PUBLIC PRIVATE PARTNERSHIP AND UTILIZATION OF MATERNAL AND CHILD HEALTH SERVICES IN DISTRICT ABBOTTABAD, PAKISTAN
Abstract
Background: Public Private Partnership has been experimented as an approach in Pakistan in 2005 and in eighteen districts of Khyber Pakhtunkhwa including Abbottabad in 2011, to improve delivery of maternal and child health services. This study was conducted to assess the utilization of maternal and child health services before and after implementation of Public Private Partnership in district Abbottabad. Methods: A cross sectional study was conducted in district Abbottabad from July to December 2014. Study included all the 53 basic health units, outsourced to People’s Primary Healthcare Initiative in 2011. Data related to selected maternal and child health services indicators (family planning services, antenatal and post-natal care, safe delivery, tetanus toxoid vaccination of pregnant women and child immunization), before and after the introduction of Public Private Partnership, was collected. Significance tests (t-test) was applied and p-value <0.05 was taken as significant. Results: Marked improvement was observed in vaccination of target children (127%) and women (42%), respectively. Similarly, utilization of family planning services, antenatal and postnatal care increased by 60%, 9% and 38%, respectively. Public Private Partnership had significant effect on postnatal visits (p<0.001), family planning services (p<0.001), women vaccinated with tetanus toxoid (p<0.001) and children vaccinated in Expanded Program of Immunization (p=0.003). Conclusion: Public Private Partnership improved the utilization of maternal and child health services, particularly family planning services and maternal & child immunization. The partnership may be scaled up and extended, for an improved coverage of maternal and child health services.Keywords: Pakistan; Public Private Sector Partnership; Primary Health Care; Child Health Services; People’s Primary Healthcare InitiativeReferences
World Health Organization (WHO). Public-Private Partnerships for health. Geneva, Switzerland, WHO, 2015.
[Accessed 21.09.2015]. Available at : http://www.who.int/trade/glossary/story077/en/.
Shaikh BT, Rabbani F, Safi N, Dawar Z. Contracting of primary health care services in Pakistan: is up-scaling a pragmatic thinking. J Pak Med Assoc 2010;60(5):387–9.
Martinez J, Pearson M, England R, Donoghue M, Lucas H, Khan MS, et al. Third-party evaluation of the PPHI in Pakistan. DFId-HLSP, Technical Resource Facility and SOSEC: Islamabad. 2010.
Buse K, Walt G. Global public-private partnerships: Part I- a new development in health. Bull World Health Organ 2000;78(4):549–61.
World Health Organization (WHO). Declaration of Alma-Ata. International conference on primary health care, Almata, USSR, 6-12 Sept. 1978. WHO Press, Geneva, Switzerland, WHO, 1978. [Accessed 26.04.2017] Available as: http://www.who.int/publications/almaata_declaration_en.pdf.
National Institute of Population Studies (NIPS) and ICF International, Pakistan Demographic and Health Survey 2012-13, National Institute of Population Studies (NIPS), Islamabad, Pakistan; ICF International, Calverton, Md, USA, 2013.
Planning Commission of Pakistan. Pakistan Millennium Development Goals Report 2013. Centre for Poverty Reduction and Social Policy Development and United Nation Development Program. Islamabad, 2013.
Zaidi S, Salam R, Jangda SA. Review of public private partnerships for delivering maternal and newborn health. services: Strategic impact and gaps. Agha Khan University, Karachi, 2013.
WHO. Maternal health [Internet]. [Accessed 21.01.2014]. Available at: http://www.who.int/topics/maternal_health/en/
Loevinsohn B, Harding A. Buying Results: Contracting for health services delivery in developing countries. Lancet 2005;366(9486):676–81.
Eichler R, Auxila P, Pollock J. Promoting preventive health care. Contract Public Serv Output-Based Aid Its Appl 2001;65–71.
Lavadenz F, Schwab N, Straatman H. Public, decentralized and community health networks in Bolivia. Rev Panam Salud Publica 2001;9(3):182–9.
Basinga P, Gertler PJ, Binagwaho A, Soucat ALB, Sturdy J, Vermeersch CMJ. Effect on maternal and child health services in Rwanda of payment to primary health-care providers for performance: an impact evaluation. Lancet 2011;377(9775):1421–8.
Eichler R, Auxila P, Antoine U, Desmangles B. Performance-based incentives for health: six years of results from supply-side programs in Haiti. Wash DC; 2007.
Schwartz JB, Bhushan I. Improving immunization equity through a public-private partnership in Cambodia. Bull World Health Organ 2004;82(9):661–7.
Government of Pakistan. National Health Accounts Pakistan 2007−08. Statistics Division, Federal Bureau of Statistics, Islamabad: 2011.
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