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Handshake Issue #3, Health & PPPs<br /> IFC’s quarterly journal on public-private partnerships<br /> <br /> In this issue<br /> <br /> integrated health systems: Lesotho’s pioneering model<br /> access to healthcare for the poor: Lessons from Ghana, India, and Mexico<br /> cost efficiency: Singapore’s secret to healthcareIN PARTNERSHIP WITH<br /> <br /> Australia • Austria • Brazil • Canada • Catalonia (Spain) • Flanders (Belgium) • France • Ireland • Italy • Japan • Kuwait • Netherlands • Norway • Sweden • Switzerland • United Kingdom • United States • Public-Private Infrastructure Advisory Facility (PPIAF) • Global Partnership for Output-Based Aid (GPOBA) • Private Infrastructure Development Group (PIDG) • African Development Bank • Asian Development Bank • Brazilian Development Bank (BNDES) <a title="Handshake Issue #3, Health & PPPs page 1" href="http://viewer.zmags.com/publication/6c527326?page=1">Handshake Issue #3, Health & PPPsIFC’s quarterly</a> Handshake Issue #3, Health & PPPsIFC’s quarterly<a title="Handshake Issue #3, Health & PPPs page 2" href="http://viewer.zmags.com/publication/6c527326?page=2">IN PARTNERSHIP WITHAustralia • Austria • Brazi</a> IN PARTNERSHIP WITHAustralia • Austria • Brazi<a title="Handshake Issue #3, Health & PPPs page 3" href="http://viewer.zmags.com/publication/6c527326?page=3">It is impossible to overstate the importance of he</a> It is impossible to overstate the importance of he<a title="Handshake Issue #3, Health & PPPs page 4" href="http://viewer.zmags.com/publication/6c527326?page=4">In this issueFeaturesIntegrated health sys</a> In this issueFeaturesIntegrated health sys<a title="Handshake Issue #3, Health & PPPs page 5" href="http://viewer.zmags.com/publication/6c527326?page=5">Cost EfficiencySingapore’s secret to healthcare |</a> Cost EfficiencySingapore’s secret to healthcare |<a title="Handshake Issue #3, Health & PPPs page 6" href="http://viewer.zmags.com/publication/6c527326?page=6">Rui Monteirois a Senior Public-Private Partnersh</a> Rui Monteirois a Senior Public-Private Partnersh<a title="Handshake Issue #3, Health & PPPs page 7" href="http://viewer.zmags.com/publication/6c527326?page=7">Wajiha Ahmed is an infrastructure consultant for G</a> Wajiha Ahmed is an infrastructure consultant for G<a title="Handshake Issue #3, Health & PPPs page 8" href="http://viewer.zmags.com/publication/6c527326?page=8">By Robert TaylorHealthcare is now the greatest</a> By Robert TaylorHealthcare is now the greatest<a title="Handshake Issue #3, Health & PPPs page 9" href="http://viewer.zmags.com/publication/6c527326?page=9">Healthcare spending represents about 10 percent of</a> Healthcare spending represents about 10 percent of<a title="Handshake Issue #3, Health & PPPs page 10" href="http://viewer.zmags.com/publication/6c527326?page=10">PPPS FOR HEALTHCARE INFRASTRUCTURE AND SERVICES</a> PPPS FOR HEALTHCARE INFRASTRUCTURE AND SERVICES<a title="Handshake Issue #3, Health & PPPs page 11" href="http://viewer.zmags.com/publication/6c527326?page=11">healthcare to the affected population. Also of gre</a> healthcare to the affected population. Also of gre<a title="Handshake Issue #3, Health & PPPs page 12" href="http://viewer.zmags.com/publication/6c527326?page=12">implementing the insurance program in Andhra Prade</a> implementing the insurance program in Andhra Prade<a title="Handshake Issue #3, Health & PPPs page 13" href="http://viewer.zmags.com/publication/6c527326?page=13">Life expectancy in low income countries is 23 year</a> Life expectancy in low income countries is 23 year<a title="Handshake Issue #3, Health & PPPs page 14" href="http://viewer.zmags.com/publication/6c527326?page=14">FAST FACTSthere is a global shortage of 4,300,</a> FAST FACTSthere is a global shortage of 4,300,<a title="Handshake Issue #3, Health & PPPs page 15" href="http://viewer.zmags.com/publication/6c527326?page=15">Help Maya take her first breath in this World Bank</a> Help Maya take her first breath in this World Bank<a title="Handshake Issue #3, Health & PPPs page 16" href="http://viewer.zmags.com/publication/6c527326?page=16">PPP basics:Is your project affordable?By Linds</a> PPP basics:Is your project affordable?By