Pakistan

The Pakistan case study highlights several different MDA, building blocks, including:

• the use of a local generics manufacturer to lower the price of oral contraceptives,
• the use of a large platform of clinics to make a wide range of low priced contraceptives available, and
• the 'bottom of the pyramid' concept of using rurally based female entrepreneurs as distribution channels, as an effective means of scaling up with low capital intensity.

The case study highlights some of the trade-offs between financial sustainability and access, and discusses cost efficiency issues. Finally, the joint financing of two social marketing programmes, which at times are thought to be competing with each other, is explored.

See also:

• Country profile of Pakistan
• Deep dive: an exploration for innovation
• Social franchising as a strategy to expand access to reproductive health services: a case study of the Green Star service delivery network in Pakistan