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Mutual Efforts Restoring Growth in Education for Public-Private Sectors Partnership:Basis for a Proposed Action Plan
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作者 Emiliana M.Roxas 《Psychology Research》 2019年第11期451-457,共7页
This study aimed to describe the responses of the participants to the Public-Private Sectors Partnerships(PPSP)in Education in DepEd Ibaan District,Province of Batangas,Philippines in order to achieve the schools’goa... This study aimed to describe the responses of the participants to the Public-Private Sectors Partnerships(PPSP)in Education in DepEd Ibaan District,Province of Batangas,Philippines in order to achieve the schools’goals and sustain Public-Private Sectors Partnership engagement with schools in the district.This study employed the descriptive-qualitative research in which responses of 16 school heads of DepEd Ibaan District who were the respondents were coded,analyzed,and interpreted.School administrators,community stakeholders,future administrators and researchers may use the proposed plan of action as a guide in providing future directions for a Public-Private Sectors Partnerships(PPSP)in Education. 展开更多
关键词 public-private SECTORS partnerships(PPSP)in EDUCATION partnership ENGAGEMENT DepEd Ibaan District
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Public-Private Partnerships to Address Global Environmental Problem: Sino-US Cooperation on Climate Change and Energy
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作者 Fang-Ting CHENG 《Journalism and Mass Communication》 2017年第3期149-164,共16页
The study indicates that public-private partnerships (PPPs) can play "strategic", "practical", or "regulative" roles by making use of "instrumental", "institutional", and "normative" approaches in tackli... The study indicates that public-private partnerships (PPPs) can play "strategic", "practical", or "regulative" roles by making use of "instrumental", "institutional", and "normative" approaches in tackling political issues between countries. PPPs have often been discussed in studies of urban development, service provision, health care, and so on, but they have rarely been analyzed in terms of international relations and political problems on global environmental issues. This study takes an environmental problena---Sino-US energy and climate change cooperation--as a case study to inspect the possible roles and approaches of PPPs. Sino-US cooperation has been launched such as under the Strategic & Economic Dialogue (S&ED) by both administrations, which has significantly contributed to their reconciliation of domestic abatement policies in climate change, environmental protection, and energy. The establishment of schemes such as the Ten-Year Framework for Cooperation on Energy and Environment (TYF), the EcoPartnerships, and wide-ranging dialogues and initiatives on clean energy and clean vehicles, in which both public and private actors participate, are among the important approaches of facilitating bilateral cooperation. The study concludes that these schemes have played strategic and practical roles in strengthening the degree of mutual trust and in facilitating the progress of cooperation, although more investigations are needed to considerate their regulative roles. The application of instrumental, institutional, and normative approaches have been observed through the implementation of the TYF and EcoPartnerships. 展开更多
关键词 public-private partnerships (PPPs) Sino-US relations Strategic Economic Dialogue (S&ED) Eco-partnerships energy efficiency and climate change public-private partnerships (ppps) S&ED climate change sino-us relations energy efficiency
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The Importance of Altruistic Empathy and Collaborative Negotiation in Public-Private Partnerships
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作者 Hui J. Thia Donald G. Ross 《Journal of Modern Accounting and Auditing》 2012年第6期827-836,共10页
The motivation in public-private partnerships (PPPs) is to harness the strengths of public and private partners to deliver essential public services. The ability to transfer risk to the private sector in PPP has bee... The motivation in public-private partnerships (PPPs) is to harness the strengths of public and private partners to deliver essential public services. The ability to transfer risk to the private sector in PPP has been one of the reasons why the public sector relies on the private sector to participate in the development of infrastructure projects. In most instances, the public sector also believes that the private sector can fund the project at a lower cost. The private sector on the other hand, believes that they could achieve a strong financial return based on the concessions that the public sector will provide. If the sectors feel altruistic empathy to each other, they will realize that their original goals are not achievable. However, having understood the other sector's needs and constraints, collaborative negotiation will yield a set of common goals. There are no commonly agreed frameworks on collaborative negotiation before PPP is formally established. The objective of this paper is to use deductive analysis to develop a conceptual framework for inquiring into the motivations of the public and private sectors during negotiation. This framework will provide insights on the extent of altruistic empathy of both sectors at the onset and how this altruistic empathy frames collaborative negotiation. This paper shows that collaborative negotiation will influence the success of partnerships and altruistic empathy is an important preamble to collaborative negotiation. This paper provides a frame of reference for future study using other research methods for further validation. 展开更多
关键词 altruistic empathy collaborative negotiation public-private partnerships (PPPs)
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Public-Private Partnership Arrangement in <i>In-Situ</i>Housing for Slum Rehabilitation in Yenagoa, Bayelsa State, Nigeria
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作者 A. F. Ebakpa A. E. Gobo +1 位作者 S. A. Ngah T. K. S. Abam 《Journal of Environmental Protection》 2017年第12期1530-1540,共11页
