This document summarizes a presentation by Dr. Mwai Makoka on strengthening public-private partnerships (PPPs) for universal health coverage in Malawi. It provides background on the Christian Health Association of Malawi (CHAM), which operates 37% of health services in Malawi through its network of hospitals, health centers, and training colleges. CHAM signed a 2002 memorandum of understanding with the Malawian government to expand access to healthcare. However, lack of monitoring has undermined this agreement. The presentation calls for amending laws to better address PPPs in health, expanding funding sources, and changing mindsets around health financing and partnerships between faith and public sectors.
Presentation at the Adult Social Care Service Improvement Forum on 3 June 2014. The forum's agenda item focussed on the Integrated Commissioning work programme of the Health and Wellbeing Board. For more information, see https://www.sheffield.gov.uk/caresupport/health/health-wellbeing-board/integration.html.
2015 - HCBS National Conference
Panel Presentation on how three states are leveraging the benefits of MLTSS to meet the needs of individuals receiving home and community based services through Medicaid.
Peter Yeboah, MPH, MSc, Executive Director of the Christian Health Association of Ghana shares how CHAG works with the Ministry of Health in Ghana to provide health care and addresses challenges and how the organizations works to overcome them.
Presentation at the Adult Social Care Service Improvement Forum on 3 June 2014. The forum's agenda item focussed on the Integrated Commissioning work programme of the Health and Wellbeing Board. For more information, see https://www.sheffield.gov.uk/caresupport/health/health-wellbeing-board/integration.html.
2015 - HCBS National Conference
Panel Presentation on how three states are leveraging the benefits of MLTSS to meet the needs of individuals receiving home and community based services through Medicaid.
Peter Yeboah, MPH, MSc, Executive Director of the Christian Health Association of Ghana shares how CHAG works with the Ministry of Health in Ghana to provide health care and addresses challenges and how the organizations works to overcome them.
Paul Mikov, MA, Vice President of Institutional Partnerships with Catholic Medical Mission Board shares how CMMB partners with a variety of organizations to deliver care and strengthen health systems, including a program involving care by Catholic nuns.
Allied health professions as agents of change and reshaping care E33 (2#2)Sophie40
AHPs are uniquely placed in delivering outcomes for integration as they already work across health, social care and the third sector. This workshop will highlight some innovative examples of partnership working, pose questions and initiate debate. Key themes explored will include how putting the person at the centre can improve the individuals care and experience and how self-management and enablement can empower individuals, families and carers.
Contributed by: Scottish Government - Allied Health Professionals team
Kate White, manager of Superhighways presented to the HWB meeting outlining how Superhighways will be managing the outcomes through its digital inclusion training programme
Jill Mulelly, senior engagement specialist from South West London Collaborative Commissioning looks at extending reach by working with Healthwatch and other grassroots organisations.
34-63% of counties have maternal health tracer drugs but 18-39% of child health tracer drugs available
Large disparities in the availability of first line HIV drugs (0-50%)
Kisumu, Kisii, Vihiga, and Siaya consistently top third in drug availability
Transzoia, E-Marakwet, Nandi, Nyeri & T.River bottom
11 maternal health tracer drugs
11 child health tracer drugs
First-line drugs for HIV
ACT, first line treatment for malaria
4FDC, intensive treatment for tuberculosis
Metformin, preferred OGLA treatment for diabetes
This is the Plenary Presentation of CheyLeaphy Heng, Program Team Manager, Rainbow Community Kampuchea (RoCK) on the plenary topic: "UPR as an advocacy strategy for SOGIE-SC issues in Cambodia". This presentation was part of the 14th session of #APCRSHR10 Virtual, on the theme of "Sexual orientation and gender identity and SRHR in Asia Pacific".
