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 Goal

High perceived pay-off to both parties

Equal power with both parties

Mutual Trust

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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

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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 Immunization

Global Polio Eradication Initiative

European Partnership Project on Tobacco Dependence

UNAIDS/Industry Drug Access Initiative

Stop TB Initiative

Roll Back Malaria

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Challenges in PPP for Health Care

Cost containment

Effective use of private resources

Logical diversion of public resources

Synergy to reduce duplication

Resource 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 out

Social marketing

Capacity building

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Classifying PPP in Health CareService oriented Social marketing

Social franchising

Contracting health care providers

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

Sponsoring 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 Purpose

Creation of value

Congruency of Mission, Strategy and Values

Connection with purpose and people

Communication between partners

Continual learning

Commitment to the partnership

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Application of PPP in India

Health System Development Projects

National Rural Health Mission

Blindness Control

Diagnostic Support within Medical College Hospitals