Philippines : Public-Private Partnership in Health (piggy-backed TA to the Credit for Better Health Care Project)
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.
Southeast Asia Department
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|Project Name||Public-Private Partnership in Health (piggy-backed TA to the Credit for Better Health Care Project)|
|Country / Economy||Philippines
|Project Type / Modality of Assistance||Technical Assistance
|Source of Funding / Amount||
|Strategic Agendas||Inclusive economic growth
|Drivers of Change||Private sector development
|Sector / Subsector||
Health / Health sector development and reform
|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|
|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.|
|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)
|Summary of Environmental and Social Aspects|
|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.|
|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||Servais, Gerard|
|Responsible ADB Department||Southeast Asia Department|
|Responsible ADB Division||Human and Social Development Division, SERD|
Development Bank of the Philippines
Benel D. Lagua, Executive Vice President
Sen. Gil J. Puyat St. Makati, Metro Manila Philippines Development Bank of the Philippines
Sen. Gil Puyat Avenue corner Makati Avenue Philippines
|Concept Clearance||28 Sep 2007|
|Fact Finding||10 Sep 2008 to 26 Sep 2008|
|Approval||25 Mar 2009|
|Last Review Mission||-|
|PDS Creation Date||30 Jan 2009|
|Last PDS Update||30 Sep 2013|
|Approval||Signing Date||Effectivity Date||Closing|
|25 Mar 2009||14 May 2009||14 May 2009||31 Dec 2010||30 Sep 2013||31 Dec 2013|
|Financing Plan/TA Utilization||Cumulative Disbursements|
|1,000,000.00||0.00||100,000.00||0.00||0.00||0.00||1,100,000.00||17 Jun 2022||984,362.66|
Project Data Sheets (PDS) contain summary information on the project or program. Because the PDS is a work in progress, some information may not be included in its initial version but will be added as it becomes available. Information about proposed projects is tentative and indicative.
The Access to Information Policy (AIP) recognizes that transparency and accountability are essential to development effectiveness. It establishes the disclosure requirements for documents and information ADB produces or requires to be produced.
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|Title||Document Type||Document Date|
|Public-Private Partnership in Health: Consultant's Report||Consultants' Reports||Jun 2013|
Safeguard Documents See also: Safeguards
Safeguard documents provided at the time of project/facility approval may also be found in the list of linked documents provided with the Report and Recommendation of the President.
None currently available.
Evaluation Documents See also: Independent Evaluation
None currently available.
|Title||Document Type||Document Date|
|Guidebook on Public–Private Partnership in Hospital Management||Books||Nov 2013|
|Guidebook on Public-Private Partnership in Pharmacy||Books||Sep 2013|
The Access to Information Policy (AIP) establishes the disclosure requirements for documents and information ADB produces or requires to be produced in its operations to facilitate stakeholder participation in ADB's decision-making. For more information, refer to the Safeguard Policy Statement, Operations Manual F1, and Operations Manual L3.
Requests for information may also be directed to the InfoUnit.
Public-Private Pharmacy ServicesHarnessing the expertise and resources of the private sector through partnerships can help broaden access to high-quality health care in Asia and the Pacific.
None currently available.