PUBLIC PRIVATE PARTNERSHIP(PPP) EXPECTED RESULTS ACHIEVEMENTS CHALLENGES
COMPONENT OBJECTIVE Public Private Partnership: (Phase1-2) • The cooperation of private and public health services, with particular attention to faith-based service providers is institutionalized and supported by the national policy.
ACHIEVEMENTS-NATIONAL LEVEL • A National Guideline for Establishment and Operationalisation of CHSB, FGCs, CHPT developed (03) • The National District Health Planning Guidelines defines the CHPT PPP composition in developing CCHPs. • A National PPP Steering Committee established ,TOR in Place (06/07) and Quarterly meetings supported • 2009-2015 HSSP- PPP strategy (6)elaborated by the NPPPSC. • A Contractual arrangement tool btw. Government and Service providers (Service Agreement) endorsed by MOHSW and PMORALG (Dec.07) • Costing for Service Agreement elaborated with CSSC (08)
Achievements-Back-up level • Zonal CSSC-Policy Forums (Southern, Lake and Northern) Supported to operationalise the National Policies ,HSR,NDHPG, SA • ¾ Regional PPP Steering Commitees established and Functional • Dodoma (CBHI) supported to elaborate the HSR (CHSB, FGCs, CHF ) • Advocacy on SA jointly conducted by CSSC, APHFTA, TGPSH in 5 regions • Organisation of Professional Associations (Constitutional arrangement ) supported
Achievements-Operational level • Council Health Service Boards (CHSBs) and Facility Governing Commitees established in all programme Districts. • PPP Council Health Planning Teams in place • SA Advocacy conducted in all four regions • TPHA Annual Conference 2008 used to bring Service Agreement Advocacy beyond the TGPSH districts. • Service Agreement Operationalised in five districts with FBOs/Private service providers (3Tanga 1Lindi,1Killy )
Challenges • HRH crisis by number and capacity • HRH shift from FBO to Public . FBO/Private survival and contribution threatened • Turn-over rate of Government leadership • PPP demands change of mindset • Service Agreement implementation is a policy change • SA demands a Costing exercise
Discussion questions • Define 3 synergies between DHQM and PPP • How can TGPSH foster these synergies