Public-private partnerships (PPPs) in healthcare aim to address public health problems through combined efforts of public, private, and development organizations. PPPs can improve universal access, quality, and efficiency of services by sharing goals, resources, risks, and benefits between sectors. Common models of PPP include contracting, franchising, social marketing, and joint ventures. While PPPs can increase cost-effectiveness and productivity, challenges include ensuring equity, quality, and costs. Considerable work is still needed to develop accountability, legal frameworks, and trust for PPPs to succeed in reducing poverty and improving health outcomes.

1. Public private
partnership
in health care
(PPP)
by, Kavya
1st
year MSc N

2. Objectives
• define PPP
• list objectives of PPP
• describe Models of PPP
• explain Existing scenario

3. Introduction
• In today’s world of complexity and rapid
pace it is almost impossible to do anything
alone.
• Due to rising price, changing disease
pattern and increasing use of sophisticated
technology for diagnosis and treatment.

4. • Public: It generally refers to government
or organizations functioning under state
budget.
• Private It refers to the profit/ non-
governmental / voluntary sector.
• Partnership Its a an agreement between
two or more parties. It reflects the mutual
responsibilities of shared interests

5. Public private partnership in
health care (PPP)
Two component
1 . Shared interest or objectives
2. Mutual responsibility
Shared goals
Shared resources (time, money,
expertise, people)
Shared risks and benefits

6. Public private partnership in
health care
It is an approaches to addressing
public health problems through the
combined efforts of public private and
development organizations complimenting
each other by contributing or sharing their
core competency.

7. Need of PPP
• Because existing services fails to
reach all people
• Government on its own cannot always
fully address the most needy
population.
• To set minimum standard for quality
of services and legal regulation.

8. Cont…
• For mutual benefits(cost,manpower and
financial resources.)
• To improve Consumer’s involvement in
planning and monitoring of services
• To commitment for public good
• To avoid duplication

9. Objectives
• Universal coverage and equity
• Improving quality, accessibility, acceptance and
efficiency of health services.
• Exchange of skills and expertise between the
public and private sector
• Mobilizations of additional services
• Community ownership.

10. Conti…
• Improve the efficiency in allocation of
resources and additional resource
generation.
• Strengthening the existing health
infrastructure.
• Widening the range of services.
• Clearly defined sharing of risks.

11. MODELS
1. Contracting:
Contracting out : government pays outside
individual to mange a specific function
Contracting in : government hires
individual on a temporary basis to provide
services
Eg. Human resources.

12. 2. Franchising
Arrangement where one party (the
franchiser) grants another party
•Partial franchising
•Full franchising
•Branded clinic
Eg. Butterfly clinic,
Titli clinic in bihar,

13. 3.Social marketing
A promotional business idea applied to
increase awareness about a social
welfare campaign.

14. 4. Joint venture
It is a business arrangement in
which two or more parties agree to pool
their resources for the purpose of
accomplishing a specific task. This task
can be a new project or any other business
activity.

15. 5.Voucher scheme
• It is a ticket or piece of paper that can be
used instead of money to pay for
something

16. 6. Hospital autonomy
It is the quality or state of being self-
governing, existing or capable of existing
independently.

17. 7. Partnership with corporate sector/
industrial houses,
•Eg. CII(Confederation of Indian
Industry) , FICCI(Federation of Indian
Chambers of Commerce and Industry)
8. Involving professional association
•Eg. IAPSM (Indian Association of
Preventive and Social Medicine)

18. 9. Donation and philanthropic contributions
10. Involvement of social groups and clubs
rotary club, lions club
11.Partnership with cooperative societies
12. Partnership with nonprofit community
based organizations
13.Running mobile health units
14.Community based health insurance

19. Existing scenario of PPP
• Tenth five year plan, national health policy
2002 and other national health program like
RNTCP, NPCB, NLEP, RCH and NRHM
initiated under five basic mechanisms
Contacting-in
Contacting –out
Subsidies:
Leasing or rental
Privatization:

20. Anticipated outcomes
1.Cost effectiveness
2.Higher productivity
3.Accelerated delivery of goods
4.Client focused

21. Challenges
1)Equity
2)quality
3)costs

22. Conclusion
Public and private partnership have a
critical role in improving the
performance of health system worldwide,
by bringing together the best
characteristic of public and private
sectors to improve efficiency , quality,
Innovation and health impact of both
private and public system.

23. Journal:An Overview of PPP
in Health
• If partnerships are to be effective in
addressing the issues of poverty reduction
and equity, quality improvement, and cost
containment, considerable work will need to
be done to develop the accountability and
transparency, the legal and regulatory
framework, and the mutual trust that is
necessary for partnerships to succeeded.

24. Reference
1. Heggenhougen, K., & Quah, S. R. (2008).International encyclopedia
of public health (Vol. 5). Amsterdam: Elsevier.
2. Detels, R., Gulliford, M., Karim, Q. A., & Tan, C. C. (2015). Oxford
textbook of public health. Oxford: Oxford University Press.
3. Ramani, K. V., Mavalankar, D., & Govil, D. (2008). Strategic issues
and challenges in health management. Ahmedabad: Centre for
Management of Health Services.
4. M. M. (2002). An overview of Public-private partnerships in health.
Cambridge, MA: Harvard Center for Population and Development
Studies.
• Text book of National Program