Chair: Dr Chivorn Var, Convener of APCRSHR10 and Executive Director of Reproductive Health Association of Cambodia (RHAC)
Plenary Speaker: CheyLeaphy Heng, Program Team Manager, Rainbow Community Kampuchea (RoCK) | "UPR as an advocacy strategy for SOGIE-SC issues in Cambodia"
ABSTRACT PRESENTERS:
* Saroj Tamang | Male-to-Female Transgender Community barrier and challenges in access of Sexual Health Services
* Saritha P Viswan | A review of transgender issues in India
* Sobo Malik | Limited Access to Health Rights Resulting in Increase Self Medication
* Ciptasari Prabhawanti | Sexual Identity, Sexual Orientation, Sexual Risk and Condom Use Behaviors of Clients of Transgender Sex Workers in Jakarta, Indonesia
For further information, visit www.bit.ly/apcrshr10virtual14
Conference website: www.apcrshr10cambodia.org or check out www.bit.ly/apcrshr10virtual
Thanks
Allied health professions as agents of change in reshaping care E33 (1#2)Sophie40
AHPs are uniquely placed in delivering outcomes for integration as they already work across health, social care and the third sector. This workshop will highlight some innovative examples of partnership working, pose questions and initiate debate. Key themes explored will include how putting the person at the centre can improve the individuals care and experience and how self-management and enablement can empower individuals, families and carers. Contributed by: Scottish Government - Allied Health Professionals team
Paul Mikov, MA, Vice President of Institutional Partnerships with Catholic Medical Mission Board shares how CMMB partners with a variety of organizations to deliver care and strengthen health systems, including a program involving care by Catholic nuns.
Allied health professions as agents of change and reshaping care E33 (2#2)Sophie40
AHPs are uniquely placed in delivering outcomes for integration as they already work across health, social care and the third sector. This workshop will highlight some innovative examples of partnership working, pose questions and initiate debate. Key themes explored will include how putting the person at the centre can improve the individuals care and experience and how self-management and enablement can empower individuals, families and carers.
Contributed by: Scottish Government - Allied Health Professionals team
Kate White, manager of Superhighways presented to the HWB meeting outlining how Superhighways will be managing the outcomes through its digital inclusion training programme
Jill Mulelly, senior engagement specialist from South West London Collaborative Commissioning looks at extending reach by working with Healthwatch and other grassroots organisations.
34-63% of counties have maternal health tracer drugs but 18-39% of child health tracer drugs available
Large disparities in the availability of first line HIV drugs (0-50%)
Kisumu, Kisii, Vihiga, and Siaya consistently top third in drug availability
Transzoia, E-Marakwet, Nandi, Nyeri & T.River bottom
11 maternal health tracer drugs
11 child health tracer drugs
First-line drugs for HIV
ACT, first line treatment for malaria
4FDC, intensive treatment for tuberculosis
Metformin, preferred OGLA treatment for diabetes
This is the Plenary Presentation of CheyLeaphy Heng, Program Team Manager, Rainbow Community Kampuchea (RoCK) on the plenary topic: "UPR as an advocacy strategy for SOGIE-SC issues in Cambodia". This presentation was part of the 14th session of #APCRSHR10 Virtual, on the theme of "Sexual orientation and gender identity and SRHR in Asia Pacific".
Chair: Dr Chivorn Var, Convener of APCRSHR10 and Executive Director of Reproductive Health Association of Cambodia (RHAC)
Plenary Speaker: CheyLeaphy Heng, Program Team Manager, Rainbow Community Kampuchea (RoCK) | "UPR as an advocacy strategy for SOGIE-SC issues in Cambodia"
ABSTRACT PRESENTERS:
* Saroj Tamang | Male-to-Female Transgender Community barrier and challenges in access of Sexual Health Services
* Saritha P Viswan | A review of transgender issues in India
* Sobo Malik | Limited Access to Health Rights Resulting in Increase Self Medication
* Ciptasari Prabhawanti | Sexual Identity, Sexual Orientation, Sexual Risk and Condom Use Behaviors of Clients of Transgender Sex Workers in Jakarta, Indonesia
For further information, visit www.bit.ly/apcrshr10virtual14
Conference website: www.apcrshr10cambodia.org or check out www.bit.ly/apcrshr10virtual
Thanks
Allied health professions as agents of change in reshaping care E33 (1#2)Sophie40
AHPs are uniquely placed in delivering outcomes for integration as they already work across health, social care and the third sector. This workshop will highlight some innovative examples of partnership working, pose questions and initiate debate. Key themes explored will include how putting the person at the centre can improve the individuals care and experience and how self-management and enablement can empower individuals, families and carers. Contributed by: Scottish Government - Allied Health Professionals team
Dr. Samuel Mwenda of the Christian Health Association of Kenya discusses the unique holistic aspect of church-based health systems, how public-private partnerships function in Kenya to deliver healthcare, and challenges faced by faith-based health services.
