1. Understanding the Role of Public-
Private Partnerships in Responding
to HIV/AIDS
Ilana Ron
Africa Regional Manager, SHOPS
19 March 2013
SHOPS is funded by the U.S. Agency for International Development.
Abt Associates leads the project in collaboration with
Banyan Global
Jhpiego
Marie Stopes International
Monitor Group
O’Hanlon Health Consulting

2. 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

3. Private Health Sector Trends in HIV/AIDS

4. Who is the Private Sector in HIV/AIDS?
Comprised of both not-for-profit and for-profit actors

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

6. 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)

7. Examples of PPPs in HIV/AIDS

8. 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

9. Prevention: Male Circumcision through the
Ugandan Private Sector
Health Initiatives for the 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 The UGACOF clinic recently opened to an Ugandan community
• Participating partners and clinics have become main
referral points for MC
Impact
3,000 Peer 26 private clinics 78 health 130,000 people 2,310 MC
educators providing SMC providers reached with procedures
trained on SMC services trained message on SMC conducted

10. Counseling and Testing: Mister Sister
Reaching Remote Populations in Namibia
Namibia on mobile testing vans - a true PPP in HIV/AIDS
• 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
• Screen rural population for HIV and other
diseases
• MOH provides staff and inputs (e.g. test kits,
vaccines)
• Employers/Unions pay part of cost

11. Treatment: Local Manufacturing of ARTs
Supplying the MOHSW in Tanzania
Collaboration between Tanzania
Pharmaceutical Industry (TPI) and GoT
 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%)

12. 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

13. Moving Forward with the Private Sector

14. 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

15. 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

16. Network for Africa Offers:
• Monthly E-Letters
• Resource center
• N4A interviews
• On-line chats
• Virtual meeting place for members only
• Annual technical exchanges

17. 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

18. Ilana Ron Levey
ilana_ron@abtassoc.com
www.shopsproject.org
SHOPS is funded by the U.S. Agency for International Development.
Abt Associates leads the project in collaboration with
Banyan Global
Jhpiego
Marie Stopes International
Monitor Group
O’Hanlon Health Consulting