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The Role of Public-Private Partnerships in Health Systems Strengthening Workshop Summary (2016) / Chapter Skim
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7 Sustaining and Increasing Long-Term Investments in Health Systems
Pages 57-64

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From page 57...
... The global population is predicted to increase fairly rapidly over the next 30 years and, within that increase, the proportion of the elderly -- a subpop ulation that consumes a larger portion of health care -- will increase.
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From page 58...
... Opportunities for Public–Private Synergies After describing the major drivers within health markets that will affect the efficiencies and sustainability of health systems, Adeyi suggested several opportunities for synergies between the public and private sectors to increase the sustainability of health systems.
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From page 59...
... In considering these opportunities, Adeyi shared some current promising approaches for sustainable financing of health systems through a mix of the public and private sectors. Using a working definition of sustainability as the "attributes through which a program can continue to be adequately financed from a combination of domestic and global sources with a progressive shift toward domestic financing," Adeyi suggested the necessary elements of a sustainable program are financing on budget, with the host country contributing the first funding; providing demonstrable value; and explicit agreement among the partners to progressively increase the use of domestic resources.
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From page 60...
... To sustain long-term private-sector investments in universal coverage and health systems, Sturchio named three areas where governments should focus: mobilizing and utilizing market forces in a constructive way, identifying gaps in the system and ways that partnerships can help to bridge them, and being more open to and engaged in reaching out to the private sector. He also suggested several ways in which governments can change the way they operate to help provide for more partnerships to achieve scale for universal health coverage: • Have a clear policy to work with the private sector to encourage dialogue and partnerships.
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From page 61...
... What are the partnerships within BRAC's community health worker model? The partnerships exist at several levels: the village-based community partnerships that select one of their members to be a community health worker; the pharmaceutical company partnerships through which pharmaceutical companies provide medications to community health workers to sell; and the partnerships with the government health system.
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From page 62...
... For example, in Sierra Leone, the government does not allow community health workers to sell medications without a license, and the sale of such medications is an important incentive of the community health worker model in most countries. It varies from country to country depending on what the regulations are and how these regulations are enforced, and requires specific understanding and development based on the local context.
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From page 63...
... Consequently, the program pivoted and started training health care workers and administrators on why oxygen was beneficial, which, in turn, created the demand. Thereafter, the program moved quickly, and now the businesses are close to being self-sustaining.
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From page 64...
... 64 THE ROLE OF PPPs IN HEALTH SYSTEMS STRENGTHENING required a real response, such as "I have HIV" or "My clinic ran out of drugs." The cost of having the monitoring and evaluation resources to gather this information would be prohibitive, but the impact of having a couple hundred thousand You Reporters in Uganda spread out geographically and not biased by income was priceless.
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Key Terms

  • health workers
  • health worker
  • worker model
  • universal health
  • health coverage

  • public sector
  • adeyi shared
  • sustainable financing
  • health economy
  • health markets

  • community ownership
  • started training
  • brac model
  • child mortality
  • sustaining partnerships

  • private health
  • child health
  • versal health
  • health workforce
  • health insurance

  • ensuring health
  • government health
  • health sector
  • emergency health
  • training health

  • allow community
  • training community
  • community satisfaction
  • create community
  • brac community


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