The Role of Public-Private Partnerships in Health Systems Strengthening

Workshop Summary

Author: National Academies of Sciences, Engineering, and Medicine,Institute of Medicine,Board on Global Health,Forum on Public-Private Partnerships for Global Health and Safety

Publisher: National Academies Press

ISBN: 0309381428

Category: Medical

Page: 126

View: 2118

Over the past several decades, the public and private sectors made significant investments in global health, leading to meaningful changes for many of the world's poor. These investments and the resulting progress are often concentrated in vertical health programs, such as child and maternal health, malaria, and HIV, where donors may have a strategic interest. Frequently, partnerships between donors and other stakeholders can coalesce on a specific topical area of expertise and interest. However, to sustain these successes and continue progress, there is a growing recognition of the need to strengthen health systems more broadly and build functional administrative and technical infrastructure that can support health services for all, improve the health of populations, increase the purchasing and earning power of consumers and workers, and advance global security. In June 2015, the National Academies of Sciences, Engineering, and Medicine held a workshop on the role of public-private partnerships (PPPs) in health systems strengthening. Participants examined a range of incentives, innovations, and opportunities for relevant sectors and stakeholders in strengthening health systems through partnerships; to explore lessons learned from pervious and ongoing efforts with the goal of illuminating how to improve performance and outcomes going forward; and to discuss measuring the value and outcomes of investments and documenting success in partnerships focused on health systems strengthening. This report summarizes the presentations and discussions from the workshop.

Public-Private Partnerships in Health Care in India

Lessons for Developing Countries

Author: A. Venkat Raman,James Warner Björkman

Publisher: Routledge

ISBN: 1134035047

Category: Political Science

Page: 256

View: 9053

Public-private partnerships are increasingly advocated to alleviate deficiencies in the public health system as well as to reduce economic stress on those who seek services from an expensive, burgeoning and unregulated private health sector. Focusing on India, this book examines how the private sector in developing countries is tapped to deliver health care services to poor and under-served sections of society through collaborative arrangements with the government. Having emerged as a key reform initiative, aspects of public-private partnership are examined such as the genesis of private sector partnerships, the ways in which the private sector is encouraged to deliver public health services, and the models and formats that make such partnerships possible. Based on in-depth case studies from different states of India and drawing on experiences in other countries, the authors analyse challenges, opportunities and benefits of implementing public-private partnerships and explore whether partnership with the private sector can be designed to deliver health care services to the poor as well as the consequences for beneficiaries. This book will be of interest to scholars of public policy and development administration, health policy and development economics as well as South Asian Studies.

Private Health Sector Assessment in Tanzania

Author: James White,Barbara O'Hanlon,Grace Chee,Emmanuel Malangalila,Adeline Kimambo,Jorge Coarasa,Sean Callahan,Ilana Ron Levey,Kim McKeon

Publisher: World Bank Publications

ISBN: 1464800421

Category: Medical

Page: 216

View: 1586

The Tanzania Private Health Sector Assessment provides information on the size, location and characteristics of non-state health service providers in Tanzania. It also identifies challenges and opportunities for the Government of Tanzania and International Community to leverage the potential of these providers to achieve

How to Engage with the Private Sector in Public-Private Partnerships in Emerging Markets

Author: Edward Farquharson,Clemencia Torres de M stle,E.R. Yescombe

Publisher: World Bank Publications

ISBN: 9780821385524

Category: Business & Economics

Page: 196

View: 3630

The purpose of this guide is to enhance the chances of effective partnerships being developed between the public and the private-sector by addressing one of the main obstacles to effective PPP project delivery: having the right information on the right projects for the right partners at the right time.

