George W. Bush Institute, Susan G. Komen for the Cure, and UNAIDS. This innovative partnership leveraged public and private investments targeting breast and cervical cancer, which are described as two of the leading cancer causes of death for women in low- and middle-income countries (OGAC, 2012c). This initiative is also discussed in the services integration section of the health systems strengthening chapter (Chapter 9).

Increased partnerships with the private sector were identified for untapped potential and innovation for “system-strengthening efforts,” including “forecasting and distribution, mobile services, worker outreach through their extensive networks,” and “use and development of different technologies for point of care diagnostics for structural system changes for service delivery, communication systems, and community education in rural areas through mobile technology such as mHealth.” (NCV-12-USG)

The system could be planned around the assets they bring and they could be embraced more within the system. Not all the activities have to be done by the government. 50-55 percent of the health care delivered in [a PEPFAR country] is done through the private sector. Therefore, there are lots of opportunities in the private sector that should be considered such as help with supply and distribution challenges. This would also get more than just the government invested in success. Looking at the program with private-sector eyes, including different financing options, provides a different and possibly very beneficial insight. This is not PEPFAR’s area of expertise but others can bring this.” (NCV-12-USG)

The government also needs to not leave it to others; partners are putting in a big contribution. Supply management, prevention, ARVs. When you have a donor that is bringing in a lot of money and technical resources, and you know that this is what they are going to help you with, it’s easy to say “okay, that is covered,” but sometimes isn’t good enough. It is not just capacity building. It’s a sense of ownership of what needs to be done. The partners have ideas and money, but when the government lets go, is it really something you’re leaving behind. There is something there that needs to change.” (166-9-ML/OBL/USACA/USNGO/PCNGO/PCPS)

There is eager interest from partner country stakeholders to not only explore increasing financial resources from the private sector to diversify HIV/AIDS responses, but also to have the sectors learn from each other in terms of best practices that can be applied for sustainability of country responses to HIV/AIDS and other health issues (NCV-30-USG; NCV-12-USG).



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