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DANIDA Supported Public Privat Health Forum is finalizing it's contribution to 5-year plan

15.02.2016  10:40
DANIDA Supported Public Privat Health Forum(PPHF) is finalizing it's contribution to 5-year plan

On February 3, 2016, DANIDA supported the Public-Private Health Forum (PPHF) meeting to finalizes its Terms of References and map out activities that support the PPP Health Five Year Strategy. The meeting was well attended by senior leadership from the MOH, including the Chief Medical Officer, Prof Muhammad Bakari, PO-RALG, private health sector organizations and development partners (DP).


Danida representatives Kirsten Haveman(Lower left corner) & Gredeline Minja (Top right corner) with PPHF consultant Babara O'Hare(Top left coner) & PPP special advisor Andy O'Connell (Lower right corner)


A significant outcome from the meeting included universal commitment by all Board members to finance PPHF’s Secretariat and preliminary activities in Year One. Activities will include: (i) convening the first ever Forum event this Spring in which stakeholders from all health sector areas will establish a policy agenda to build a supportive policy environment for health public-private partnerships (H/PPPs), (ii) carrying out policy analysis of and advocating for reforms to support H/PPPs, (iii) mobilizing the private sector to participate in reforming the National Health Insurance Fund, (iv) conducting technical exchanges between public and private leaders to foster greater understanding between the sectors, and (v) assisting local government and private sector leaders to identify and implement H/PPPs. DANIDA funds supporting PPHF will result in greater awareness of the benefits of H/PPPs, a select number of policy reforms to support implementation of H/PPPs, increased participation of the private health sector in policy design, particularly in the area of health financing, and an increased number of H/PPPs that address priority health issues and health system strengthening.

Private sector plays an important role in health not only in Tanzania, but throughout the region. There are, however, many myths about the private health sector in Sub-Saharan Africa (SSA). First, many in believe that the private health sector only serves the rich. Yet, evidence from the region reveals that about half of the population in the poorest income quintile seek care in the private health sector.


Moreover, an important percentage of peri-urban and rural populations receive their healthcare from the private health sector.  In the case of Rwanda, even with a well-functioning public health system, upwards of 40% of the rural population seek health services among private pharmacies, private drug shops, private doctors and private health facilities.

In Tanzania, the private health sector is no different.  The 2013 Private Sector Assessment demonstrated that the private health sector – both private not for profit and for profit – are active in a wide range of health activities such as health services, pharmaceutical manufacturing and retailing, and medical training to name a few.  In addition, the private health sector is present in all levels of the Tanzanian health system (see figure) and manages a quarter of health the health facilities in the country.  Yet with fewer resources – staff and infrastructure – the private, particularly the private not for profit, produce more health outputs than the public sector.


The Tanzania Ministry of Health has the opportunity to harness and leverage private sector resources and capacity to complement their own services and programs to address public health priorities. PPHF is an important mechanisms for both sectors to come together and explore possible areas of collaboration and partnerships.