If you are visually impaired or blind, you can visit the PDF version by Pressing CONTROL + ALT + 4
<br /> Issue #3<br /> handshake<br /> IFC’s quarterly journal on public-private partnerships<br /> In this issue<br /> integrated health systems: Lesotho’s pioneering model<br /> cost efficiency: Singapore’s secret to healthcare<br /> access to healthcare for the poor:<br /> Lessons from Ghana, India, and Mexico<br /> HEALTH<br /> ppps<br /> IN PARTNERSHIP WITH<br /> Australia • Austria • Brazil • Canada • Catalonia (Spain) • Flanders (Belgium) • France • Ireland • Italy • Japan<br /> • Kuwait • Netherlands • Norway • Sweden • Switzerland • United Kingdom • United States • Public-Private<br /> Infrastructure Advisory Facility (PPIAF) • Global Partnership for Output-Based Aid (GPOBA) • Private Infrastructure<br /> Development Group (PIDG) • African Development Bank • Asian Development Bank • Brazilian Development Bank<br /> (BNDES) • Caribbean Development Bank • Central American Bank for Economic Integration • European Investment<br /> Bank • European Bank for Reconstru<a title="Handshake Issue #3, Health &amp; PPPs page 1" href="http://viewer.zmags.com/publication/6c527326?page=1"> Issue #3 handshake IFC’s quarterly journal on pub</a> <a title="Handshake Issue #3, Health &amp; PPPs page 2" href="http://viewer.zmags.com/publication/6c527326?page=2"> IN PARTNERSHIP WITH Australia • Austria • Braz</a> <a title="Handshake Issue #3, Health &amp; PPPs page 3" href="http://viewer.zmags.com/publication/6c527326?page=3">It is impossible to overstate the importance of he</a> <a title="Handshake Issue #3, Health &amp; PPPs page 4" href="http://viewer.zmags.com/publication/6c527326?page=4">In this issue Features Integrated health sys</a> <a title="Handshake Issue #3, Health &amp; PPPs page 5" href="http://viewer.zmags.com/publication/6c527326?page=5">Cost Efficiency Singapore’s secret to healthcare |</a> <a title="Handshake Issue #3, Health &amp; PPPs page 6" href="http://viewer.zmags.com/publication/6c527326?page=6">Rui Monteiro is a Senior Public-Private Partnersh</a> <a title="Handshake Issue #3, Health &amp; PPPs page 7" href="http://viewer.zmags.com/publication/6c527326?page=7">Wajiha Ahmed is an infrastructure consultant for G</a> <a title="Handshake Issue #3, Health &amp; PPPs page 8" href="http://viewer.zmags.com/publication/6c527326?page=8">By Robert Taylor Healthcare is now the greatest</a> <a title="Handshake Issue #3, Health &amp; PPPs page 9" href="http://viewer.zmags.com/publication/6c527326?page=9">Healthcare spending represents about 10 percent of</a> <a title="Handshake Issue #3, Health &amp; PPPs page 10" href="http://viewer.zmags.com/publication/6c527326?page=10">PPPS FOR HEALTHCARE INFRASTRUCTURE AND SERVICES </a> <a title="Handshake Issue #3, Health &amp; PPPs page 11" href="http://viewer.zmags.com/publication/6c527326?page=11">healthcare to the affected population. Also of gre</a> <a title="Handshake Issue #3, Health &amp; PPPs page 12" href="http://viewer.zmags.com/publication/6c527326?page=12">implementing the insurance program in Andhra Prade</a> <a title="Handshake Issue #3, Health &amp; PPPs page 13" href="http://viewer.zmags.com/publication/6c527326?page=13">Life expectancy in low income countries is 23 year</a> <a title="Handshake Issue #3, Health &amp; PPPs page 14" href="http://viewer.zmags.com/publication/6c527326?page=14"> ALEXANDRIA HOSPITALS Two university hospitals in</a> <a title="Handshake Issue #3, Health &amp; PPPs page 15" href="http://viewer.zmags.com/publication/6c527326?page=15"> This is MAYA... Help