Programme Overview
  Medical Clinics
  Rural Centres
  Shops
  IEC & Advertising
  Training
  Management
  Madhya Pradesh
  Market Research
  Sales Data
  Sustainability

Janani administers one of the most cost efficient service delivery programmes in the world. Social marketing is traditionally rated to be an extremely cost efficient way to deliver products

but managers of these programmes have always assumed that reaching products deep into rural areas and delivering quality clinical services will be cost inefficient, unviable and not feasible.

Revenue (in Million)
Years
Rs
US $
2002 - 03
47.99
1.07
2003 - 04
40.07
0.89
2004 - 05
42.55
0.95
2005 - 06
70.74
1.57
2006 - 07
66.39
1.54

The Janani programme, working in one of the poorest corners of the world, proves otherwise.

Breakdown of Budget 2006 - 07
Particulars
Rs.
US$
%
Cost of Commodities 24,676,196 573,865 18.88%
Rural Project 29,166,736 678,296 22.32%
Clinicial Project 48,900,042 1,137,210 37.42%
Freight 3,072,189 71,446 2.35%
IEC 12,489,086 290,444 9.56%
Salaries 5,127,639 119,247 3.92%
Administrative Expenses 6,281,374 146,078 4.81%
Assets 971,003 22,581 0.74%
Total 130,684,266 3,039,169 100.00%

It cost Janani Rs. 120.73 ($2.94) to protect a couple through the year (cost per CYP) last year. Internationally, it is estimated that the cost to protect a couple in low-income countries is about $20. Including the cost the government incurred on product subsidies, this cost per couple in the Janani programme during 2005-06 was Rs. 110.30 ($2.45).

Leveraging existing resources in the private sector is one of the major reasons for Janani’s cost efficiency.

Janani’s programme delivers a “sterilization-equivalent” at Rs. 2,000 (US$ 45). In 2003, the state government of Chhattisgarh in central India officially estimated that its sterilisation-equivalent through the public sector is Rs. 6,300 (US$ 140). This cost did not cover training and IEC, two major costs in the Janani programme. The Uttar Pradesh government in northern India estimates the corresponding cost to be Rs. 10,000 (US$ 225).

Janani is determined to achieve financial sustainability to the maximum extent possible without

compromising on the programme’s mandate to serve the poor. The programme’s experience with increasing prices and, consequently, the sharp reduction in client loads, especially of the poor, shows that striking this balance is very difficult and calls for creative strategies.

Currently, 51% of the expenses are met by revenues and Janani is attempting to increase this share by following three broad strategies:

Continue to explore ways to improve service and cost efficiency
Leverage the three networks to deliver other products to offset distribution costs
Create partnerships with the public sector and integrate into its financial system to address the needs of the poor

What does it cost per unit?

To establish and to sustain (Rs.)

 

To establish

To service (per call)

Super Titli Centre

3,375

37

Titli Centre

740

50

Urban shop

-

12

Rural shop

-

25

Clinic (Janani owned)

500,000

19

Clinic (Franchised)

50,000

19

Expenses

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