SPECIAL FOCUS ON PPP MODEL – INDO -NIGERIAN PERSPECTIVE AND

COMPARISION

INTERNATIONAL HEALTH MANAGEMENT MODEL

B.Jeyakumar – Administrator and BDMBTHDC – LASUTH , Lagos . Nigeria

What is PPP in Health Care?means to bring together a set of actors for the

common goal of improving the health of a population based on the mutually agreed roles and principles (WHO1999)

Public Private Partnership is an amalgamation of Public sector and Private sector to achieve a common goal…..

PPP is a partnership which means that both parties have agreed to work together in implementing a program, and that each party has a clear role and say in how that implementation happens.

Basic Comparison of Indo – Nigerian Scenario in Health care

PPPIndia

State , Central with Private.

More Redtapism Too Many

Hierarchies Key Players are

active NGO and Mammoth Firms.

More in to Primary and Secondary Levels

NigeriaState , Federal with

Private.Less Redtapism Less Hierarchies Key Players are

exclusively Mammoth Private

Firms.• More in to Primary,

Secondary, Tertiary and Super speciality Levels

General Challenges in PPP

• PROFITABILITY

• ECONOMIC VIABILITY

• CHANGES IN GOVERNMENT POLICIES

• CORPORATISM VS PUBLIC INTEREST

PROs and CONs of PPP

PROs CONs

Accessible Client Oriented

High Quality targeted to Poor community.

Not for Profit to Public but higher quality care is possible.

Difficult to Mainstream

Major constraint on Cost

Small CoverageLack of resources

(Source: Adopted from World Bank 2004)

Conditions for Successful PPP Venture: A clear understanding between the partners about mutual benefits.

A clear understanding of the responsibilities and obligations between the partners

Strong community support.

Need for some catalyst to start the process of partnership (maybe an individual, a donor, a compelling vision or even a political or economic crisis)

TIME FOR PUZZLE

ARE YOU READY ?

Stability of the political (government) and legal climate (laws)

Regulatory framework that is followed and enforced.

Capacity and expertise of the government at different levels in designing and managing contracts (partnership)

Appropriate organizational and management systems for partnerships.

Strong management information system.

Clarity on incentives and penalties.

Types of PPP Ventures Contracting in and Contracting Out Franchising Social Marketing Joint Ventures Subsidies and Tax Incentives Vouchers or Service Purchase Coupons Hospital Autonomy BOT - Build Operate and Transfer Philanthropic contributions Health co-operatives Grants-in-aid capacity- building leasing and Social health insurance.

Of course, different models are useful under different circumstances.

However, among all the partnership models, contracting has been the most common form.

The research literature is replete with examples of contracting as a form ofpublic/private partnership.

ADMINISTRATOR IN RECEPTION

Proudly associated with BTHDC AS Head Of Operations

Let us take an online tour of real PPP venture

PARENT COMPANY

WWW.DEUXPROJECT.COM

PUBLIC ENTITY

GOVERNMENT OF LAGOS

THANK YOU