Meet Our New Managing Director – Natalia Domanska

We are happy to welcome Natalia Domanska as our new managing director of SDG.17 Consulting GmbH and PPPHealth4All.


With Natalia’s diversified professional experience, successful track records, and incredible team leadership, she is well poised for the company’s next chapter. There is an enormous call for reaching SDGs and people-centered healthcare PPPs that lie ahead.


At our next stage of growth together, while our founder and former director Natalia Korchakova-Heeb took the Global Lead on Public-Private Partnerships position at Siemens Healthineers, we will bring new energy to scale up our business, seeing sustainability and innovation as key drivers.

Welcome on board, Natalia Domanska!

First Meeting of Women’s Health Working Group

First meeting of the new Women’s Health Working Group in the Global Health Hub Germany took place on 24th of June.

The WG will deliberate on the most pressing challenges facing women’s well-being today, develop innovative, concise and common-sense approaches to tackle these problems affecting women’s health through implementation, advocacy and sharing of best practice measures.

Women are the essential caregivers and backbone in almost every society around the globe. However, the health of women, who weave the fabric of society is all too often neglected or not carefully considered. Though progress has been made, women are still challenged by gender-based violence, female genital mutilation, child marriage, unmet need for sexual and reproductive health care, the effects of climate change and disproportionate burdens of chronic disease.

The Women’s Health Working Group is multidisciplinary and welcomes all women, men and gender diverse experts and allies, as well as those who would like to gain deeper insight about women’s health topics. 

To join the Working group please go to Global Health Hub Germany

PPPHealth4All Persona – Celso Manangan, Senior PPP Advisor at PPPHealh4All

In our series of PPPHealth4All interviews with prominent PPP experts around the world we are proud to have today our senior PPP advisor, Celso Manangan, who is Asia regional representative for PPPHealth4All. He was formerly the project director of the UNECE-affiliated International Specialist Centre of Excellence for PPP in Health, Philippines. Long before, Celso was the director of the Special Concerns Department and Administration & Finance Department, Build-Operate and Transfer Center (BOTC), later renamed to Philippines’ PPP Center. He is a recipient of the European Commission’s Erasmus Mundus Scholarship Program and holds a postgraduate degree from the University of Trento, Italy.

Interestingly, you  have chosen to discuss Public-Private Partnership in Dialysis. Could you please explain why?

PPP Dialysis has been a significant project, where I worked in 2003, my stint working in the Philippines’ Build-Operate and Transfer (BOT) Center (now renamed PPP Center).  

The project concept was simple. The Philippines’ National Kidney and Transplant Institute (NKTI), a specialty hospital, established a partnership with a proponent/company with the necessary experience and capability to provide dialysis machines through a lease agreement. In addition, the company was responsible for maintaining the devices throughout the contract and for training the medical staff responsible for using the machines.

The project assumed that the increased efficiency of the machines would let more patients be treated, and therefore, more revenue will be generated. In addition, the hospital took off the table procurement of the devices.

It was the first successful PPP project in the health sector in the country, delivered by a professional team from the BOT Center and the NKTI. Other hospitals in the country had also replicated the project successfully. I am glad to know that other countries have also replicated such

What were the challenges that you experienced in developing this project in the Philippines?

Developing a PPP project in the health sector was a challenge for the following reasons:

  1. People perceive PPPs as wherein assets of the private sector are shared without risks and costs. It must be emphasized that governments must share the risks and provide their contributions for the project to be successful.
  2. Developing countries (like the Philippines) show that the private sector charges more regarding payment for their investments. Therefore, a significant challenge was the ability of the government to pay its obligations in such a PPP project. 
  3. Since this was our first PPP health project, we need to review and examine all relevant laws for the project to be implemented successfully. 

In our research, we found out that the implementation of the project was successful. What were the factors that contributed to its success? 

Let me share with you the findings of several organizations that reviewed and evaluated the project.

“Although relatively small in scale compared to some of the other projects considered, the NKTI Hemodialysis Project in the Philippines proved popular among the judges due to its more personable impact and its innovative procurement of equipment.” –  Emerging partnerships : top 40 public-private partnerships (PPPs) in emerging markets.

