Desk review on “Public-private partnerships in the health sector- what implications for East and Southern African countries

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This desk review of public private partnerships (PPPs) in the health sector (health services) in east and southern African countries is being commissioned by the Regional Network for Equity in Health in East and Southern Africa (EQUINET). The paper aims to inform public sector professionals, policy makers, civil society and parliamentarians on the health sector and health equity impacts of PPPs in health services in the countries of east and southern Africa. It will cover the full spectrum of services provided in the health sector, viz promotive, preventive, curative and rehabilitative. The countries covered are Angola, Botswana, DRC, Kenya, Lesotho, Madagascar, Malawi, Mozambique, Mauritius, Namibia, South Africa, Swaziland, Tanzania, Uganda, Zimbabwe, Zambia. 

The paper will identify from online sources and public domain documents for the above ESA countries:

  1. the different types of PPPs, the countries and socio-economic features of the areas where they operate and the PPP characteristics.

  2. the contextual (socio-economic, regulatory, governance and contracting) issues relevant to their implementation, and

  3. their role in health financing and service delivered; their equity, governance and management  implications.  

It will draw conclusions on the distribution of health sector and health equity risks and benefits in PPPs in the ESA region and make recommendations on issues for policy attention and for social advocacy to address these consequences. The work on the paper is now underway.