Is Public Private Partnership an Effective Alternative to Government in the Provision of Primary Health Care? A Case Study in Odisha

Baig, Mirza Barjees; Panda, Bhuputra; Das, Jayanta Kumar; Chauhan, Abhimanyu Singh

doi:10.1177/0972063413518679

Cited by 13 publications

(25 citation statements)

References 5 publications

(4 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…medicines, whereas laboratory service was better in PHC-NGO and PHC-COR. 27 A study while analysing the challenges of PPP health facilities suggests that, involvement of NGOs in health planning is nearly non-existence but government expect them to participate in the final phase of implementation of any programs. Further, the mismatch between the grassroots needs and the government agenda make the partnership more complex.…”

Section: Discussionmentioning

confidence: 99%

How respectfully women are treated during difficult phase like childbirth? A primary survey of differently-managed health facilities in Odisha, India

Gouda

Shekhar

2020

Clinical Epidemiology and Global Health

View full text Add to dashboard Cite

Objective: The study was explorative in nature, implemented at hospital level to investigate how respectfully women are treated while accessing delivery care in the health facilities. Methods: A total of 115 differently-managed i.e. public, private and public-private partnerships (PPP) health facilities in Ganjam and Kandhamal districts of Odisha were selected to undertake this study. Three women each having given childbirth in the last six months preceding the survey in the sampled 115 health facilities were selected randomly to participate in the study. Results: The result presented a distinct picture wherein provision of respectful maternity care is not uniform for all the respondents included in the study. Management of the health facility remained as the major transpiring factor to providing respectful maternity care. Public health facility (ATT: 5.503) -which happened to be the largest service provider in the study population, affects respectful maternity care adversely. Contrary to this, women having accessed delivery care from the PPP facilities received more respectful maternity care. The private facilities whose number is mushrooming alarmingly at the present time also fails to provide the needed respectful maternity care to women during their difficult phase like childbirth. Conclusion: Women's memory of birth experience including any disrespectful and abusive care stays with her lifetime and affects her physical and emotional health. It may also discourage her to have institutional deliveryby which, opportunities may be lost to diagnose morbidities early that are associated with pregnancy and childbirth.

show abstract

Section: Discussionmentioning

confidence: 99%

How respectfully women are treated during difficult phase like childbirth? A primary survey of differently-managed health facilities in Odisha, India

Gouda

Shekhar

2020

Clinical Epidemiology and Global Health

View full text Add to dashboard Cite

show abstract

“…Previous studies have shown that, despite substantial contributions and previous successes, provision of PHC services solely via the public sector providers has its limitation and some potential problems are well-documented (e.g., shortage of human resources, inefficient institutional frameworks, inadequate quality and efficiency due to a lack of competition, particularly in remote and rural areas) [ 4 , 5 ]. In response to these challenges, some suggested that public-private partnerships (PPPs) initiatives could help to make PHC services provision more effective and efficient [ 6 – 12 ]. PPPs are voluntary cooperative arrangements between two and more public and private sectors in which all participants agree to work together to achieve a common purpose or undertake a specific task and to share risks and responsibilities, resources and benefits [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

“…It was previously shown that among the main reasons for service uptake from private PHC providers were better geographic access, shorter waiting times, more flexible opening hours, easier access to staff consultations and medication, and more confidentiality regarding disease-related symptoms [ 4 , 17 – 20 ]. Moreover, the use of PPPs can significantly reassure and reduce the fear of privatising health care services [ 6 ]. Not surprisingly, PPPs are rapidly expanding and becoming an integral part of effective health interventions [ 21 ].…”

Section: Introductionmentioning

confidence: 99%

Public-private partnerships in primary health care: a scoping review

Joudyian

Doshmangir

Mahdavi

et al. 2021

BMC Health Serv Res

View full text Add to dashboard Cite

Background The Astana Declaration on Primary Health Care reiterated that PHC is a cornerstone of a sustainable health system for universal health coverage (UHC) and health-related Sustainable Development Goals. It called for governments to give high priority to PHC in partnership with their public and private sector organisations and other stakeholders. Each country has a unique path towards UHC, and different models for public-private partnerships (PPPs) are possible. The goal of this paper is to examine evidence on the use of PPPs in the provision of PHC services, reported challenges and recommendations. Methods We systematically reviewed peer-reviewed studies in six databases (ScienceDirect, Ovid Medline, PubMed, Web of Science, Embase, and Scopus) and supplemented it by the search of grey literature. PRISMA reporting guidelines were followed. Results Sixty-one studies were included in the final review. Results showed that most PPPs projects were conducted to increase access and to facilitate the provision of prevention and treatment services (i.e., tuberculosis, education and health promotion, malaria, and HIV/AIDS services) for certain target groups. Most projects reported challenges of providing PHC via PPPs in the starting and implementation phases. The reported challenges and recommendations on how to overcome them related to education, management, human resources, financial resources, information, and technology systems aspects. Conclusion Despite various challenges, PPPs in PHC can facilitate access to health care services, especially in remote areas. Governments should consider long-term plans and sustainable policies to start PPPs in PHC and should not ignore local needs and context.

show abstract

“…Published experiences with PPP implementation in PHC in different countries (8)(9)(10)(11) have provided various and sometimes contradictory results on the use of PPP in PHC, and there is no study that thoroughly examines this issue. That is why there is a need to examine the experiences and achievements of PPP in PHC worldwide.…”

Section: Introductionmentioning

confidence: 99%

Public-Private Partnership Policy in Primary Health Care: A Scoping Review Protocol

Gharaee

Aghdash

Tabrizi

2020

Preprint

View full text Add to dashboard Cite

Background Achieving universal health coverage requires health systems oriented to primary health care (PHC). The private sector may be a crucial resource for countries’ work on universal health coverage. One of the most effective ways to engage the private sector in health system is Public-Private Partnership (PPP). Since, published experiences about PPP implementation in PHC in different countries have provided various and sometimes contradictory results, there is a need to examine the results of using PPP in PHC worldwide. Thus, the main objective of this scoping review is to perform an inclusive search for studies that report the experiences of implementation PPP in PHC worldwide. Methods This scoping review study will be conducted using the framework proposed by Arkesy and O'Malley. An extensive search of the literature will be done in five databases including PubMed, Embase, Scopus, Web of Science and Science Direct, and two Persian databases using a comprehensive search strategy to identify studies on PPP implementation in PHC. The search will be done from January 2000 to the end of 2019, completed by reference tracking, author tracking and expert consultation. Any study, which focuses on the results of PPP in PHC, will be included in the study. Two reviewers will screen the articles based on the title, abstract and full text, and extract data. Potential disagreements will be resolved by consulting a third author. Discussion Given the problems and shortcomings in the providing PHC services in different countries, specially low and middle income countries, the use of private sector capacities and capabilities in the form of PPP, can be effective and useful solution. The results along with recommendations will be published in order to the authorities of the health system in different countries, especially low and middle income countries, use it to make better evidence-based decisions about using PPP in PHC in the future.

show abstract

Is Public Private Partnership an Effective Alternative to Government in the Provision of Primary Health Care? A Case Study in Odisha

Cited by 13 publications

References 5 publications

How respectfully women are treated during difficult phase like childbirth? A primary survey of differently-managed health facilities in Odisha, India

How respectfully women are treated during difficult phase like childbirth? A primary survey of differently-managed health facilities in Odisha, India

Public-private partnerships in primary health care: a scoping review

Public-Private Partnership Policy in Primary Health Care: A Scoping Review Protocol

Contact Info

Product

Resources

About