This document discusses public-private partnerships (PPPs) in healthcare in three countries - Nigeria, Kenya, and Thailand. A PPP in healthcare involves a partnership between a government and private companies to jointly fund and operate healthcare services. The document notes that PPPs have advantages like improved access to care, increased funding and technologies, and higher efficiency. For a PPP to succeed, both partners must share decision-making, build trust, and closely monitor projects. It then provides specific examples of PPP initiatives in each country's healthcare system and funding levels from different sources.

1. Public Private Partnership
in Health Sector Case Studies:
Nigeiria, Kenya, and Thailand
Created by:
Yuanqing Zheng
yuanqing.zheng90@gmail.com
Fall 2014
1
When government services are funded and operated through a partnership of government and one or more private sector
companies, such a partnership is a public-private partnership (PPP). A PPP has many advantages due to improved access and
outreach, access to more funding and technologies, and increased efficiency and cost-effectiveness of projects. To ensure success
of a PPP, both parties should share decision-making and accountability, establish mutual trust, and supervise projects closely.
Nigeria Kenya Thailand
Funding Info Funding Info Funding Info
Global Fund has signed a total of
$1.5 billion to Nigeria.
PEPFAR's total funding between 2004
and 2011 is $2.5 billion.
Domestic Financing had an average of
20% between 1998 and 2002.
PPP Innovation
Kwara Community Health Insurance
Scheme (KCHIS) is provided by the
Kwara state community insurance
company using a health insurance fund
initiated by the Dutch government. The
state department partners with the
PharmAccess Group to administrate
and expand services to 85,000 rural
dwellers in Kwara state.
PPP Innovation
PPP Example
Global Fund has signed a total of
$0.9 billion to Kenya.
PEPFAR's total funding between 2004
and 2011 is $3 billion.
Public sector Financing has remained
constant at 29% of the total health
expenditure between 2001 and 2010
Kenya's mobile phone service provider
Safaricom and Call-a-Doc Ltd. partner
with each other to introduce a mobile
health service called Dial-a-Doctor.
It allows Kenyans to access medical
consultations over the phone.
EpiSurveyor is another PPP initiative
between WHO, the MHealth Alliance,
and other agencies. It is a free phone-
based data collection system.
Global Fund has signed a total of
$0.4 billion to Thailand.
PEPFAR's total funding between 2007
and 2009 is $19.1 million.
12% of the Thai population pays
for health coverage of 96% of the
population
The Thai Government's Ministry
of Finance endorsed a PPP policy
framework for the procurment of major
infrastructure project. Thai government
also held a National Health Assembly
to gather public sector, academia, civil
society, health professionals, and private
sector to discuss key health issues.