Revised_Dissemination Report - 11_12-2013_FINAL

November 2014
This document was produced for review by the United States Agency for
International Development. It was prepared by Chloé Revuz, Leslie Miles,
Bettina Brunner, and Pamela Riley for the Strengthening Health
Outcomes through the Private Sector (SHOPS) project.
REGIONAL PRIVATE HEALTH
SECTOR AND
mHEALTH ASSESSMENT
DISSEMINATION WORKSHOP
REPORT

Recommended Citation:
Revuz, Chloé, Leslie Miles, Bettina Brunner, and Pamela Riley. 2014. Regional Private Health Sector and mHealth
Assessment Dissemination Workshop Report. Bethesda, MD: Strengthening Health Outcomes through the Private
Sector Project, Abt Associates Inc.
Download copies of SHOPS publications at: www.shopsproject.org
Cooperative Agreement: GPO-A-00-09-00007-00
Submitted to: Daniele Nyirandutiye and Mbayi Kangudie
Activity Managers
West Africa Regional Health Office
United States Agency for International Development
Abt Associates Inc.
4550 Montgomery Avenue, Suite 800 North
Bethesda, MD 20814
Tel: 301.347.5000 Fax: 301.913.9061
www.abtassociates.com
In collaboration with:
Banyan Global  Jhpiego  Marie Stopes International
Monitor Group  O’Hanlon Health Consulting

REGIONAL PRIVATE
HEALTH SECTOR AND
mHEALTH ASSESSMENT
DISSEMINATION
WORKSHOP REPORT
DISCLAIMER
The authors’ views expressed in this publication do not necessarily reflect the views of the United States Agency for
International Development or the United States government.

i
TABLE OF CONTENTS
Acronyms ...........................................................................................................................iii
Acknowledgments ..............................................................................................................v
Executive Summary..........................................................................................................vii
Introduction..................................................................................................................11.
Day 1: Setting the Stage ..............................................................................................32.
2.1 Opening Remarks .....................................................................................................3
2.2 Role of the Private Sector in Delivering FP and HIV/AIDS Services ..........................5
2.2.1 Private Sector: An Indispensable Player for Sustainable Health Outcomes? ....5
2.2.2 Assessment Findings........................................................................................7
2.3 Working with the Private Sector: Gaps, Opportunities, Steps ....................................7
2.3.1 Yes, We Can Work with the Private Sector!......................................................7
2.4 mHealth in West Africa: What Is the Big Deal?..........................................................9
2.4.1 Global Progress in Harnessing mHealth Potential to Improve Health
Outcomes: From Kigali to Dar to Addis .............................................................9
2.4.2 Landscape Findings..........................................................................................9
2.5 How Mobile Technology Can Solve RH/FP and HIV/AIDS Problems.......................11
2.5.1 Panel Discussion with mHealth Developers ....................................................11
2.5.2 Presentation of mHealth Compendia ..............................................................12
Day 2: Pathways to Partnerships..............................................................................133.
3.1 Private Sector Assessment: So What? ....................................................................13
3.1.1 Country-Specific Recommendations from the West Africa Private
Sector Assessment.........................................................................................13
3.1.2 Putting the Private Sector on the Government Engagement Agenda:
The Senegal Experience.................................................................................14
3.1.3 Private Sector Engagement: Role of WAHO and the World Bank ...................15
3.2 Forging Partnerships: What’s in It for Me?...............................................................16
3.2.1 Using GDA as a Vehicle for Transformational Partnership: The Bayer
Health Care Example......................................................................................16
3.2.2 mHealth West Africa Recommendations.........................................................17
3.3 East Africa mHealth and PPP Model .......................................................................18
3.3.1 Discussion with Mobile Operators...................................................................18
3.4 Closing Session.......................................................................................................19
Annex A: Workshop Agenda............................................................................................21
Annex B: Participants List................................................................................................23
Annex C: Evaluation Results ...........................................................................................27

ii
LIST OF TABLES
Table 1: Workshop Participants by Sector.................................................................................. 2
Table 2: Scope of the Private Health Sector in Six Focus Countries .......................................... 6
Table 3: Country-Specific Recommendations ...........................................................................13
LIST OF FIGURES
Figure 1: Range of Private Sector Actors ................................................................................... 5
Figure 2: Mobile Penetration and Internet Use in West African Nations (2012) .........................10
Figure 3: Steps in Public-Private Dialogue in Senegal...............................................................15
Figure 4: Bayer's Market Segmentation Value Chain ................................................................16
Figure 5: Cross-Sectoral Nature of PPPs..................................................................................17
Figure 6: Actors, Information, and Transactions in the PharmAccess Model .............................18

iii
ACRONYMS
ACMS Association Burkinabèe pour le Bien-Etre Familial
AGIR-PF Agir pour la Planification Familiale
AIDS Acquired Immune Deficiency Syndrome
AKDN Agha Khan Development Network
APROCLIB Association of Private Clinics of Burkina Faso
AS4H African Strategies for Health Project
CSR Corporate Social Responsibility
EAHF East Africa Healthcare Federation
ECOWAS Economic Community of West African States
FBO Faith-Based Organizations
FHI 360 Family Health International 360
FP Family Planning
GSMA Groupe Speciale Mobile Association
HIV Human Immunodeficiency Virus
IICD International Institute for Communication and Development
JSI John Snow, Incorporated
MAMA Mobile Alliance for Maternal Action
MOH Ministry of Health
MSH Management Sciences for Health
NGO Nongovernmental Organization
PACTE-VIH Prévention et Prise en Charge du VIH/Sida en Afrique de l’Ouest
PPP Public-Private Partnership
PSA Private Health Sector Assessment
SHOPS Strengthening Health Outcomes through the Private Sector Project
SMS Short Message Service (Text Message)
USAID United States Agency for International Development
USAID West Africa USAID’s West Africa Regional Health Office
WAHO West African Health Organization
WBG World Bank Group
WHO World Health Organization

v
ACKNOWLEDGMENTS
The regional private health sector and mhealth dissemination workshop was organized and
facilitated by Dr. Mbayi Kangudie and Daniele Nyirandutiye of the USAID West Africa mission
and Bettina Brunner and Pamela Riley of the SHOPS project. The authors wish to thank the
USAID West Africa team for their leadership and vision in identifying the private health sector
and mhealth as important regional themes for an assessment focus. The authors thank Joseph
Addo-Yobo, John Adusi, and Hayford Nkansah of SHOPS/Ghana for their tireless logistics and
planning efforts for the workshop. We would also like to thank the following presenters for their
contribution to the workshop: Bradley Wallach, USAID West Africa; Jasmine Baleva, Andrea
Harris, and Peggy d’Adamo, USAID Washington; Sani Ali, West Africa Healthcare Organization;
Ousmane R Seye, Agha Khan Development Network; Amit Thakker, East Africa Healthcare
Federation; Maeghan Orton, Medic Mobile; Selorm Brantie, mPedigree; Ken Kubugu, IICD;
Kevin Adomayakpor, OneWorld UK; David Hutchful, Grameen Foundation; Lungi Okoko, MSH;
Tall Ndeye Fatoy, Ministry of Health, Senegal; Professor Khama Rogo, World Bank Group;
Bernard Kituku, Bayer Healthcare; Victor Ohuruogu, GSMA; Ralph Ankri, Orange Labs; Steve
Asumadu-Sakyi, Vodafone Ghana; and Sicco van Gelder, PharmAccess. The authors wish to
thank the workshop attendees, including representatives from eleven West African
governments, international donor organizations, and implementing partners for their active
participation in the workshop and their thoughtful comments and questions. We are also
thankful to key stakeholders who were interviewed for the two reports for their time and insights.

