Transcript PPP Mgmt Unit West Bengal

PUBLIC PRIVATE PARTNERSHIP (PPP)
MANAGEMENT UNIT IN
WEST BENGAL
Name of Presenter: Ajay Bhattacharyya
Position :
Deputy Secretary-Medical Services Branch
Health & Family Welfare Department
Government of West Bengal, India
28 – 29 September 2011
Vedic Village Spa Resort
Kolkata, India.
Overview of PPP initiatives under
Government of West Bengal
 Onset of PPPs was in the mid nineties at the Secondary and Tertiary
health care. However, structured PPP initiatives started only from 2003
under KfW funded Basic Health Project in West Bengal
 PPP Policy officially launched in Jan 2006 for improved health care
services for the community at large
 PPP Cell was also formed subsequently at the State and District level to
develop, implement, monitor and coordinate all PPPs.
 More recently, a high powered Committee has been formed at the Apex
level to explore the possibilities of new areas of PPP initiatives.
 For implementation, West Bengal Medical Service Corporation would be
the entrusted agency.
28 – 29 September 2011
Vedic Village Spa Resort
Kolkata, India.
Type of PPPs
Primary Health care level
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Initiated under KfW funded Basic Health Project
Ambulance Services in Rural Hospitals (RHs) and Block Primary Health Centers (BPHCs)
through operational management by NGOs/CBOs under PPP
Diagnostic Services in RHs and BPHCs by Private Sector Partners/NGOs under PPP
Planned Preventive Maintenance (PPM)
Other Initiatives by the Department
Running of Training Schools for Auxiliary Nurse & Midwives (ANMs)-[need based].
Mobile Healthcare Services in Sunderban riverine area.
Secondary Health care level
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CT Scan services through Private Sector Partners in District Hospitals
Disposal of Bio-medical waste
Tertiary Health care level
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CT Scan and MRI Services in Medical Colleges through Private Sector Partners
Mechanized Laundry Services (in selected facilities)
28 – 29 September 2011
Vedic Village Spa Resort
Kolkata, India.
PUBLIC PARTNER
 Health & Family Welfare Department and its various wings
Government of West Bengal
PRIVATE PARTNERS
 NGOs, CBOs, Trusts, Social Welfare Organizations
 Private Sector Organizations
 Corporate Bodies
 Support from Consulting Organization in effective implementation
28 – 29 September 2011
Vedic Village Spa Resort
Kolkata, India.
 Improved and increased access of the community at large for quality
health care services
 Supplement the ongoing efforts of the Government of West Bengal
 Affordable cost/rate for services under PPP
 Proper safety net for the Below Poverty Line (BPL) population
 Optimum utilization of scarce public resources targeting the poor.
 Consolidating
the strengths of both the partners on mutually
beneficial terms to achieve the desired health outcomes
 Involving
NGOs/CBOs and Civil Society for ensuring better access to
services by reaching the community at large
28 – 29 September 2011
Vedic Village Spa Resort
Kolkata, India.
 Consultations with stakeholders on structured check-list to find out issues and
addressing of these issues before designing of scheme
 Designing of schemes, agreement and Standard Operating Procedures
 Selection
of Partners based on eligibility criteria and Expression of interest
(EoIs) and subsequent bidding
 Necessary
measures and support to selected partners for setting up and
launch of services
 Post operationalisation administrative support and troubleshooting
 Monitoring
for strategic intervention for compliance of SOPs and greater
utilization of services
28 – 29 September 2011
Vedic Village Spa Resort
Kolkata, India.
Ambulance Services
 Round the clock emergency transportation facilities through NGOs in
remote places at user charges fixed by District level Authorities
 Transportation of delivery cases facilitating institutional deliveries
 Adequate and proper Safety net for the poor
 Facilitating development of ambulance network in rural areas
Diagnostic Services
 Providing essential Pathology and Radiology services at low cost with
quality assurance at Primary Health Care level
 Safety net for BPL category of patients with free services
28 – 29 September 2011
Vedic Village Spa Resort
Kolkata, India.
Challenges
 Changing mind set of the stakeholders on PPP
 Resistance from the stakeholders of prevalent practice.
 Capacities of both the partners on management of PPPs
 Compliance of SOPs by the operating partners and quality assurance
 Initiating proper safety net and monitoring its utilization
Mitigation plan
 Consultation with stakeholders on issues before designing of scheme
 Advocacy initiatives and Capacity Building programme were planned
after launch of services
 Administrative support and trouble shooting by the department
 PPP cell at the state and district level for better monitoring
28 – 29 September 2011
Vedic Village Spa Resort
Kolkata, India.
Ambulance Services in BPHCs:
 Round the clock services through out the State by133 ambulances
provided under KfW funded project initially and subsequently 201
ambulances by DFID funded project
 Subsequent introduction of safety net through cashless delivery
transportation under NISCHAY JAN Scheme
 Ensuring availability of Ambulance through Dial-up tool free
networking system.
Diagnostic Services in RHs and BPHCs:
 64 such centers could be established till date. Others are in progress.
Other PPP schemes
 Inspired by the success, other PPP Schemes e.g., Dialysis services,
CT Scan and MRI facilities have been introduced in secondary and
tertiary sectors.
28 – 29 September 2011
Vedic Village Spa Resort
Kolkata, India.
Lessons Learnt
 Formulation
of schemes under PPP requires involvement of all
stakeholders in general and people in particular.
 Need
for greater understanding of the PPPs at the People’s
representative level (e.g. Panchayeti Raj Institution)
 Need for Advocacy for PPP initiatives at the initial stage
 Initiatives
for capacity building and change of mind set for both the
partners at the operational level immediately after signing of agreement
 Protocol for quality assurance needs to be put in place
 Periodical financial analysis required for sustainability
28 – 29 September 2011
Vedic Village Spa Resort
Kolkata, India.
THANK YOU
28 – 29 September 2011
Vedic Village Spa Resort
Kolkata, India.