Constraints; Challenges and Prospects of Public-Private Partnership in Health-Care Delivery in a Developing Economy
Ann. med. health sci. res. (Online)
;
4(1): 61-66, 2014.
Article
in English
| AIM
| ID: biblio-1259253
ABSTRACT
Background:
In Nigeria; concerns on the quality and financing of health-care delivery especially in the public sector have initiated reforms including support for public-private partnerships (PPP) at the Federal Ministry of Health. Likewise; Enugu State has developed a draft policy on PPP since 2005. However; non-validation and non-implementation of this policy might have led to loss of interest in the partnership.Aim:
The aim of this study was to provide evidence for planning the implementation of PPP in Enugu State health system via a multi-sectoral identification of challenges; constraints and prospects. Subjects andMethods:
Pre-tested questionnaires were administered to 466 respondents (251 health workers and 215 community members); selected by multi-stage sampling method from nine Local Government Areas of Enugu State; Nigeria; over a study period of April 2011 to September 2011. Data from the questionnaires were collated manually and quantitative data analyzed using SPSS version 15 (Chicago; IL; USA).Results:
Only 159 (34.1; 159/466) of all respondents actually understood the meaning of PPP though 251 (53.9) of them had claimed knowledge of the concept. This actual understanding was higher among health workers (57.8; 145/251) when compared with the community members (6.5; 14/215) (P 0.001). Post-PPP enlightenment reviews showed a more desire for PPP implementation among private health-care workers (89.4; 101/113) and community leaders/members (55.4; 119/215).Conclusion:
PPP in health-care delivery in Enugu State is feasible with massive awareness; elaborate stakeholder's engagements and well-structured policy before implementation. A critical challenge will be to convince the public sector workers who are the anticipated partners to accept and support private sector participation
Full text:
Available
Index:
AIM (Africa)
Main subject:
Health Care Reform
/
Delivery of Health Care
/
Public-Private Sector Partnerships
/
Healthcare Financing
Type of study:
Health economic evaluation
/
Qualitative research
Language:
English
Journal:
Ann. med. health sci. res. (Online)
Year:
2014
Type:
Article
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