Earlier this year, the US Government, through President Bush’s Emergency Plan for AIDS Relief, announced an unprecedented public-private partnership to promote scientific and technical discussions on solutions for pediatric HIV treatment, formulations and access. These partnerships seek to capitalise on the current strengths and resources of both innovator and generic pharmaceutical companies, the US Government, as well as multilateral organisations to facilitate the process.
Public-Private Mix
This paper reviews the experiences of franchising and discusses the opportunities and implications for governments and donors of franchising for HIV and AIDS services. The author details how the private sector can offer huge potential to extend and maintain anti-retroviral therapy (ART) coverage. The author outlines how franchising may offer a way of meeting known challenges and thus, increasing the prospects for universal access to HIV and AIDS services.
Public-private partnerships (PPP) could be effective in scaling up services. The study estimated cost and cost-effectiveness of different PPP arrangements in the provision of tuberculosis (TB) treatment, and the financing required for the different models from the perspective of the provincial TB programme, provider, and the patient. Where PPPs are tailored to target groups and supported by the public sector, scaling up of effective services could occur at much lower cost than solely relying on public sector models.
The study uses a negative binomial regression model to investigate the factors influencing the number of PSP projects in a sample of 60 developing countries with 460 PSP projects. The regression results provide support for the hypotheses that PSP is greater in larger markets where the ability to pay is higher and where governments are fiscally constrained. Several indicators of institutional quality are tested; these are found to be generally significant in determining the number of projects signed per country. Measures of the protection of property rights and the quality of the bureaucracy emerge as the most important institutions that encourage PSP. Rule of law and the control of corruption are significant, albeit at a lower level, while the quality of contract law and political stability are not robustly significant.
More private investment and improvements in productivity will be needed if many developing countries are to reach the Millennium Development Goals. But how can developing countries mobilise more domestic investment and attract more foreign investment? How can the impact of this investment on poverty reduction be increased? The objective of this Policy Guidance is to help Development Assistance Committee (DAC) members use their Official Development Assistance (ODA) more effectively to mobilise private investment for development.
Business is being urged to use its resources and expertise in partnership with the public sector to improve sub-Saharan Africa’s weak healthcare systems in a White Paper, From Funding to Action: Strengthening Healthcare Systems in Sub-Saharan Africa, launched today by the Global Health Initiative at the World Economic Forum on Africa in Cape Town.
Public services are being liberalized world wide, opened to foreign service providers, often turned into private services through privatization, commercialization, marketization, and deregulation. Yet the privatization of public services means that many, many people can no longer benefit from such services because they cannot pay, or because they do not belong to the social class for whom the private services are intended. The document discusses how little is known about the changes taking place in services long-considered to be a public "right", or about the widening social disparities that result from liberalization.
Aspects of the proposed new dispensing-fee structure for pharmacists need more attention, the Pharmaceutical Stakeholders Forum (PSF) said on Tuesday. These included the recent impact analysis of the proposed dispensing fee on community pharmacies, said PSF coordinator Ivan Kotze. The PSF made the comment in a submission on Monday to the Pricing Committee - appointed by Health Minister Manto Tshabalala-Msimang under the Medicines and Related Substances Control Amendment Act to help bring about a more transparent pricing system for medicines in South Africa.
In sub-Saharan Africa, more than 2 million people die each year as a result of malaria; most victims are pregnant women and children under the age of 5. In Mali, malaria is the Number 1 killer of young children.Insecticide-treated mosquito nets are one of the most effective methods for preventing malaria. Studies conducted since the early 1990s show that their use has decreased severe malaria by 45 percent, premature births by 42 percent and all causes of child mortality by 20 percent. The NetMark Alliance represents a time-limited investment by the U.S. Agency for International Development (USAID) to reduce the burden of malaria in sub-Saharan Africa by increasing the commercial supply of insecticide-treated nets.
Health sector reforms usually involve changes in the organisation and management of health care systems, including a re-examination of the roles of the public and private sectors in the delivery of health care. From a gender perspective there is silence about the unpaid provision of health services in which women in the household and community are the main providers. This silence pervades most of the literature on privatisation.