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Using Public Private Partnerships to launch new technologies and products
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Public Private Partnerships for Health Service Delivery
Busulwa Ivan
Team Leader Public Private Partnerships
The USAID/Health Initiatives for the Private Sector (HIPS) Project implemented by Emerging Markets
Group Ltd.
May 29
• USAID funded, 2007-2012• Works with Ugandan businesses to find cost-
effective ways of improving access to and utilization of health services
• Based on a Public Private Partnership model• Builds capacity of Private Sector Employer
organizations• Supports Orphans and other Vulnerable
Children
Menu of services
HEALTH SERVICEHIV/AIDS TB MAL OVC
FP/RH
COST SHARE
Workplace Policy Formulation ✔ ✔ ✔
Peer Education ✔ ✔ ✔ ✔ ✔ ✔
Health Fairs ✔ ✔ ✔ ✔ ✔ ✔
Voluntary Counseling & Testing ✔ ✔ ✔ ✔
Low cost health commodities & IEC materials ✔ ✔ ✔ ✔ ✔ ✔
Lab. equipment & trainings ✔ ✔ ✔ ✔
Private clinic Accreditation ✔ ✔ ✔ ✔ ✔
Access to free ARV’s, TB & Malaria drugs ✔ ✔ ✔ ✔ ✔ ✔
A Partnership Model
The Dunavant Mobile Clinic
Why a mobile clinic?
• Previously ongoing conflict led to breakdown of social & economic infrastructure in the area
• Led to relocation of people to Refugee camps commonly as IDP’s
• Dunavant has up to 100,000 farmers whose productivity was being affected by ill health
The Public Private Partnership
PARTNER ROLES USAID/HIPS
DUNAVANT
• Selected target areas• Availed customized truck, fuel and a driver• Provided supply chain link
• Brokered partners’ roles• Provided equipment•Developed BCC education materials• Structured Pilot program
IAA-LIRA CLINIC
• Availed staff & supplies• Outpost for replenishment & referral• Provided link with district health teams
The Pilot• Assessed operational costs
• Established epidemiology of commonly occurring ailments
• Evaluated community perceptions
• Determined accessibility to remote sites
Kitgum, Lira & Pader
New Jersey
Washington, D.C.
Mobile clinic setup• Manned by 7 staff: 1 Clinical Officer, 1 Logistician,
1 Lab. technician, 1 nurse, 2 counselors and 1 driver
• Availed a variety of services:– BCC/IEC dissemination and awareness– Health commodities e.g. condoms & nets– Immunizations & mass Deworming– Diagnosis & Treatment of common ailments– Transportation of severe cases to IAA Lira clinic
Pilot Findings• Accessibility
– Smaller satellite camps were targeted– Average distance to any H/C is 10 miles. Mobile
clinic was stationed within 3 mile walking distance
• Acceptability– Consulted with existing private facilities and local
authorities to garner their support– Inclusive participation brought about a sense of
attachment
Pilot Findings
• Sustainability– We built capacity of health personnel to use
modern medical procedures to deal with the commonly occurring ailments
– We trained community volunteers & peer educators using a cascade of Training of Trainers
– Built referral mechanisms with local H/C’s
Advantages
• No stock outs are realized due to mobile clinic’s proximity to IAA Lira clinic
• Extends health services to people in remote, hard to reach places
• Brought expertise and technology that would otherwise have been unavailable
Challenges
• Clinic could not ensure clients followed up
• District Implementation Plans did not exist
• Mobile clinic team needed more specialist personnel (Dental, ENT, OBGYN)
• Clinic solely relied on sponsors since all services on board were provided for free
Possible solutions• Build stronger linkages with existing NGO’s/
service providers• Carry out supplemental needs assessment to
get more statistics• Identify private specialists and facilitate their
travel to offer these health services• Charge a nominal fee to recoup some costs
Conclusions
• Services to be offered and roles & responsibilities need to be clearly assigned
• Pre-implementation analysis important since it leads to targeted interventions
• Local capacity building leads to continuous service provision
Thank You