Challenges in Building PPP in Malaria Control:

1

• Challenges in Building PPP in Malaria Control
• How to overcome the challenges posed by malaria
  as a disease in promoting PPP?
• How to overcome barriers for private sector
  participation in malaria control?
• In promoting private goods such as better malaria
  case management or use of LLINs
• In promoting public goods like vector control
• Will one strategy work for different malaria
  endemic areas of India?
• How to enhance institutional capacities to
  effectively manage PPP at different levels?

2

• How to overcome the challenges posed by malaria
  as a disease in promoting PPP?
• Control of the vector is beyond the traditional
  private health providers paradigm

• Uncomplicated malaria results in relatively short
  illness which makes partnerships difficult to
  implement and monitor

3

• How to overcome barriers for more effective
  participation of private sector in promoting
  private goods in malaria control?
• Case Management
• Private sector important provider of ambulatory
  care in India
• But, a mixed bag traditional, faith based,
  informal, formal..
• Guidelines available. But operational tools
  missing
• Mindset problems to involve informal sector
• Active Engagement of private pharmaceutical
  industry Co
• promotion of ACT Bundling policies (RDKCombi
  Blister Packs)
• Promotion of LLINs
• Lack of clearly articulated policies and
  operational guidelines for
• technology transfer/social marketing

4

• How to overcome the barriers for more effective
  participation of private sector in promoting
  public goods for malaria control?
• Promoting State ownership
• Creating enabling legal framework - Building
  By-laws
• New legislative actions such as Tax benefits
  for
• integrated vector management
• Establishing Institutional mechanisms such as
  multi-
• sectoral task forces

5

• Will one strategy work for different malaria
  endemic areas of India?
• Uneven distribution- 80 of malaria from 20 of
  districts
• Orissa -30 Jharkhand-10, Chattisgarh and
  Jharkhand 10
• each
• Widely different locations and varied mix of
  public and private
• sectors
• Tribal Informal Traditional
  providers Weak PH systems
• Mining industry
  (Orissa, Jharkhand, Chattisgarh)
• Peri-urban Construction industry, No PH
  systems (Navi Mumbai)
• Urban Construction industry, Formal
  Private providers,
• Migrant populations
  (Most Cities)
• Desert Water storage practices, No
  industry (Rajasthan)
• Industrial Water management, migrant
  populations

6

• How to enhance institutional capacities to
  effectively manage PPP at different levels?
• By far the BIGGEST challenge
• Requires capacity building at all levels
• Central Policy, Strategy and Operational
  Guidelines
• State Operational plans, Oversight
• District Procurement and Contract management
• New Skills Franchising, Accreditation, Social
  Marketing, Advocacy