1. Shiv Chandra Mathur1 Public Private Partnership in Health Care Shiv Chandra Mathur Director State Institute of Health and Family Welfare, Rajasthan, Jaipur

2. Shiv Chandra Mathur2 What is Partnership ? It is a joint ownership of a program/ proposal by two or more parties to achieve a common goal. It is a higher level of collaboration.

3. Shiv Chandra Mathur3 Prerequisites of Partnerships Super-ordinate Goal High perceived pay-off to both parties Equal power with both parties Mutual Trust

4. Shiv Chandra Mathur4 Principles for Partnership Joint action at all stages from planning, follow up and termination Complimentary roles expectation of each other are clarified and stabilized Creation of a temporary system task force with representatives from both sides Continuous Communication lines of communication between partners to be always kept open

5. Shiv Chandra Mathur5 Public Private Partnership in Health Care PPP is Seeking collaboration with private sector in the situations where the public health system is not immediately able to provide guarantee.

6. Shiv Chandra Mathur6 PPP in Health Care It has a desired health outcome. It means to achieve better community health It is a specific strategy to achieve better community health.

7. Shiv Chandra Mathur7 PPP at Global Level in Health Global Alliance for Vaccine and Immunization Global Polio Eradication Initiative European Partnership Project on Tobacco Dependence UNAIDS/Industry Drug Access Initiative Stop TB Initiative Roll Back Malaria

8. Shiv Chandra Mathur8 Challenges in PPP for Health Care Cost containment Effective use of private resources Logical diversion of public resources Synergy to reduce duplication Resource mobilization

9. Shiv Chandra Mathur9 Models of PPP in Health Care Franchising Branded Clinics Contracting Out Contracting In Social Marketing Donations Social Club Partnerships Involvement of Corporate Sector

10. Shiv Chandra Mathur10 Classifying PPP in Health Care One time/short partnership Donation of land, money, equipments etc Participation in campaigns Continuous long term partnership Social franchising of service Contracting in and out Social marketing Capacity building

11. Shiv Chandra Mathur11 Classifying PPP in Health Care Service oriented Social marketing Social franchising Contracting health care providers Mobile vans Information/advocacy oriented Contracting out IEC activities to NGO’s Category campaign with private partners Infrastructure oriented Construction of buildings Repair of buildings Donation of equipments Vehicles etc Capacity Building Training for skill enhancement and counseling Sponsoring conferences for management capacity

12. Shiv Chandra Mathur12 Issues in PPP in Health Care Capacity of Private Partner Advocacy Accreditation Regulation by the Government

13. Shiv Chandra Mathur13 Factors Influencing PPP Michael (2002) Clarity of Purpose Creation of value Congruency of Mission, Strategy and Values Connection with purpose and people Communication between partners Continual learning Commitment to the partnership

14. Shiv Chandra Mathur14 Application of PPP in India Health System Development Projects National Rural Health Mission Blindness Control Diagnostic Support within Medical College Hospitals