Public Private Mix for Tuberculosis, Malaria and Reproductive Health
Country of Operation
- Program For Appropriate Technology in Health (PATH)Not-for-profit
- The National Center for Parasitology, Entomology, and Malaria Control (CNM) of the Cambodian Ministry of HealthGovernment
Target income level
- Lower-middle income (20-40%)
- Middle-income (40-60%)
SummaryThe Public Private Mix (PPM) is a model that has been initiated and implemented by Program for Appropriate Technology in Health (PATH) Cambodia to enhance the quality of health care services, by strengthening providers’ capacity and linkages between the public and private sector.
The PPM model focuses on establishing key partnerships to strengthen the capacity of public-, private-, and civil society actors, engaging public and private health care providers to improve the quality, cost, and accessibility of health services in Cambodia. A public-private mix strategy aims to strengthen both the public and private sectors in TB case management and increase early case detection. A public-private mix (PPM) approach is an effective way to letw.
Key program components
The first of step in this project’s implementation is launching a meeting, which is organized to articulate the purposes and process of the project, and to engage state and non-state health actors’ participation in the project’s implementation. At the national level, PATH seeks and gains cooperation from national programs. At the provincial level, a coordinating team is established to coordinate and facilitate the project’s implementation. Teams generally compose of PATH focal persons, Staff Health Departments (PHD), Operational Districts (ODs), and Referral Hospitals (RHs). PATH in collaboration with national programs organizes training courses for coordinating members. With financial support from PATH and technical support from national programs, the trained coordinators identity and engage for-profit private sectors such as private practitioners, pharmacists and drug store owners to form Public-Private Networks. After a network is established, coordinators roll out respective training courses for network members. The courses primarily focus on case management, such as recognizing suspected cases of disease, danger signs, and where, when, and how to refer clients to public facilities. Private providers are also trained on how to fill tuberculosis, malaria and abortion information sheets to make updated data available for coordinating teams. Coordinating teams organize supervision on a regular basis to provide technical support to private partners. Public-Private Partner network meetings are quarterly organized to provide a platform for public and private providers to give updates on their work progress, and to discuss and address challenges encountered during implementation. Incentive mechanisms, such as a lottery, are also established to encourage participation from private providers in referring severe malaria cases to public health facilities. The lottery event is arranged monthly and the winner (patient, private provider or public provider) receives prizes such as audiotapes, watches, or fans, or any other prize ranging from USD $20 to $30.