vii
EXECUTIVE SUMMARY
West African public and private health sector stakeholders gathered in Accra, Ghana
May 20-21, 2014 to discuss findings and recommendations of the Strengthening Health
Outcomes through the Private Sector (SHOPS) project’s recent reports, “The Private Health
Sector in West Africa: Six Macro-Level Assessments” and “mHealth in West Africa: A
Landscape Report.” Seventy-three participants, including representatives from 11 West African
governments, mhealth developers, mobile operators, international donor organizations, and
implementing partners utilized the dissemination event as an opportunity to share knowledge,
build relationships, and explore partnership opportunities in the region.
The two-day workshop titled “Regional Private Health Sector
and mHealth Assessment Dissemination Workshop” was
organized by USAID West Africa with technical and logistical
support from the SHOPS project. The workshop followed an
in-depth exploration of the private health sector in Burkina
Faso, Cameroon, Côte d’Ivoire, Mauritania, Niger, and Togo
conducted between December 2013 and April 2014 as well as
mhealth research of 17 countries in West Africa. The workshop
was the first forum for stakeholders in West Africa to come
together to explore opportunities for mhealth and the private
health sector in the region.
USAID West Africa organized the workshop with the aim to strengthen collaboration between
private and public health sectors in the region and to showcase the importance of seizing the
opportunities offered by new information technologies to improve health outcomes. Specific
objectives included:
 Present findings and recommendations of the recent evaluation of the private health
sector, specifically in terms of Human Immunodeficiency Virus (HIV) and Acquired
Immune Deficiency Syndrome (AIDS) and family planning service delivery
 Present findings and recommendations of the recent mhealth landscape conducted in
17 countries in the region
 Discuss country implementation of the reports’ recommendations
 Showcase success stories of public and private sector integration as well as functioning
public-private partnerships
 Reflect on how to increase mhealth uptake in the region
The workshop included a variety of presentations from the SHOPS project, USAID, the
Agha Khan Development Network, the West African Health Organization, the World Bank
Group’s Health in Africa Initiative, the East Africa Healthcare Federation, Bayer Healthcare,
PharmAccess, mhealth developers and telecommunications companies, and representatives
from the Ministry of Health in Senegal. During presentations and panel discussions, audience
members were enthusiastic about increasing dialogue between the public and private sectors.
Through a lively exchange, participants shared experiences from their home countries, made
suggestions about improvements to the reports, and postulated on how to increase the role of
the private sector in West Africa. Additional opportunities for networking included an mhealth
“The meeting presented a
golden opportunity to learn
from and share with others
from across East and West
Africa.”
Victor Ohuruogu, GSMA
Association of Mobile
Operators

viii
mini trade fair both days, an evening networking session for participants, and a breakout
meeting with public and private health sector representatives to discuss the potential for a
regional private sector alliance.
Group discussion revealed that partnerships are critical to move the health sector forward
in West Africa and that countries in the region can learn from partnership models emerging
in West and East Africa. These partnerships can involve mhealth solutions or focus on
specific health gaps in each country. mHealth discussions highlighted the importance of user
needs related to literacy, gender roles, reaching youth, and other equity themes. Participants
expressed interest in convening key stakeholders in their countries to expand dialogue about
mhealth potential and agreed that a regional private sector platform would help unify the private
sector’s voice in the region. Those in attendance urged USAID West Africa to move forward with
this activity. The important role of government in fostering partnerships was also highlighted, as
was the role of WAHO as convener, catalyst, and connector.
Workshop evaluations clearly demonstrated the success and usefulness of the sessions. Using
a five-point scale with five as the highest score, participants rated general organization of the
workshop as 4.4 and the extent to which they acquired new and useful information as 4.2. Given
the excitement around each topic and the limited time for each presentation, the “time allowed
for discussion” measure received the lowest average rating (3.6), an indication of stakeholders’
enthusiasm to move forward with meaningful dialogue as soon as the workshop ended.

1
INTRODUCTION1.
Recognizing that the private health sector provides a key opportunity through which African
countries can work to strengthen health indicators, USAID’s West Africa Regional Health
Office (USAID West Africa), asked the Strengthening Health Outcomes through the Private
Sector (SHOPS) project to carry out macro-level assessments of the private health sector
in six focus countries. The focus countries included four Economic Community of West
African States (ECOWAS) members — Burkina Faso, Côte d’Ivoire, Niger, and Togo — in
addition to Cameroon and Mauritania. To complement and strengthen USAID West Africa’s
2012-2017 Family Planning Strategy and its 2012–2016 HIV/AIDS strategic plan, the objectives
of the six-country assessment were set in the context of product and service delivery for family
planning (FP) as well as HIV and AIDS. Objectives included: 1) assessing the role of the
private sector in the context of FP and HIV/AIDS; 2) determining the legal and regulatory
framework governing the private sector with regard to FP and HIV/AIDS; 3) identifying key
public-private partnerships and corporate social responsibility opportunities to expand FP and
HIV/AIDS services; and 4) identifying local and international nongovernmental organizations
(NGO) and commercial sector companies engaging in FP and HIV/AIDS activities.
In recognition of the growing trend in use of new information technologies to improve health
outcomes (mhealth) and the ever-increasing use of mobile services in Africa, USAID West
Africa also commissioned the SHOPS project to conduct an mhealth landscape analysis that
had two objectives: (1) assess current applications, stakeholders, trends, and barriers in the
use of mhealth in the West Africa region and (2) identify promising mhealth PPPs in the region.
The two reports can be used by USAID West Africa as well as their FP and HIV/AIDS
implementing partners to shape future activities, particularly Agir pour la Planification Familiale
(AGIR-PF) and Prévention et Prise en Charge du VIH/Sida en Afrique de l’Ouest (PACTE-VIH)
projects.
Twenty percent of authorized health establishments are private. To share and validate the key
findings and recommendations of the reports,
USAID West Africa organized a dissemination
event on May 20-21, 2014 in Accra, Ghana with
technical and logistic support from the SHOPS
project. Participants included ministries of
health, private sector representatives, WAHO,
development partners, and USAID country
offices. The event agenda is found in Annex A.
Seventy-three representatives from 11 countries
and diverse sectors (private commercial
health sector, ministries of health, NGOs,
implementing partners, mhealth developers,
and telecommunications companies) were in
attendance. Table 1 summarizes participation
by type of organization. Additional information
about workshop participants can be found
in Annex B. Participants at workshop’s mhealth trade event

2
TABLE 1: WORKSHOP PARTICIPANTS BY SECTOR
Public Health Sector
Local NGOs and
Professional
Associations
Private Sector
Donors, Foundations,
and International NGOs
 MOH Benin
 MOH Burkina Faso
 MOH Cameroon
 MOH Côte d’Ivoire
 MOH Ghana
 MOH Mauritania
 MOH Niger
 MOH Senegal
 MOH Togo
 APROCLIB
 ACMS
 Association des
Cliniques Privées
de Côte d’Ivoire
 Niger Private
Pharmacist
Association
 Kenya Healthcare
Federation
 Orange
 Vodafone
 GSMA
 Deloitte Consulting
 Ernst and Young
 Medic Mobil
 mPedigre
 Bayer
Healthcare/Nairobi
 Niger
 Private Sector
Pharmacist
 IICD
 VAS2NET
 USAID: Benin,
Burkina Faso,
Ghana, Guinea,
Liberia,
Washington,and
West Africa
 Grameen
Foundation
 PharmAccess
 One World UK
 WAHO
 AKDN
 Engender Health
 JSI
 FHI 360
 AS4H
 World Bank
USAID organized the workshop with the aim to strengthen collaboration between private and
public health sectors in the region and to showcase the importance of seizing the opportunities
offered by new information technologies to improve health outcomes. Specific objectives of the
workshop were to:
 Share findings and recommendations with the audience and advance knowledge of the
private health sector in West Africa
 Showcase successful health PPPs both within and outside the region
 Offer an opportunity for stakeholders to learn from their peers and start a dialogue
 Offer an opportunity for stakeholders to learn about and network on mobile health
solutions
During presentations, participants were encouraged to ask questions and share comments.
Participants took advantage of networking breaks, a break-out session on private sector
alliances, and an mhealth exhibit area which allowed for relationship building and knowledge
sharing between stakeholders. Public and private sector country representatives were also
invited to a breakout session on developing a regional private sector alliance.

