Shiv Chandra Mathur 1

Public Private Partnership in

Health Care

Shiv Chandra MathurDirector

State Institute of Health and Family Welfare,Rajasthan, Jaipur

Shiv Chandra Mathur 2

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