Strengthening Heath Governance

Better Policies, Stronger Performance

Author: Greer,Wismar,Figueras

Publisher: N.A

ISBN: 9780335261345


Page: 288

View: 9190

Governance is the systematic, patterned way in which decisions are made and implemented. The governance of a health system therefore shapes its ability to respond to the various well-documented challenges that health systems face today, and its capacity to cope with both everyday challenges and new policies and problems. This book provides a robust framework that identifies five key aspects of governance, distilled from a large body of literature, that are important in explaining the ability of health systems to provide accessible, high-quality, sustainable health. These five aspects are transparency, accountability, participation, organizational integrity and policy capacity. Part 1 of this book explains the significance of this framework, drawing out strategies for health policy success and lessons for more effective governance. Part 2 then turns to explore eight case studies in a number of different European regions applying the framework to a range of themes including communicable diseases, public-private partnerships, governing competitive insurance market reform, the role of governance in the pharmaceutical sector, and many more. The book explores how: - Transparency, accountability, participation, integrity and capacity are key aspects of health governance and shape decision making and implementation - There is no simply "good" governance that can work everywhere; every aspect of governance involves costs and benefits. Context is crucial. - Governance can explain policy success and failure, so it should be analysed and in some cases changed as part of policy formation and preparation. - Some policies simply exceed the governance capacity of their systems and should be avoided. This book is designed for health policy makers and all those working or studying in the areas of public health, health research or health economics.

Achieving Education for All through Public–Private Partnerships?

Non-State Provision of Education in Developing Countries

Author: Pauline Rose

Publisher: Routledge

ISBN: 1317999541

Category: Education

Page: 154

View: 1852

Concern for achieving Millennium Development Goals (MDGs) by 2015 has led to a focus on the role that non-state providers (NSPs) can offer in extending access and improving quality of basic services. While NSPs can help to fill a gap in provision to those excluded from state provision, recent growth in both for-profit and not-for-profit providers in developing countries has sometimes resulted in fragmentation of service delivery. To address this, attention is increasingly given in the education sector to developing ‘partnerships’ between governments and NSPs. Partnerships are further driven by the expectation that the state has the moral, social, and legal responsibility for overall education service delivery and so should play a role in facilitating and regulating NSPs. Even where the ultimate aim of both non-state providers and the state is to provide education of acceptable quality to all children, this book provides evidence from diverse contexts across Africa, South Asia, and Latin America to highlight the challenges in them partnering to achieve this. This book was published as a special issue of Development in Practice.

Public-private Partnerships for Public Health

Author: Michael Reich

Publisher: Harvard University Press

ISBN: 9780674008656

Category: Health & Fitness

Page: 205

View: 6076

Global health problems require global solutions, and public-private partnerships are increasingly called upon to provide these solutions. Such partnerships involve private corporations in collaboration with governments, international agencies, and nongovernmental organizations. They can be very productive, but they also bring their own problems. This volume examines the organizational and ethical challenges of partnerships and suggests ways to address them. How do organizations with different values, interests, and world-views come together to resolve critical public health issues? How are shared objectives and shared values created within a partnership? How are relationships of trust fostered and sustained in the face of the inevitable conflicts, uncertainties, and risks of partnership? This book focuses on public-private partnerships that seek to expand the use of specific products to improve health conditions in poor countries. The volume includes case studies of partnerships involving specific diseases such as trachoma and river blindness, international organizations such as the World Health Organization, multinational pharmaceutical companies, and products such as medicines and vaccines. Individual chapters draw lessons from successful partnerships as well as troubled ones in order to help guide efforts to reduce global health disparities.

Protecting the World's Children

Immunisation policies and Practices

Author: Sidsel Roalkvam,Desmond McNeill,Stuart Blume

Publisher: OUP Oxford

ISBN: 019164451X

Category: Medical

Page: 248

View: 2971

Vaccination programmes now represent a major part of the effort devoted to improving the health of children in developing countries. These donor-funded programmes tend to be global in scope and focus on worldwide goals and targets such as 'polio eradication', and the Millennium Development Goals. Health policy makers at the national level are expected to implement these programmes in a standard manner and report progress according to a few standard indicators. Pressures and incentives to achieve the targets set are then transmitted down to the community level health worker who actually meets the parents and children to implement the programmes. Drawing on first hand, original research in India and Malawi carried out by the contributors, as well as existing literature, Protecting the World's Children: Immunisation policies and practices suggests that there is little or no scope allowed for the effects of variance in the way health systems work, the difficulties and tensions faced by health workers, or differences in the way people think about childhood illnesses that reflect cultural differences. The book argues that the need to show progress can create distortions and lead to the production of misleading data and an unwillingness to report problems. It proposes that vaccines could more effectively serve children's health needs if immunisation programmes are better understood and acknowledged, and if local knowledge and realities were enabled to inform national and international health policy. Written by an international, interdisciplinary team of experts in immunisation policy, Protecting the World's Children is an integrative study of immunisation policy and practice at a global, national and community level, and is an essential resource for researchers and practitioners in international and public health, as well as professionals in international and development studies.