Maya take her first breath </a> <a title="Handshake Issue #3, Health &amp; PPPs page 16" href="http://viewer.zmags.com/publication/6c527326?page=16">PPP basics: Is your project affordable? By Linds</a> <a title="Handshake Issue #3, Health &amp; PPPs page 17" href="http://viewer.zmags.com/publication/6c527326?page=17">Once an availability payment is derived from the f</a> <a title="Handshake Issue #3, Health &amp; PPPs page 18" href="http://viewer.zmags.com/publication/6c527326?page=18">HOSPITAL PPPs: KEY ASSUMPTIONS Basic Assumption</a> <a title="Handshake Issue #3, Health &amp; PPPs page 19" href="http://viewer.zmags.com/publication/6c527326?page=19">Illustrated graphic: The debt service component</a> <a title="Handshake Issue #3, Health &amp; PPPs page 20" href="http://viewer.zmags.com/publication/6c527326?page=20">8 key trends in the evolution of healthcare PPPs </a> <a title="Handshake Issue #3, Health &amp; PPPs page 21" href="http://viewer.zmags.com/publication/6c527326?page=21">1. Government spending on healthcare is growing at</a> <a title="Handshake Issue #3, Health &amp; PPPs page 22" href="http://viewer.zmags.com/publication/6c527326?page=22">Managing healthcare PPPs: Building public sector</a> <a title="Handshake Issue #3, Health &amp; PPPs page 23" href="http://viewer.zmags.com/publication/6c527326?page=23">and public entities. For infrastructure PPPs, the </a> <a title="Handshake Issue #3, Health &amp; PPPs page 24" href="http://viewer.zmags.com/publication/6c527326?page=24">2. Improving the institutional framework and capac</a> <a title="Handshake Issue #3, Health &amp; PPPs page 25" href="http://viewer.zmags.com/publication/6c527326?page=25">by doing, a costly and lengthy approach. Often, co</a> <a title="Handshake Issue #3, Health &amp; PPPs page 26" href="http://viewer.zmags.com/publication/6c527326?page=26">Lesotho Hospital PPP A model for integrated healt</a> <a title="Handshake Issue #3, Health &amp; PPPs page 27" href="http://viewer.zmags.com/publication/6c527326?page=27">Image of hospital bed.</a> <a title="Handshake Issue #3, Health &amp; PPPs page 28" href="http://viewer.zmags.com/publication/6c527326?page=28">A pioneering healthcare transaction By Carla M.N.</a> <a title="Handshake Issue #3, Health &amp; PPPs page 29" href="http://viewer.zmags.com/publication/6c527326?page=29">The Lesotho healthcare PPP is a first for Africa. </a> <a title="Handshake Issue #3, Health &amp; PPPs page 30" href="http://viewer.zmags.com/publication/6c527326?page=30">all patients who present at the hospital and filte</a> <a title="Handshake Issue #3, Health &amp; PPPs page 31" href="http://viewer.zmags.com/publication/6c527326?page=31">The PPP agreement for this project was signed by t</a> <a title="Handshake Issue #3, Health &amp; PPPs page 32" href="http://viewer.zmags.com/publication/6c527326?page=32">The private partner Helping Lesotho’s government</a> <a title="Handshake Issue #3, Health &amp; PPPs page 33" href="http://viewer.zmags.com/publication/6c527326?page=33">Photograph of Dr. Victor Litlhakanyane.