PPP in health sector

The state health department has also initiated several reforms through public private partnership for improving the service delivery across the state. These have been highlighted briefly

1) Entrusting Rural Health, Medical Services & Management of PHC to a Voluntary Organisation

Recognizing that PHCs do not have adequate facilities to provide health services effectively, the low levels of utilization and lack of effective mechanisms to evaluate and monitor their performance, harnessing local support and private initiatives are emerging as an important option to improve the performance of the PHCs under a partnership programme. So far, one PHC and 5 CHCs have been handed over to non-government organizations.
Under the agreement, the government agreed to finance the entire gamut of PHC services in project area, with the provision that these services are run on the same pattern as that in the government.

2) Mapping of expertise available for training

With a view to build capacities, health training is planned with the involvement of various institutes of expertise, from both the public and private sector. As part of this initiative, mapping of the expertise available for training in private and non-governmental organizational sectors and to involve them in training (e.g. RCH training, training related to HIV/AIDS) is proposed. Efforts are also underway to involve and enable participation of the community in such training and ensure better sharing of information through community volunteers and National Social Service (NSS) students.

3) Appointment of honoraries & part-time specialists from the private sector

The Government has encouraged private practitioners to provide services in the public sector under “Samaydan scheme”. This scheme aims to ease the problem of vacancies of specialists in health and medical services. As part of this scheme, honorary and part-time specialists are being appointed.

4) Urban Health Care Project

This project aims to provide primary health care to urban slum population under the public private partnership through community based health volunteers in urban areas. Given the lack of infrastructure in urban areas, towns with less then one lakh population are proposed to be covered under this scheme. The community-based health volunteers would be selected from local areas, will act as link between service providers and community. The towns having either CHC / PHC/ PPU / Urban Family Welfare Centre/ Trust hospital, would monitor their activities. They will be paid monthly honorarium as per the approved scheme.

5) Contracting out of Information, Education & Communication (IEC) services

With an intention to pool together information available and bring a professional approach to behaviour change communication (BCC), services like IEC are being contracted out. Efforts are also underway to develop partnerships with various stakeholders like pharmaceutical company to ensure wider coverage. The IEC budget from various pharmaceutical companies is pooled together on a common basis and the agencies hired by the private sector are allocated the money for development of IEC material through a special sanction. Such attempts at contracting-out are being tried out with respect to developing IEC material for malaria control especially for early diagnosis of malaria in RCH group, popularizing the use of impregnated bed nets and treatment of complicated malaria. The State Malaria Control Society scrutinizes the offers received and the agencies are selected after a committee has short-listed them.