3
DAY 1: SETTING THE STAGE2.
2.1 OPENING REMARKS
Daniele Nyirandutiye, acting USAID West Africa Regional Health Office director, opened the
workshop and welcomed participants. During his keynote address which served as an
introduction to the dissemination workshop, Bradley Wallach, acting USAID West Africa mission
director, noted the many challenges West Africa faces in its efforts to improve healthcare.
Although ineffective resources are a key concern, Wallach lauded the expansion of the telecom
industry throughout West Africa and the potential of mobile technology to improve health
outcomes. He urged attendees to consider how the private sector might engage in broader and
deeper commitments to improve maternal mortality rates and healthcare access in West Africa
through meaningful and effective partnerships.
Dr. Sani Ali of the West African Health Organization also delivered welcoming remarks. In an
effort to encourage ECOWAS states to engage with the private sector, Ali mentioned several of
the macro assessment findings which demonstrated the large scope of the private health sector
in West Africa, especially in healthcare provision and service delivery.
To set the stage for the first day’s presentations, Jasmine Baleva from USAID Washington
presented the importance of engaging the private sector, USAID’s private sector approach, and
highlights of cross-sectoral collaborations and partnerships. According to Baleva, growing
evidence confirms that many health consumers in developing countries spend their resources in
the private sector. Private sector provision of health services can expand geographic access to
rural isolated areas and increase the likelihood of sustainability while relieving stress on the
overburdened public sector.
Daniele Nyirandutiye and Bradley Wallach, USAID West Africa; Sani Ali, WAHO; and Jasmine Baleva, USAID
Washington present opening remarks.

4
Through global and bi-lateral projects, USAID has developed a broad array of private sector
initiatives over the past 40 years including:
 Private provider networks and social franchising
 Access to finance and business training support
 Evolving generations of social marketing models
 Employer-based programs
 Pharmaceutical partnerships
 Corporate social responsibility
 Health financing (insurance, contracting, and vouchers)
 Public-private partnership units and government support
Baleva noted that access to finance plays a critical role in sustaining and growing private
providers since banks in most countries are not lending to the health sector in a significant way.
To improve this situation, USAID works with financial institutions to expand lending through
market research, training for banks, and assistance with USAID’s Development Credit Authority.
Additionally, USAID strengthens business capacity to sustain quality services through business
and financial management training. The agency also sponsors trade fairs to connect market
players and improve market linkages.
A private sector assessment (PSA) such as the six-country West African macro assessment is a
key first step to engaging the private sector. Baleva indicated that while the dissemination event
marks the end of an assessment, it is the catalytic start of a journey to increase knowledge and
advance cross-sectoral collaborations and partnerships in the region. Following an assessment,
a country or region can continue to engage with the private sector through improved regulations,
policies, and tax incentives; treatment of private sector actors as partners; and inclusion of the
private sector in planning activities.
Following Baleva’s presentation, participants asked about the types of assistance USAID
provides and which private sector entities it supports. Baleva replied that USAID support varies
across countries, but the agency seeks to reach as many private providers as possible. In terms
of assistance, USAID provides technical support and training to providers and professional
associations. In response to a questions regarding USAID’s approach to gender barriers in
mhealth, Baleva noted that USAID recognizes the link between female gender and lower
literacy rates, and USAID projects have used voice services as often as possible in its mhealth
projects.

5
2.2 ROLE OF THE PRIVATE SECTOR IN DELIVERING FP
AND HIV/AIDS SERVICES
2.2.1 PRIVATE SECTOR: AN INDISPENSABLE PLAYER FOR
SUSTAINABLE HEALTH OUTCOMES?
Following the opening remarks, Bettina Brunner, senior
associate at Abt Associates and team leader for the
SHOPS macro-level private sector assessment report,
introduced the SHOPS project. SHOPS is a USAID-funded
global project which works with the private health sector in
more than twenty countries. Brunner then defined the
private health sector and public-private partnerships (see
box at right), noting the importance of the private health
sector in West Africa and giving examples of ways to
engage the private sector. Often the term “private health
sector” evokes images of private providers, but in fact the
private health sector includes a variety of actors beyond service providers to include
laboratories, distributors, health associations, and even insurers, as Figure 1 illustrates.
FIGURE 1: RANGE OF PRIVATE SECTOR ACTORS
Private Health Sector: A variety of
actors, ranging from private providers
and professional associations, insurance
companies, pharmacies, and private
facilities, to faith- based and
nongovernmental organizations.
Public-Private Partnership: A formal
collaboration between the public and
the non-public health sectors with a
common goal.

6
The question arises: Why engage the private health sector in West Africa? Within the region,
the private sector is already a major actor in terms of HIV/AIDS and FP service delivery,
representing 52 percent of all health facilities in Cote d’Ivoire, 44 percent of authorized
health facilities in Cameroon, and 20 percent of authorized health facilities in Burkina Faso.
Table 2 provides illustrative data on the size of the private sector in the six focus countries.
TABLE 2: SCOPE OF THE PRIVATE HEALTH SECTOR IN SIX FOCUS COUNTRIES
Burkina Faso 20 percent of authorized health establishments are private.
Cameroon 44 percent of authorized health establishments are private.
Côte d’Ivoire 52 percent of all health establishments are private.
Mauritania
90 percent of all qualified medical professionals operate in the private
sector.
Niger There are 750 authorized private providers.
Togo
75 percent of all doctors and 92 percent of all pharmacists are
employed by the private sector.
In terms of private provision of modern methods of family planning, in Cameroon, Côte d’Ivoire,
and Togo, over 50 percent originates in the private sector, according to the most recent DHS
for each country. While HIV statistics are difficult to obtain about the private sector, research
conducted for the macro-level assessment report indicates that in Cameroon, 20.4 percent
of antiretroviral sites are private, while in Togo 45 percent of people living with HIV under
antiretroviral treatment were treated in the private sector. Taken together, these statistics
show that the private health sector plays an important role in health systems, particularly in
family planning and HIV. By engaging the private health sector, governments can leverage
scarce resources, improve efficiency, increase quality and oversight, and help ensure that
consumers have choices for health products and services.
Public-private dialogue can be hampered by long-standing stereotypes about each sector,
but with an approach based on the public sector as steward of the process and a total market
orientation, fruitful collaboration is possible. Engagement strategies can be as diverse as
contracting-out for services, implementation of voucher programs for providers, or reporting
health indicators into the national information system.
Following the presentation, there was a lively discussion around the motives of the private
for-profit sector and the profit motive. One participant suggested that private sector providers
consider their businesses as social aid endeavors, but Brunner noted while many operate with
a great deal of goodwill, in reality they have a responsibility to pay workers, insurance fees,

