March 2008
World Resources Institute

CareShop Ghana is a for-profit franchise of nearly 300 licensed chemical shops that are spread throughout the Greater Accra and surrounding regions. Ghana Social Marketing Foundation Enterprises Limited (GSMFEL) founded CareShop in 2002, with the intention of battling common infectious diseases in low-resource areas by improving supply chains and providing training to LCS through a franchising arrangement. GSMFEL, as the franchisor, generates revenue through the sales of inexpensive, high-quality drugs to franchisees. GSMFEL delivers these products directly to franchisees' doorsteps, and also provides franchisees with valuable health and business training, and branded materials.
Though franchisees report high satisfaction with GSMFEL's training and product delivery service, both GSMFEL's external business environment and internal factors present obstacles that have kept CareShop from becoming profitable. Access in-depth analysis of CareShop's challenges and successes to date by downloading the full-length business case study, CareShop Ghana: Improving Access to Essential Drugs through Conversion Franchising, linked below.
| Attachment | Size |
|---|---|
| CareShop Ghana.pdf | 1.89 MB |




But it is far from clear that there will be appropriate follow through ... the global health system and the international development assistance community are good at studies and writing reports, and not so good at turning the issues raised and the recommendations into action that solves the problems. The issues are big and the funding available limited, and frequently allocated to low impact work.
The issue of drug supply has been around since I first working in the development arena 30 years or more ago ... some of the issues are far worse now than in earlier times, including the sophistication of the drugs and the counterfeits.
My organization has a big concern over sustainability ... and has developed the concept of Community Impact Accountancy (CIA) to help the donor community appreciate the social good that is being created by some organizations that are having difficulties with their financial sustainability.
If CareShop Ghana were the subject of CIA reporting, it might well be a slam dunk for it to get the funding it needs to keep going ... with GAAP reports the raison d'etre for the initiative is totally ignored, which, we would argue, is pretty silly.
Sincerely
Peter Burgess