</a> <a title="Handshake Issue #3, Health &amp; PPPs page 34" href="http://viewer.zmags.com/publication/6c527326?page=34">Can you explain, in layman’s terms, the mechanics </a> <a title="Handshake Issue #3, Health &amp; PPPs page 35" href="http://viewer.zmags.com/publication/6c527326?page=35">So I’ve been to a number of countries on our subco</a> <a title="Handshake Issue #3, Health &amp; PPPs page 36" href="http://viewer.zmags.com/publication/6c527326?page=36">Photo of Minister Timothy Thahane. Photo © Victor</a> <a title="Handshake Issue #3, Health &amp; PPPs page 37" href="http://viewer.zmags.com/publication/6c527326?page=37">The government’s perspective Meeting demand with</a> <a title="Handshake Issue #3, Health &amp; PPPs page 38" href="http://viewer.zmags.com/publication/6c527326?page=38">What was the motivation behind this PPP project? </a> <a title="Handshake Issue #3, Health &amp; PPPs page 39" href="http://viewer.zmags.com/publication/6c527326?page=39">ing public disease in the country. You need that s</a> <a title="Handshake Issue #3, Health &amp; PPPs page 40" href="http://viewer.zmags.com/publication/6c527326?page=40">Vouchers for safer pregnancy Output-based aid del</a> <a title="Handshake Issue #3, Health &amp; PPPs page 41" href="http://viewer.zmags.com/publication/6c527326?page=41">A voucher system for prenatal care in Uganda helps</a> <a title="Handshake Issue #3, Health &amp; PPPs page 42" href="http://viewer.zmags.com/publication/6c527326?page=42">A new approach to an old problem Hoima—a tranqu</a> <a title="Handshake Issue #3, Health &amp; PPPs page 43" href="http://viewer.zmags.com/publication/6c527326?page=43">Delivering results Justine Asaba, a 28-year-ol</a> <a title="Handshake Issue #3, Health &amp; PPPs page 44" href="http://viewer.zmags.com/publication/6c527326?page=44">HealthStore Foundation’s micro-franchising model </a> <a title="Handshake Issue #3, Health &amp; PPPs page 45" href="http://viewer.zmags.com/publication/6c527326?page=45">Why franchise? According to the HealthStore Fo</a> <a title="Handshake Issue #3, Health &amp; PPPs page 46" href="http://viewer.zmags.com/publication/6c527326?page=46">Afghanistan’s health sector evolves Expanding acc</a> <a title="Handshake Issue #3, Health &amp; PPPs page 47" href="http://viewer.zmags.com/publication/6c527326?page=47">"Public-private partnerships have proven successfu</a> <a title="Handshake Issue #3, Health &amp; PPPs page 48" href="http://viewer.zmags.com/publication/6c527326?page=48">such health aspects as the number of functioning h</a> <a title="Handshake Issue #3, Health &amp; PPPs page 49" href="http://viewer.zmags.com/publication/6c527326?page=49">service delivery using its own staff. This effort,</a> <a title="Handshake Issue #3, Health &amp; PPPs page 50" href="http://viewer.zmags.com/publication/6c527326?page=50">Earthquake spurs primary healthcare revitalization</a> <a title="Handshake Issue #3, Health &amp; PPPs page 51" href="http://viewer.zmags.com/publication/6c527326?page=51">health workers, and contract NGOs to manage primar</a> <a title="Handshake Issue #3, Health &amp; PPPs page 52" href="http://viewer.zmags.com/publication/6c527326?page=52">the differential in remunerations between governme</a> <a title="Handshake Issue #3, Health &amp; PPPs page 53" href="http://viewer.zmags.com/publication/6c527326?page=53">international NGOs were especially targeted. Close</a> <a title="Handshake Issue #3, Health &amp; PPPs page 54" href="http://viewer.zmags.com/publication/6c527326?page=54">Improving healthcare in Ghana National Health Ins</a> <a title="Handshake Issue #3, Health &amp; PPPs page 55" href="http://viewer.zmags.com/publication/6c527326?page=55">In 2003, only 20 percent of Ghanaians had access t</a> <a title="Handshake Issue #3, Health &amp; PPPs page 56" href="http://viewer.zmags.com/publication/6c527326?page=56">The NHIS is regulated and supervised by the Nation</a> <a title="Handshake Issue #3, Health &amp; PPPs page 57" href="http://viewer.zmags.com/publication/6c527326?page=57">Ghanaians who do not belong to the two types of