Published evidence suggests that some social franchising programs are positively associated with increased service quality, client volume and client satisfaction. Findings on health care utilization and equity are mixed. In terms of cost-effectiveness, a recent systematic review found that the franchises under study were generally associated with equal or greater cost per client than non-governmental organizations or non-franchise private providers.
The evidence mentioned here represent findings from a small fraction of programs around the world. The evidence base is still growing.
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