7
and office rent, so they must seek a profit. There was also a discussion about the role of WAHO
in the region.
2.2.2 ASSESSMENT FINDINGS
Brunner then presented key findings from the macro-level private health sector assessments
conducted in Burkina Faso, Cameroon, Côte d’Ivoire, Mauritania, Niger, and Togo. The
assessments included five components: a legal and regulatory review, the role of the private
sector, current public-private partnerships and corporate social responsibility efforts, the
activities of key nongovernmental and faith-based organizations, and recommendations for
partnership opportunities for USAID’s flagship projects.
The assessment was conducted through desk research, field visits, and validation meetings
with key stakeholders between December 2013 and May 2014. All six focus countries were
visited by SHOPS project staff or consultants who met with representatives from the commercial
private sector, nonprofit private sector, public sector, and development partners. Altogether,
over 157 individuals from approximately 144 organizations were interviewed.
Within the six focus countries, the contraceptive prevalence rate is less than 20 percent, while
the total fertility rates are among the highest in the world. While the provision of family planning
and antiretroviral therapy by private for-profit providers varies by country, strong stigma against
people living with HIV and men who have sex with men is present in most focus countries. Many
family planning products are purchased by consumers at private pharmacies.
Although there is strong public sector dialogue with NGOs and faith-based organizations (FBOs)
in family planning and service delivery, the assessment team noted poor engagement with the
private for-profit sector. Dialogue mechanisms such as contraceptive security committees exist
in several countries, but they are defunct or not operationalized. Additionally, the private sector
is often excluded from health information systems and data collection efforts. Currently, there
are no PPP units, PPP guidelines, or private sector strategies in place in any of the focus
countries, and health PPPs are nascent in the region.
Corporate social responsibility is also a nascent local concept in West Africa. There are few
multinational corporations operating in the region with the exception of extractive industries
and large-scale agricultural ventures. Of the few existing corporate social responsibility (CSR)
actors, private sector coalitions for HIV, chambers of commerce, and CSR associations are the
most active. Examples of CSR in West Africa include Accor’s training and outreach activities on
sexually transmitted diseases and Total Foundation’s financing of HIV education campaigns
with truck drivers in Burkina Faso and Cameroon.
In response to the assessment findings, participants asked about the role of the public sector
and government policies in the focus countries. Brunner answered that it is up to the govern-
ment to incentivize healthcare through the private sector and include the private sector in
meaningful dialogue for better planning and drug distribution efforts.
2.3 WORKING WITH THE PRIVATE SECTOR: GAPS,
OPPORTUNITIES, STEPS
2.3.1 YES, WE CAN WORK WITH THE PRIVATE SECTOR!
Mr. Ousmane R. Seye began Session 2 by presenting the Agha Khan Development Network
(AKDN), an international private organization engaged in strengthening communities and
individuals to increase their living conditions in 32 countries worldwide. In health, the AKDN is

8
working in community health, service delivery, human resources development, and technical
assistance and policy reforms. Through its offspring company, Industrial Promotion Services,
the network is able to finance its social vision, but it has also engaged in several different public
and private partnerships and CSR ventures.
Amit Thakker of the East Africa
Healthcare Federation then highlighted
several challenges in coordinating the
private sector. He also described models
for organizing the private sector and
stages in private association
development. Finally, he reviewed the
major challenges which confront new
private associations.
Difficulties in working with the private
sector often stem from a lack of
organization. Private sector actors may be
uninformed about the public sector and
how it operates, and they are often in
competition with other private providers.
These factors lead to duplication of effort
and distrust. However, the private sector
may choose to unite and speak with a
single voice since many concerns are shared by practitioners. Partnerships allow for strategic
planning and lead to greater knowledge about public and private actors in the health system.
There is a growing number of umbrella organizations such as healthcare federations, provider
associations, business coalitions, and NGO bodies which have united to better coordinate
efforts and increase efficacy. Providers may unite through various models such as an
association of associations which self-regulates, coordinates collaboration, and advocates for
favorable policies. Alternatively, facility/provider associations may support members in clinical
training, accreditation, ethics and standards, access to finance, or group purchase for drugs and
equipment maintenance.
Although there are many benefits to be reaped by forming a private association, there are
several challenges to emerging partnership efforts. The public sector may oppose efforts to
unite the private sector, or donors may support one sector over another. Additionally, private
providers may be reluctant to join their competitors. Often, a lack of institutional capacity and
funding are also limiting factors. To overcome these challenges, targeted analysis (such as
through a private sector assessment) is needed to define common needs and interests which
can unite the private sector and promote harmonization with the public sector.
Next steps to institutional private associations in West Africa include facilitating east-west
sharing of technical assistance and best practices, helping each association draft a business
plan to put them on a path towards financial sustainability, and building institutions by investing
in individual secretariats and a regional headquarters as the East Africa Healthcare Federation
has done. Keys to success include a leader with vision and passion, flexibility, a positive
working relationship with the government, an effective secretariat which represents and
advocates for members, diversified and reliable sources of funding, activities or services which
bring value to members, and a public-private forum which brings together all umbrella
associations.
Ricardo Missihoun, USAID Benin (left) and Dr. Kemou
Adama, Ministry of Health, Niger

9
“The time is ripe for regional
leadership, organization, and
collaboration.”
Pamela Riley Senior mHealth
Advisor, SHOPS Project
At the conclusion of the presentation, one audience member asked if there is any evidence to
show that the formation of the East Africa Healthcare Federation has led to better healthcare.
Thakker replied that health outcomes have improved and that government facilities are not as
overburdened as they would be without the federation. There is also greater knowledge sharing
among practitioners thanks to the work of the EAHF.
When asked how the private sector is involved in the federation, Thakker stated that “a
journey of a thousand miles begins with a step.” Despite difficulties in the beginning stages,
implementers must build a relationship with the government through a lengthy process. It would
be helpful for West Africa to seek support from East Africa in its effort to form a federation,
although linguistic barriers exist.
2.4 mHEALTH IN WEST AFRICA: WHAT IS THE BIG DEAL?
2.4.1 GLOBAL PROGRESS IN HARNESSING mHEALTH POTENTIAL TO
IMPROVE HEALTH OUTCOMES: FROM KIGALI TO DAR TO ADDIS
During the third session, Peggy d’Adamo gave an overview of USAID’s regional family
planning meetings which occurred in Kigali in 2010, Dar es Salaam in 2012, and Addis Ababa
in 2013. The influential 2012 meeting showcased country team efforts to use mobile technology
to strengthen and scale up family planning. The country teams reported on their progress and
set-backs in mhealth programs at the Addis Ababa meeting. A follow-up meeting in West
Africa in 2015 will focus on mhealth for ending maternal/child death and support ongoing
knowledge sharing.
There are numerous resources for mhealth planning including mHealthKnowledge.org, a
one-stop shop for many mhealth tools and resources and the mHealth Planning Guide, a
set of resources for health experts, program managers, and those new to the mhealth field.
d’Adamo also introduced the mHealth Basics elearning course, a self-directed three-hour
course that provides an introduction to the field of mhealth with a particular focus on mhealth
for family planning and reproductive health.
USAID supports a variety of initiatives such as mhealthevidence.org, a website designed to
bring together the world’s literature on mhealth effectiveness and program efficiency. It also
aims to make it easier for software developers, researchers, program managers, funders, and
other key decision-makers to quickly get up to speed on the current state-of-the-art methods.
The mHealth Working Group which has over 1,600 members also promotes knowledge
sharing with a mission to frame mobile technology within a larger global health strategy.
Participants wondered if any mhealth projects had gone to scale and whether or not there
would be translated materials for the 2015 mhealth meeting. D’Adamo gave Rwanda as a
successful example of a place where every health worker has a mobile device to collect
information on patients and assured participants that materials will be translated at the
2015 West Africa meeting.
2.4.2 LANDSCAPE FINDINGS
Following d’Adamo’s overview of USAID-supported mhealth
initiatives in West Africa, Pamela Riley, senior mhealth advisor
on the SHOPS project, discussed key findings of the landscape
report on mhealth in West Africa. Riley’s presentation included
an explanation of the landscape’s objectives, the West Africa
mobile industry, stakeholder perspectives, and current mhealth interventions.

