Partnerships and

Collaboration
By [name redacted] and Ellyssa Sherman

Objectives: Students will be able to...

discuss the role of government and private partnerships in public health
interventions
create a list of potential partners they'd find most beneficial for a given
target issue and provide rationale
interpret the relationships between the chosen partners and
describe/explain the mutual benefits received and compromises each party
theoretically makes

Who pays for health care?

Personal vs. public costs
o

countries with least total

spending on health typically
require the most out-of-pocket
expenses

Global health initiatives

o
o

bilateral aid - money donated

from one country to another
multilateral aid - money pooled
from many donors

International funding and debt

relief
o
o

world bank - low-interest loans

and grants
IMF - lend to specific projects

Public Health Players

1.

2.

3.
4.

5.
6.

United Nations Agencies (e.g. World Health Organization, United Nations Development Program, andUnited
Nations Population Fund)
o Intergovernmental organization with many specialized agencies
Private Foundations (e.g. Bill & Melinda Gates Foundation, The Clinton Foundation, and The Rockefeller
Foundation)
o Privately funded nonprofit groups
NGOs (e.g. Doctors without Borders and Partners in Health)
o Non governmental organizations- groups unassociated with the government or for-profit businesses
Public-Private Partnerships
o A partnership of government and one or more private businesses
o e.g. Aeras: A global biotech firm which develops new Tuberculosis vaccines
o DNDi: A non-profit, collaborative drug research and development organization focused on the most major
neglected diseases
National Government
o The nations governmental agencies which are responsible for public health interventions
Local Government (includes local healers, state governments, and nearby hospitals or clinics)
o A nations local government or authoritative figure responsible for local healthcare

PPP in Thailand
https://youtu.be/g3nZlA8u-YQ?t=1m2s

Continuum of Partnership Integration

Mut Net
ual
wor
Awa king
rene
ss

Coo
rdin
atio
n

Coll
abo
rati
on

Part
ner
ship

Infor
med
of
activi
ties
and
servi

Exch
ange
infor
mati
on

Shar
e
infor
mati
on

Link

Joint
plan
ning

Carr
y out
com

Prog
ram
mati
c
integ
ratio
n,

What is Collaboration?
Shared labor, purpose, risk, results, rewards
and ownership of work.
Common goal
Community involvement
o Assessing specific needs

Strong leadership
Shared information

Challenges with Partnerships

Issue specific
Policy/laws
Limited resources
Local issue

Partnering organization
o Divided interests and competition in the industry
o Limited resources (personnel, time, and skills)
o Differences in expertise -> makes valuing other agency contributions
difficult
o Leadership/power distribution

Benefits

Efficient use of resources

Efforts not duplicated
Novel creations and better quality outcomes
Better ability to achieve goals
Improved and increased communication, trust
and understanding
Opportunities to learn

State of Collaboration
Organizations seek opportunity to work together
Emphasis cost effective outcome based care model ideal
Larger outcome impact

Learning how to work together (Ramil Burden, GSK)

o Roles not changing
o Ways of working will change

private sector understanding of NGO and public objectives

Flexible approach

Future of Collaboration/Partnerships
Strengthening the health system
o Prioritize coming together to address those in the system left
behind (Dr. Sennen Hounton, UNFPA)
o Private sector- new brand of leadership (Jami Taylor, J&J) at
global and country levels (Moz Siddiqui, Gavi)

Cross-sector leader

Understand specific challenges

Drive innovation in collaborative thought

Movement towards hybridization in values

Activity
Terpopathy, a virulent gram-negative bacterial
disease, is incident in your home country of
Terpopolis!
Spreads from the oral-fecal route & from contaminated foods
Symptoms: diarrhea, fever, coughing, malaise,and blurred
vision
Great income inequality and limited health care and
education in Terpopolis
With group, discuss a plan for approaching disease