, the doctor gets a range of services and manpower.

The Janani-owned clinics started with the organization bearing all costs; the doctor and support staff were salaried employees. This has now undergone fundamental changes due to inefficiencies in the clinics caused mainly by the absence of entrepreneurial energies among the providers. Now Janani enters into partnerships with either doctors or local entrepreneurs with a long-term exit plan once the clinics are established and streamlined.

Doctor Partnership
Janani has a partnership arrangement in which the doctor contributes part of the establishment cost for the clinic. Janani sets up the clinic and retains management control. In most cases, the doctor is paid a salary till the clinic achieves profitability. Janani runs the clinic till its investment, which includes the operational losses during the formative stages, is recovered fully. After this, Janani turns the clinic over to the doctor who runs it as a franchisee under the standard franchisee contract.

Entrepreneur
In places where the doctor is not keen on a business partnership, Janani ties up with a local entrepreneur who invests part of the costs, and also assumes the responsibility of bringing in a qualified doctor. Janani undertakes to upgrade the skills of the doctor.

The rest of the partnership is similar to the doctor partnership. Once the investment is recouped, Janani deals with the clinic as it does with other franchisees.

STC / Janani partnership
Janani has also initiated a dialogue with rural centres to generate partnerships. Under this, Super Titli Centres, either individually or collectively, enter into a contract with Janani. The management is under Janani’s control. The doctor at the clinic is identified by the STCs, and is a partner on a profit-sharing basis.

In all these instances Janani runs the clinic in the early stages and gradually hands over the management as its investment is recovered. Janani’s initial direct involvement standardizes care.



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