Linds<a title="Handshake Issue #3, Health & PPPs page 17" href="http://viewer.zmags.com/publication/6c527326?page=17">Once an availability payment is derived from the f</a> Once an availability payment is derived from the f<a title="Handshake Issue #3, Health & PPPs page 18" href="http://viewer.zmags.com/publication/6c527326?page=18">HOSPITAL PPPs: KEY ASSUMPTIONSBasic Assumption</a> HOSPITAL PPPs: KEY ASSUMPTIONSBasic Assumption<a title="Handshake Issue #3, Health & PPPs page 19" href="http://viewer.zmags.com/publication/6c527326?page=19">Illustrated graphic:The debt service component</a> Illustrated graphic:The debt service component<a title="Handshake Issue #3, Health & PPPs page 20" href="http://viewer.zmags.com/publication/6c527326?page=20">8 key trends in the evolution of healthcare PPPs</a> 8 key trends in the evolution of healthcare PPPs<a title="Handshake Issue #3, Health & PPPs page 21" href="http://viewer.zmags.com/publication/6c527326?page=21">1. Government spending on healthcare is growing at</a> 1. Government spending on healthcare is growing at<a title="Handshake Issue #3, Health & PPPs page 22" href="http://viewer.zmags.com/publication/6c527326?page=22">Managing healthcare PPPs: Building public sector</a> Managing healthcare PPPs: Building public sector<a title="Handshake Issue #3, Health & PPPs page 23" href="http://viewer.zmags.com/publication/6c527326?page=23">and public entities. For infrastructure PPPs, the </a> and public entities. For infrastructure PPPs, the <a title="Handshake Issue #3, Health & PPPs page 24" href="http://viewer.zmags.com/publication/6c527326?page=24">2. Improving the institutional framework and capac</a> 2. Improving the institutional framework and capac<a title="Handshake Issue #3, Health & PPPs page 25" href="http://viewer.zmags.com/publication/6c527326?page=25">by doing, a costly and lengthy approach. Often, co</a> by doing, a costly and lengthy approach. Often, co<a title="Handshake Issue #3, Health & PPPs page 26" href="http://viewer.zmags.com/publication/6c527326?page=26">Lesotho Hospital PPPA model for integrated healt</a> Lesotho Hospital PPPA model for integrated healt<a title="Handshake Issue #3, Health & PPPs page 27" href="http://viewer.zmags.com/publication/6c527326?page=27">Image of hospital bed.</a> Image of hospital bed.<a title="Handshake Issue #3, Health & PPPs page 28" href="http://viewer.zmags.com/publication/6c527326?page=28">A pioneering healthcare transactionBy Carla M.N.</a> A pioneering healthcare transactionBy Carla M.N.<a title="Handshake Issue #3, Health & PPPs page 29" href="http://viewer.zmags.com/publication/6c527326?page=29">The Lesotho healthcare PPP is a first for Africa. </a> The Lesotho healthcare PPP is a first for Africa. <a title="Handshake Issue #3, Health & PPPs page 30" href="http://viewer.zmags.com/publication/6c527326?page=30">all patients who present at the hospital and filte</a> all patients who present at the hospital and filte<a title="Handshake Issue #3, Health & PPPs page 31" href="http://viewer.zmags.com/publication/6c527326?page=31">The PPP agreement for this project was signed by t</a> The PPP agreement for this project was signed by t<a title="Handshake Issue #3, Health & PPPs page 32" href="http://viewer.zmags.com/publication/6c527326?page=32">The private partner Helping Lesotho’s government</a> The private partner Helping Lesotho’s government<a title="Handshake Issue #3, Health & PPPs page 33" href="http://viewer.zmags.com/publication/6c527326?page=33">Photograph of Dr. Victor Litlhakanyane.</a> Photograph of Dr. Victor Litlhakanyane.<a title="Handshake Issue #3, Health & PPPs page 34" href="http://viewer.zmags.com/publication/6c527326?page=34">Can you explain, in layman’s terms, the mechanics </a> Can you explain, in layman’s terms, the mechanics <a title="Handshake Issue #3, Health & 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> So I’ve been to a number of countries on our subco<a title="Handshake Issue #3, Health & PPPs page 36" href="http://viewer.zmags.com/publication/6c527326?page=36">Photo of Minister Timothy Thahane.Photo © Victor</a> Photo of Minister Timothy Thahane.Photo © Victor<a title="Handshake Issue #3, Health & PPPs page 37" href="http://viewer.zmags.com/publication/6c527326?page=37">The government’s perspective Meeting demand with</a> The government’s perspective Meeting demand with<a title="Handshake Issue #3, Health & PPPs page 38" href="http://viewer.zmags.com/publication/6c527326?page=38">What was the motivation behind this PPP project?