Center for Health Market Innovations (CHMI)

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Overview

Implementing organization: 
Program For Appropriate Technology in Health (PATH) in Cambodia
Implementation Partner(s): 
The National Center for Parasitology, Entomology, and Malaria Control (CNM) of the Cambodian Ministry of Health, Provincial Health Department, Operational Health District
Legal Status: 
Year Launched: 
2004
Stage: 
Existing/expansion stage
Income Level of Target Population: 
20-60% (lower to lower-middle)

Funding

Primary Source of Funding: 
Donor
Summary: 

The Public Private Mix (PPM) is the model that has been initiated and implemented by implemented by Program For Appropriate Technology in Health (PATH) Cambodia to enhance the quality of health care services through strengthening providers’ capacity and the linkage between public sector and private sector.

Program goals/rationale: 

Malaria, Tuberculosis and Reproductive conditions are three of other main determinants that cause public health concerns and country burden for decades. Attention has been paid and efforts have been put by public health sector along with support from development partners to deliver prevention and curative services in response to above diseases and condition. However, the quality of public health care services is not strong enough to bring majority of people to use public services. A large share of service utilization actually occurs at for-profit facilities where the services are accessible while quality is often not guaranteed. Improper treatment may produce unpleasant outcomes such as wasting money, worsening patients’ conditions and inducing drug resistance. With this condition, It is indicated that private sector also plays a critical role in responding to the improvement of people’s well-being. Thus, enhancing the capacity of health providers at both sides and strengthening the linkage between public and private sectors would ideally respond to health needs.

Key program components: 

At the first of project implementation, a launching meeting is organized to articulate the purposes and process of project and engage state and non-state health actors to participate in the project implementation.

At national level, PATH seeks and gains cooperation from national programs. At provincial level, a coordinating team is established to coordinate and facilitate process of project implementation. The teams generally compose of PATH focal persons, staff health department (PHD), Operational District (ODs) and Referral Hospital (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 Network. After the network is established, the coordinators roll out respective training courses for network members. The courses primarily focus on case managements such as recognizing suspected cases, danger signs and where, when and how to refer their clients to public facilities. The private providers are also trained on how to fill the information of suspected tuberculosis, malaria and abortion in the information sheets so that it makes data updated and available for coordinating teams.

The coordinating teams organize supervisions in a regular basis to provide technical supports to private partners. Public-Private Partner network meetings are quarterly organized to provide a platform for public and private providers to update the work progress, discuss and address some challenges encountered during the implementation

Some incentive mechanisms are also developed to encourage participation from private providers in PPM project. A lottery is an example of incentive mechanism to encourage private practitioners to participate in referring severe malaria cases to public health facilities. The lottery event is monthly arranged and the winner (patient, private provider or public provider) is to receive a price such as audiotape, watch or fan, with cost ranging from USD 20 to 30.

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CP_cambodia_malaria_ppm_Cambodia.pdf239.18 KB

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