Partnerships

This presentation reviews the global experience of contracting and discusses two spedific examples of contracting in Cambodia and Bangladesh.

This presentation was part of the International Conference on Global Health session, "Answering the Call: Innovations in Human Resources by African Faith-Based Organizations." From the perspective of the Uganda Catholic Medical Bureau experience, the presentation discusses why the private not-for-profit sector is important in service provision and training; why nurses are in the midst of the human resource crisis; obastacles to increasing the training capacity; and what the PNFP health training institutions are doing to address their weaknesses. [adapted from author]

Pathfinder has provided community-based family planning and reproductive health services to women and men throughout the developing world for over 50 years. Partnerships with local governments and Nongovernmental Organizations (NGOs) allow Pathfinder access into communities to provide information and services. These local organizations provide a solid, established network through which Pathfinder reaches people. Faith-Based Organizations (FBOs) are a vital extension of this network. [author's description]
This report provides information on: the process of building relationships; partn

This presentation was part of the ECSA Workforce Observatory Meeting in Arusha. It describes the Africa Health Workforce Observatory as a cooperative initiative and partnership (public sector, NGO/ CSOs, academy, professional associations, international & subregional organizations, development partners) to improve human resources development through promoting and facilitating evidence-based policy-making. The presentation details the benefits and some of the functions of the Observatory such as: country monitoring and information; research and analysis; sharing and dissemination; promoting national and intercountry networking; and capacity building for HRH. [author's description]

This report presents the findings from an assessment of the contraceptive method mix in Myanmar focusing on birth spacing, the providers of birth spacing services (public, private, NGO) and the information needs of these health pracitioners. [adapted from publisher's summary]

This report describes highlights from the Doctors We Trust Project in St. Petersburg and the Together We Are Stronger Project in Kaliningrad. Both projects focused onthe limitations of health care for vulnerable groups in St. Petersburg and Kaliningrad. The key strategy was to build cooperative links between government agencies and NGOs, uniting those who control public medical facilities and those who work most closely with vulnerable populations. The goal was to strengthen the NGOs’ capacity to provide care, while helping the governmental sector and medical personnel better understand and respond to the needs of people living with HIV and AIDS (PLHA) and other vulnerable groups.

The first meeting ever held in Africa on the crisis facing the health workforce in which a large number of stakeholders met face-to-face to exchange views and initiate processes that could lead to development of solutions. The meeting endorsed the relevance of education and training of health professionals to the health needs of the population served, the importance of forging new partnerships between the health and education sectors, the urgency of facilitating retention and optimal utilization of the health workforce in the African work environment, recognition of the impact of the HIV/AIDS pandemic on the health workforce, and the impact of globalization.

The World Bank commissioned the Center for Development Communication (CDC) to develop a communication strategy to help boost public-private partnerships in the African continent. CDC consulted with key informants and stakeholders identified by the World Bank’s Public-Private Partnerships (PPP) working group in order to develop a stakeholder analysis to help inform the larger communication strategy. This report summarizes the results of that consultation. [from executive summary]

This report discusses the impacts of malaria on business. It reviews the academic literature on the impacts of malaria on economies and businesses, presents data from survey on the business impacts of malaria, discusses the actions the private sector can take to combat malaria, and reviews examples of business malaria programs. The final section makes some recommendations for businesses considering engagement in malaria control. [adapted from author]

This publication is part of a series that highlights some of the key challenges, opportunities and practical examples that were identified in dialogues among over 400 leaders in business, government, development agencies, civil society, and academia to share good practices and identify practical and feasible models of collective business action and public-private partnership aimed at achieving more systemic and scalable solutions to global challenges. It makes recommendations for ways that companies can get directly engaged in specific initiatives on-the-ground. [adapted from author]

This report describes opportunities for engaging and supporting a well managed and effectively regulated private sector to improve the region’s health. This report highlights the critical role the private sector can play in meeting health care needs in Sub-Saharan Africa. It also identifies policy changes that governments and international donors can make to enable the private sector to take on an ever more meaningful role in closing Africa’s health care gap. [adapted from publisher]

Contracting with non-state entities, including non-governmental organisations, has been proposed as a means for improving health care delivery, and the global experience with such contracts is reviewed here. The ten investigated examples indicate that contracting for the delivery of primary care can be very effective and that improvements can be rapid. [from author]

Private health care plays a central role in health-care provision in many developing countries hat have a high burden of TB. It is therefore encouraging that public-private partnerships (PPM) are being set up in various countries around the world to explore possible interaction between the national TB programs and other partners in the fight against TB. The objective of this review was to use the published literature to asses the range of providers included in PPMs for their ability to provide case-detection services for the vulnerable. [abstract]

This issue of Health Action looks at a few of the many [health] challenges, their likely impact on health workers and how they might be met. What may surprise some readers is that many challenges do not involve medical advances. Rather, they are concerned with adapting health systems to cope with new developments (for example, demographic changes, non-communicable diseases) and finding new ways of working effectively. [author's description]
The issue contains articles on: supporting staff strengths; building better partnerships; and partners in planning.

This Briefing has two parts: Comment on the World Health Report 2006; and Overview of the multi-partner initiative: 'HR-HR' Improving Human Resources for Better Health Research in Africa.

