Philippines: Public-Private Partnership in Health (piggy-backed TA to the Credit for Better Health Care Project)

Sovereign Project | 41664-012

Summary

The technical assistance (TA) for Public Private Partnership in Health will provide support to the subborrowers, including local government units (LGUs) and private providers, in enhancing modalities for public private partnership (PPP), including (i) innovative strategies to improve efficiency, access, and quality of services; (ii) to assist small-scale health care providers' obtain access to credit to support health-related MDGs; and (iii) to mobilize private resources for achieving MDGs.

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Project Name Public-Private Partnership in Health (piggy-backed TA to the Credit for Better Health Care Project)
Project Number 41664-012
Country Philippines
Project Status Closed
Project Type / Modality of Assistance Technical Assistance
Source of Funding / Amount
TA 7257-PHI: Public-Private Partnership in Health (piggy-backed TA to the Credit for Better Health Care Project)
Japan Special Fund US$ 1.00 million
Strategic Agendas Inclusive economic growth
Drivers of Change Private sector development
Sector / Subsector Health - Health sector development and reform
Gender Equity and Mainstreaming Gender equity
Description The technical assistance (TA) for Public Private Partnership in Health will provide support to the subborrowers, including local government units (LGUs) and private providers, in enhancing modalities for public private partnership (PPP), including (i) innovative strategies to improve efficiency, access, and quality of services; (ii) to assist small-scale health care providers' obtain access to credit to support health-related MDGs; and (iii) to mobilize private resources for achieving MDGs.
Project Rationale and Linkage to Country/Regional Strategy

The Sustainable Health Care Investment Program administered by the Development Bank of the Philippines (DBP) is a credit facility established in 2007 to support the Department of Health's (DOH's) Health Sector Reform Agenda Fourmula One for Health (F1) and the Government's agenda to achieve the health-related millennium development goals (MDGs). The loan funds will be provided for public and private health subprojects and can be used for both capital investments and working capital. The funds will be relent through (i) retail or direct relending to larger subprojects in the public and private sectors, and (ii) wholesale or relending through financial intermediaries to private sector smaller-scale subprojects.

DBP will relend to subprojects for (i) improving quality of health services to attain health facility accreditation by the Philippine Health Insurance Corporation (PHIC); (ii) addressing the gaps in access to basic health services (for communicable disease control, woman and child health care, clinical care, ancillary services, and generic drugs); and (iii) improving efficiency in health service financing and delivery through outsourcing, improving management systems, and other innovative strategies. PHIC accreditation can provide an added stream of resources. Partnerships can provide an opportunity for the public sector to address shortages in financial and human resources.

Impact The TA's impact is to help improve the maternal and child health status by 2015 in the subproject sites using Public Private-Partnership
Project Outcome
Description of Outcome The outcome of the Project will be tested PPP modalities that will have demonstrated potential to increase the use of maternal and child health care and referral services in the subproject sites with PPP.
Progress Toward Outcome Being assessed (TA will end by 30 September 2013). With a PPP modality piloted in Northern Samar, particularly for for pharmacy management, and publication of knowledge products on PPP, it is expected that TA outcome will be achieved.
Implementation Progress
Description of Project Outputs

PPP modalities developed and promoted

Incentives and operational strategies developed for PHIC in light of global budget system in support of PPP in Health initiatives

M&E established and capacity developed for promoting and implementing PPP in Health

Status of Implementation Progress (Outputs, Activities, and Issues)

The consultant team was mobilized on 17 January 2011. A scoping workshop was held on 22 February 2011, followed by an inception workshop in mid March 2011, first tripartite meeting on 25 March, and consultation meeting with Governors in May 2011. PRIMEX ceased its association with SMEC on 30 June following the resignation of 4 national consultants.

The TA Mid-term Review Mission was fielded from 5-8 December 2011. Despite delays in early implementation phase, the TA has picked up its speed and has made a significant progress.

Due to a change in PHIC policy on PHIC accreditation and contracting, a change in TA scope was approved to continue to support the achievement of project outcome. The TA implementation was extended until 30 September 2013 to include publication of knowledge products produced under the TA.

Output 1: PPP modalities developed and promoted

- Finalization of knowledge management resources

- Assisted Northern Samar in developing PPP scheme for pharmacy management as well as during the bidding process (a winning bidder was selected)

- Assisted Sarangani in preparing financial projections and assisted in the successful procurement of a feasibility study contractor for the proposed Sarangani Medical Center

- Assisted Camarines Sur in preparaing financial projections fand PPP arrangements or the proposed Camarines Sur Provincial Hospital

- Completed market study for Quirino Memorial Medical Center in response to DOH request

Output 2:Incentives and operational strategies developed for PHIC in support of PPP in Health initiatives

-A national workshop was conducted by Philhealth to review the first draft of the policies and implementing guidelines for the global budget payment program.

Output 3: M&E established and capacity developed for promoting and implementing PPP in Health

- Held brown bag seminar series

- Conducted Basic Course on Social Marketing and Knowledge Management for the Province of Northern Samar and a follow-up seminar on actual development of a social marketing plan for PPP

- Conducted a Regional Forum on PPP in Health in ADB on 23-25 October 2012

- Knowledge Management products produced with one published (Guidebook on PPP in Pharmacy, available at ADB website) and another currently being published (Guidebook on PPP in Hospital Management)

Geographical Location Philippines excluding Metro Manila. Design Work: Manila. Pilots: Selected Project Sites
Summary of Environmental and Social Aspects
Environmental Aspects
Involuntary Resettlement
Indigenous Peoples
Stakeholder Communication, Participation, and Consultation
During Project Design
During Project Implementation Consultation with national stakeholders (i.e., DOH, PhilHealth, and NEDA - PPP Center) as well as development partners was done through various meetings.
Business Opportunities
Consulting Services ADB will recruit a team of international and national consultants to provide specialized services totaling 80 person-months (30 international and 50 national) in the areas of public-private partnership in health; finance; legal matters; health systems; procurement; and training. ADB will engage the consultants in using quality- and cost-based selection, with quality:cost ratio of 80:20 and simplified technical proposals.
Responsible ADB Officer Gerard Servais
Responsible ADB Department Southeast Asia Department
Responsible ADB Division Human and Social Development Division, SERD
Executing Agencies
Development Bank of the PhilippinesBrillo ReynesSen. Gil Puyat Avenue corner Makati Avenue Philippines
Timetable
Concept Clearance 28 Sep 2007
Fact Finding 10 Sep 2008 to 26 Sep 2008
MRM -
Approval 25 Mar 2009
Last Review Mission -
PDS Creation Date 30 Jan 2009
Last PDS Update 30 Sep 2013

TA 7257-PHI

Milestones
Approval Signing Date Effectivity Date Closing
Original Revised Actual
25 Mar 2009 14 May 2009 14 May 2009 31 Dec 2010 30 Sep 2013 -
Financing Plan/TA Utilization Cumulative Disbursements
ADB Cofinancing Counterpart Total Date Amount
Gov Beneficiaries Project Sponsor Others
1,000,000.00 0.00 100,000.00 0.00 0.00 0.00 1,100,000.00 25 Mar 2009 984,362.66

Safeguard Documents

See also: Safeguards

No documents found.

Evaluation Documents

See also: Independent Evaluation

No documents found.


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