Access to affordable, quality healthcare is critical to economic growth and development. But, resource constraints and competing priorities mean that many governments lack the means to provide adequate health services to their citizens.
Healthcare challenges vary among countries and regions. Many rural areas lack the infrastructure, skilled staff, and facilities necessary to ensure even the most basic care. Urban areas may have staff and facilities but cannot keep pace with population growth and changing demographic health needs.
Worldwide, the looming epidemics of heart disease, stroke, cancer, and other chronic diseases will take an increasing toll. Nearly 80 percent of chronic disease deaths occur in low and middle income countries.
Governments need to carefully weigh their options for meeting these challenges head on. Well-structured PPPs are one tool available to help deliver new health infrastructure and improve access to higher quality healthcare services.
BRAZIL: BAHIA IMAGING DIAGNOSTIC
Partnering with the private sector addressed a number of challenges in delivering public health services, including imaging tests, low bed turnovers and overcrowded hospitals, and provided people with critical imaging and telemedicine services through the State healthcare system.
INDIA: JHARKHAND LABORATORY AND PATHOLOGY
The Government of Jharkhand strengthens its public health infrastructure by setting up modern diagnostic centers with radio-imaging and pathology services in all 24 district hospitals and three medical colleges serving small towns and rural areas.
BRAZIL: BELO HORIZONTE PRIMARY CARE
Signed in February 2016, the PPP agreement will help remodel 77 primary care centers and build a new laboratory and sterilization center across the Belo Horizonte municipality to provide quality services to one million low and middle income residents.
LESOTHO HEALTH NETWORK PPP
This brief examines the background to the PPP, the health results it has achieved, challenges facing the health network, lessons emerging from the project, and what can be done moving forward to preserve the benefits of the health network PPP, while helping ensure it is fiscally sustainable.