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TB Public Private Partnerships Opportunity or Risk

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developed the Global Development Alliance (GDA) in 2001 ... Bangladesh: TB/HIV referral linkages with NGOs and 'Blue Star' service providers ... – PowerPoint PPT presentation

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Title: TB Public Private Partnerships Opportunity or Risk


1
TB Public Private PartnershipsOpportunity or
Risk?
Cheri Vincent Senior Public Health
Advisor USAID June 3, 2008
2
USAIDs commitment to PPP
  • Strong advocate for Public Private Partnerships
    at all development levels and fields
  • developed the Global Development Alliance (GDA)
    in 2001
  • - unique partnership to build public private
    alliances
  • - gt680 alliances with 1,700 partners at the
    global level
  • - leveraged gt 9 billion from public and private
    resources.
  • Many more partnerships supported at country/local
    levels.
  • USAID Administrator Fore challenged the Agency to
    triple investment in all types of PPPs by the
    end of 2009.

3
USAIDs Commitment to TB PPM
  • 2001 USAID was one of the first supporters of
    TB PPM activities through WHO
  • Global level TB PPM support 4.5 million/yr
    through WHO, TB CAP, Global Drug Alliance, USP,
    RPM, CSHGP TB grants, and PATH TO
  • 18 country level TB PPM activities supported
    through various partners.

4
Global TB PPM Activities Supported
  • Stop TB Partnership PPM Sub working group
  • TA to pilot and scale-up TB PPM at the global,
    regional, country level
  • Guidance tool development to strategically
    scale-up PPM
  • TA to address country level constraints to
    scale-up of PPM
  • New drug development and expanded manufacturing
    of 2nd line drugs
  • Mobilization of resources for PPM scale-up, e.g.
    GF applications.

Source WHO
5
Country TB PPM Activities Supported
  • Bangladesh TB/HIV referral linkages with NGOs
    and Blue Star service providers
  • Cambodia pharmacy staff traditional healer
    training referral systems
  • Ethiopia training and referral systems for
    clinics (private, NGO, work place) and private
    pharmacies and development of medical college TB
    curriculum
  • Ghana private sector lab facilities national
    coordination of TB PPM
  • Indonesia ISTC adoption and implementation, and
    Hospital DOTS Linkages (HDL) expansion
  • Kenya Integration of quality services in private
    facilities (including TB)
  • Philippines PPMD expansion, systems
    strengthening, and TB financing mechanisms
  • Other countries with PPM activities Djibouti,
    DR, DR Congo, India, Malawi, Mexico, Pakistan,
    Senegal, South Africa, Tanzania, Zambia.

Source USAID FACTS Database
6
Success relies on
  • Public sector leadership in organization of the
    partnership
  • Partnership exploits the comparative advantage
    and unique skill set of its members
  • Joint program development of all key
    stakeholders
  • Clearly defined responsibilities, risks, and
    resources required of each partner
  • Inclusiveness and transparency and
  • Appropriate incentives for each partner.

7
Lessons Learned for Successful partnerships
  • A comprehensive strategic plan to lead the
    partnership is essential
  • Designation of a leader responsible for ensuring
    quality and equity of services
  • Each partner must provide competent and
    sufficient human resources
  • Partners need to be flexible and adapt to current
    and variable situations and environment
  • Clear and transparent lines of communication and
  • ME system to document baseline information as
    well as progress for advocacy and motivation.

8
Challenge Partners may say the same thing but
mean different things.
9
Challenge Partners and Beneficiaries have
Biased Perceptions of Quality
10
Challenge Ensuring the Quality
11
Ultimate Challenge
  • Scale-up and Sustain Quality TB PPM

12
Opportunities must outweigh the risks
Bottom Line
  • Private health care sector has and continues to
    expand rapidly in developing countries.
  • People continue to go to secondary care and
    private facilities first, making them an
    essential partner to improve case detection and
    diagnostic delays.

13
Together in partnership we are more than the sum
of our parts!
THANK YOU!
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