2. Introduction
In today’s world of complexity and rapid pace it is
almost impossible to do anything alone.
Due to rising price, changing disease pattern and
increasing use of sophisticated technology for diagnosis
and treatment.
3. Introduction cont..
• Public: It generally refers to government or
organizations functioning under state budget.
• Private: It refers to the profit/ non-governmental /
voluntary sector.
• Partnership: It’s a an agreement between two or more
parties. It reflects the mutual responsibilities of shared
interests.
4. Public private partnership (PPP)
• Two component
• 1. Shared interest or objectives
• 2. Mutual responsibility
• Shared goals
• Shared resources (time, money, expertise, people)
• Shared risks and benefits
5. Public private partnership in
health care
• It is an approaches to addressing public health problems
through the combined efforts of public private and
development organizations complimenting each other
by contributing or sharing their core competency.
6. Need of PPP
• Because existing services fails to reach all people
• Government on its own cannot always fully address the
most needy population.
• To set minimum standard for quality of services and
legal regulation.
7. Cont…
• For mutual benefits (cost, manpower and financial
resources.)
• To improve Consumer’s involvement in planning and
monitoring of services
• To commitment for public good
• To avoid duplication
8. Objectives
• Universal coverage and equity.
• Improving quality, accessibility, acceptance and efficiency of
health services.
• Exchange of skills and expertise between the public and private
sector.
• Mobilizations of additional services.
• Community ownership.
9. Cont…
• Improve the efficiency in allocation of resources and
additional resource generation.
• Strengthening the existing health infrastructure.
• Widening the range of services.
• Clearly defined sharing of risks.
10. MODELS
• 1. Contracting:
• Contracting out : government pays outside individual to
manage a specific function.
• Contracting in : government hires individual on a
temporary basis to provide services
• Eg. Human resources.
11. 2. Franchising
• Arrangement where one party (the franchiser) grants another
party
• Partial franchising
• Full franchising
• Branded clinic
• Eg. Butterfly clinic,
• Titli clinic in bihar,
12. 3. Social Marketing
• A Promotional business idea applied to increase
awareness about a social welfare campaign.
13. 4. Joint venture
• It is a business arrangement in which two or more
parties agree to pool their resources for the purpose of
accomplishing a specific task. This task can be a new
project or any other business activity.
14. 5. Voucher scheme
• It is a ticket or piece of paper that can be used instead
of money to pay for something
15. 6. Hospital autonomy
• It is the quality or state of being self-governing existing
or capable of existing independently.
16. 7. Partnership with corporate
sector/industrial houses,
• Eg. CII(Confederation of Indian industry),
FICCI(Federation of Indian Chambers of Commerce
and Industry)
• 8. Involving professional association
• Eg. IAPSM(Indian Association of Preventive and
Social Medicine)
17. Cont…
• 9. Donation and philanthropic contributions.
• 10. Involvement of social groups and clubs rotary club, lions
club.
• 11. Partnership with cooperative societies.
• 12. Partnership with nonprofit community based organizations.
• 13. Running mobile health units.
• 14. Community based health insurance.
18. Existing scenario of PPP
• Tenth five year plan, national health policy 2002 and other national health
program like RNTCP, NPCB, NLEP, RCH and NRHM initiated under five
basic mechanisms.
• Contracting-in.
• Contracting-out.
• Subsidies.
• Leasing or rental.
• Privatization.
21. Conclusion
• Public and private partnership have a critical role in
improving the performance of health system
worldwide, by bringing together the best characteristic
of public and private sectors to improve efficiency,
quality Innovation and health impact of both private
and public system.
