TABLE 5. Key Components of Mobile Outreach and Implications for Scale Up, Replication, and Sustainability
Mobile Outreach ComponentImplications for:
Scale UpReplicationSustainability
Free or highly subsidized servicesHelps facilitate rapid expansion, since poor and rural clients have highest unmet needRequires adequate financing mechanisms to subsidize costsRequires continued investment and greater role of country governments, through contract arrangements and other innovations
Teams of dedicated providersCan encourage expansion in areas of high demand by filling service gaps at existing public and private clinics, particularly with high-quality services that can be monitored more easily with such providersRequires trained staff whocan be deployed to remote areasGreater emphasis on integrated service delivery models may generate hybrid models. As public-sector capacity develops, dedicated providers may shift their role to a support function.
Public-private partnershipsMust be in place for channel to operate properly, and therefore, for service delivery expansion to occurRequires collaborative relationships with public sector and robust referral systemsPossible to sustain over the long term, although dynamics may change with the private sector mentoring public-sector providers who assume a larger role in service delivery (presuming the supply of competent public providers increases)