Insights for the future of health system partnerships in low- and middle-income countries: a systematic literature review

Abstract

Background Despite growing support for the private sector involvement in the provision of public health services in Low- and Middle-Income Countries (LMICs), a lack of clear information on the future of the provision of such services restricts the ability of managers and policy-makers to assess how feasible integration between public and private actors may be in these countries. This paper presents a systematic literature review which traces the dynamics and boundaries of public-private partnerships for the healthcare sector in LMICs. Methods A total of 723 articles indexed in Scopus were initially submitted to bibliometric analysis. Finally, 148 articles published in several academic journals were selected for independent full-text review by two researchers. Content analysis was made in order to minimise mistakes in interpreting the findings of studies in the sample. Results Public-private partnerships identified through the content analysis were categorised into four research areas: 1) Transfer of resources; 2) Co-production of health goods and services; 3) Governance networks; 4) Criteria for successful partnership development. Conclusions The four main research areas supply suggestions for a future research agenda, and managerial and policy implications for partnerships in LMICs.

Shifting research priorities in maternal and child health in the COVID-19 pandemic era in India: A renewed focus on systems strengthening

“…Such partnerships could help in optimally tapping the individual sectors’ strengths and contribute to the journey towards achieving the Sustainable Developmental Goals and Universal Health Coverage for all by 2030. Identifying and facilitating roles for public-private partnerships to support public health systems as well as research could further enable the most vulnerable populations to have access to healthcare [ 26 ]. General recommendations for establishing research priorities in maternal and child health in India are summarized in Fig 2 ; these have been informed by the results of this study, and our engagement with key stakeholders, and are in alignment with the World Health Organization’s report on research for universal health coverage [ 27 ].…”

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“…Their results align with and augment our ndings by reinforcing several essentials in the TI concept: strong leadership; diversity and intersectionality; local ownership and institutional context; sustainability; and partnerships. Further, partnerships with local collaborators, rather than extractive research, is critical in ensuring that research and subsequent health plans and programs are contextually appropriate, locally driven, equitable, and in line with local and national policies and key strategies (63)(64)(65)(66)(67)(68). Effective communication, another emergent theme from the analysis, can facilitate partnerships and institutional trust.…”

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