1. Engaging with the Private Sector: A Framework for Public Purchasers
Joint Learning Network for Universal Health Coverage (JLN)
Primary Health Care (PHC) Initiative
July 8, 2015

2. The JLN is a global, innovative learning platform at the forefront of UHC reform, currently led by 9 member countries and13 associate countries from Latin America, Europe, Africa, and Asia.
Full Members
Ghana
Indonesia
India
Kenya
Philippines
Malaysia
Mali
Nigeria
Vietnam
Associate Members
Bangladesh
Colombia
Egypt
Ethiopia
Japan
Kosovo
Mexico
Moldova
Mongolia
Morocco
Namibia
Senegal
Sudan
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3. Introducing the JLN PHC Initiative
PHC-oriented UHC has strong rationale, but suffers from low political priority, financing, and context-tailored solutions
Rationale for PHC-Oriented UHC
More cost-effective
Necessary to achieve MDGs and address large disease burdens
Essential for affordable response to rising chronic diseases
Vital to people’s satisfaction with the health system
PHC Challenges
Low political priority
Insufficient and inefficient financing
Ineffective organization
Weak performance measurement
Countries are struggling to advance PHC-oriented UHC, and do not find tailored answers in international literature and tools
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4. JLN PHC Initiative Activities in 2014
2014 Focus on PHC Self-Assessment Tool Development and Implementation
Joint problem solving and co-production of diagnostic tool - PHC Initiative members developed a multi-stakeholder questionnaire to :
Assess how health financing agencies interact with PHC actors and programs;
Identify how health financing agency may improve alignment with PHC goals
Country Implementation - JLN countries piloted the Tool in 2014
Ghana (Upper East Region)
India (Tamil Nadu and Kerala)
Indonesia (Tangerang District and Bandar Lampung City)
Malaysia
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5. Session Goal: To get feedback and examples from the group on “how-to” engage with the private sector in PHC delivery to inform the process manual

6. Creating a “how-to” process manual to aid engagement across sectors in PHC delivery
The JLN PHC mini-exchange series has begun developing a process manual on how to engage the private sector in PHC delivery
Development of a process manual on engagement with the private sector – Five Modules:
Initial engagement and communication with private sector providers
Provider mapping (who delivers services, provider capacity, etc.)
Provider and facility regulation, accreditation, empanelment
Provider contracting and legal arrangements
M&E
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7. Process Module #1: Initial Engagement and Communication
The JLN PHC mini-exchange group has outlined the following main steps to initiate engagement and communication with the private sector 1
Understand and detail the rationale for public and private sectors to work together. 2
Actively listen to the private sector through engagement with existing private sector group structures, e.g., associations and professional bodies. 3
Find areas of common ground, and agree on easy, low-cost first steps for collaboration to build trust. 4
Establish a regular consultative process with joint agenda setting. 5
Share data for specific health areas between both the private and public sectors, e.g., for mapping results, quality, infectious disease reporting.
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8. Process Module #1: Initial Engagement and Communication
The PHC mini-exchange group has outlined the following main steps to initiate engagement and communication with the private sector 6
“De-mystify” the role of profits in the private sector. 7
Collaborate on the definition of quality indicators, measurement methods, and participation in M&E of quality in service delivery. 8
Solicit inputs on other major engagement areas, such as readiness criteria for accredited facilities, and issues around contracting with private providers. 9
Collaborate on continuing medical education. 10
Identify and actively pursue priority efforts for private participation in health
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9. Process Module #2: Provider Mapping
The PHC mini-exchange group has outlined the following main steps to plan strong provider mapping efforts. 1
Identify and discuss mapping objectives and main mapping parameters 2
Identify existing data sources relative to the mapping objectives and how the country/region may use these sources 3
Identify priority needs for data collection to complement existing data sources to achieve the mapping objectives. 4
Identify and evaluate tools available for data collection, e.g., based on objectives and financial costs and constraints. 5
Engage and work with local IT systems on how to integrate data from various sources. 6
Decide how data will be shared and disseminated.
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10. Case Studies to be developed for Process Manual (Modules 1 and 2)
Engagement
Ghana engagement
Malaysia engagement
Philippines’ strategic communication
Aga Khan Health Services in Pakistan
RSBY outpatient pilot in Puri, India
India’s emergency transportation system
Mapping
Malaysia mapping
Ghana mapping
Uttarakhand, India mapping
Indonesia’s piloting of the Service Availability and Readiness Assessment (SARA) tool
Existing Tools
Literature review of other existing tools and their applications
Collection of any tools discussed in case studies
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11. Request for Feedback from the audience
In groups of 10, please do the following…
Review the following and discuss any comments and feedback:
Groups 1 – 2: Review Module 1
Groups 3 – 4: Review Module 2
Groups 5 – 6: Review overall process manual concept and outline
Discuss and share examples you have related to the process module(s), particularly your own experiences. Please share both successes and failures.
Rapporteur will take notes and complete handout (see next slide).
One representative will report back 1 point of feedback and 1 example with the full group.
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12. Feedback on Annotated Outline & Process Manual Layout
Rapporteur’s Handout
Please note down the following items from the group discussions:
Feedback on Annotated Outline & Process Manual Layout
Does the annotated outline include the right steps?
Is there anything missing in the annotated outline / process manual layout?
Would you change the order of the steps in the annotated outline / process manual?
What are the challenges to implementing the steps of the annotated outline, and how do we overcome these challenges?
Example(s) shared – successes, failures, lessons learned
Any other helpful resources?
Information of those who contributed the examples and feedback, if possible:
Name
/contact info
jointlearningnetwork.org