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Sources of Finance in Healthcare

In the period from the 13th to the 16th of July 2015, the Third International Conference on Financing for Development, organized by the UN, was held in Addis Ababa, Ethiopia. 174 United Nations member states sent delegations; 28 heads of State, vice presidents and heads of government attended. Governments were joined by the heads of the United Nations, the International Monetary Fund (IMF), the World Bank and the World Trade Organization (WTO), prominent business and civil society leaders, and other stakeholders. As an outcome, heads of states and governments adopted the Addis Ababa Action Agenda known also as AAAA . The text of the document was endorsed by the General Assembly in its resolution 69/313 of 27 July 2015.  The Action Agenda establishes a strong foundation to support the implementation of the 2030 Agenda for Sustainable Development. It provides a new global framework for financing sustainable development by aligning all financing flows and policies with economic, s...
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PPP in Healthcare, The lndian experience

PPP Ground in India  India has a long culture of PPP. Many projects have been realized using this model. The total number of PPP Projects reaching the financial closure since 1990 is 1031 projects with total investment value of 252,897 million US dollar. The currently active projects, under construction or under operation, is 989 with total active investment of 238,571 million US dollar. PPP in Healthcare, The Indian experience The majority of the projects are the traditional PPP projects in Energy and transportation fields as well as ports and airport construction and rehabilitation. (1) To prepare the ground for PPP, India created in 2006 a specific unit for PPP projects which is the The PPP Cell, that acts as the Secretariat for Public Private Partnership Appraisal Committee (PPPAC), Empowered Committee (EC), and Empowered Institution (EI) for the projects proposed for financial support through Viability Gap Fund (VGF). The PPP Cell is responsible for policy level matte...
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Inkosi Albert Luthuli Central Hospital, a success case of PPP in Healthcare

PPP projects in healthcare are still subject of public debates between skeptics of the effects of “privatizing” the healthcare sector, especially after the failure of some projects in countries like Australia, Japan and Italy (1), from one side and the defenders of this model to face the constraints of public resources and to use the experience of the private sector in this field from the other.  Actually, there is no country in the world where healthcare is financed entirely by the government. While the provision of health is widely recognized as the responsibility of government, private capital and expertise are increasingly viewed as welcome sources to induce efficiency and innovation. (1)  The aim of this article is to present a successful case of PPP hospital project, Iknosi Albert Luthuli Central Hospital (IALCH) in South Africa. It will analyze the contract and the role of the private partner and will discuss the keys of success.  This successful case shows tha...
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COVID-19 Lessons learned

COVID-19 Lessons learned The actual pandemic shows the weaknesses of the healthcare sector on global basis. The healthcare sector wouldn't resist alone under the crisis and we would have seen a much higher number of deaths in all countries. Therefore other complementary measures and policies had to be taken in order to support it. The unavoidable result was to reach the lock down in the majority of the countries. From Ethical point of view, I agree with the adopted policies, of isolation, self-isolation, lock down etc.  and I believe that they are the only ways since there are no available alternatives.  I find, however, this kind of measures very basic and simple. Social distancing is same measure used in the middle ages to reduce number of victims in pandemic times.   This kind of measure was taken in times when countries didn't have national health systems and advance medical technologies as we have nowadays.  Our hyper-connected world and the advanced te...
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Healthcare in Kurdistan, actual situation and future opportunities

Healthcare in Kurdistan, actual situation and future opportunities General information about Kurdistan region in Iraq After the US invasion of Iraq in 2003, a new Constitution of Iraq was established in 2005. This Constitution defines Iraq as a federal state recognizing the autonomous region of Kurdistan.  The Kurdistan region in Iraq has 4 governorates: Erbil, Sulaimaniyah, Duhok and Halabja.  The total surface of the region is 40.643 km². The population is 5,123 million (2014).  The capital is the Erbil city.  The region is limited by Turkey form the north, Iran from the east and Syria from West.  Erbil, Capital of Kurdistan region in Iraq Investment ground in Kurdistan Iraq provides exemption from all taxes for 10 years for investors, including company tax and fees. This period can be extended to another 15 years if the project is shared with a majority of Iraqi shareholders. There are more incentives that include the right to reattract investment and pr...
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Reconstruction of the health system in Syria after the war

Access to the health sector is a major problem in developing countries. The health structures, in their actual state, cannot guarantee the health service to the whole population as far as the quality and the quantity of services are concerned. This will be the case for Syria after the end of the civil war and the start of reconstruction. If interested, please check the french version of this post  Reconstruction du système de la santé en Syrie après la guerre Below some information about the health system in Syria according to WHO data: Total population (2016) 18.430.000 Gross national income per capita (international PPP $, 0) Not available Life expectancy at birth m / f (years, 2016) 59/69 Infant and child mortality ratio (per 1,000 live births, 2018) 17 Mortality quotient 15-60 years m / f (per 1000, 2016) 388/202 Total expenditure on health per capita (int. $, 2014) 376 Total expenditure on health as% of GDP (2014) 3.2% Data according to WHO (2)   The d...
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Reconstruction du système de la santé en Syrie après la guerre

L’accès au secteur de la santé est un problème principal dans les pays en voie de développement. Les structures de santé, à leur état actuel, ne peuvent pas garantir à toute la population un offre de soin adapté en ce qui concerne à la foid la qualité de service et la capacité d'accueil.  Cela sera le cas de la Syrie après la fin de la guerre civile et le début de la reconstruction.  Veuillez visiter la version en anglais du ce post  Reconstruction of the health system in Syria after the war Ci-dessous quelques informations sur le système de la santé en Syrie selon les données de l'OMS: Population totale (2016)  18.430.000 Revenu national brut par habitant ($ internationaux PPA, 0)  non disponible Espérance de vie à la naissance h/f  (années, 2016) 59/69 Quotient de mortalité infanto-juvénile (pour 1000 naissances vivantes, 2018)    17 Quotient de mortalité 15-60 ans h/f (pour 1000, 2016) 388/202 Dépenses totales consacrées à la sa...
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