The provision of decent accommodation is a major challenge to government in the developing nations. It is a common phenomenon in the urban centres of the developing nations where most houses are in deplorable conditio... The provision of decent accommodation is a major challenge to government in the developing nations. It is a common phenomenon in the urban centres of the developing nations where most houses are in deplorable conditions. The houses are overcrowded with little or no air space between them. There is no basic sanitation in the urban centres as they lack flush toilet, some of the few available flush toilets are piped into seasonal streams, most houses lack defined kitchen areas and healthy sewage disposal method. The cities lack good access roads and functional drainage system with a common practice of environmentally-unfriendly solid waste management methods that create various health challenges to urban dwellers. The aim of the study is to show how in-situ Housing method of slum rehabilitation can be applied through Public/Private Partnership to upgrade houses within a major slum area in Yenagoa. This shall be done with an agreement between the property owners, Real Estate investors and the state government. Basic Research Methodology was applied using questionnaire, direct observation and personal interview techniques to collect data. Both qualitative and quantitative techniques were applied to analyse data through the use of tables and charts. The findings in the study showed that poor housing condition seriously degrade the environmental quality of the study area. The standard of living in the area is very poor as the people lack access to decent accommodation, basic sanitation and social amenities. 展开更多
关键词 public-private partnership Arrangement IN-SITU HOUSING SLUM REHABILITATION Yenagoa Bayelsa STATE NIGERIA
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Enhancing Access to Bank Credit for Small-Scale Farmers in Kisumu and Kiambu Districts, Kenya Through Public-Private Partnership Initiative
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作者 Charles M. Rambo 《Chinese Business Review》 2012年第11期946-969,共24页
In Kenya, small-scale fanning has immense potential in poverty reduction. The growth of farming activities requires sustainable access to affordable credit to boost and sustain production. This study is initiated to i... In Kenya, small-scale fanning has immense potential in poverty reduction. The growth of farming activities requires sustainable access to affordable credit to boost and sustain production. This study is initiated to investigate factors influencing access to bank credit by small-scale farmers in Kisumu and Kiambu Districts, Kenya. It is necessitated by lack of a comprehensive study documenting the effectiveness of the partnership initiative in improving access to credit for small-scale farmers. The study seeks to address the following concerns: what factors influence access to bank credit by small-scale farmers under the initiative? Are small-scale farmers in various parts of the country accessing bank credit equally? Through which sources do farmers get to know about credit products provided through the initiative? Primary data was collected from 144 farmers in Kiambu and 127 farmers in Kisumu, sampled using systematic random procedure. The cross-sectional survey design was applied to guide the research process. Quantitative analysis generated cross-tabulations with chi-square and binary logistic regression. The study found that out of 144 credit applicants in Kiambu about 56.3% were successful, while in Kisumu only 37.8% were successful. Access to bank credit was significantly associated with farmers' gender, education level, income level, farm size, and farming experience. Besides, women were 1.3 times less likely to access bank credit than men. In terms of regional variation, a Kiambu farmer was 2.7 times more likely to obtain bank credit than a Kisumu farmer. The initiative is an innovative approach for enhancing access to bank credit; however, its potential has not been fully exploited. The study recommends the need: to inform farmers about credit products to clear misconceptions and myths associated with bank credit; develop innovative financing packages for small-scale farmers that are also gender-sensitive; and to initiate a training program targeting farmers with appropriate information. 展开更多
关键词 access to bank credit small-scale farming public-private partnership commercial banks government credit request
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Public-private partnership project success circumstances
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作者 Hanna Kociemska 《Journal of Modern Accounting and Auditing》 2010年第11期53-58,共6页
The public-private partnership has been in use in the world for over 40 years, and has been growing at a varying rate and with mixed success in different countries. Based on the experience gained in selected countries... The public-private partnership has been in use in the world for over 40 years, and has been growing at a varying rate and with mixed success in different countries. Based on the experience gained in selected countries, this article shows key success factors of the public-private partnership. 展开更多
关键词 public-private partnership legal regulations risk distribution venture profitability
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Implications from Park Public-Private Partnership(PPP)Initiatives in China and Japan
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作者 Bin JIANG Keiichi KITAZUME 《Asian Agricultural Research》 2021年第5期1-6,共6页
In this study,the statistical information of 166 park Public-Private Partnership(PPP)projects in China,such as investment,area,project stage,and locality area,was collected to analyze types of clusters and defined fiv... In this study,the statistical information of 166 park Public-Private Partnership(PPP)projects in China,such as investment,area,project stage,and locality area,was collected to analyze types of clusters and defined five types.For each type of cluster,it was possible to analyze the merits of park PPP projects in China.The case study also revealed the construction process of the entities that build,manage and operate the projects.With the findings from the analysis,it can present a perspective on Japan and China and compare park Private Finance Initiative(PFI)and PPP projects between Japan and China. 展开更多
