Updated Sep 13, 2019

Unjani Clinics Network

https://www.unjaniclinic.co.za

Lynda Toussaint

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The Unjani Clinic Network is a nurse-led network of primary healthcare container clinics in the township communities of South Africa. The Non-Profit Company (Unjani Clinics NPC) raises the funding in order to empower black women professional nurses.

The non-profit company (NPC) raises the funding, implements and manages the Unjani Clinic Network. Nurses make application for a clinic and go through a rigorous selection process, which includes site selection and performing a community survey (to determine need, affordability and community engagement) and preparing a business plan for presentation to a selection panel. Once a clinic is awarde...
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The non-profit company (NPC) raises the funding, implements and manages the Unjani Clinic Network. Nurses make application for a clinic and go through a rigorous selection process, which includes site selection and performing a community survey (to determine need, affordability and community engagement) and preparing a business plan for presentation to a selection panel. Once a clinic is awarded to a Nurse, she undergoes training on standard operating procedures, systems, reporting and clinic management. A 5 year enterprise development agreement (EDA) is signed between the nurse and NPC, which governs the relationship and responsibilities. The clinic infrastructure, furniture, equipment and systems are funded and the Nurse receives working capital donations for the fist 24 months to assist her in achieving operational profitability. The Nurse takes operational ownership of the Clinic from day 1, and is responsible for all operational costs and takes all revenues generated. Based on compliance to the EDA requirements and sustainability measures, the Nurse owns the Clinic at the end of the 5 years. To date 70 nurses have been empowered through the initiative, covering 8 of the 9 provinces of South Africa and they have created permanent employment for in excess of 220 people from their communities. 1 003 050 patient engagements have been recorded since inception, with an average of 35 000 patients served by the network monthly.
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Stage 4: Transition to Scale

Having successfully conceptualized, tested and piloted the initiative from 2010 to 2014; 66 fully operational Unjani Clinics have been implemented in 8 of the 9 provinces (2014 to 2019). We are on a journey to 100 Clinics nationally by end of 2020.

Focus Areas:

Entrepreneurship, Primary Care and Economic Empowerment

Entrepreneurship, Primary Care and Economic EmpowermentSEE LESS

Implemented In:

South Africa

South AfricaSEE LESS

1
Country Implemented In
1,003,050
Customers
10
Employees
$5,667,000
Funds Raised to Date

Problem

South Africa has a population of 55 million+ people. Approximately 10 million people insure their healthcare with private insurance companies, while the balance of the population (in excess of 80%) either self insures or relies on the government for their healthcare needs. The government facilities are under severe strain and are unable to provide the quality of care required for basic primary care. The shortage of doctors further exacerbates the need to strengthen the healthcare system.

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Solution

The need to task-shift primary healthcare to suitably qualified professional nurses is addressed by the Unjani Clinic initiative. By empowering black women professional nurses to operate and ultimately own a primary healthcare container clinic in our township communities enhances access to primary care at the point of need. Utilizing social franchising principles, the nurses are trained, mentored, provided the necessary systems and support to operate a quality, affordable primary care clinic.

Target Beneficiaries

The populations that live in the township communities need enhanced access to primary care. Long waiting times in queues, unavailability of the correct medication and travel distances to government facilities all add to the burden on these communities to adequately access affordable, quality care. The employed uninsured population (some 10 million+ people), who have access to some level of funding to support their healthcare needs, is Unjani Clinics target market.

Mission and Vision

Our mission is to empower black women, build a sustainable network of nurse owned and operated primary healthcare clinics nationally and create permanent jobs. Our vision is to build a successful network of clinics; set the benchmark for delivering quality and affordable health services; to serve the network with the same passionate commitment they provide to their patients; and to provide business mentoring and coaching for sustainable enterprises.

Competitive Advantage

The bundled pricing of $14 (consultation including medicines to treat the Nurses diagnosis) is affordable and attractive to the communities. The use of technology in our patient management system (Health IQ2) has sped up administrative processes and enhanced the patient experience through easy patient file retrieval and full patient record being maintained in a web-based, cloud solution. By drawing patients that are able to afford the consultation fee away from the government facilities, we aid in health systems strengthening and capacity building in the government facilities. We have provided the BOP patient with an alternative healthcare service choice, that is affordable, accessible and provides quality primary care. At the same time we have uplifted the Nursing profession and created role models in the communities that assist with health education, program management and providing a dignified, professional quality primary care experience.

Planned Goals and Milestones

We are on track to have 70 Unjani Clinics in the Network by September 2019 but our ultimate goal is to have a national network of 100 Unjani Clinics by the end of 2020. We need funding for 30 more Unjani Clinics to achieve this goal. National representation means more access for communities in other provinces, but also sets the network up to play a role in National Health Insurance which will be introduced in South Africa in the future, and assist in the provision of universal access for all.
Funding Goal2,000,000
Projected Cumulative Lives Impacted1,000,000

The Team Behind the Innovation

Dr Iain Barton (male) is the founder of Unjani Clinics Network and the Chairman of the Unjani Clinics NPC Board his experience in the healthcare industry is both impressive and extensive. Lynda Toussaint (female) is the CEO of Unjani Clinics NPC and a director; she is tasked with raising the funding and managing the initiative implementation through her NPC team. Sue Hoosain (female) is the Network General Manager tasked with full operational implementation of the initiative.

EXECUTIVE TEAM INCLUDES WOMEN

Milestone

Mar 2019
Recognition ReceivedPENDING
Feb 2014
New Country Implemented In
South Africa

Supporting Materials

Unjani-Annual-Report-2018-orientation-null.pdf
Unjani-Clinic-Concept-Note-orientation-null.pdf