Evidence-Based Public–Private Collaboration in the Health Sector: The Potential for Collaborative Governance to Contribute to Economic Recovery from COVID-19 in Asia

Publication | February 2023

This working paper explores the benefits and trade-offs of harnessing private sector health services as governments look to build more resilient, accessible, and affordable health systems and support the post-pandemic recovery.

It considers why governments must continuously decide whether to produce or buy-in services, analyzes how public–private collaborations can bolster the social sector, and explores how these helped governments respond to the pandemic and its aftermath. Outlining the role ADB can play, the paper recommends governments adopt an evidence-based approach, encourage private sector involvement in healthcare provision, and bolster collaborative governance to strengthen their health systems.


  • Introduction
  • Ethical Principles Guiding Health Sector Stewardship and Public–Private Collaboration
  • Conceptual Framework for Understanding Trade- Offs in Public–Private Collaborative Provision of Social Sector Services
  • Prepandemic Trends in Public and Private Provision of Health Services
  • Public–Private Cooperation in Responding to the COVID-19 Pandemic
  • Recovery from the Pandemic
  • Designing Effective Public–Private Collaborative Governance
  • Potential Role of Regional Cooperation Organization
  • Potential Role of Regional Multilateral Development Organizations
  • Conclusions and Recommendations

Additional Details

  • Health
  • COVID-19
  • 60
  • 8.5 x 11
  • WPS230027-2
  • 2313-5867 (print)
  • 2313-5875 (electronic)

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