As populations grow and countries grapple with rising demand and expectations for healthcare delivery, Public-Private Integrated Partnerships (PPIPs) are an option for governments to consider as sustainable vehicles to broaden access to, and improve management and quality of, health services in hospital, primary care and other settings across the continuum. PPIPs enable national governments to leverage private sector expertise and investment to serve public policy goals—specifically the provision of high quality, affordable preventive and curative care to all citizens. The PPIP model delivers a "complete bundle" of services, while simultaneously providing a vehicle for local economic empowerment.
PPIPs are a special form of public-private partnership (PPP) that comprise long-term, highly structured relationships between the public and private sectors designed to achieve significant and sustainable improvements to systems at national or sub-national levels. PPIPs position a private entity, or consortium of private partners, in a long-term relationship with a government to co-finance, design, build, and operate healthcare facilities, and to deliver both clinical and non-clinical services at those facilities over a decade or more. The new, state-of-the-art facilities or renovated facilities that result from a PPIP are owned by the government during all phases of the contract.
Unlike other PPPs, PPIPs go beyond private investment in buildings and maintenance. The private partners are also responsible for delivering all clinical and non-clinical services at the facilities, from surgery to immunization to ambulances. Most importantly, PPIPs aim to be "cost neutral" to patients, who incur the same out-of-pocket payments, usually zero or minimal, as they did in the previous dilapidated and poorly run public facilities.
The Global Health Group and colleagues published an article on PPIPs in the August 2011 edition of Health Affairs, delving deeper into the benefits and risks inherent in this innovative model.
Following a baseline-setting conference on PPIPs at Wilton Park, UK in April 2008, the Global Health Group's work on PPIPs has included several meetings with Ministries of Health across sub-Saharan Africa to inform them about the PPIP model, determine their interest in exploring it further, and assist them to identify potential projects, as well as second meeting on PPIPs at Wilton Park in September 2010.
From 2010-2014, the Global Health Group partnered with the World Bank Institute and the Asian Network for Health Systems Strengthening (ANHSS) to develop and lead an annual course on the private sector. This course, targeted toward mid-career government and private sector leaders, covered a range of topics from contracting to regulation to hospital infrastructure and more complex facility PPPs.