10
Riley explained that since little was known about mhealth in West Africa, USAID West Africa
commissioned a study of 17 West African countries (ECOWAS, Cameroon, and Mauritania) to
assess current interventions, actors, trends, and challenges. The assessment sought to identify
promising partnerships that can be leveraged by AGIR-PF and PACTE-VIH. To achieve these
objectives, Riley and her team conducted a rigorous desk review of the literature and key
informant interviews in many of the focus countries. SHOPS staff and consultants interviewed
government ministries and regulators, mobile industry leaders, application developers,
multilateral donors, and implementing partners.
In West Africa, mobile penetration (subscriptions per 100 people) is 69 percent (103 million
users). There is heavy use of voice services, and the West African mobile market is growing by
18% per year. Conversely, internet access remains low, and West African internet prices are
much higher than those in East Africa. However, the recent completion of the Atlantic fiber optic
cable is expected to drive internet prices lower.
FIGURE 2: MOBILE PENETRATION AND INTERNET USE IN WEST AFRICAN NATIONS (2012)
Five mobile operators have significant presence in the West Africa region: Airtel, Glo, Etisalat,
Orange, and MTN. Typical of countries across the globe, service coverage is better in urban
areas than in rural areas where challenges include gaps in signal coverage, poor short message
service (SMS) reliability, lack of electric power to charge phones, and limited information
technology capacity to fix problems. Mobile operators who were interviewed indicated that there
are too many health projects with too few subscribers, ministry of health departments are siloed
with competing agendas, and donors often discourage integration. Ministries of health noted
that mhealth strategies, if they exist, are not operationalized. Ministries of health also reported
lack of capacity to coordinate and manage mhealth initiatives. Government representatives said
that lack of cost effectiveness data is the biggest barrier to mhealth investment.
Although West Africa lags behind East Africa in mhealth initiatives, four trends are building
momentum in West Africa. WAHO has developed an ehealth strategy, Nigeria has a multitude
of mhealth initiatives, there is a convergence of mhealth platforms, and there is an increase in
French language resources.

11
“The promise of mhealth is best
achieved when donors,
implementers and government
ministries of health collaborate
closely to improve community-based
healthcare.”
Motech
More than 100 mhealth interventions, most in the pilot phase, were identified in the assessment.
The interventions fell in four categories: consumer support, provider tools, program
management applications, or mobile payment services. Riley concluded that stakeholder
interest in mhealth is uniformly high, and there is political will among government partners to
implement mhealth projects.
When asked about the future of mobile money in West Africa, Riley stated that mobile payment
services have been introduced in all countries covered by the report, but uptake is slow due to
need for consumer education about the benefits and security of mobile money service. When
asked about use of SMS versus voice in mhealth programs, Riley noted that there is a need for
low-cost easy-to-use voice applications due to low literacy. However, these options are currently
too costly.
2.5 HOW MOBILE TECHNOLOGY CAN SOLVE RH/FP AND
HIV/AIDS PROBLEMS
2.5.1 PANEL DISCUSSION WITH mHEALTH DEVELOPERS
The presentations of the first day concluded with a series of six presentations from mobile
application developers with potential to improve health outcomes. All the organizations featured
are currently engaged in mhealth activities in West Africa.
MEDIC MOBILE
Medic Mobile is present in 31 countries and builds mobile and web tools for frontline health
workers, patients, and families. Examples of their work include patient registration, decision
support, and data collection, all designed in close collaboration with end users.
MPEDIGREE GOLDKEYS
The verification system created in 2007 allows clients to
ensure the quality of medicine at the time of purchase by
texting code numbers from a drug package to a database. A
reply text lets consumers know if the medicine is legitimate,
thus limiting the spread of counterfeit medicines. This
technology works with all phones, making it a suitable
technology for low-resource settings.
INTERNATIONAL INSTITUTE FOR COMMUNICATION AND
DEVELOPMENT
Working in nine countries, the organization is engaged in prevention services as well as health
monitoring and surveillance. The organization is working with local NGOs to develop SMS
campaigns related to sexual and reproductive health as well as facilitating emergency transport.
ONEWORLD
With a focus on young people, Oneworld uses technology to empower its beneficiaries with
reproductive health skills. The organization is involved in e-learning “hotline” services, both
phone and web-based, radio programs, and social media for which materials are developed in
local languages.

12
MOTECH / GRAMEEN FOUNDATION
Motech is a suite of open source technologies from a variety of partners. Its applications
address a wide range of issues including demand creation, supply chain management, patient
adherence support, and supervisory tools for health workers. Motech applications have been
implemented in about 10 countries worldwide.
Workshop participants asked numerous questions of the panel around patient confidentiality
given that so much private information is shared using mhealth platforms. Participants agreed it
is critical to implement best practices to ensure patient confidentiality including encryption
technology and deletion of health data on personal phones. mPedigree was questioned about
the cooperation of pharmaceutical companies to register with the database, and the presenter
noted that in Nigeria regulators made it mandatory. One additional concern shared by an
audience member was whether or not this technology takes into account local languages.
Panelists agreed that many people can’t read their local language. Although voice services are
an alternative, they are much more costly.
2.5.2 PRESENTATION OF mHEALTH COMPENDIA
Mr. Lungi Okoko of Management Sciences for Health (MSH) presented French translations
of the previously published mHealth Compendia which are technical reports on mobile health
produced by the African Strategies for Health project in collaboration with USAID’s Africa
Bureau. The mHealth Compendia series highlights case studies seeking to eliminate
preventable maternal, newborn, and child deaths and to achieve an AIDS-free generation.
Case studies in the compendium are organized into five programmatic areas: behavior change
communication, data collection, finance, logistics, and service delivery.

13
DAY 2: PATHWAYS TO3.
PARTNERSHIPS
3.1 PRIVATE SECTOR ASSESSMENT: SO WHAT?
3.1.1 COUNTRY-SPECIFIC RECOMMENDATIONS FROM THE WEST
AFRICA PRIVATE SECTOR ASSESSMENT
To launch the second day of the workshop, Bettina Brunner presented regional and country-
specific recommendations from the private sector assessments conducted in Burkina Faso,
Cameroon, Côte d’Ivoire, Mauritania, Niger, and Togo. Regional recommendations are detailed
below:
 West African Health Organization: Brunner first highlighted the central role of WAHO
as a catalyst, convener, and connector in the region. The organization has a major role
to play to improve the public-private landscape by setting up a dialogue platform,
implementing standards, and developing resource mobilization strategies.
 Total Market Approach: Family planning strategies need to recognize the role of the
private for-profit sector and include representatives from the for-profit sector in
contraceptive committees. The Ouagadougou Partnership should be used as a platform
for a total market approach in each country, and these activities should be standardized
by WAHO.
 Increase CSR opportunities: It is important for the six countries to leverage resources
from private companies and work through mining companies already providing HIV
services to expand to FP. In order to identify partners, countries should work through
CSR associations and business councils.
 Document and develop PPP: Countries should consider innovative PPPs with the
private for-profit sector at all levels of the health system. A regional strategy for health
PPPs should be developed by WAHO.
Specific recommendations for each country are summarized in Table 3.
TABLE 3: COUNTRY-SPECIFIC RECOMMENDATIONS
Country Recommendation
Burkina Faso
Improve policies and regulations regarding the private health sector.
Modify restrictions that impede the growth of the private health sector.
Increase the role of FBOs in provision of HIV services to most-at-risk populations.
Cameroon
Ensure greater access to FP services and products.
Encourage private providers to deliver HIV treatment.
Work with the private sector to improve health outcomes.
Develop a PPP with a mining or agribusiness company.