关键词 China JAPAN PARK public-private partnership(PPP) Private Finance Initiative(PFI) Cluster analysis
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A Public-Private Partnership Procurement Approach to Sustainable Transport—Zimbabwe Case
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作者 Vinnet Ndlovu Peter Newman 《Journal of Transportation Technologies》 2022年第4期600-618,共19页
Zimbabwe has serious financial constraints so the only viable option to procure infrastructure is through engaging the private sector in public-private partnerships to enhance the chances of successfully undertaking p... Zimbabwe has serious financial constraints so the only viable option to procure infrastructure is through engaging the private sector in public-private partnerships to enhance the chances of successfully undertaking public projects like sustainable transport. This study creates the basis for a potential public-private partnership with a trackless tram/solar energy project in Bulawayo which has multiple advantages for sustainable development goals. It identifies six other projects in Zimbabwe that can provide some guidance for developing an appropriate PPP that could assist procure such infrastructure. The projects are drawn from the three critical sectors of the economy: power generation, highways/transport, and water/sanitation. Empirical investigations of these projects reveal the effectiveness of the PPP concept to deliver infrastructure for emerging economies. This suggests an ideal PPP arrangement that increases the likelihood of getting projects like the proposed sustainable transport project in Bulawayo implemented quickly and efficiently, especially if formulated to incorporate the project’s local socio-economic dynamics. 展开更多
关键词 public-private partnership Public Infrastructure Trackless Trams Sustainable Development Goals
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Review on the Public-Private Partnership
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作者 Temulin Batjargal Mengzhong Zhang 《Management Studies》 2022年第1期1-11,共11页
Traditionally,public goods and services have been provided by the government.In recent decades,however,public-private partnerships(PPP)were created to assist the best use of both public and private sector resources to... Traditionally,public goods and services have been provided by the government.In recent decades,however,public-private partnerships(PPP)were created to assist the best use of both public and private sector resources to enhance and extend public infrastructure assets and services.Throughout history,although governments have adopted such a combination of public and private ventures,the 1990s and early 21st centuries have witnessed a clear trend of governments across the world making significant use of different PPP arrangements.The rapid growth of PPPs has occurred since the 1990s throughout the globe as it was considered the preferred tool for public procurement of infrastructure and services.This paper examines the relevant literature of PPP and attempts to identify the historical development,the major reasons,the main types,forms,benefits of building PPP,as well as challenging issues facing the implementation of PPP in today’s world. 展开更多
关键词 public-private partnerships TYPES forms and benefits of PPP challenges in the implementation of PPP
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A Brief Analysis on Risk allocation for Public-Private Partnership Projects in China
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作者 Liu Jiao 《International English Education Research》 2015年第8期12-14,共3页
Public-Private Partnership (PPP) financing modalily has the ability of alleviating the budgetary pressure to the government. fulfilling the need of infrastructure development, and improving the efficiency of investm... Public-Private Partnership (PPP) financing modalily has the ability of alleviating the budgetary pressure to the government. fulfilling the need of infrastructure development, and improving the efficiency of investment and operation. However, the negotiations between the government and the investors are time-consuming and costly, due to the perspective differences in risk allocation and revenue distribution. Disputes often arise during concession period because of changes in various risks or non-performance of its obligalions, especially when one sector was forced to accept the requirements by the other as a result of the unequal status, the project urgency or other reasons. Only a few PPP projects in China could perform successfully. There is therefore a need to develop an equitable risk allocation mechanism for the delivery of PPP projects in China so as to improve the efficiency of private investment in infrastructure development. 展开更多
关键词 public-private partnership risk allocation risk management
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Public-Private Partnership Model Used in the Taipei Central Station Project Research
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作者 Mou-Chung Tseng Chien-Wen Peng 《Psychology Research》 2018年第7期335-354,共20页
