private public health sector

Statement of the
problem: 

Earlier Public health
facilities at the primary health care level failed to deliver the services so
proposed plan was to indulge the private partnership for effective and better
delivery of services to community in Punjab/ selected districts.

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Review of the literature:

          Public-private partnership is an old
concept and many people have worked and researched. Over the past decade the
use of PPPs has grown five- fold (PWC, 2010) and nearly US$ 4 billion contracts
were made in 2010 alone(carty,2012). The increasing trend can also be observed
in developing and emerging economies (English, 2005; Guasch et al; 2008 Yang et
al; 2013).  Dr.Sania Nishtar (2007). Roy
Widdus (2004). Katherine white (2004) elaborated the positive effects and
weaknesses of this partnership being carried in different countries for the
improvement of service delivery standards. The professional medical journal (2014).
Hafiz A Pasha & Abu Nasar. Nighat Nisar (2014).  Waris Qidwai (2016), have written the present
scenario and challenges of healthcare status in Pakistan.  Government of the Punjab health sector plan 2018
is a report published by the Punjab government describing the strategies and
plans to improve the health indicators by adopting the public-private
partnership to achieve the millennium development goals(MDG’s) and  sustainable development goals (SDG’s). During
literature review, period (2004-2016) is selected, as major developments were
being made during the era and major focus is made on public-private
relationships, scholarly publications, qualitative and quantitative analysis.

            Purpose of the study is to cover the gaps in this
development as above studies have not provided a complete picture of the system
effectiveness in Punjab healthcare department. The study will show, had this
system played role in improving the infrastructure, provision of latest
biomedical equipments, expert and trained human resources, Basic diagnostic facilities,
preventive health services, early referral, reduction in infant and maternal
mortality rate, health education to improve the personal hygiene. Study will
also identify the minimum service delivery standards achieved at primary
healthcare level.

Research Methodology
and Design:

                        Study
will be done at four Basic health units (BHUs) and two rural health centers (RHCs)
where Punjab health facility Management Company (PHFMC) is providing the
services by using both qualitative and quantitative analysis for the data
collection. Questionnaire will be developed covering nearly all necessary
aspects regarding the case study to collect information from at least300-350
various age group community personals visiting the health facility, whereas
semi-structured interviews will be conducted from the health service providers
and personals of PHFMC. This data will be analyzed by using the statistical
tools.     

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