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Public Private Partnerships for Health Service DeliveryBusulwa IvanTeam Leader Public Private PartnershipsThe USAID/Health Initiatives for the Private Sector (HIPS) Project implemented by Emerging Markets Group Ltd.May 29
USAID funded, 2007-2012Works with Ugandan businesses to find cost-effective ways of improving access to and utilization of health servicesBased on a Public Private Partnership modelBuilds capacity of Private Sector Employer organizationsSupports Orphans and other Vulnerable Children
Menu of services
A Partnership ModelThe DunavantMobile Clinic
Why a mobile clinic?Previously ongoing conflict led to breakdown of social & economic infrastructure in the areaLed to relocation of people to Refugee camps commonly as IDP’sDunavant has up to 100,000 farmers whose productivity was being affected by ill health
The Public Private Partnership
The PilotAssessed operational costs
Established epidemiology of commonly occurring ailments
Evaluated community perceptions
Determined accessibility to remote sitesKitgum, Lira & PaderNew JerseyWashington, D.C.
Mobile clinic setupManned by 7 staff: 1 Clinical Officer, 1 Logistician, 1 Lab. technician, 1 nurse, 2  counselors and 1 driverAvailed a variety of services:BCC/IEC dissemination and awarenessHealth commodities e.g. condoms & netsImmunizations & mass DewormingDiagnosis & Treatment of common ailmentsTransportation of severe cases to IAA Lira clinic
Pilot FindingsAccessibilitySmaller satellite camps were targetedAverage distance to any H/C is 10 miles. Mobile clinic was stationed within 3 mile walking distanceAcceptabilityConsulted with existing private facilities and local  authorities to garner their supportInclusive participation brought about a sense of attachment
Pilot FindingsSustainability	We built capacity of health personnel to use modern medical procedures to deal with the commonly occurring ailmentsWe trained community volunteers & peer educators using a cascade of Training of Trainers Built referral mechanisms with local H/C’s
AdvantagesNo stock outs are realized due to mobile  clinic’s proximity to IAA Lira clinicExtends health services to people in remote, hard to reach placesBrought expertise and technology that would otherwise have been unavailable
ChallengesClinic could not ensure clients followed upDistrict Implementation Plans did not existMobile clinic team needed more specialist personnel (Dental, ENT, OBGYN)Clinic solely relied on sponsors since all services on board were provided for free
Possible solutionsBuild stronger linkages with existing NGO’s/ service providers

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Using Public Private Partnerships To Launch New Technologies And Products (4)

  • 1. Public Private Partnerships for Health Service DeliveryBusulwa IvanTeam Leader Public Private PartnershipsThe USAID/Health Initiatives for the Private Sector (HIPS) Project implemented by Emerging Markets Group Ltd.May 29
  • 2. USAID funded, 2007-2012Works with Ugandan businesses to find cost-effective ways of improving access to and utilization of health servicesBased on a Public Private Partnership modelBuilds capacity of Private Sector Employer organizationsSupports Orphans and other Vulnerable Children
  • 4. A Partnership ModelThe DunavantMobile Clinic
  • 5. Why a mobile clinic?Previously ongoing conflict led to breakdown of social & economic infrastructure in the areaLed to relocation of people to Refugee camps commonly as IDP’sDunavant has up to 100,000 farmers whose productivity was being affected by ill health
  • 6. The Public Private Partnership
  • 8. Established epidemiology of commonly occurring ailments
  • 10. Determined accessibility to remote sitesKitgum, Lira & PaderNew JerseyWashington, D.C.
  • 11. Mobile clinic setupManned by 7 staff: 1 Clinical Officer, 1 Logistician, 1 Lab. technician, 1 nurse, 2 counselors and 1 driverAvailed a variety of services:BCC/IEC dissemination and awarenessHealth commodities e.g. condoms & netsImmunizations & mass DewormingDiagnosis & Treatment of common ailmentsTransportation of severe cases to IAA Lira clinic
  • 12. Pilot FindingsAccessibilitySmaller satellite camps were targetedAverage distance to any H/C is 10 miles. Mobile clinic was stationed within 3 mile walking distanceAcceptabilityConsulted with existing private facilities and local authorities to garner their supportInclusive participation brought about a sense of attachment
  • 13. Pilot FindingsSustainability We built capacity of health personnel to use modern medical procedures to deal with the commonly occurring ailmentsWe trained community volunteers & peer educators using a cascade of Training of Trainers Built referral mechanisms with local H/C’s
  • 14. AdvantagesNo stock outs are realized due to mobile clinic’s proximity to IAA Lira clinicExtends health services to people in remote, hard to reach placesBrought expertise and technology that would otherwise have been unavailable
  • 15. ChallengesClinic could not ensure clients followed upDistrict Implementation Plans did not existMobile clinic team needed more specialist personnel (Dental, ENT, OBGYN)Clinic solely relied on sponsors since all services on board were provided for free
  • 16. Possible solutionsBuild stronger linkages with existing NGO’s/ service providers
  • 17. Carry out supplemental needs assessment to get more statistics
  • 18. Identify private specialists and facilitate their travel to offer these health services
  • 19. Charge a nominal fee to recoup some costsConclusionsServices to be offered and roles & responsibilities need to be clearly assignedPre-implementation analysis important since it leads to targeted interventionsLocal capacity building leads to continuous service provision