The motivations for participation in public–private partnerships for the provision of tuberculosis treatment in South Africa

Abstract

There is increasing interest in public-private partnerships (PPPs) generally, and more specifically for the provision of tuberculosis (TB) treatment, yet little is known about the motivations for such partnerships and the nature of the incentives that are required to achieve a desirable outcome of the partnerships. Using the new institutional economics approach, this study examines the motivations for participation in existing and potential models of PPPs for the provision of TB treatment in South Africa. Fourteen semi-structured interviews were conducted with private providers and government officials. Both current and potential private partners were interviewed. The study found that private providers in existing and potential partnerships appear to have both financial and non-financial motivations for participation in partnership for the provision of TB. For a partnership to be successful, in addition to sufficient motivation, the level of competition between private providers, regulatory framework, and social and political awareness becomes increasingly important.

Global Fund financing of public–private mix approaches for delivery of tuberculosis care

“…PPM is cost‐effective in diverse country settings (Floyd et al. 2006; Sinanovic & Kumaranayake 2006; Pantoja et al. 2009; Mahendradhata et al.…”

Management of difficult multidrug‐resistant tuberculosis and extensively drug‐resistant tuberculosis: Update 2012

“…A study in Indonesia found that a substantial proportion of TB patients cared for at PPM DOTS hospitals are not managed under the DOTS strategy 65 . It is perhaps necessary to monitor the quality of care provided by the partnership 66 with attention to underlying motivations 67 …”

“…65 It is perhaps necessary to monitor the quality of care provided by the partnership 66 with attention to underlying motivations. 67…”

An analysis of the costs and treatment success of collaborative arrangements among public and private providers for tuberculosis control in Indonesia

“…Further, the cost-effectiveness studies examining PPM for TB control do not compare different PPM strategies, but focus on the cost-effectiveness compared with current practice in the public or private sector [6,10], or simply estimate a cost-effectiveness ratio [8,16].…”