Botswana Experience on Public- Private Partnerships Joconiah Chirenda, MD, MPH, MBA [email protected]/[email protected] Global Business Coalition on.

Botswana Experience on Public-Private Partnerships

Joconiah Chirenda, MD, MPH, [email protected]/[email protected]

Global Business Coalition on TB, HIV-TB Co-infection and Global Fund Partnership

Johannesburg, South Africa11-13 October 2010

Traditional Government Partners • Technical– UN agencies– Private hospitals– Pharmaceutical – International Development agencies

• Health financing– Insurance – International development agencies

• Other– Communities, CBOs, local NGOs

04/21/23 Private Sector Investment in Health is Best Practice

Botswana Best Practice

04/21/23 2010 World TB Day Commemoration with His Honor, Vice President of the Republic of Botswana

Institutionalized Partnership • Government Policy recognizing importance of

partnerships with all stakeholders– National HIV/AIDS policy (1998)– Public service code of conduct on HIV/AIDS in the

workplace (2001)

• Successful implementation of policies– Private sector provider initiative for ARVs

• Conducive environment

04/21/23 Private Sector Investment in Health is Best Practice

Benefits• Sustained number of funding partners• Achieved universal coverage for ART – One of the few countries in the region– Successful prevention of mother to child

transmission of HIV programme– Successful implementation of TB programme

• Relatively easy to attract new funding partners• Efforts aimed at attracting domestic partners

04/21/23Policies, conducive environment and effective implementation are

key to sustained partnership

Main Domestic Partners• DEPSWANA– Owns two hospitals– Offer primary health care to employees and

government patients– Provide TB and HIV/AIDS care to employees and

immediate families– Participates in the AFA coordinated model

• Associated Fund Administrators– Coordinate provision of ARVs to Government patients

through general practitioners

04/21/23Policies, conducive environment and effective implementation are key to

sustained partnership

Challenges• Policies refer to HIV/AIDS only– Other opportunistic infections (TB)– Addressing this anomaly at policy level

• Involvement of private partners through joint planning, training on TB case management and quarterly feedback meetings started 2009

• TB still perceived as the responsibility of MOH– Advocacy activities with industry on-going

• Minimal funding to TB, unless branded with HIV• Minimal private sector participation in TB

04/21/23 Private Sector Investment in Health s Best Practice

Conclusion• Government still main funder of health services• Minimal private sector support• Critical to have coordinated private sector

response to TB/HIV/AIDS care to improve cost effectiveness

• How can more funding be mobilized for TB care?• How can other private companies be encouraged

to participate in healthcare provision?

04/21/23Private Sector Investment in Health s Best Practice