14
Country Recommendation
Côte d’Ivoire
Strengthen policies to bolster private sector participation in FP and HIV service
delivery.
Work with the private sector to promote and strengthen PPPs and CSR activities.
Mauritania
Promote an enabling environment for the private sector at the national level and
through PPPs.
Promote public sector strengthening of reproductive health/FP rights and access.
Niger
Invest in community-based FP and HIV activities through partnerships with local
NGOs.
Engage the private commercial sector in improving health outcomes.
Togo
Improve private sector reporting.
Invest in community-based FP and HIV activities through partnerships with local
NGOs.
Develop partnerships between the corporate and NGO sectors for the provision of
HIV and FP services.
In response to these key recommendations, one participant noted how important the private
health sector assessment experience is and suggested that USAID send this report to WAHO
and present it officially. Another attendee suggested broadening the audience of the report to
include mining companies which could become more involved in family planning instead of
mostly HIV-related CSR. There was also discussion around the role of community pharmacies
in Cameroon and a recommendation to include additional NGOs in the report as well as
information about social marketing and social franchising in the six focus countries.
3.1.2 PUTTING THE PRIVATE SECTOR ON THE GOVERNMENT
ENGAGEMENT AGENDA: THE SENEGAL EXPERIENCE
Tall Ndeye Fatoy from the Senegalese Ministry of Health
PPP Unit presented Senegal’s approach to building PPPs.
She highlighted that the private sector composes a large
portion of the total health system. The private sector is
already well-integrated because the ministry of health has
implemented a national framework involving the private
sector to achieve Millennium Development Goals four and
five. Strong public-private dialogue, she mentioned,
requires collaboration from the private providers’
professional associations as well as support from the public
sector to “invite the private sector to the discussion table.”
She described the steps that have been taken by Senegal
to draft PPP legislation as described in Figure 3. However,
she added that the PPPs that have been implemented have
faced challenges, and the framework may need to be
redefined to better support those endeavors.
Tall Ndeye Fatoy of Senegal’s PPP unit
networks with Amit Thakker of the East
Africa Healthcare Federation.

15
FIGURE 3: STEPS IN PUBLIC-PRIVATE DIALOGUE IN SENEGAL
After positive comments from the audience that congratulated Senegal for its political will and its
understanding of the importance of the private sector and its motivations, Tall highlighted that
continuity was the key to success, as collaboration was often person-based. Given the success
of Senegal, participants proposed a forum to share experiences between countries since more
data is needed to convince public authorities and governments to collaborate with the private
sector. Discussion also centered on the role of associations in creating a synergy between the
government and private sector.
3.1.3 PRIVATE SECTOR ENGAGEMENT: ROLE OF WAHO AND THE
WORLD BANK
 Providing financial support for countries to qualify for further support
 Offering credit lines at the ECOWAS Bank for Investment and Development
 Organizing the private sector
 Expanding family planning in the region.
In response to a participant, Mr. Ali explained that support from WAHO needs to be requested
at the national level, as WAHO cannot work in a country without authorization of the ministry
of health.
Professor Khama Rogo of World Bank Group and Sani Ali of WAHO
discuss private sector engagement.
Following the Senegal
presentation and its integration of
the private sector into the Ministry
of Health’s political agenda, the
audience was invited to consider
the role of the West Africa
Health Organization (WAHO) and
the World Bank Group (WBG).
Mr. Sani Ali from WAHO and
Professor Khama Rogo from
WBG led the Davos-style
discussion. Both described
strategies of their respective
organizations. WAHO, Mr. Ali
mentioned, works on:
Signature of
Ministerial
decree
establishing
National PPP
forum
Signature of
decree
establishing
technical
committee
on PPPs
Negotiation and
development of
cooperative
agreement
with private
providers union
PPP law
passed taking
into account
the private
health sector

16
Professor Khama Rogo then spoke about the Health in Africa Initiative which focuses on
mainstreaming private sector participation in health. The Initiative’s objectives are to provide
analytical products on private and public health sectors, assist governments to improve healthcare
policies, and facilitate direct and indirect access to credit for private healthcare entities. Currently
active in nine countries (Burkina Faso, Republic of Congo, Ghana, Kenya, Mali, Nigeria, South
Sudan, Tanzania, and Uganda), the Initiative cannot keep up with demand from countries wishing
for assistance. Achievements of the Health in Africa Initiative to date are investments in health in
several countries and more than 35 regulatory reforms.
Professor Rogo gave a rousing speech about the need to activate the private sector to reach
Millennium Development Goals in Africa. Policy and regulatory reforms are essential because the
private sector must be included in health policies to improve integration of the two sectors. He
noted that most government dialogue is still with development partners and not with the private
sector, an arrangement which needs to change. On the private sector side, there is absolute
fragmentation which makes progress difficult.
Professor Rogo ended by insisting on one unified health sector led by ministries of health, which
takes into account the views of both the public and private sectors.
3.2 FORGING PARTNERSHIPS: WHAT’S IN IT FOR ME?
3.2.1 USING GDA AS A VEHICLE FOR TRANSFORMATIONAL
PARTNERSHIP: THE BAYER HEALTH CARE EXAMPLE
In Session 6, Bernard Kituku from Bayer Healthcare and Andrea Harris of USAID/Washington
presented the Bayer-USAID contraceptive security initiative as a case study. Bayer and its
predecessor company have supported family planning projects for almost 50 years in more than
130 countries through collaboration with ministries of health and cooperation with a global network
of NGOs, family planning organizations, and donors such as USAID.
The objective of the Bayer-USAID contraceptive security initiative is to broaden sustainable
access to quality hormonal contraceptives through a new commercial venture. To achieve this
goal, market segmentation was essential to move customers up the value chain as shown in
Figure 4.
FIGURE 4: BAYER'S MARKET SEGMENTATION VALUE CHAIN

17
When asked by a workshop participant about the concept of a “win-win” partnership, the Bayer
representative mentioned that Bayer shared a common goal with USAID to build trust among
partners. Bayer has switched from a higher margin-lower volume strategy to a lower margin-
higher volume strategy for their contraceptive products. By partnering with the ministry of health,
the government allowed radio and billboard communications for these products which they
ordinarily wouldn’t. In return, the burden on the ministry of health to supply free contraceptives
was reduced, and the state was able to focus its resources on those most in need.
3.2.2 mHEALTH WEST AFRICA RECOMMENDATIONS
Focusing largely on partnership opportunities, Pamela Riley presented key recommendations to
improve mhealth in West Africa. Public-private partnerships are important, Riley stated, because
mhealth is inherently cross-sectoral as demonstrated in Figure 5. Partnerships offer diverse but
coordinated perspectives, shared indicators to measure success, and a stronger foundation for
investments.
FIGURE 5: CROSS-SECTORAL NATURE OF PPPS
Riley presented three recommendations as pathways to partnership. First, stakeholders should
create an mhealth working group to foster dialogue, reduce duplication, invigorate leadership,
and identify partnership opportunities. To create a working group, MOH stewardship is critical.
Second, regulatory bodies should be engaged to explore tapping into special universal service
funds for rural coverage which could be utilized for mhealth. Finally, West Africa stakeholders
could make use of the many global resources available in mhealth.
Recommendations for public-private partnerships included establishing an alliance with a
regional mobile operator to aggregate demand while also scaling and incentivizing mobile
operator investment. A second recommendation focused on tapping into emerging mobile
money services to help fund health information services and expand beneficiary access to
savings, credit, and insurance services. Third, a closed user group agreement with a mobile
operator would encourage referrals, build private sector cohesion, and serve as a channel for
group communications while at the same time benefitting the operator which could charge full
retail rates for calls to friends and family. Finally, creation of a regional French-language
mhealth repository would facilitate sharing of best practices and reduce duplication of
marketing, content development, and training efforts.

