Partnership Working in Public Health

Shahnaz Parveen(SzP)
B.S.S, M.S.S, B.Ed, M.Ed, M.Phil
Senior Lecturer
Dept. of Public Health
North South University (NSU)
Cell: 017-2040-5055
E-mail: shahnaz.parveen@northsouth.edu
Office Location: NSU Global Health Institute (NGHI)
Department of Public Health, 8th Floor SAC
 Partnership
• In today’s world of complexity and rapid pace, it
is almost impossible to do anything alone.
Especially true in health care sector where:
– Constantly rising prices

– Changing disease patterns

– Increasing use of sophisticated

technology for diagnosis
and treatment
 Partnership

Partnerships may
take many forms
The partners, too, may vary
– Global partnerships
between Private—for—profit
multinational companies
companies and Private - Not—for—profit
multilateral donors organizations
to local Private - Governments
partnerships Private - donor
– Between private organizations
physicians and Private - community
government clinics.
groups.
Common features of strong Partnership

Relevant People

Shared Information &

Processes

Clear Vision & Priorities

 Partnership

• Partnerships may vary in terms of financing

from:
• However, all partnerships have one thing in
common:

– They have come about because both partners

believe they have something to gain from the
partnership agreement.
 Benefits of Working In Partnership:

 Strategic Planning & Priority setting

 Skills & Experience of Staff

 Information & Evidence

 Funding & Resources

 Private Sector Provider (PHS)

 Private healthcare is
delivered both in formal
and informal sectors.

 Private sector share of

healthcare markets varies
from region to region
and within regions, based
on political, historical and
economic factor
Private Health Sector Provider
Private Health Sector Provider
Formal Private Health Sector Provider

Formal for-profit
organization
– Multinational
– National enterprises
– Private qualified
individuals
– Bank, Health Insurance etc
Informal Private Health Sector Provider
Informal Private Health Sector Provider
 NGOs

Non-government and professional

organisations play an important role in
community education, providing health
services, research, workforce development
and political advocacy. Non-government
organisations (NGOs) include large national
and state bodies, such as the National Heart
Foundation and the state Cancer Councils.
 International Organizations

To assist and guide countries in achieving the best

health for their citizens, a number of international
health organisations have been established. The
United Nations, World Health
Organization and United Nations Children’s Fund
are three such organisations. All three bodies are
involved in promoting global health.
Public Private Partnership (PPP)
 PPP Models

Build-Own-Operate (BOO): In this model, the

private sector manages the infrastructure on a
build-own-operate basis.

The government usually does not manage the

infrastructure developed under this model.

The Independent Power Producer (IPP) is an

example of the BOO model in Bangladesh.
 PPP Models

Build-Operate-Transfer (BOT): Here the private sector

manages the infrastructure on a build operate-
transfer basis.

The private sector manages the infrastructure until a

specified time, after which the government is
responsible for its management.
 PPP Models

• Build-Own-Operate-Transfer (BOOT): This is an

extended version of the BOT model.
• Under this model the ownership and
management belongs to the private sector until a
specified time.
• After expiry of the term, ownership and
management is transferred to the government.
Public Private Partnerships —
Innovative approaches to extend healthcare services

o PPPs offer innovative

and entrepreneurial
approaches to
providing the
services and facilities
demanded of 21st
century healthcare.
Public Private Partnerships —
Innovative approaches to extend healthcare services

o Also, the creation of

strong partnerships is
moving service delivery
away from a project-by-
project approach to one
that includes strategic
and policy developments
for long-term results.
 Public Private Partnerships

o Countries around the world, work with UK

organizations to develop their own models of PPP
and deliver outstanding healthcare facilities and
services.

o Canada, Ireland, Portugal, Australia, Japan and

Sweden are all countries developing their own PPP
models using UK expertise.
Public Private Partnerships

o Improved operation
and efficiency by
adopting private sector
technology and
innovation long term
value-for-money
created through
appropriate risk sharing
throughout the whole
life of the project.
Example of Private Involvement: Fighting Tuberculosis

The World Health

Organization’s Stop TB
Strategy explicitly
recognizes the private
sector’s role in
stopping tuberculosis
in which the private
sector participated in
national Directly
Observed Treatment –
Short-course (DOTS)
programs.
PPP to improve health service in Afghanistan
 PPP Hospital Projects Worldwide

BENDIGO HOSPITAL PROJECT, Australia

– A joint State Government and Bendigo Health project

– The Bendigo Hospital Project is being delivered as a

public-private partnership (PPP) under the State
Government’s Partnerships Victoria policy.
 Bangladesh Commitments on PPP

 Government of Bangladesh issued the Policy and Strategy for

Public Private Partnership (PPP) to facilitate the development of
core sector public infrastructure and services vital for the people
of Bangladesh.

 The PPP program is part of the Government's Vision 2021 to

better meet the need for high quality public services.

 Under this new national policy, the PPP Authority was established
as a separate, autonomous office under the Prime Minister's
Office.

 The Bangladesh Public-Private Partnership Act, 2015 (“PPP Act”)

was enacted and gazetted on 16 September, 2015.
 Conclusions

 In most countries, the government cannot fully meet the

health needs of the people with public resources alone.

 The private sector provides a complementary means to

expand health services, products, and infrastructure.

However, the Private sector is not a replacement for effective

public-sector action.

In every setting, both sectors have roles to play in addressing

the complex and difficult challenges faced by developing
countries to expand access to high-priority health services.