Public-Private Partnerships in Health.ppt

Public-Private Partnerships in Health Keerti Bhusan Pradhan keerti@aravind.org Overview of the Paper Definition of Public-Private Partnership (PPP) in Health Evolution of PPP in Health Current Focus of PPP in Health Successful Models Challenges to overcome Conclusion Public Private Partnerships (PPP) in Health PPP in health is an approach to addressing public health problems through the combined efforts of public, private and development organisations complimenting each other by contributing or sharing their core competency This synergy leads to better outcome of goals Evolution of PPP in Health Government/Public Sector Government sector finds it difficult to support health Eg. 1.1% of GSDP was the health expenditure in 1993-94 in 14 States in India 70% of budget allocation is spent on resource maintenance like Human Resources Has to lead to decreased capital investment Evolution of PPP in Health Private Sector 80% of well qualified medical professionals work in private sector State-of-the-art facilities Private health care expenditure is around 4.25% of the GDP; increase @ 12.5% per annum Private Sector Share is significant: Hospitals - 57% Beds - 32% Current PPP in India Contracting out to manage clinical and non-clinical services; health projects Joint ventures; private capital to set up hospitals Incentives system to influence desired geographic distribution of health facilities – qualified providers through contract mechanisms in rural areas Current Focus of PPP in Health Develop strategies to utilise untapped resources and strengths of the private sector Enhance the capacity to meet growing health needs Reducing financial burden of government expenditure on tertiary care Reducing geographical disparity in provision of services and its access Reaching remote areas; target specific group of populations Improving efficiency through evolving new management structures Some options examples Partnership in disease surveillance (CMC-Kerala) Partnership in p