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Public Private Partnership in Health Care

Shiv Chandra Mathur


Director State Institute of Health and Family Welfare, Rajasthan, Jaipur

Shiv Chandra Mathur

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.

Shiv Chandra Mathur

Prerequisites of Partnerships
Super-ordinate Goal High perceived pay-off to both parties Equal power with both parties Mutual Trust

Shiv Chandra Mathur

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.

Shiv Chandra Mathur

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


Franchising Branded Clinics Contracting Out Contracting In Social Marketing Donations Social Club Partnerships Involvement 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 Care


Service oriented
Social marketing Social franchising Contracting health care providers

Mobile vans

Information/advocacy oriented

Contracting out IEC activities to NGOs 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 Shiv Chandra Mathur 11 Sponsoring conferences for management capacity

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
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