“The NKTI Hemodialysis Project offered improved service and top-quality hemodialysis with the acquisition of the latest available technology in dialysis treatment and expanded its services to more patients at the same time cost of treatment and less risk to the government.  And because of more machines and higher reliability of these machines, hemodialysis treatment was extended to more Filipinos.” – Infrastructure Public-Private Partnership Case Studies of APEC Member Economies 

“This was the first PPP in the health sector in the Philippines, and it was hugely successful.  Patients welcomed the improvement in the quality of their care. The NKTI project, as a pro-poor PPP, achieved this through generating more resources from a better quality of care, keeping costs down relative to the private alternatives, and widening access to top-quality care, even those who could not pay. The NKTI case demonstrated that the doctors chose the PPP, not because of ideological preference but simply because the PPP was the best and only way to give their patients a better quality of care.” – Ensuring Healthier Lives Through Public-Private Partnerships. Global Health and Diplomacy.

After receiving such high appreciation from the PPP community, do you have other plans promoting such initiatives and other PPP Health Projects?

For this project, I am encouraged to form a Working Group on People-first PPP in Dialysis.  The Working Group will address the following broad desirable outcomes on this topic about the UNECE Guiding Principles on People-first Public-Private Partnerships in support of the UN SDGs. The five People-first PPPs outcomes are designed to:

  • Increase access to essential services and lessen social inequality and injustice. It implies increasing access to [health], water and sanitation, energy, etc., focusing on projects that consider the socially and economically vulnerable needs and contribute to eliminating inequalities.
  • Enhance resilience and responsibility towards environmental sustainability. It implies developing resilient infrastructure and improving environmental sustainability by cutting greenhouse gas emissions and developing “circular” rather than linear projects.
  • Improve economic effectiveness and sustainability. It implies successfully delivering projects that achieve value for money and fiscal sustainability and are transformative, meaning they have a sustainable, measurable impact.
  • Promote replicability and the development of further projects. It implies that projects be replicable and scalable to be repeated and/or scaled up to have the transformational impact required by the 2030 Agenda for Sustainable Development. This criterion also needs to consider whether the local staff and the governments can receive the necessary training and knowledge to do similar projects.
  • Fully involve all stakeholders in the projects. Engaging all stakeholders directly involved in the PPP project or directly or indirectly affected in the short and/or long run and creating new means for integrating special groups who have played a limited role to date.

Lastly, I will be glad to receive feedback from our subscribers and readers of their interest in joining us in this Working Group towards attaining the SDGs through People-first PPPs. For any inquiries, please communicate with me through my email address: celso@ppphealth4all.de.

Thank you very much, Celso. We wish you success on your initiative and we hope to work with you on implementing people-first healthcare PPPs worldwide.

Thank you.

Roundtable of WAPPP Health Chapter: Next-Generation Healthcare PPPs

On June 14, 2021 the networking event of the Health Chapter was organized within the first annual congress of the World Association of PPP Units and PPP Professionals took place. 

In the context of the global pandemic and massive demand for healthcare services, PPPs are becoming a real solution and driver for innovation, efficiency and quality of services delivered to people. 

Distinguished experts representing different geographies and working for international finance organizations, national governments, investors, and private companies came together. They reflected upon the challenges of the current ecosystem of healthcare PPPs, obtained insights about national project pipelines, and discussed the next-generation PPPs. 

The discussion built around SDGs and the concept of sustainable infrastructure, as they are, in fact, the destinations. SDG 3. Health and Well-being is an obvious one. However, the long-term solutions with “value for money” and “value for people” come when we strive at most minuscule for other SDGs like climate change, gender equality, responsible consumption and production.  
Among the hottest topics discussed were also:
– KPIs to ensure the long-term success 
– investor’s decision-making matrix for PPP project. 
– current best practices, regional specifics and impediments to scaling healthcare PPPs
– the role and strategy of IFIs and national governments in supporting healthcare PPPs
– innovative solutions applied in healthcare PPPs 
– importance of early market sounding for healthcare PPPs.

The session was moderated by Natalia Korchakova-Heeb,
Head of the WAPPP Health Chapter, and Global Lead for PPPs, Siemens Healthineers.

