SHOPS is funded by the U.S. Agency for International Development.Abt Associates leads the project in collaboration withBanyan GlobalJhpiegoMarie Stopes InternationalMonitor GroupO’Hanlon Health Consulting

Understanding the Role of Public-Private Partnerships in Responding to HIV/AIDS

Ilana RonAfrica Regional Manager, SHOPS

19 March 2013

Presentation Overview

• Importance of private sector to health systems strengthening in Africa

• Diverse examples of private sector delivering different aspects of HIV/AIDS services

• Moving forward with the private sector through the Network for Africa

Private Health Sector Trends in HIV/AIDS

Who is the Private Sector in HIV/AIDS?

Comprised of both not-for-profit and for-profit actors

Role of the Private Health Sector in the Continuum of HIV/AIDS Services

Private-for-profit Providers are a Sizable Source for HIV Testing in Africa

Source: Most recent Demographic and Health Surveys (DHS) and AIDS Indicator Surveys (AIS)

Examples of PPPs in HIV/AIDS

PPP Examples from Africa

• Wide variety of private sector actors are active in all the health systems building blocks but are often overlooked

• There is an “explosion” of different PPPs – including in HIV/AIDS - in the region• Requiring documentation and sharing of

experience

• A wider definition of private sector engagement is needed to clarify misunderstandings on the term “PPP”

Based on 7 Countries that Participated in Network for Africa Mombasa Workshop 2012

Prevention: Male Circumcision through the Ugandan Private Sector

• Funded by USAID/Uganda and implemented by Cardno• Work with Uganda business community to find cost-

effective ways to improve access and utilization • Use a PPP model• Conducted readiness assessment • Rolled-out Safe Male Circumcision (SMC) services at 10

sites• Private company leveraging nearly 2:1• Participating partners and clinics have become main

referral points for MC

Impact

7878 health providers trained

2626 private clinics providing SMC

services

130,000130,000 people reached with

message on SMC

3,0003,000 Peer educators

trained on SMC

2,3102,310 MC procedures conducted

Health Initiatives for the Private Sector

The UGACOF clinic recently opened to an Ugandan community

Counseling and Testing: Mister Sister Reaching Remote Populations in Namibia

• Vans purchased by Heineken Africa Foundation, Namibia Breweries and Ohlthaver & List

• Financed by • Corporate sponsorship by Namibia Medical

Care • Fee for insurance (NAU-NLU)• Rural employer’s payment for subscribed

employees

• Vans operated by PharmAccess Foundation/Namibia, SHOPS and the Namibian Institute of Pathology

Namibia on mobile testing vans - a true PPP in HIV/AIDS

• Screen rural population for HIV and other diseases

• MOH provides staff and inputs (e.g. test kits, vaccines)

• Employers/Unions pay part of cost

Treatment: Local Manufacturing of ARTs Supplying the MOHSW in Tanzania

Manufacturing plant originally 100% state-owned, currently 60% privately owned

TPI receives exemptions from VAT, import and excise taxes

GoT ensures steady purchase (80% to 100%) of TPI’s total ART production

Plans to expand production to serve the local private market

Ensures steady supply of: Generic antiretroviral Generic medicines

Offers preferential pricing to Medical Stores Department compared to foreign suppliers (15%)

Collaboration between Tanzania Pharmaceutical Industry (TPI) and GoT

Treatment: Gold Star Network Harnessing Kenyan Private Providers to Deliver ART

• Network• Funded through PEPFAR and USAID/Kenya and implemented by Family Health International • 511 participating providers in 4 geographic areas• Serving 11,187 clients

• ever started on ART -- 6,356• currently managing -- 3,482

• Benefits to private providers: • Increased workload; Brand (quality); Networking (comprehensive range of

services)• Access to public sector program subsidy (government training, experts,

commodities, and facilities)

• Benefits to public sector• Leverages existing human resources and latent expertise in private sector• Provides mechanisms to mobilize and coordinate private providers• Helps ensure quality of private services

Moving Forward with the Private Sector

Network for Africa and its Role in Promoting Private Sector Involvement in HIV/AIDS

Network for Africa:

• Is a community of practice that strengthens the capacity of African public and private health sector leaders to partner in health

• Comprises Ministries of Health staff and private sector leaders from over 24 African countries

• Over 550 individuals are members of N4A

Network for Africa Purpose

• Exchange experiences and best practices in partnering with the private health sector

• Share tools and materials used to engage with the private health sector

• Build capacity within the public and private sectors to effectively dialogue and partner together to meet shared public health objectives

• Share ideas on how to go about private sector health financing

Network for Africa Offers:

• Monthly E-Letters

• Resource center

• N4A interviews

• On-line chats

• Virtual meeting place for members only

• Annual technical exchanges

Network for Africa under RATN Leadership

• Since late 2012, the USAID-funded SHOPS project has partnered with the RATN

• SHOPS-RATN partnership is for two years as a transition period

• RATN is assuming full technical leadership and management of the N4A

• We need you – RATN members – to let us know how to make N4A more responsive to HIV/AIDS issues by harnessing the private sector

SHOPS is funded by the U.S. Agency for International Development.Abt Associates leads the project in collaboration withBanyan GlobalJhpiegoMarie Stopes InternationalMonitor GroupO’Hanlon Health Consulting

Ilana Ron Levey

ilana_ron@abtassoc.com

www.shopsproject.org