</a> What was the motivation behind this PPP project?<a title="Handshake Issue #3, Health & PPPs page 39" href="http://viewer.zmags.com/publication/6c527326?page=39">ing public disease in the country. You need that s</a> ing public disease in the country. You need that s<a title="Handshake Issue #3, Health & PPPs page 40" href="http://viewer.zmags.com/publication/6c527326?page=40">Vouchers for safer pregnancyOutput-based aid del</a> Vouchers for safer pregnancyOutput-based aid del<a title="Handshake Issue #3, Health & PPPs page 41" href="http://viewer.zmags.com/publication/6c527326?page=41">A voucher system for prenatal care in Uganda helps</a> A voucher system for prenatal care in Uganda helps<a title="Handshake Issue #3, Health & PPPs page 42" href="http://viewer.zmags.com/publication/6c527326?page=42">A new approach to an old problemHoima—a tranqu</a> A new approach to an old problemHoima—a tranqu<a title="Handshake Issue #3, Health & PPPs page 43" href="http://viewer.zmags.com/publication/6c527326?page=43">Delivering results Justine Asaba, a 28-year-ol</a> Delivering results Justine Asaba, a 28-year-ol<a title="Handshake Issue #3, Health & PPPs page 44" href="http://viewer.zmags.com/publication/6c527326?page=44">HealthStore Foundation’s micro-franchising model</a> HealthStore Foundation’s micro-franchising model<a title="Handshake Issue #3, Health & PPPs page 45" href="http://viewer.zmags.com/publication/6c527326?page=45">Why franchise? According to the HealthStore Fo</a> Why franchise? According to the HealthStore Fo<a title="Handshake Issue #3, Health & PPPs page 46" href="http://viewer.zmags.com/publication/6c527326?page=46">Afghanistan’s health sector evolvesExpanding acc</a> Afghanistan’s health sector evolvesExpanding acc<a title="Handshake Issue #3, Health & PPPs page 47" href="http://viewer.zmags.com/publication/6c527326?page=47">"Public-private partnerships have proven successfu</a> "Public-private partnerships have proven successfu<a title="Handshake Issue #3, Health & PPPs page 48" href="http://viewer.zmags.com/publication/6c527326?page=48">such health aspects as the number of functioning h</a> such health aspects as the number of functioning h<a title="Handshake Issue #3, Health & PPPs page 49" href="http://viewer.zmags.com/publication/6c527326?page=49">service delivery using its own staff. This effort,</a> service delivery using its own staff. This effort,<a title="Handshake Issue #3, Health & PPPs page 50" href="http://viewer.zmags.com/publication/6c527326?page=50">Earthquake spurs primary healthcare revitalization</a> Earthquake spurs primary healthcare revitalization<a title="Handshake Issue #3, Health & PPPs page 51" href="http://viewer.zmags.com/publication/6c527326?page=51">health workers, and contract NGOs to manage primar</a> health workers, and contract NGOs to manage primar<a title="Handshake Issue #3, Health & PPPs page 52" href="http://viewer.zmags.com/publication/6c527326?page=52">the differential in remunerations between governme</a> the differential in remunerations between governme<a title="Handshake Issue #3, Health & PPPs page 53" href="http://viewer.zmags.com/publication/6c527326?page=53">international NGOs were especially targeted. Close</a> international NGOs were especially targeted. Close<a title="Handshake Issue #3, Health & PPPs page 54" href="http://viewer.zmags.com/publication/6c527326?page=54">Improving healthcare in GhanaNational Health Ins</a> Improving healthcare in GhanaNational Health Ins<a title="Handshake Issue #3, Health & PPPs page 55" href="http://viewer.zmags.com/publication/6c527326?page=55">In 2003, only 20 percent of Ghanaians had access t</a> In 2003, only 20 percent of Ghanaians had access t<a title="Handshake Issue #3, Health & PPPs page 56" href="http://viewer.zmags.com/publication/6c527326?page=56">The NHIS is regulated and supervised by the Nation</a> The NHIS is regulated and supervised by the Nation<a title="Handshake Issue #3, Health & PPPs page 57" href="http://viewer.zmags.com/publication/6c527326?page=57">Ghanaians who do not belong to the two types of pr</a> Ghanaians who do not belong to the two types of pr<a title="Handshake Issue #3, Health & PPPs page 58" href="http://viewer.zmags.com/publication/6c527326?page=58">Pie chart of facilities by ownership.In 2009, </a> Pie chart of facilities by ownership.In 2009, <a title="Handshake Issue #3, Health & PPPs page 59" href="http://viewer.zmags.com/publication/6c527326?page=59">categories of the poor and vulnerable; complex and</a> categories of the poor and vulnerable; complex and<a title="Handshake Issue #3, Health & PPPs page 60" href="http://viewer.zmags.com/publication/6c527326?page=60">Protecting the uninsuredHow Mexico’s tripartite </a> Protecting the uninsuredHow Mexico’s tripartite <a title="Handshake Issue #3, Health & PPPs page 61" href="http://viewer.zmags.com/publication/6c527326?page=61">In 2003, Mexico was among the lowest spenders on h</a> In 2003, Mexico was among the lowest spenders on h<a title="Handshake Issue #3, Health & PPPs page 62" href="http://viewer.zmags.com/publication/6c527326?page=62">Insuring AndhraPradesh’s poorAn Indian State Tru</a> Insuring AndhraPradesh’s poorAn Indian State Tru<a title="Handshake Issue #3, Health & PPPs page 63" href="http://viewer.zmags.com/publication/6c527326?page=63">Four years from inception, the Aarogyasri Trust ma</a> Four years from inception, the Aarogyasri Trust ma<a title="Handshake Issue #3, Health & PPPs page 64" href="http://viewer.zmags.com/publication/6c527326?page=64">records. If he is in need of a particular tertiary</a> records. If he is in need of a particular tertiary<a title="Handshake Issue #3, Health & PPPs page 65" href="http://viewer.zmags.com/publication/6c527326?page=65">ments of the government, plus certain additional r</a> ments of the government, plus certain additional r<a title="Handshake Issue #3, Health & PPPs page 66" href="http://viewer.zmags.com/publication/6c527326?page=66">Hospital do SubúrbioA project in picturesFor</a> Hospital do SubúrbioA project in picturesFor<a title="Handshake Issue #3, Health & PPPs page 67" href="http://viewer.zmags.com/publication/6c527326?page=67">08/2009Hospital do Subúrbio is located in a poor</a> 08/2009Hospital do Subúrbio is located in a poor<a title="Handshake Issue #3, Health & PPPs page 68" href="http://viewer.zmags.com/publication/6c527326?page=68">Early 09/2010The Development Agency of the State</a> Early 09/2010The Development Agency of the State<a title="Handshake Issue #3, Health & PPPs page 69" href="http://viewer.zmags.com/publication/6c527326?page=69">09/2011The hospital has now been in operation fo</a> 09/2011The hospital has now been in operation fo<a title="Handshake Issue #3, Health & PPPs page 70" href="http://viewer.zmags.com/publication/6c527326?page=70">Singapore’s secret to healthcarePublic-private c</a> Singapore’s secret to healthcarePublic-private c<a title="Handshake Issue #3, Health & PPPs page 71" href="http://viewer.zmags.com/publication/6c527326?page=71">Is it possible for a nation to enjoy universal acc</a> Is it possible for a nation to enjoy universal acc<a title="Handshake Issue #3, Health & PPPs page 72" href="http://viewer.zmags.com/publication/6c527326?page=72">has been in continuous power since 1959 and is thu</a> has been in continuous power since 1959 and is thu<a title="Handshake Issue #3, Health & PPPs page 73" href="http://viewer.zmags.com/publication/6c527326?page=73">The main elements of the 3M health financing syste</a> The main elements of the 3M health financing syste<a title="Handshake Issue #3, Health & PPPs page 74" href="http://viewer.zmags.com/publication/6c527326?page=74">Corporatization of Public HospitalsSingapore’s p</a> Corporatization of Public HospitalsSingapore’s p<a title="Handshake Issue #3, Health & PPPs page 75" href="http://viewer.zmags.com/publication/6c527326?page=75">Illustrated chart displaying challenges in health.</a> Illustrated chart displaying challenges in health.<a title="Handshake Issue #3, Health & PPPs page 76" href="http://viewer.zmags.com/publication/6c527326?page=76">Subscribe: ifc.org/pppConnect with us:facebo</a> Subscribe: ifc.org/pppConnect with us:facebo