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Showing posts from May, 2020

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...

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 technologies accelerate the...

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 profits resulting from investment, the right to employ foreign worker...

Reconstruction of the health system in Syria after the war

2026 update: For a current analysis of Syria’s healthcare reconstruction priorities and financing, read Rebuilding Syria’s Healthcare System: How to Turn Healthcare Needs into Bankable Infrastructure Projects . 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 Mor...

Reconstruction du système de la santé en Syrie après la guerre

Mise à jour 2026 : Pour une analyse actuelle des priorités et du financement de la reconstruction du système de santé syrien, consultez Rebuilding Syria’s Healthcare System: How to Turn Healthcare Needs into Bankable Infrastructure Projects . 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...