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programme gets consolidated and new horizons are explored, we feel there is an imperative need to trigger an ongoing debate so the programme can constantly benefit from inputs from others working in the same field. And we hope the lessons from the programme will provide a further dimension to understanding the paradigms related to public-private partnerships.

Despite the roadblocks we have encountered, there is an overarching optimism that things will go our way. There is also the dread about the enormity of the tasks that Janani has taken on, and about our capabilities to adequately address these tasks. Janani works in the most backward parts of India. Resources are scarce and problems aplenty. The challenge that lies ahead is to ramp up the programme to address basic issues of human welfare, reproductive rights and quality of care. And we hope that with the right combination--buoyant partnerships, business savvy, plain hard work and a smattering of luck--we will face up to it in the years ahead.

Larry Holzman
Programme Director
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The Janani programme is entering an exciting phase now. The rural networks are rapidly expanding, and quality of care aspects are being integrated strongly into the clinical networks. Once this is accomplished, Janani will be one of the largest private service delivery networks in the social sector

anywhere in the world.

The core lesson from the Janani experience so far is frighteningly simple: that the challenge of the population programme is not that clients, even those poorest and unlettered clients, are uninterested in planning their families. It is that the providers are disinterested in such low cost, low volume products and services. Creating the requisite framework to correct this, and setting up a management system to sustain it, have been the true hallmarks of the Janani programme. And contrary to popular wisdom, Janani has also demonstrated that delivering services in the remotest parts and to the poorest communities need not be expensive.

It is with immense satisfaction that we have created this website. As the Janani
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“ With its single-minded focus on delivering products to rural communities, and utilizing private sector clinical expertise to supplement the public sector’s delivery of clinical services, Janani’s programme can take credit for exploring many creative new service delivery techniques.

Equally impressive is the cost at which the programme has delivered the services. Janani, despite working in one of the poorest parts of the world and working predominantly in rural areas, has been among the most cost efficient of DKT International’s programmes worldwide. Use of franchising strategies and collection of membership fees are only two of the reasons why this has been possible.

In the years ahead, we hope to see even stronger integration of clinical services in Janani’s programming. India has largely depended on the public sector for clinical family planning services but in states where Janani works, the public sector needs strong supplementation. Given the track record so far, we are sure that the Janani team will achieve it quickly.”

Philip D. Harvey
President
DKT International

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