18
3.3 EAST AFRICA mHEALTH AND PPP MODEL
The recommendations for West Africa mhealth were followed by a presentation on an
existing PPP being implemented in East Africa (Nairobi, Kenya) by PharmAccess group.
Sicco van Gelder explained the mobile health insurance model. (Figure 6).
FIGURE 6: ACTORS, INFORMATION, AND TRANSACTIONS IN THE PHARMACCESS MODEL
Van Gelder covered many of the challenges including scaling up and lessons learned:
 Consumers have no trouble using the mobile technology; sticking close to what people
already know improves acceptance
 Working with known local brands such as the Safaricom brand helps to gain trust quickly
 Mobile vouchers increase security for both facilities and patients
3.3.1 DISCUSSION WITH MOBILE OPERATORS
To complete the session on partnerships, representatives from Orange, Vodafone, and
GSMA participated in a mobile operator panel. Each company shared the successes of
its mhealth initiatives and answered questions from the audience about project planning,
implementation, and evaluation.
Orange works closely with stakeholders
to develop ehealth projects. During the trial
phase, Orange funds projects and pilots,
but after the initial phase, there are three
financing schemes to ensure economic
sustainability: entirely public, partly public,
or totally private.
Vodafone presented their Healthline which
is available from 4:00 pm to 10:00 pm daily
(including Sundays and public holidays).
The low-cost service is available in nine
local languages.
Representatives from GSMA and Vodaphone

19
The GSMA representative spoke of many mhealth use cases in nutrition and maternal and child
health including monitoring and providing real-time updates on drug stock-outs, behavior
change communication messaging, mobile trainings and quizzes, real-time supervisory
systems, and built-in error-checking protocols. In Nigeria, GSMA is facilitating alignment around
national health priorities through a vibrant mhealth community of practice under leadership of
the Nigerian government.
Audience feedback raised concerns about patient rights for health information and the role of
mobile operators. The Vodafone representative responded that the company will look into
access, education, and empowerment of patients.
3.4 CLOSING SESSION
Bettina Brunner, Pamela Riley, and Dr. Mbayi Kangudie on behalf of the Acting Health Office
Director, concluded the workshop by thanking participants for their participation and
encouraging them to pursue the recommendations presented in each of the sessions. Brunner
and Riley noted that the time is right for a private sector alliance in the region.
Brunner encouraged West Africans to engage with East Africans to learn from their
experiences. Partnerships, the focus of the reports and dissemination workshop, are a critical
means to improving the West African health sector.
Throughout the two days, participants noted specific actions they intended to take in their home
countries to initiate deeper engagement between public and private sectors and explore mhealth
opportunities. Ending comments from audience members reiterated themes of a single health
system in which everyone plays a part to maximize resources. Participants also reiterated their
intentions to increase dialogue with their countries, a next step inspired by the many ideas and
examples presented at the workshop.

21
ANNEX A: WORKSHOP AGENDA
Day 1: Tuesday, May 20, 2014
Setting the Stage
08:00 Registration opens
08:30 Welcoming remarks
Daniele Nyirandutiye, Acting Health
Office Director, USAID West Africa
08:35 Keynote address
Bradley Wallach, Acting USAID
Mission Director
8:50 Remarks Dr. Sani Ali, WAHO
09:00 Private sector engagement
Jasmine Baleva, USAID
Washington
Session 1
Role of the private sector in delivering FP and HIV/AIDS services
Moderator: Mbayi Kangudie
09:30
Private sector: An indispensable player for sustainable health
outcomes?
Bettina Brunner, Abt Associates
09:45 Assessment findings Bettina Brunner
11:00–
11:15
Coffee break
Session 2
Working with the private sector: gaps, opportunities, steps
Moderator: Bettina Brunner
11:15 Yes, we can work with the private sector!
Ousmane R Seye, Agha Khan
Development Network
Amit Thakker, East Africa
Healthcare Federation
12:30–
13:30
Lunch break
Session 3
mHealth in West Africa: what is the big deal?
Moderator: Mbayi Kangudie
13:30
Global progress in harnessing mHealth potential to improve
health outcomes: From Kigali to Dar to Addis
Peggy d’Adamo, USAID
Washington
13:50 Landscape findings Pam Riley, Abt Associates
15:00–
15:15
Coffee break
Session 4
How mobile technology can solve RH/FP and HIV/AIDS problems
Moderator: Pam Riley
15:15–
17:00
Panel discussion with mhealth developers
Presentation of mhealth compendia
Medic Mobile, mPedigree, IICD,
OneWorld
Grameen Foundation, Lungi Okoko
18:30–
20:00
Networking event Poolside

22
Day 2: Wednesday, May 21, 2014
Pathways to Partnerships
Session 5
Private sector assessment: so what?
Moderator: Daniele Nyirandutiye
08:30
Country specific recommendations from the WA private
sector assessment
Bettina Brunner
09:00 Participants’ feedback and discussion Bettina Brunner
9:30
Panel discussion
 Putting the private sector on the government
engagement agenda: The Senegal experience
 Private sector engagement: Role of WAHO and
World Bank



Tall Ndeye Fatou
MOH Senegal
Dr. Sani Ali
Pr. Khama Rogo
11:00–11 :15 Coffee break
Session 6
Forging partnerships: what is in it for me?
Moderator: Mbayi Kangudie, Pam Riley, and Jasmine Baleva
11:15
Using GDA as a vehicle for transformational partnership:
The Bayer Health Care example Discussion
Andrea Harris/Bernard Kituku
11:45 mHealth West Africa recommendations Pam Riley
12:00 Panel discussion with mobile operators
GSMA
Orange Labs
Vodafone Ghana
13:00–14:00 Lunch break
Session 7
Country group work:
What does it take to develop a partnership at country and regional level
Moderator: Pam Riley, Bettina Brunner, Peggy d’Adamo, Jasmine Baleva, Andrea Harris, and Mbayi Kangudie
14:00
East Africa mHealth and PPP model
Instructions and thematic group work
PharmAccess
15:00 Group feedback
16:00–16:15 Coffee break
Closing Session
Moderator: Daniele Nyirandutiye
16:15 Synthesis Bettina Brunner/Pam Riley
16:45 Closing remarks Bradley Wallach

