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Strengthening church and government partnerships for primary health care delivery in Papua New Guinea (WP16)

Strengthening church and government partnerships for primary health care delivery in Papua New Guinea (WP16)

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What lessons learned from church/government health provider partnerships in other countries can be applied to the partnership between church and government providers in PNG?
What lessons learned from church/government health provider partnerships in other countries can be applied to the partnership between church and government providers in PNG?

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Published by: Nossal Institute for Global Health on Mar 08, 2013
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KNOWLEDGE HUBS FOR HEALTH
Strengthening health systems through evidence in Asia and the Pacic
Strengthening church and governmentpartnerships for primary health caredelivery in Papua New Guinea: Lessonsfrom the international experience
Judith Ascroft
Nossal Institute or Global Health, University o Melbourne
Rohan Sweeney
Nossal Institute or Global Health, University o Melbourne
Margareth Samei
Divine Word University, Madang, Papua New Guinea
Irene Semos
Divine Word University, Madang, Papua New Guinea
Chris Morgan
Nossal Institute or Global Health, University o Melbourne
HEALTH POLICY AND HEALTH FINANCEKNOWLEDGE HUB
WORKING PAPER SERIES
NUMBER 16 | DECEMBER 2011
The Nossal Institutefor Global Health
www.ni.unimelb.edu.au
 
WORKING PAPER SERIES HEALTH POLICY AND HEALTH FINANCE KNOWLEDGE HUB
Strengthening church and government partnerships or primary health care delivery in Papua New Guinea: NUMBER 16 | DECEMBER 2011Lessons rom the international experience
ABOUT THIS SERIES
This Working Paper is produced by the Nossal Institute or Global Health at the University o Melbourne, Australia.The Australian Agency or International Development (AusAID) has established our Knowledge Hubs orHealth, each addressing dierent dimensions o the health system: Health Policy and Health Finance; HealthInormation Systems; Human Resources or Health; and Women’s and Children’s Health.Based at the Nossal Institute or Global Health, the Health Policy and Health Finance Knowledge Hub aimsto support regional, national and international partners to develop eective evidence-inormed policy making,particularly in the eld o health nance and health systems.The Working Paper series is not a peer-reviewed journal; papers in this series are works-in-progress. The aimis to stimulate discussion and comment among policy makers and researchers.The Nossal Institute invites and encourages eedback. We would like to hear both where correctionsare needed to published papers and where additional work would be useul. We also would like to hearsuggestions or new papers or the investigation o any topics that health planners or policy makers would ndhelpul. To provide comment or obtain urther inormation about the Working Paper series please contact; ni-ino@unimelb.edu.au with “Working Papers” as the subject.For updated Working Papers, the title page includes the date o the latest revision.
Strengthening church and government partnerships for primary health care delivery in Papua NewGuinea: Lessons from the international experience
First drat – December 2011Corresponding author: Judith Ascrot Address: The Nossal Institute or Global Health, University o Melbournejascrot@unimelb.edu.auContributors: Rohan Sweeney, Nossal Institute or Global Health, University o Melbourne; Margareth Samei,Divine Word University, Madang, Papua New Guinea; Irene Semos, Divine Word University, Madang, PapuaNew Guinea; Chris Morgan, Nossal Institute or Global Health, University o MelbourneThis Working Paper represents the views o its author/s and does not represent any ocial position o theUniversity o Melbourne, AusAID or the Australian Government.
ACKOWLEDGEMENTS
The authors would like to acknowledge the valuable contributions o Proessor Don Matheson o MasseyUniversity, New Zealand and Dr Nathan Grills o the Nossal Institute or Global Health, University o Melbourneto this Working Paper. Their insights into partnerships in Papua New Guinea and in the aith-based sector morebroadly added depth to our analysis.The authors would also like to sincerely thank the sta o the Divine Word University, Papua New Guinea orthe opportunity to collaborate and to learn. We thank them or their commitment to strengthening the evidencebase or better health outcomes in Papua New Guinea.
 
HEALTH POLICY AND HEALTH FINANCE KNOWLEDGE HUB WORKING PAPER SERIES
NUMBER 16 | DECEMBER 2011 Strengthening church and government partnerships or primary health care delivery in Papua New Guinea:
1
 Lessons rom the international experience
SUMMARY 
Church health service providers play a prominent role in primary health care service delivery in Papua NewGuinea. They are responsible or up to 50% o rural and remote health acilities and also or a numbero training acilities or nurses and community health workers. Primary health care acilities are also thepredominant point o access to the health system in rural and remote areas o Papua New Guinea whereapproximately 87% o the population lives.Stewardship o a mixed health system presents a number o challenges not unique to Papua New Guinea. Theevidence suggests that many governments are not perorming their stewardship unction well. In Papua NewGuinea studies suggest that health service provision could be more ecient and eective i there was a greaterocus on strengthening the partnership between national and sub-national governments and church healthservice providers.There has not yet been any systematic attempt to draw lessons rom low and middle income countries thatcould contribute to a strengthened partnership between church and government health service providers inPapua New Guinea. We undertook an empirical study based on a literature review o international publishedpeer-reviewed and grey literature to answer the questions:- What makes primary health care service provision by church based organisations dierent to governmenthealth service provision? and- What are the characteristics o existing arrangements or governments to engage non-government, non-prot providers o primary health care services?We then explored the possible implications o these ndings or Papua New Guinea.Factors which emerged that may enhance the partnership in Papua New Guinea include: relational contractswhich clearly dene the respective roles and responsibilities o each party while valuing the distinctivemotivations; enabling remote service providers to respond to local contexts within the ramework o nationalpolicies; assured unding commitments rom government coupled with improved transparency rom the churchin nancial reporting; involvement in policy development, planning and implementation o agreed standards;improved human resource management through utilising the strengths o the church sector in training o healthworkers; acknowledging and managing the dierences in culture and style between church and government;and accessing support rom other development partners or church health networks to enhance the partnership.Papua New Guinea has in place a clear ramework to enhance the partnership through the National Health Plan2011-2020. Structures and systems can be strengthened to overcome existing constraints and orestall some othe obstacles that have characterised relationships between the aith-based sector and the government globally.

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