Abstract
Globally, financing healthcare is one of the biggest challenges and it becomes a life or death issue in poor countries. Nepal is strongly committed to universal health coverage and Sustainable Development Goals. Existing public health services are inadequate to cater to the growing demands of quality health care and Public Private Partnership (PPP) evolved as newer arrangement for robust healthcare system, improved healthcare quality and enhance cost-effectiveness. Nepal has successfully utilized the PPP model in multiple sectors, however there is limited experience in healthcare. Strengthening PPP models in healthcare could be the pathway for Nepal toward SDG’s and UHC achievement.
Highlights
Because of the diversity in the structure of national healthcare systems, Public-Private Partnerships are modeled on various partnership mechanisms
Among the types and models, the most prevailing partnerships, are Contracting; Social Marketing Franchising; Subsidies and Tax Incentives; Joint Ventures; Hospital Autonomy; Vouchers or Service Purchase Coupons; Design-BuildOperate, and Transfer (DBOT); Health Co-operatives; Philanthropic Contributions; Capacity-Building; Grantsin-Aid; Leasing; and Social Health Insurance (SHI).[5]. These models are appropriate in different conditions for meeting specific requirements of the healthcare system
Design-Build, Operate and Transfer model partnership to operate Bayalpata Hospital Achham and Charikot Primary healthcare Center Dolakha building accountable healthcare system.60% Increase in institutional birth rate over five years and 57% reduction in neonatal mortality in two years are the remarkable achievement after public-private partnership in healthcare institutions and are evidence for Nepal government to promote Private Partnership (PPP) model further.[15]
Summary
Public-private partnerships provide considerable value, in the context of improved quality of services, decreased costs, enhanced efficiency, improved use of limited government resources, and risk-sharing between private and public sectors.[1,2] Nepal government has adopted its pioneer democratic constitution, which ensures essential healthcare as a fundamental right and emphasizes equity, which plays a significant role to minimize gender and ethnic disparity, and it is expected to have a significant impact on accessible healthcare to every citizen without any hardship.3Globally, Public-Private Partnerships are well accepted and popular models of partnership in the area of global health, aiming to deliver, scale, and assess health care services, and several of these services are multi-country, large-scale collaborations.[4]. Because of the diversity in the structure of national healthcare systems, Public-Private Partnerships are modeled on various partnership mechanisms. Throughout all, DBOT is the most popular form of the Public-Private Partnership model around the globe
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