Speakers:

Marcos Martínez the Associate Director leading the PPP Project Preparation Unit at EBRD
Renas Rechid, Senior Vice President at Siemens Healthineers and the Global Head of Sales for the Enterprise Services Business
Mohammed AlAgily, Senior Advisor at the National Center for Privatization & PPP
Dr HM Goh, Executive Director, TAEL Partners
Julien Beaujolin, CEO and founder of ECMP
Erjon Murataj, Senior PPP Expert at PPPHealth4All

Watch the session on official WAPPP Youtube channel

PPPHealth4All Advisory Board Meeting

On May 28 2021 the second PPPHealth4all Advisory Board meeting took place. The meeting started with paying a tribute to late Chidi Izuwah, CEO of Infrastructure Concession Regulatory Commission of Nigeria, a member of Advisory Board who passed away in March 2021.

The PPPHealth4All team shared the progress was made in the last 6 months and the plans for the second half of the year. As always, it was great to receive the constructive suggestions and comments from our members of the Advisory Board and also congratulations on the progress made. The next steps will be development of PPP healthcare project database based on AI and machine learning, further development of PPPHealth4Alll ecosystem and ensure entry to new markets with support of trAIDe GmbH/KPMG and financed by the government of Germany.

The best wishes were extended to all team members representing PPPHealth4All In Asia, Latin America, Europe and Africa and those who recently joined management echelon.  Natalia Korchakova-Heeb is leaving PPPHealth4All and will be leading PPPs globally at Siemens Healthineers. We are grateful to the members of our Advisory Board, namely Dr. Rosemary Kumwenda, Audrey Mwala, Mark Moseley and Dr. Tarik Linjawi and would like to acknowledge their continuous support and advice.

Internship Opportunity with PPPHealth4All

We are looking for young enthusiasts to empower our team! Are you a student or graduate in the field of marketing, business analytics, legal framework or sustainability who is willing to gain experience in healthcare PPPs? We are happy to welcome you to our team. As an intern, you’ll be part of a dedicated team and take ownership of your ideas from day one.

PPPHealth4All is a global award-winning platform serving 61 countries. Its objective is to bring better healthcare by promoting sustainable PPPs in the sector and bringing “Value for People” along with “Value for Money”. 

Join us to work on an interesting global project to promote sustainable public-private partnerships in the healthcare sector.

PPPHealth4All Database of PPP Healthcare Projects

PPPHealth4All platform was launched in April 2020 to address the profound knowledge gap faced by the national governments and civil society in developing healthcare PPPs. The platform assists by collecting and standardizing data and state-of-the-art asset models to create the performance benchmarks that are needed for asset allocation, prudential regulation and the sustainable design of PPP healthcare projects. There is a number of international databases on PPPs.  Some databases are free of charge, some of them are commercial. The key differences between databases:

  • target audience and objectives pursued (aiming mainly at investors, community of members);
  • source of information (information publicly available, provided directly by the governments or sources of information are no disclosed);
  • information categories (various parameters used in various databases);
  • project maturity (some projects are encoded only after financial closure);
  • access fee (free/via subscription);
  • availability of information on PPP healthcare (some database does not have health sector in focus);
  • include/non include non-infrastructure PPP healthcare projects.

In general, the information provided by all known sources is fragmented, not complete and does not reflect the actual status of the projects. The information about research PPPs, service PPPs, partnerships with NGOs on provisions medical services on public health or strengthening health systems is not available. 

PPPHealth4All strives to systemize the available project information and to map existing partnerships projects in the healthcare sector. Subscribe to our platform to get access to knowledge base in healthcare PPPs

PPPHealth4All Persona – Erjon Murataj, Senior PPP Expert at PPPHealth4All

We continue our series of PPPHealth4All interviews with prominent PPP experts around the world. And today our senior PPP expert Erjon Murataj will share the insights for development of successful PPP healthcare projects and what problems could be faced. Dear Erjon, thanks for being with us today. Could you please introduce yourself?

My name is Erjon Murataj. I have more than 10 years of experience in developing the Public Private Partnerships from public side. I have worked in Albania PPP Unit and also in Ministry of Finance of Albania, where I have been involved in preparation of various Public Private Partnership projects. My education includes a Master Degree in Business Law from the Tirana Business University. Currently I reside in Spain.