pr</a> <a title="Handshake Issue #3, Health &amp; PPPs page 58" href="http://viewer.zmags.com/publication/6c527326?page=58">Pie chart of facilities by ownership. In 2009, </a> <a title="Handshake Issue #3, Health &amp; PPPs page 59" href="http://viewer.zmags.com/publication/6c527326?page=59">categories of the poor and vulnerable; complex and</a> <a title="Handshake Issue #3, Health &amp; PPPs page 60" href="http://viewer.zmags.com/publication/6c527326?page=60">Protecting the uninsured How Mexico’s tripartite </a> <a title="Handshake Issue #3, Health &amp; PPPs page 61" href="http://viewer.zmags.com/publication/6c527326?page=61">In 2003, Mexico was among the lowest spenders on h</a> <a title="Handshake Issue #3, Health &amp; PPPs page 62" href="http://viewer.zmags.com/publication/6c527326?page=62">Insuring AndhraPradesh’s poor An Indian State Tru</a> <a title="Handshake Issue #3, Health &amp; PPPs page 63" href="http://viewer.zmags.com/publication/6c527326?page=63">Four years from inception, the Aarogyasri Trust ma</a> <a title="Handshake Issue #3, Health &amp; PPPs page 64" href="http://viewer.zmags.com/publication/6c527326?page=64">records. If he is in need of a particular tertiary</a> <a title="Handshake Issue #3, Health &amp; PPPs page 65" href="http://viewer.zmags.com/publication/6c527326?page=65">ments of the government, plus certain additional r</a> <a title="Handshake Issue #3, Health &amp; PPPs page 66" href="http://viewer.zmags.com/publication/6c527326?page=66">Hospital do Subúrbio A project in pictures For</a> <a title="Handshake Issue #3, Health &amp; PPPs page 67" href="http://viewer.zmags.com/publication/6c527326?page=67">08/2009 Hospital do Subúrbio is located in a poor</a> <a title="Handshake Issue #3, Health &amp; PPPs page 68" href="http://viewer.zmags.com/publication/6c527326?page=68">Early 09/2010 The Development Agency of the State</a> <a title="Handshake Issue #3, Health &amp; PPPs page 69" href="http://viewer.zmags.com/publication/6c527326?page=69">09/2011 The hospital has now been in operation fo</a> <a title="Handshake Issue #3, Health &amp; PPPs page 70" href="http://viewer.zmags.com/publication/6c527326?page=70">Singapore’s secret to healthcare Public-private c</a> <a title="Handshake Issue #3, Health &amp; PPPs page 71" href="http://viewer.zmags.com/publication/6c527326?page=71">Is it possible for a nation to enjoy universal acc</a> <a title="Handshake Issue #3, Health &amp; PPPs page 72" href="http://viewer.zmags.com/publication/6c527326?page=72">has been in continuous power since 1959 and is thu</a> <a title="Handshake Issue #3, Health &amp; PPPs page 73" href="http://viewer.zmags.com/publication/6c527326?page=73">The main elements of the 3M health financing syste</a> <a title="Handshake Issue #3, Health &amp; PPPs page 74" href="http://viewer.zmags.com/publication/6c527326?page=74">Corporatization of Public Hospitals Singapore’s p</a> <a title="Handshake Issue #3, Health &amp; PPPs page 75" href="http://viewer.zmags.com/publication/6c527326?page=75">Illustrated chart displaying challenges in health.</a> <a title="Handshake Issue #3, Health &amp; PPPs page 76" href="http://viewer.zmags.com/publication/6c527326?page=76"> FAST FACTS there is a global shortage of 4,</a> <a title="Handshake Issue #3, Health &amp; PPPs page 77" href="http://viewer.zmags.com/publication/6c527326?page=77"> “ In just the past decade, the internationa</a> <a title="Handshake Issue #3, Health &amp; PPPs page 78" href="http://viewer.zmags.com/publication/6c527326?page=78"> Subscribe: ifc.org/handshake Connect with us: </a>