Wednesday, December 5, 2007

[EQ] Public Policy and Franchising Reproductive Health: Current Evidence and Future Directions

WHO's Reproductive Health and Research Department recently released two joint reports that address contemporary policy and programmatic
issues related to working with the private sector to provide sexual and reproductive health services. 

 

Public Policy and Franchising Reproductive Health: Current Evidence and Future Directions

 

Available online as PDF file [32p.] at: http://www.who.int/reproductive-health/publications/publicpolicy_franchising/publicpolicy_franchising.pdf

 

A joint WHO and USAID PSP-One guidance note that is based on an international consultation meeting. 
The guidance note reviews worldwide experience and future directions / gaps in the evidence base with franchising reproductive health,
identifies key public policy actions for governing the private health sector and establishing public-private sector partnerships. 

[URL: http://www.who.int/reproductive-health/healthsystems/meeting06.htm]

 

Content:

Section I Introduction

Section II The case for franchising reproductive health services

Support for engaging the private health sector

Defining the private health sector

The rationale for franchising reproductive health services

Section III Franchising reproductive health: experiences, emerging lessons and future directions

Experiences

Emerging lessons

Future directions for health franchises

Section IV Public policy and franchising in reproductive health

Financing

Quality of care

Action points

Section V Implementing public/private partnerships to support franchising in reproductive health

Challenges to establishing public/private partnerships

Factors facilitating public/private successes

Action points

Section VI Building the evidence base on franchises

            Section VII Conclusion

 

 

Public - Private Partnerships:
Managing contracting arrangements to strengthen the Reproductive and Child Health Programme in India

 

 

Available online as PDF file [34p.] at: http://www.who.int/reproductive-health/publications/publicprivateptship/pppartnership.pdf

A joint WHO and Indian Institute of Management (Ahmedabad) publication that summarizes lessons and implications from three case studies that investigated factors that contributed to and detracted from developing management capacity for contracting out RCH services to the private sector.  
The case studies also focused on partnerships in service delivery, examining the structure and process of how the public and private sectors' competencies are developed and maintained.   [
URL:   http://www.who.int/reproductive-health/publications/publicprivateptship/index.html]

 

 

“…..Strengthening management capacity and meeting the need for reproductive and child health (RCH) services is a major challenge for the national RCH programme of India. Central and state governments are using multiple options to meet this challenge, responding to the complex issues in RCH, which include social, cultural and economic factors and reflect the immense geographical barriers to access for remote and rural populations.

 

Other barriers are also being addressed, including lessening financial burdens and creating public–private partnerships to expand access. For example, the National Rural Health Mission was initiated in order to focus on rural populations, although departments of health face a number of challenges in implementing this initiative.

 

In this document, we focus on a key area: the development of management capacity for working with the private sector. We synthesize the lessons learnt from three case studies of public–private partnerships in RCH: two are state initiatives, in Gujarat and Andhra Pradesh, and the third is the national mother nongovernmental organization scheme. The case studies were conducted to determine how management capacity was developed in these three public–private partnership initiatives, with contracting out of RCH services.

 

The case studies also focused on partnerships in service delivery, by examining the structure and process of partnerships, understanding management capacity and competence in various public–private partnerships in RCH, and identifying the means for developing the management capacity of partners…..”

 

 

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