Paseka Baptista Ramashamole, Deputy Executive Director of the Christian Health Association of Lesotho (CHAL) discusses CHAL's partnership with the government of Lesotho to provide health care at the 2018 CCIH conference.
1. Strengthening PPPs and inter-faith
partnerships for UHC:
Example from Malawi
Dr. Mwai Makoka
Executive Director, Christian Health Association of Malawi
Presentation at ACHAP 7th Biennual Conference, Nairobi
25 February 2015
2. Background of CHAM
• Christian Health Association of Malawi (CHAM)
was established in 1966
• CHAM is an umbrella association for both
Catholic and Protestant churches’ health facilities
• Current membership includes:
– 12 Christian denominations
– 40 hospitals
– 90 health centres with maternity
– 45 health centres with OPD
– 12 training colleges
3. Service delivery
• Provides 37% of health services
• Trains 80% of mid-level health professionals
• 90% of CHAM health facilities are located in
rural areas, some of which are hard-to-reach
• CHAM is key partner to Government’s delivery
of the Essential Health Package and UHC
4. Memorandum of Understanding
between CHAM and MOH
• CHAM signed an MOU with Government in
2002
• The aim was to support attainment of MDGs
by:
– Expanding access to quality health care
– Promote equity in access to health care
– Expanding pre-service training for health workers
5. Key provisions of the MOU
• Government pays salaries to CHAM staff
• CHAM provides health services (especially EHP)
at minimal user fees
• Government and CHAM should not open new
health facilities within 8km radius of each other
• Government seconds tutors to CHAM colleges
• Graduates are deploys 60% to Government and
40% to CHAM
• Service level agreements (SLAs) are signed at
district level to close specific service delivery gaps
6. Government= Constitutional obligation
Churches= Biblical mandate
Government
• Pays salaries for CHAM
health workers and tutors
• Seconds tutors to colleges
• Provides health care and
training with minimal fiscal
burden (i.e., without
meeting full capital and
recurrent costs
CHAM
• Provides infrastructure and
other assets
• Provides training and health
services
• Provides operational
management
• Receives subvention from
Government (salaries)
• Charges some user fees
Shared responsibility, risk and benefits
8. The need to strengthen PPPs
• Enactment of (a generic) PPP Act in 2010 necessitates
migration from the MOU to a PPP arrangement
• Lack of continuous monitoring of the MOU and SLAs
with timely implementation of corrective measures has
undermined the MOU
• Shrinking fiscal space making the Government look for
an alternative arrangement with even less fiscal
responsibility
• Free services in public facilities reducing people’s
“willingness to pay” in CHAM facilities
• Dwindling direct support to CHAM facilities from
overseas benefactors – more reliance on local
resources
9. Way forward
• Amendment of PPP Act to address specific
public health issues
• Support expansion of funding base for health
care
• Expand Private-Private partnerships with for
for-profit or non-profit organisations
• Support change of mindset on health
financing and PPPs in both faith and public
sector
11. Dr. Mwai Makoka
Dr. Makoka was appointed Executive Director
of CHAM in January 2014. He previously
worked in the national HIV program in the
Ministry of Health and the National AIDS
Commission; and was also a member of
faculty at the medical school.
He received medical training at the University
of Malawi and did postdoctoral studies in
medical and public health microbiology at the
University of North Carolina, USA.
Dr. Makoka is passionate about access to, and
quality of health care, medical education and
sustainability of Christian health delivery
models.