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Transcript
Public Private
Partnership in
Health Care
Shiv Chandra Mathur
Director
State Institute of Health and Family Welfare,
Rajasthan, Jaipur
Shiv Chandra Mathur
1
What is Partnership ?
It is a joint ownership of a program/
proposal by two or more parties to
achieve a common goal.
It is a higher level of collaboration.
Shiv Chandra Mathur
2
Prerequisites of Partnerships
Super-ordinate Goal
High perceived pay-off to both
parties
Equal power with both parties
Mutual Trust
Shiv Chandra Mathur
3
Principles for Partnership
Joint action at all stages
from planning, follow up and termination
Complimentary roles
expectation of each other are clarified and
stabilized
Creation of a temporary system
task force with representatives from both
sides
Continuous Communication
lines of communication between partners to
be always kept open
Shiv Chandra Mathur
4
Public Private Partnership
in Health Care
PPP is Seeking collaboration with
private sector in the situations
where the public health system is
not immediately able to provide
guarantee.
Shiv Chandra Mathur
5
PPP in Health Care
It has a desired health outcome.
It means to achieve better
community health
It is a specific strategy to achieve
better community health.
Shiv Chandra Mathur
6
PPP at Global Level in Health
Global Alliance for Vaccine and
Immunization
Global Polio Eradication Initiative
European Partnership Project on
Tobacco Dependence
UNAIDS/Industry Drug Access Initiative
Stop TB Initiative
Roll Back Malaria
Shiv Chandra Mathur
7
Challenges in PPP for
Health Care
Cost containment
Effective use of private resources
Logical diversion of public
resources
Synergy to reduce duplication
Resource mobilization
Shiv Chandra Mathur
8
Models of PPP in Health Care
Franchising
Branded Clinics
Contracting Out
Contracting In
Social Marketing
Donations
Social Club Partnerships
Involvement of Corporate Sector
Shiv Chandra Mathur
9
Classifying PPP in Health Care
One time/short
partnership
Donation of land,
money, equipments etc
Participation in
campaigns
Continuous long
term partnership
Social franchising of
service
Contracting in and out
Social marketing
Capacity building
Shiv Chandra Mathur
10
Classifying PPP in Health Care
Social marketing
Social franchising
Contracting health care
providers
Service oriented
Mobile vans
Information/advocacy
oriented
Contracting out IEC activities to
NGO’s
Category campaign with private
partners
Infrastructure oriented
Construction of buildings
Repair of buildings
Donation of equipments
Vehicles etc
Capacity Building
Training for skill enhancement
and counseling
Shiv Chandra Mathur
11
Sponsoring conferences for
management capacity
Issues in PPP in Health Care
Capacity of Private Partner
Advocacy
Accreditation
Regulation by the Government
Shiv Chandra Mathur
12
Factors Influencing PPP
Michael (2002)
Clarity of Purpose
Creation of value
Congruency of Mission, Strategy
and Values
Connection with purpose and
people
Communication between partners
Continual learning
Commitment to the partnership
Shiv Chandra Mathur
13
Application of PPP in India
Health System Development
Projects
National Rural Health Mission
Blindness Control
Diagnostic Support within Medical
College Hospitals
Shiv Chandra Mathur
14