Title: TB Public Private Partnerships Opportunity or Risk
1TB Public Private PartnershipsOpportunity or
Risk?
Cheri Vincent Senior Public Health
Advisor USAID June 3, 2008
2USAIDs 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.
3USAIDs 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.
4Global 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
5Country 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
6Success 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.
7Lessons 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.
8Challenge Partners may say the same thing but
mean different things.
9Challenge Partners and Beneficiaries have
Biased Perceptions of Quality
10Challenge Ensuring the Quality
11Ultimate Challenge
- Scale-up and Sustain Quality TB PPM
12Opportunities 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.
13Together in partnership we are more than the sum
of our parts!
THANK YOU!