A Case Study of Public Private Partnerships in the Health Sector in Malawi

Tobias M (2020), A case study of Public Private Partnerships in the Health Sector in Malawi, Case study. EQUINET, Harare.

This desk review was commissioned by the Regional network for Equity in Health in Southern Africa (EQUINET) as a case study within wider regional work on PPPs in the east and Southern Africa region. It explores PPPs in the health sector in Malawi. It investigates the areas in which government has used PPPs in the health sector, and their implications for equity in financing and access to services. Specifically, the case study aimed to:

  • Identify the different types of PPPs being explored, advocated and implemented in Malawi in the health sector, their activity and key features, and relevant contextual features such as in the fiscal, regulatory and contracting arrangements.
  • Present the health sector and health equity implications for the particular PPPs found, particularly in terms of equity in financing; coverage, their social, labour and environmental consequences and their governance and management.
  • Draw summary conclusions on the health sector and health equity risks and benefits in PPPs in the health sector in Malawi and make related recommendations.

Acknowledgement to EQUINET and OSF for financial support, to Dr. Rene Loewenson for review, edit and for providing guidance; and to Professor Bona Chitah for peer review.

 

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