{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T05:32:41Z","timestamp":1789536761780,"version":"build-2803163510"},"reference-count":21,"publisher":"BMJ","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2012,6,6]]},"published-print":{"date-parts":[[2012]]},"abstract":"<jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>To study the impact of a new franchise health clinic model (The HealthStore Foundation's CFWShops) on access to vaccinations and treatment for acute illnesses in a nationally representative sample of children in Kenya.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Design<\/jats:title>\n                  <jats:p>The authors used multivariate linear and count regressions to examine associations between receipt of vaccinations or treatment and proximity to a franchise health clinic, adjusting for individual, household and clinic attributes as well as region fixed effects.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Setting<\/jats:title>\n                  <jats:p>Demographic and Health Survey data from Kenya, 2008\u20132009.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Participants<\/jats:title>\n                  <jats:p>6079 Kenyan children younger than 5\u2005years, of whom 2310 reported recent acute illness.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Main outcome measures<\/jats:title>\n                  <jats:p>Outcomes for all children were number of polio doses received, number of DPT doses received, receipt of BCG vaccine, receipt of measles vaccine and number of total vaccinations received. Outcomes for acutely ill children were receipt of any medical treatment, treatment for fever, treatment for malaria and treatments specifically stocked by CFWShops.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Children living within 30\u2005km of a CFWShop received 0.129 (p=0.017) and 0.113 (p=0.025) more DPT and polio doses, respectively; and 0.285 more total vaccinations (p=0.023). Among acutely ill children, CFWShop proximity was associated with significant increases in the probabilities of receiving any medical treatment (0.142; p&lt;0.001), treatment for fever (0.117; p=0.007) and treatments specifically stocked by CFWShops (0.064; p=0.015). Use of CFWShop services was not significantly different for lower-income vis-a-vis higher-income households.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>The franchise health clinic model could substantially increase access to essential vaccinations and treatments in low-income countries. Moreover, the model's benefits may accrue to lesser- and higher-income households alike.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/bmjopen-2011-000589","type":"journal-article","created":{"date-parts":[[2012,7,11]],"date-time":"2012-07-11T01:18:00Z","timestamp":1341969480000},"page":"e000589","source":"Crossref","is-referenced-by-count":11,"title":["The impact of a novel franchise clinic network on access to medicines and vaccinations in Kenya: a cross-sectional study"],"prefix":"10.1136","volume":"2","author":[{"given":"Justin","family":"Berk","sequence":"first","affiliation":[{"name":"School of Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Achyuta","family":"Adhvaryu","sequence":"additional","affiliation":[{"name":"Department of Health Policy and Administration, Yale School of Public Health, New Haven, Connecticut, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2012,7,10]]},"reference":[{"key":"2025101810593325000_2.4.e000589.1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(08)61762-6"},{"key":"2025101810593325000_2.4.e000589.2","unstructured":"MDG Gap Task Force. Millennium development Goal 8: delivering on the global partnership for achieving the millennium development goals. The MDG Gap Task Force Report 2008: Delivering on the Global Partnership for Achieving the Millennium Development Goals. New York: United Nations, 2008:35\u201344."},{"key":"2025101810593325000_2.4.e000589.3","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.331.7519.709"},{"key":"2025101810593325000_2.4.e000589.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2007.10.003"},{"key":"2025101810593325000_2.4.e000589.5","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(04)16987-0"},{"key":"2025101810593325000_2.4.e000589.6","doi-asserted-by":"crossref","unstructured":"Lewis M . Governance and Corruption in Public Health Care Systems. Center for Global Development, 2006. http:\/\/www.cgdev.org\/content\/publications\/detail\/5967\/ (accessed 3 Jul 2012).","DOI":"10.2139\/ssrn.984046"},{"key":"2025101810593325000_2.4.e000589.7","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.331.7519.755"},{"key":"2025101810593325000_2.4.e000589.8","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(04)17482-5"},{"key":"2025101810593325000_2.4.e000589.9","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(10)61416-X"},{"key":"2025101810593325000_2.4.e000589.10","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.0020100"},{"key":"2025101810593325000_2.4.e000589.11","doi-asserted-by":"publisher","DOI":"10.1016\/j.tips.2009.11.005"},{"key":"2025101810593325000_2.4.e000589.12","first-page":"886","article-title":"Can developing countries achieve adequate improvements in child health outcomes without engaging the private sector?","volume":"81","author":"Bustreo","year":"2003","journal-title":"Bull World Health Organ"},{"key":"2025101810593325000_2.4.e000589.13","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1186\/1478-4505-8-24","article-title":"Innovative health service delivery models in low and middle income countries - what can we learn from the private sector?","volume":"8","author":"Bhattacharyya","year":"2010","journal-title":"Health Res Policy Syst"},{"key":"2025101810593325000_2.4.e000589.14","doi-asserted-by":"publisher","DOI":"10.1186\/1475-9276-6-17"},{"key":"2025101810593325000_2.4.e000589.15","doi-asserted-by":"publisher","DOI":"10.1111\/j.1475-6773.2004.00332.x"},{"key":"2025101810593325000_2.4.e000589.16","doi-asserted-by":"publisher","DOI":"10.1093\/heapol\/17.2.121"},{"key":"2025101810593325000_2.4.e000589.17","doi-asserted-by":"crossref","first-page":"570","DOI":"10.1111\/j.1365-3156.2011.02733.x","article-title":"Cross-national analysis of the risk factors of child malnutrition among children made vulnerable by HIV\/AIDS in sub-Saharan Africa: evidence from the DHS","volume":"16","author":"Magadi","year":"2011","journal-title":"Trop Med Int Health"},{"key":"2025101810593325000_2.4.e000589.18","doi-asserted-by":"publisher","DOI":"10.1007\/s13524-011-0026-3"},{"key":"2025101810593325000_2.4.e000589.19","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1016\/j.socscimed.2010.11.011","article-title":"Utilization of HIV-related services from the private health sector: a multi-country analysis","volume":"72","author":"Wang","year":"2011","journal-title":"Soc Sci Med"},{"key":"2025101810593325000_2.4.e000589.20","unstructured":"Khan S Khan M Hutchinson P . 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