Governing Global Health

Who Runs the World and Why?

Author: Chelsea Clinton,Devi Sridhar

Publisher: Oxford University Press

ISBN: 0190253290

Category: Political Science

Page: 192

View: 1783

The past few decades have seen a massive increase in the number of international organizations focusing on global health. Campaigns to eradicate or stem the spread of AIDS, SARS, malaria, and Ebola attest to the increasing importance of globally-oriented health organizations. These organizations may be national, regional, international, or even non-state organizations-like Medicins Sans Frontieres. One of the more important recent trends in global health governance, though, has been the rise of public-private partnerships (PPPs) where private non-governmental organizations, for-profit enterprises, and various other social entrepreneurs work hand-in-hand with governments to combat specific maladies. A primary driver for this development is the widespread belief that by joining together, PPPs will attack health problems and fund shared efforts more effectively than other systems. As Chelsea Clinton and Devi Sridhar show in Governing Global Health, these partnerships are not only important for combating infectious diseases; they also provide models for developing solutions to a host of other serious global health challenges and questions beyond health. But what do we actually know about the accountability and effectiveness of PPPs in relation to the traditional multilaterals? According to Clinton and Sridhar, we have known very little because scholars have not accumulated enough data or developed effective ways to assess them-until now. In their analysis, they uncovered both strength and weaknesses of the model. Using principal-agent theory in which governments are the principals directing international agents of various type, they take a closer look at two major PPPs-the Global Fund to Fight HIV/AIDS, TB and Malaria and the GAVI Alliance-and two major more traditional international organizations-the World Health Organization and the World Bank. An even-handed and thorough empirical analysis of one of the most pressing topics in world affairs, Governing Global Health will reshape our understanding of how organizations can more effectively prevent the spread of communicable diseases like AIDS and reduce pervasive chronic health problems like malnutrition.

The Future of the Public's Health in the 21st Century

Author: Institute of Medicine,Board on Health Promotion and Disease Prevention,Committee on Assuring the Health of the Public in the 21st Century

Publisher: National Academies Press

ISBN: 9780309133180

Category: Medical

Page: 536

View: 4366

The anthrax incidents following the 9/11 terrorist attacks put the spotlight on the nation’s public health agencies, placing it under an unprecedented scrutiny that added new dimensions to the complex issues considered in this report. The Future of the Public’s Health in the 21st Century reaffirms the vision of Healthy People 2010, and outlines a systems approach to assuring the nation’s health in practice, research, and policy. This approach focuses on joining the unique resources and perspectives of diverse sectors and entities and challenges these groups to work in a concerted, strategic way to promote and protect the public’s health. Focusing on diverse partnerships as the framework for public health, the book discusses: The need for a shift from an individual to a population-based approach in practice, research, policy, and community engagement. The status of the governmental public health infrastructure and what needs to be improved, including its interface with the health care delivery system. The roles nongovernment actors, such as academia, business, local communities and the media can play in creating a healthy nation. Providing an accessible analysis, this book will be important to public health policy-makers and practitioners, business and community leaders, health advocates, educators and journalists.

Evaluation of PEPFAR

Author: Board on Global Health,Board on Children, Youth, and Families,Committee on the Outcome and Impact Evaluation of Global HIV/AIDS Programs Implemented Under the Lantos-Hyde Act of 2008,Institute of Medicine,Division of Behavioral and Social Sciences and Education

Publisher: National Academies Press

ISBN: 0309267803

Category: Medical

Page: 814

View: 2437

The U.S. government supports programs to combat global HIV/AIDS through an initiative that is known as the President's Emergency Plan for AIDS Relief (PEPFAR). This initiative was originally authorized in the U.S. Leadership Against HIV/AIDS, Tuberculosis, and Malaria Act of 2003 and focused on an emergency response to the HIV/AIDS pandemic to deliver lifesaving care and treatment in low- and middle-income countries (LMICs) with the highest burdens of disease. It was subsequently reauthorized in the Tom Lantos and Henry J. Hyde U.S. Global Leadership Against HIV/AIDS, Tuberculosis, and Malaria Reauthorization Act of 2008 (the Lantos-Hyde Act). Evaluation of PEPFAR makes recommendations for improving the U.S. government's bilateral programs as part of the U.S. response to global HIV/AIDS. The overall aim of this evaluation is a forward-looking approach to track and anticipate the evolution of the U.S. response to global HIV to be positioned to inform the ability of the U.S. government to address key issues under consideration at the time of the report release.

