Role of Non-State Providers - The Nossal Institute for Global Health
Role of Non-State Providers - The Nossal Institute for Global Health
Role of Non-State Providers - The Nossal Institute for Global Health
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<strong>Role</strong> <strong>of</strong> <strong>Non</strong>-<strong>State</strong> <strong>Providers</strong><br />
Dr Jane Thomason<br />
Adjunct Associate Pr<strong>of</strong>essor – University <strong>of</strong> Queensland<br />
World <strong>Health</strong>. We’re working on it.
<strong>Non</strong> <strong>State</strong> <strong>Providers</strong><br />
(World Economic Forum 2006)<br />
World <strong>Health</strong>. We’re working on it.
Private sector contribution to MDGs<br />
Business and the Millennium Development Goals, 2008<br />
•Core business operations and value chains<br />
•Social investment and philanthropy<br />
•Public advocacy, policy dialogue and institution<br />
strengthening<br />
World <strong>Health</strong>. We’re working on it.
Some Examples<br />
•De Beers - 'Community Diamond‘ project - partnerships, technological<br />
innovation, financial inclusion through 'smart wallet' technology,<br />
HIV/AIDS, malaria prevention, management and local capacity building.<br />
Goal to produce a viable and replicable model <strong>for</strong> improving the quality <strong>of</strong><br />
life <strong>for</strong> mining-based rural populations.<br />
•UNAIDS/Coca Cola partnership utilizes the firm’s vast distribution<br />
channels and marketing capacity <strong>for</strong> HIV/AIDS campaigns and the <strong>Global</strong><br />
Polio Elimination Initiative.<br />
World <strong>Health</strong>. We’re working on it.
Philippines - Expand Public <strong>Health</strong> Programs to<br />
Unserved Areas<br />
•Remote poor tribal communities in mountainous area <strong>of</strong> Mindanao<br />
•Resources and people to support to public health extension including<br />
maternal and child health, tuberculosis, iodised salt and medical and<br />
dental patrols<br />
•People who received no government services receive key public<br />
health programs<br />
World <strong>Health</strong>. We’re working on it.
Benefits To Government?<br />
• Expand the reach <strong>of</strong> public health services<br />
• Financial, logistical and in-kind support<br />
• Improved infrastructure<br />
• Strengthened public health programs <strong>for</strong> priority issues<br />
such as HIV/AIDS<br />
• Assist with capacity development <strong>of</strong> public sector<br />
• Viable partner to guarantee delivery <strong>of</strong> strategic health<br />
priorities in remote areas over a long period<br />
World <strong>Health</strong>. We’re working on it.
Benefits <strong>for</strong> the private<br />
sector?<br />
• Improved social development in mining affected<br />
communities<br />
• Risk mitigation – epidemics and communicable disease<br />
• <strong>Health</strong>ier communities from which it will draw much <strong>of</strong><br />
its work<strong>for</strong>ce<br />
• Enhanced social licence to operate<br />
• Reputation benefit<br />
World <strong>Health</strong>. We’re working on it.
PNG - Donor Enabled PPP –<br />
ADB HIV In Enclaves<br />
• ADB Project – to strengthen primary health services in<br />
rural enclaves which then serves as a plat<strong>for</strong>m <strong>for</strong> HIV<br />
AIDS prevention and care services<br />
World <strong>Health</strong>. We’re working on it.
PNG - Private Sector Capability Expands Public<br />
Capacity<br />
•Initially mine work<strong>for</strong>ce hospital and a number <strong>of</strong> community clinics<br />
•Gradual expansion <strong>of</strong> support to public health including training,<br />
clinical support, malaria control, HIV AIDS<br />
•Expanded PPP developed with Provincial government and Faith<br />
Based <strong>Providers</strong> to extend the mine’s role in supporting the<br />
improvement <strong>of</strong> health services throughout the entire district <strong>for</strong> 5 years<br />
World <strong>Health</strong>. We’re working on it.
PNG Aligning Public And Private<br />
Interests<br />
• Feasibility phase and company familiar<br />
with public health risks <strong>of</strong> HIV/AIDS<br />
• Service options <strong>for</strong> work<strong>for</strong>ce and<br />
community reviewed<br />
• Improving the existing government<br />
health services and programs <strong>for</strong> the<br />
entire District through a PPP with the<br />
Provincial Government<br />
• Partners have signed a commitment to<br />
proceed document<br />
World <strong>Health</strong>. We’re working on it.
PNG - Communities Investing In<br />
<strong>The</strong>ir Own Future<br />
•Landowner group with access to<br />
expertise and resources and vision<br />
•Commissioned the preparation <strong>of</strong> a<br />
long term community health plan <strong>for</strong> the<br />
entire population<br />
•Entered into an alliance contract with a<br />
third party provider to manage<br />
implementation <strong>of</strong> community health<br />
plan and build sustainable capacity<br />
World <strong>Health</strong>. We’re working on it.
Issues-<br />
Aligning interests<br />
• Objectives – social good verses commercial gain<br />
• Public sector - ‘equity’<br />
• Private sector - ‘risk’ and ‘social license to operate’<br />
• Public sector mandate is to provide health services to the<br />
population and improve public health conditions<br />
• Private sector mandate is to create enhanced<br />
shareholder value<br />
• Benefits need to be articulated to each partner ‘in their<br />
own language’<br />
World <strong>Health</strong>. We’re working on it.
What is Needed?<br />
• Knowledge <strong>of</strong> international experience<br />
• Appropriate policy and regulatory<br />
environment<br />
• Contracting expertise<br />
• Expertise to monitor<br />
• Financing<br />
• Technical expertise<br />
World <strong>Health</strong>. We’re working on it.
Success factors<br />
• Trust<br />
• Stability and sustainability<br />
• Strong monitoring - minimum interference<br />
• Recognition that private sector needs to make a pr<strong>of</strong>it<br />
• Both sides must feel that they are winners<br />
• Third party facilitators<br />
World <strong>Health</strong>. We’re working on it.
Private Sector - A Valuable Partner<br />
in achieving health MDGs<br />
World <strong>Health</strong>. We’re working on it.
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