Shiv Chandra Mathur 1
Public Private Partnership in
Health Care
Shiv Chandra MathurDirector
State Institute of Health and Family Welfare,Rajasthan, Jaipur
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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.
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Prerequisites of Partnerships
Super-ordinate GoalHigh perceived pay-off to both partiesEqual power with both partiesMutual Trust
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Principles for Partnership
Joint action at all stages from planning, follow up and terminationComplimentary roles expectation of each other are clarified and stabilizedCreation of a temporary system task force with representatives from both sidesContinuous Communication lines of communication between partners to be always kept open
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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.
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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.
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PPP at Global Level in Health
Global Alliance for Vaccine and ImmunizationGlobal Polio Eradication InitiativeEuropean Partnership Project on Tobacco Dependence UNAIDS/Industry Drug Access InitiativeStop TB InitiativeRoll Back Malaria
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Challenges in PPP for Health Care
Cost containmentEffective use of private resourcesLogical diversion of public resourcesSynergy to reduce duplicationResource mobilization
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Models of PPP in Health Care
FranchisingBranded ClinicsContracting OutContracting InSocial MarketingDonationsSocial Club PartnershipsInvolvement of Corporate Sector
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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 outSocial marketing
Capacity building
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Classifying PPP in Health CareService oriented Social marketing
Social franchisingContracting health care
providers
Mobile vans Information/advocacy oriented
Contracting out IEC activities to NGO’s
Category campaign with private partners
Infrastructure oriented Construction of buildingsRepair of buildings
Donation of equipments
Vehicles etc Capacity Building Training for skill enhancement
and counselingSponsoring conferences for
management capacity
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Issues in PPP in Health Care
Capacity of Private Partner
Advocacy
Accreditation
Regulation by the Government
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Factors Influencing PPP Michael (2002)
Clarity of PurposeCreation of value Congruency of Mission, Strategy and ValuesConnection with purpose and peopleCommunication between partnersContinual learningCommitment to the partnership
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Application of PPP in India
Health System Development ProjectsNational Rural Health MissionBlindness ControlDiagnostic Support within Medical College Hospitals