Private Participation in Health Services

Author: April Harding,Alexander S. Preker

Publisher: World Bank Publications

ISBN: 9780821351529

Category: Medical

Page: 349

View: 2156

Although many countries already make use of private sector services to achieve policy objectives in public health care provision, it remains a controversial topic. Drawing on a wide range of country experiences, this book considers the use of the private sector in the provision of public health services in developing countries, in terms of: assessing the potential for private sector involvement, contracting with the private sector for health services, regulating the sector, and what to do when key information is not available.

Communities in Action

Pathways to Health Equity

Author: National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Population Health and Public Health Practice,Committee on Community-Based Solutions to Promote Health Equity in the United States

Publisher: National Academies Press

ISBN: 0309452961

Category: Medical

Page: 582

View: 2118

In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual’s health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.

Health partnerships review

focusing collaborative efforts on research and innovation for the health of the poor

Author: Global Forum for Health Research (Organization)

Publisher: N.A


Category: Social Science

Page: 93

View: 579

Healthy Partnerships

How Governments Can Engage the Private Sector to Improve Health in Africa

Author: N.A

Publisher: World Bank Publications

ISBN: 0821384732

Category: Medical

Page: 152

View: 5870

Since the private health sector is an important, and often dominant, provider of health services in Sub-Saharan Africa, it is the job of governments as the stewards of the health system to engage with it. Increasing the contributions that the existing private health sector is making to public health is an important, but often neglected, element of meeting the daunting health-related challenges facing African nations. This Report presents newly collected data on how and how effectively each country in the Africa region is engaging the respective private health sectors; and how the engagement compares across the region. While the approach taken by governments varies greatly between countries, there is much room for improvement in the Africa region overall to engage more effectively and room for exchange of ideas and good practices on how to do so. Improved solutions on the policy/regulatory side should be supported by effective organization of the private sector itself and by adjustments in donor programs that take the dynamics of the private health sector better into account.

Public Private Partnerships

The Worldwide Revolution in Infrastructure Provision and Project Finance

Author: Darrin Grimsey,Mervyn Lewis

Publisher: Edward Elgar Publishing

ISBN: 1845423437

Category: Business & Economics

Page: 288

View: 5707

This path-breaking book considers the recent trend for governments to look increasingly to private sector finance, provided by private enterprises constructing and managing public infrastructure facilities in partnership with government bodies. 'The boundaries between the public and private sector are the most important political issue of our time.'

The Role of Decentralization in Strengthening Equity in Healthcare

Author: Garth Graham

Publisher: LAP Lambert Academic Publishing

ISBN: 9783838319582

Category: Health care reform

Page: 56

View: 3441

Health care reform is an active process currently taking place in a number of countries across the world. In many developing countries decentralization is a significant component of health care reform. The island of Jamaica like many other Caribbean and Latin American nations has undertaken the process of decentralizing the administration of healthcare as a part of nationwide structural reform. We look here at the overall process of health care reform in Jamaica and in particular the impact that recent decentralization has had on issues of equity and strengthening of the healthcare system. Many experts have hypothesized that decentralization on a whole has the potential to negatively impact the health care system. The data showed little evidence for differences in equity along geographic or economic groups but did identify the very old and the very young as particularly vulnerable populations, in addition the data highlighted the significant utilization of the private sector by the population and based on this suggestions are made for successful public-private partnership

Diagnosis Corruption

Fraud in Latin America's Public Hospitals

Author: N.A

Publisher: IDB

ISBN: 9781931003117

Category: Hospitals

Page: 226

View: 5192

Health Care Systems in Europe under Austerity

Institutional Reforms and Performance

Author: E. Pavolini,A. Guillén

Publisher: Springer

ISBN: 0230369626

Category: Political Science

Page: 319

View: 7803

This book analyses recent reform trends of European health care systems. Using eight European countries case studies it connects policy reforms with a healthcare quadrilemma, and compares how well these systems perform in terms of economic efficiency, medical achievements, social inequalities, and responsiveness to patients and workers.