23
ANNEX B: PARTICIPANTS LIST
Public and private sector representatives from SHOPS focus countries
Country Name Organization Title
Benin
Ricardo Missihoun USAID/Benin Representative
Christian Boni I. Chaffa Chief of Health Promotion
Burkina Faso
Dr. Isabelle Bicaba MOH Burkina Faso Director of Family Health
Dr. Abdoulaye Guire MOH Burkina Faso HIV/AIDS Representative
Dr. Hien Diedon Alain APROCLIB Private Sector Representative
Cameroon
Dr. Ngamby Marquise MOH Cameroon FP Representative
Dr. Youmba Jean
Christian
ACMS Chief of Family Health Division
Côte d’Ivoire
Dr Virginie Kouakou MOH Director of the National RH/FP Program
Dr. Boguifo Joseph
Association of Private Clinics
Representative
Ghana
Akua Kwateng-Addo USAID/Ghana
Mabel Segbafah GHS M&E Analyst
Suzie Jacinthe USAID/Ghana HIV/AIDS Team Lead
Guinea Marouf Balde USAID/Guinea
Liberia Andrew Karlyn
USAID/Liberia
(mobile solutions)
Mauritania
Dr. Mahfoudh Boye MOH FP
Dr. Mohammed Lemina PNSR
Niger
Dr. Kemou Adama Director of MCH
Dr. Assai Mariama
Hama
Private Pharmacy Pharmacist
Senegal Ndeye Tall MOH Senegal PPP Coordinator
Togo
Dr. N'tapi Kassouta MOH Togo Director of Family Health Division
Dr. Singo-Tokofai
Assétina
MOH Togo
National Coordinator of HIV/STI
Prevention
Dr. Moïse K. Fiadjoe
Clinic Director and Private Sector
Representative
Presenters
Country, project
organization
Name Organization Title
AKDN Ousmane Seye AKDN CEO
ASH Lungi Okoko MSH Senior M&E Advisor
Bayer Health
Care
Clement Owusu-Addo Ghana Bayer Product and Marketing Executive
Bernard Kituku Bayer Healthcare Nairobi Regional Bayer Representative
EAHF Dr. Amit Thakker
Kenya Healthcare
Federation
Consultant

24
mHealth
Developers
Maeghan Orton Medic Mobile
David Hutchful Grameen Foundation Technical Director
Sicco van Gelder PharmAccess
Kevin Adomayakpor OneWorld OneWorld Ghana Representative
Selorm Branttie mPedigree Strategy Director
Ken Kubuga IICD Technical Advisor
Gabriel Fiadorme
PharmAccess
Foundation
Quality Advisor
Phylicia Adjei
PharmAccess
Foundation
Process Manager
Susan Bulthuis
PharmAccess
Foundation
Intern
Mobile Operators
Ralph Ankri Orange Labs
Steve Asumadu-Sakyi Vodafone Head of Product Marketing
Victor Ohuruogu GSMA Pan African Initiative Representative
SHOPS
Bettina Brunner Abt Associates Senior Associate
Pamela Riley Abt Associates Senior mHealth Advisor
USAID
Washington
Peggy d'Adamo USAID/Washington
IT/KM Advisor - USAID Global Health
Bureau
Jasmine Baleva USAID/Washington Private Sector Technical Advisor
Andrea Harris USAID/Washington
Senior Technical Advisor, Private
Partnerships
USAID/West
Africa
Daniele Nyirandutiye USAID/West Africa Acting Health Office Director
DM Kangudie USAID/West Africa Senior Health Advisor
Bradley Wallach USAID/West Africa Acting USAID WA Mission Director
WAHO Sani Ali WAHO Planning Officer
World Bank Dr. Khama Rogo World Bank Group Director of HiA
Other participants
Country, project
organization
Name Organization Title
AGIR-PF
Andre Koalga Engender Health Technical Director
Dr. Eloi Amegan Engender Health Country Coordinator
USAID | DELIVER
PROJECT
Damessi Yawo-Mensah
USAID | DELIVER
PROJECT
Program Officer
Deloitte
Consulting
Kingsley Frimpong Deloitte Consulting Institutional Capacity Building Advisor
Ernest & Young
Yvette Ntrakwah E&Y Ghana Office
Tosin Oshinubi E&Y Ghana Office
PACTE-VIH
Virginie Traore FHI 360 COP
Jean Paul Tchupo FHI 360 DCOP
Zoungrana Zacharia FHI 360 PACTE-VIH Burkina Faso
Marian Honu FHI 360 PACTE VIH
Fatoumata Traoure FHI 360 PACTE VIH
SHOPS Susan Mitchell Abt Associates SHOPS Project Director

25
Other GSMA
Invitees
Adekunle Akindeji VAS2NETS
Amos Ghunney VAS2NETS
Dr. Byrite Asamoah Vantage Medical CEO
Shadrach Amoako Vantage Medical General Manager
USAID West
Africa
Sheila Mensah USAID/West Africa Communication M&E Advisor
Laurent Kapesa USAID/West Africa Senior HIV/AIDS Advisor
Susan Perez USAID/West Africa Reproductive Health Program Manager
Alfred Amoatwo USAID/West Africa
Program Management Specialist
HIV/AIDS
Rebeca Quarcoo USAID/West Africa Program Management Assistant
Bertha Baffoe-Bonnie USAID/West Africa Program Office Representative
Palx Sow USAID/West Africa YALI Regulation Coordinator
World Bank Anthony Seddoh IFC Ghana Operations Officer of IFC Ghana

27
ANNEX C: EVALUATION
RESULTS
On a scale from 1 to 5, where 1 is “not satisfied” and 5 is “very satisfied,” how would you
rate the following elements:
1 2 3 4 5 X Total
General
organization of the
workshop
8 6 15
Relevance of the
identified themes
1 8 5 15
Expert
interventions
1 9 4 15
Time allowed for
discussion
2 6 2 4 14
Dissemination of
the results and
recommendations
of the reports
3 9 2 14
Extent to which
you have acquired
new information
1 9 4 14
Usefulness of the
new information
1 9 4 14
What actions are you going to take following this workshop?
“Implement a consultation platform for the private health sector in Togo.”
“Explore opportunities for mhealth in my country.”
“Encourage the MOH to implement a PPP platform to improve Cameroonians’ health.”
“Meet with other private sector actors in Côte d’Ivoire.”
“Start a dialogue with the Family Health Division at the MOH and exchange on what could be
done to strengthen PPP in health.”
“Implement a committee with the Togolese participants of this workshop.”
“Integrate lessons learned to elaborate a program promoting the private sector.”
“Actively participate in the reconciliation of the MOH and the private sector.”
“Remind the World Bank country office of the Africa Health initiative.”
Workshop strengths
“Very relevant selection of panels.”
“The quality of participants and panelists was so strong. Kudos to the organizing team.”
“The workshop allowed for exchanges between countries and even between private and public
sectors. Other people’s experiences need to serve as a base for others to start from.”
“Country experiences sharing.”

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“All objectives were met, all subjects programed in the agenda have been covered.”
Things that could be improved
“Increase availability of presentations in French.”
“A 3rd day to go till the end of the country exercise would have been beneficial.”
“Provide electronic copies through Dropbox.”
“½ extra day would have been useful.”
“Send background materials prior to workshop.”
Other
“Use the “call for paper” model to diversify the type of experiences to showcase.”
“Consider emerging actors (young people working on mhealth apps in startups).”
“Post dissemination to follow up on what happens in terms of PPP initiatives”.
“It is obvious mhealth is still nascent in Africa but it is the future.”
“Important workshop for our countries in terms of positive results on the health systems through
successful PPPs. Good luck to all the organizers.”
“It has been a center for various stakeholders to open-up and repair collapsed relationships and
perceptions between public and private sector.”
“mhealth is a necessary need as technology has become the order of the day. We need to
position the delivery of health services strategically not to miss this movement.”

Revised_Dissemination Report - 11_12-2013_FINAL

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