What PPP healthcare projects were developed in Albania?

Not many, but in 2013, the Albanian government pledged to implement universal healthcare coverage and has since undertaken a series of steps toward implementation of this model. Since January 2016, roughly 600,000 uninsured Albanians benefit annually from free family doctor visits and reimbursable drugs, and close to one million Albanians aged between 35-70 years old, both insured and uninsured, are entitled to benefit from free medical check-ups provided under a PPP contract.

Also in February 2015, the Ministry of Health asked IFC to assist in designing a public-private partnership (PPP) with a qualified healthcare company to provide modern public laboratory services with international standards across 18 university and regional hospitals. After a competitive bidding process, the Consortium of Labopharma (Albania) and Exalab (France) was awarded a 10-year contract, with PPP agreements signed in April 2019.

Healthcare PPPs are different from other PPPs and often certain difficulties in preparation and implementation of healthcare PPPs. Why are the problems in your views and what could be potential grounds for PPP healthcare projects failures?

There are many issues that impact PPP healthcare projects. While some of them are obvious, the others are often disregarded. There are some key elements that needs to be addressed in the right way. Those elements are important for PPP project in any sector, but my focus today will be on healthcare PPP projects. Based on my experience as PPP public official with more than 20 years of experience, I could share what is important from my point of view and what I could derive from my past and current experience.

  1. Failure to proper assess the needs

When formulating an initial idea of the PPP project, it is important to understand what kind of problem the project is solving and with what means. After shaping the initial idea, further in-depth analysis and needs assessment have to be carried out. The following questions should be asked: what the project stands for? What is the problem to be solved or the needs to be fulfilled? Who are benefiting from this project? It is a brainstorming stage and various ideas and assumptions should be brought under discussion. When we will get all the answers for the questions, all the concerns addressed and all the opportunities realized, we will get a solid project idea. A lot of projects fail to address the real needs of the country, sector and stakeholders. This is I would say a fundamental flaw.

  1. Deficient planning

After evaluating the real needs, it is time for plan and shape the project. At this stage, project specifics gets shaped. Deficient planning is the second main factor why the PPP healthcare projects often fail. There are many issues that might lead to deficient planning:

  • Different perception issues (social, cultural, economic, environmental, religious… etc.). causing different expectations and conflicts in a certain socio-economic context

  • Problems at Design-Build stage. Design-Build issues refer to the implementation of the project and mostly with the project requirements (functionality idea and main requirements). Bad design or problems during the construction affect the whole project life-cycle.

  • Costs issues. The healthcare projects in general are expensive (due to the equipment and their lifetime), this is why the planning of the real costs is very hard.

  • Lack of proper market sounding. Market sounding is a process that involves many steps and various market players – without checking market readiness, it is impossible to launch a successful project.

  1. Failure in procurement

Another important factor is the transparent procurement – the process of awarding the private partner that will build (operate, finance) the PPP project. Many countries have very strict procurement procedures. In my view, the procurement process and procedures should be also transparent, which is not always the case, especially in developing countries.

It is also important to properly formulate the main criteria for implementing the project. Criteria that describe the functionality of the project should be “pass or fail”. Sometimes the choice of awarding criteria is designed in the way that prevent selecting the best bidder and this would hamper a fair competition.

  1. Insufficient contract management and monitoring

After the contract has been signed, it is crucial to start monitoring the contract implementation. Many governmental entities neglect contract management and monitoring and rely on the goodwill of the private partner. The importance of this phase is vital. The public partner could collect important data and lessons to be used for improvement of this project and also for developing the new ones. Monitoring of the healthcare PPPs is orientated to the high quality medical services to be delivered through the project.

  1. Failure in getting a right advice

Many governments spend millions on mega healthcare PPP projects, and do not have the money for advisers or fail in approaching the right ones. It could be a serious drawback if the public entities do not allocate funds for advisory services. The advisers must be engaged from the beginning and they do not need to be the most expensive ones. Although hiring an adviser is not very simple and especially when they are not local based. Nowadays this process is getting more simple through the implementation of the digital solutions and information technologies. PPPHealth4All could play a vital role here in helping to identify suitable consultants. I see a great service offering from PPPHealth4All platform, which offers a lot of support for governments and PPP Units on different matters. The best offer, in my view, are the consultations on the demand with “best in the class” experts. These consultations allow to reduce time and costs for preparation of PPP projects but also to increase quality.

