UNECE IFC Talking Points
UNECE IFC Talking Points
UNECE IFC Talking Points
An introduction
a contractual arrangement
between a public body and a private
sector entity, where the
skills and assets of the private sector
are mobilised by the public sector
to deliver services and/or assets
to the general public
Challenges & Constraints
Rise in non-
communicable
diseases
Shift in Lack of
Shortage of
provision of infrastructure
trained staff
care
Increasing
costs and Limited
expectations resources
Types of health PPPs
IT equipment & services, maintenance, food, Lab analysis, diagnostic tests, medical
laundry, cleaning, buildings & equipment, equipment maintenance, and other support
management. services
3. Risks are allocated to the party which is best able to manage them
1
Improve
Services
Better identification & allocation of long-term risks.
2
Mobilize Maintain affordable tariffs.
3
Increase
efficiency
The evolution of the PPP model
Strong Focus on
political services
will delivery, not
Fit with Legislative facilities
wider and
health regulatory
strategy environment
Public Private
sector sector
capacity capacity
Appropriate
?
risk sharing
Be
Fiscal opp aware
ortu of
Space niti
es
Recipe for failure?
re of
e a wa es
Limited B
a l l eng
ch
monitoring
capacity
?
Long term
fiscal
affordability
in question
Changing
environment
impacts key
parameters
PPP isolated
from wider
health
system
Lessons learnt from health PPPs
Long-term fiscal
affordability is essential
Promote competition and efficiency
Provider payment reforms
PPPs as part of a broader Accreditation
health sector reform Developing hospital management
capacity
International
PPP Stories
A new referral hospital for
underserved Cross River State.
10 year concession to
design, build, and manage the
clinical and non-clinical services of a
new hospital.
20-year concessions to
finance, design, construct, furnish,
equip, maintain, and provide non-
clinical management services.
Awarded to an international
consortium: Egypt’s Bareeq Capital,
G4S, Siemens & Detac.
$6 million in investment
10-year concession to
equip, maintain, and operate both
clinical and non-clinical services.
400,000 people with improved
access to services
Awarded to Promedica and
$50 million in investment
Dalkia.
Awarded to Tsepong
Consortium, headed by
NetCare including local doctors and
investors.
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