Most South Asian governments have concentrated on emulating a Western style of healthcare service, with the result that an elite few are overmedicalised whereas the majority are neglected. However, community participation in the development of local health services could provide a solution. [abstract]

This issue of the HST Update covers topics such as: care from within the community; the Khayelihle example; and the role of organizations outside the government in community-based care.

In 1996 an act of Parliament created the Ghana Health Service (GHS) as an extra-ministerial agency that is outside the civil service, freeing the health sector to change, innovate, and reform health care operations in Ghana. This flexibility enables the GHS to utilize research for guiding innovation with research activities. The GHS has adopted a model for community-based service delivery known as the Community-based Health Planning and Services (CHPS) Initiative. CHPS is an integral part of the current Ghana Health Service Five Year Programme of Work and represents the health sector component of the national poverty alleviation programme.

Community-based Health Planning and Services (CHPS) initiative as a strategy to deliver community level service is a key health system reform for the Health Sector in general and the Ghana Health Service in particular. If the health sector is to achieve the Health Millennium Development Goals’ in Ghana, then there is the need for a drastic shift in the paradigm of service provision. CHPS provides us with a vehicle for making this paradigm shift so as to deliver community level service by engaging communities in taking decisions concerning their own health and recognizing that the primary producers of health are the individuals within households – especially mothers.

Outline of the community-based health planning and services (CHPS) initiative developed by the Ghana Health Services, as an enhanced Close to Client (CTC) System. CHPS aims to provide accessible primary health care to all communities of Ghana, by enabling District Health Management Teams throughout Ghana to develop approaches to community health care that are consistent with local traditions, sustainable with available resources, and compatible with prevailing needs. This article discusses, step by step, the processes involved in managing, planning, coordinating, and monitoring the CHPS initiative.

This toolkit aims to assist in the preparation and use of health services contracts. The term "contract" is used here to cover any form of document that provides a quantified specification of the health services outputs expected from given financial inputs within a given time period and to defined quality standards, and that is used to guide and control the behaviour of both the payer of those financial inputs and the provider of the specified service outputs. [author's description]

This presentation was part of the International Conference on Global Health session, "The Future is Here: Private Sector Contracting in Low-Income Countries." It provides a review of the global experience in contracting, specific examples, a summary of the main issues with contracting and some take home messages.

In 1999, Cambodia contracted out management of government health services to NGOs in five districts that had been randomly made eligible for contracting. The contracts specified targets for maternal and child health service improvement. The program increased the availability of 24-hour service, reduced provider absence, and increased supervisory visits. There is some evidence it improved health. The program involved increased public health funding, but led to roughly offsetting reductions in private expenditure as residents in treated districts switched from unlicensed drug sellers and traditional healers to government clinics.

Government contracting of private organizations is an increasingly common tool to meet the growing demand for quality reproductive health care in developing nations. This guide brings together information about such contracting experiences in a way to serve the practical needs of World Bank staff and their government counterparts in developing countries interested in trying contracting. [introduction]

This primer introduces key aspects of contracting and summarizes key lessons from countries' experiences in contracting-out. In doing so, it is intended to serve the practical needs of contracting practicioners in developing countries that are considering contracting as a way to deliver RH/FP services. Intended users include country-level decision makers, contract operation managers, and mission officers and advisers from donor agencies. [publisher's description]

The objective of this document is to implement and evaluate a public–private partnership to deliver the internationally recommended strategy DOTS for the control of tuberculosis (TB) in Lalitpur municipality, Nepal, where it is estimated that 50% of patients with TB are managed in the private sector. [author's description]

Innovative partnering and alliances are becoming a more established approach to working on global health inequities. Nearly 80% of the Bill & Melinda Gates Foundation's global health investments have been made through such partnerships. To reflect on and learn from our experience to date with alliances, the foundation commissioned an assessment, which is summarized in the report, Developing Successful Global Health Alliances. The report examines the circumstances that call for alliance formation, the utility of various alliance models, and the characteristics of successful alliances. [Description from authors]

This publication is an effort to respond to the different needs for capacity building in management and implementation of health programmes and delivery of essential services. It reflects the thinking acquired from experience working with health sector reforms being implemented in the African Region. The District Health Management Training modules cover the principles that are applicable across the Region and are meant to guide and strengthen the management capacity of district health management teams. [author's description]
Module 1: Health Sector Reform and District Health Systems; Module 2: Managment, Leadership and Partnership for District Health; Module 3: Managment of Health Resources; Module 4: Planning and Implementation of District Health Services.

[This case study evaluates the] Drug Resources Enhancement against AIDS and Malnutrition (DREAM) program, created by the Community of Sant’Egidio to fight AIDS in sub-Saharan Africa. The project takes a holistic approach, combining Highly Active Anti- Retroviral Therapy (HAART) with the treatment of malnutrition, tuberculosis, malaria, and sexually transmitted diseases. It also strongly emphasizes health education at all levels. DREAM aims to achieve its goals in line with the gold standard for HIV treatment and care. [author's description]

During the past few years, a number of key donor programs have scaled up their global response to the crisis of HIV and AIDS... The goal of this paper is to begin a discussion among donors, international and local NGOs, and multilateral and U.S. government representatives on how to effectively engage indigenous partners and transfer much-needed resources. [from preface]