How to support public officials during the process of preparation of PPP healthcare projects?

PPP healthcare projects are critically needed, especially during these difficult time of global pandemic. The governments need help in developing and implementing PPP healthcare projects. It is great to have such a platform that could serve as one-stop shop for preparation of healthcare PPPs and where public officials could receive a necessary support when required.

Dear Erjon, thanks a lot for sharing your views and for your valuable insights. Thanks for joining us today.

Thank you.

Interview by Natalia Korchakova-Heeb

Celebrating Experts in Healthcare PPP Industry

Guess what is in common between Nathaniel Munetsi, Head of Structured Finance at Gauteng Infrastructure Financing Agency in South Africa, Natalia Korchakova-Heeb, Founder of PPPHealth4All in Germany and Christian Kingomber, Managing Partner, 4IP Group Sàrl in Switzerland? They all are working with PPPs/ healthcare sector and celebrating their birthdays today!

Best wishes to you all, wishing you a further success in your careers, and thanks for your contribution to development of healthcare PPPs.

Partnerships for Global Health – A key instrument to achieve the Agenda 2030

On March 23rd, 2021, the GHHG working group “Partnerships for Global Health” is organizing a Working Group Meeting as part of the Week of the Working Groups 2021. The session will particularly discuss the issue of “Partnerships for Global Health – A key instrument to achieve the Agenda 2030”. 

Organizers: GHHG Working Group “Partnerships for Global Health” in collaboration with the Global Health Hub Germany.

Natalia Korchakova-Heeb

Natalia is coordinator of the Working Group on Partnerships for Global Health within the Global Health Hub-Germany, Founder of PPPHealth4All, an award-winning global platform to facilitate sustainable healthcare partnerships in the healthcare sector and Managing Director of SDG.17 Consulting GmbH, PPP-Speaker of the German Health Alliance and Chair of the Health Chapter in the World Association of PPP Units and PPP Professionals (WAPPP).  She translates her passion for the Sustainable Development Goals and public-private partnerships into concrete actions and commitments.
 
Myron Aldrink
 

Myron has over 25 years of corporate experience including executive vairous  positions . He also has 15 years of experience with healthcare NGOs including; International Aid, Medical Teams International and International Medical Equipment Collaborative. Mr Aldrink has been a consultant with Johnson & Johnson since 2005 and chairman of the Medical and Surgical Skills Institute (MSSI) in Ghana West Africa Currently, Myron is the Director in the Advocacy for the Global Health Partnerships (USA).

Prof. Dr. Shailey Prasad

Shailey Prasad MD MPH is the Executive Director & Carlson Chair of Global Health at the Center for Global Health and Social Responsibility, and a Professor of Family Medicine at the University of Minnesota. Dr. Prasad has extensive experience working in underserved areas around the world, from forest tribes in southern India to rural Mississippi and other parts of the world, advocating that health is critical to overall development. He has been part of research teams in health services research and rural health and is actively involved in developing primary care in various parts of the world.

Bruce Compton

Bruce Compton is senior director of global health for the Catholic Health Association of the United States. Mr. Compton is responsible for assisting and supporting CHA-member organizations in their outreach activities in the developing world.  Mr. Compton lived in Haiti from 2000 to 2002, and he continues to work in support of health missions in the developing world. He did so in his capacity as founding president and chief executive of Springfield, Ill.–based Hospital Sisters Mission Outreach, a ministry organization bringing surplus medical supplies from Midwest hospitals to medical missions in the developing world.

Description: The Working Group meeting aims to explain different types of partnerships and how partnerships can help achieve Universal Health Coverage by mobilizing funds, augmenting health service delivery and delivering extraordinary results towards the Sustainable Development Goals.

To participate in this session, please CLICK HERE

For more information on the  Global Health Hub-Germany Week of the Working Groups 2021, please click here.