| خلاصه مقاله | Public-Private Partnerships in Primary Healthcare
Background
The Astana Declaration on Primary Health Care reiterated that primary health care
(PHC) is a cornerstone of a sustainable health system for universal health coverage
(UHC) and health-related Sustainable Development Goals. It called for governments
to give high priority to PHC in partnership with their public and private sector
organizations and other stakeholders. Each country has a unique path towards UHC
and different models for public-private partnerships (PPPs) are possible. The goal of
our work was to examine evidence on the use of PPPs in the provision of PHC
services, as well as reported challenges and recommendations.
Methods
We systematically reviewed peer-reviewed studies in six databases (Science Direct,
PubMed, Web of Science, Embase, Ovid, and Scopus) and supplemented it by grey
literature search. PRISMA reporting guidelines were followed. The results of 61
studies were included in the review.
Results
Most of PPPs projects were implemented to facilitate a provision of and increase
access to prevention and treatment services (i.e., tuberculosis, education and health
promotions, malaria and HIV/AIDS services) for specific target groups. PPPs
projects faced challenges during starting and implementation phases. Challenges and
recommendations related to PPPs in PHC were reported for education, management,
human resources, financial resources and information and technology systems.
Conclusion
Despite various challenges, PPPs in PHC can facilitate access to health care services,
especially in remote areas. Governments should consider longterm plans and
sustainable policies to start PPPs in PHC and should not ignore local needs and
context. |