Public-Private partnership (PPP) and health service delivery in Malawi: The case of Christian Health Association of Malawi (CHAM) facilities in Mzimba district

IF 1.7 Q3 HEALTH CARE SCIENCES & SERVICES
Chisomo Salangwa , Reston Munthali , Lusungu Mfune , Vegha Kaunga Nyirenda
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Abstract

Background

PPPs are crucial in addressing healthcare challenges in Malawi, a low-income country. These partnerships, including those with CHAM, help improve access to health services by complementing the public sector, especially in areas with inadequate infrastructure and limited healthcare resources.

Method

This study employed qualitative methods, including interviews, focus groups, and document analysis, to investigate the impact of PPP on healthcare infrastructure and access. Purposive and snowball sampling selected 30 interviewees and 20 focus groups. Thematic analysis revealed insights into PPP dynamics, resource allocation, stakeholder interactions, and socio-economic factors in healthcare.

Results

Government officials recognise PPPs’ positive impact on healthcare access, especially in rural areas, but raise concerns about sustainability due to policy inconsistencies, financial instability, and service duplication. CHAM and district health professionals highlight delayed payments, cost management, and infrastructure issues. While PPPs increase healthcare utilisation, challenges like drug shortages, staff shortages, and financial strain threaten long-term sustainability without better coordination.

Conclusion

This study explores PPPs in Malawi’s health sector, focusing on healthcare quality, efficiency, equity, and access. It identifies challenges like mistrust, misaligned incentives, data inflation, contract renegotiations, staffing shortages, and infrastructure issues. The study emphasises improving transparency, aligning incentives, and addressing sustainability through better resource management and financing.
马拉维的公私伙伴关系和保健服务提供:马拉维基督教保健协会(CHAM)在姆辛巴地区的设施的案例
ppp在解决马拉维这个低收入国家的医疗保健挑战方面至关重要。这些伙伴关系,包括与中国商会的伙伴关系,通过补充公共部门,特别是在基础设施不足和保健资源有限的地区,帮助改善获得保健服务的机会。方法采用访谈、焦点小组和文献分析等定性研究方法,探讨PPP对医疗卫生基础设施和可及性的影响。目的和滚雪球抽样选择了30名受访者和20个焦点小组。专题分析揭示了PPP动态、资源分配、利益相关者互动和医疗保健中的社会经济因素。政府官员承认公私合作伙伴关系对医疗保健获取的积极影响,特别是在农村地区,但由于政策不一致、金融不稳定和服务重复,他们对可持续性提出了担忧。CHAM和地区卫生专业人员强调延迟付款、成本管理和基础设施问题。虽然公私伙伴关系提高了医疗保健的利用率,但如果没有更好的协调,药品短缺、人员短缺和财政紧张等挑战将威胁到长期可持续性。本研究探讨了马拉维卫生部门的公私合作伙伴关系,重点关注卫生保健质量、效率、公平和可及性。它指出了诸如不信任、不一致的激励机制、数据膨胀、合同重新谈判、人员短缺和基础设施问题等挑战。该研究强调提高透明度,调整激励措施,并通过更好的资源管理和融资来解决可持续性问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Health Policy Open
Health Policy Open Medicine-Health Policy
CiteScore
3.80
自引率
0.00%
发文量
21
审稿时长
40 weeks
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