In view of the lack of financial aid and the migration of industries,the role of local governments shifted from social reproduction to development and production,which made the development of the local economy their m... In view of the lack of financial aid and the migration of industries,the role of local governments shifted from social reproduction to development and production,which made the development of the local economy their main responsibility.The local governments hence have to face challenges in their management in regards to the arising changes and needs.This Taipei Central Bus Station Build Operate Transfer(BOT)project of urban formation and development is not only a trend in countries around the globe;it is also an area the Taiwan Residents governments are actively involved in.With the impact of urbanization,the size of highly functional cities has surpassed core city administrative regions;therefore,this has generated various planning,administrative and policy issues.This study examines the public-private partnership(PPP)views on urban development;the research methodology will be designed to focus on qualitative research,the following conclusions were made:(1)The basic goal of global city competitiveness of Taipei was promoted by implementing“qlubarnization”,a spatial development strategy dependent on intercalary abilities.(2)Taipei is located in the hub of Asia,linking China's Mainland and Taiwan,facing the world,peaceful and stable,rich and diverse in culture,such that adopting the“hybrid or mixed-use development model”will allow“the national gate of the country program—Central Station,Central Park”to become an international city brand.(3)Taking the“Taipei Main Station PPPs model development of the Taipei Central Bus Station BOT project of nine precincts specific land development projects”as a key success indicator,the government took privatization or PPP into consideration,loosened the monopoly on urban infrastructure,created infrastructure services and a maintenance market,positioned the city as a“supranational”entity in terms of capital flow,and sought a coherent land policy. 展开更多
关键词 public-private partnership urban DEVELOPMENT GLOBALIZATION SUSTAINABLE DEVELOPMENT
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Risks and new transformations of PPP contracts 被引量:2
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作者 Mohamed Chohra 穆诗煜 成虎 《Journal of Southeast University(English Edition)》 EI CAS 2011年第4期458-462,共5页
This paper tries to demonstrate that the principle of the risk allocation based on the balance is the most effective way to resolve the risk allocation problems of public-private partnership (PPP) contracts and pres... This paper tries to demonstrate that the principle of the risk allocation based on the balance is the most effective way to resolve the risk allocation problems of public-private partnership (PPP) contracts and presents suggestions how to carry out this principle. For PPP projects, it is necessary to set up a workable and commercially viable risk sharing mechanism to satisfy the different interests and the objectives of both the public sector and the private sector. An effective risk allocation mechanism is not only an important part in preparing project documents, but also an essential part in the success of PPP contracts. Risk allocation can be represented in a risk matrix. The more balanced the risk allocation is, the lower the risk degree of PPP contracts is. Therefore, the most effective risk allocation of PPP contracts is that the public sector and the private sector take part in risk management together in all the stages of the project and allocate the balanced risks. The outcomes of this paper can be used by both the public sector and the private sector to make a good choice of the PPP contract form. 展开更多
关键词 public-private partnership (PPP) contract management risks allocation risk matrix
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The public-private partnerships in healthcare sector in China 被引量:1
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作者 Bo Liu Leiyu Shi +2 位作者 Hanyi Min Hailun Liang Jiahong Dong 《Chronic Diseases and Translational Medicine》 CAS CSCD 2023年第4期288-298,共11页
This manuscript is a narrative review on experience in the healthcare public-private partnerships(PPP)field project in China.The PPP model allows healthcare officials to share the risk of building new facilities with ... This manuscript is a narrative review on experience in the healthcare public-private partnerships(PPP)field project in China.The PPP model allows healthcare officials to share the risk of building new facilities with the private sector.The objective of this study is to evaluate and to review the PPP of healthcare sector in China,and to investigate the critical success factors and best practice of PPP.We adapted the PPP evaluation framework of the World Bank Independent Evaluation Group as our conceptual framework to summarize the literatures.The current study systematically reviewed the evolution and current status of public and private hospitals development in China,and to investigate factors related to the successful and less successful deployment and performance of PPP in the healthcare sector of China,and to develop best practice models of PPP among hospitals of China.We found that the PPP organizations providing finance and political risk coverage,thus enabling specific PPP transactions to reach financial closure-potentially setting demonstration effects.Such PPPs may then contribute to improving access to infrastructure and social services,which drives economic growth and other optimal outcomes. 展开更多
关键词 China healthcare sector public-private partnerships
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The power of the public purse: financing of global health partnerships and acienda setting for sustainability
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作者 Liliana B.Andonova 《Chinese Journal of Population,Resources and Environment》 2018年第3期186-196,共11页
Public-private partnerships(PPPs) have reshaped the institutional structure of global governance.They have advanced collaboration on core issues such as health, clean energy, the rights of women and children, and acce... Public-private partnerships(PPPs) have reshaped the institutional structure of global governance.They have advanced collaboration on core issues such as health, clean energy, the rights of women and children, and access to infrastructure, among others. But which actors create and finance public-private partnerships in global governance to advance such objectives? What are the implications of the agency behind such collaboration for influencing the global agenda on sustainable development? While some scholars and advocacy groups see the growing role of private actors as a powershift away from public institutions, others argue that such arrangements tend to be complementary to public mandates and indeed may provide a new means for international institutions to pursue such mandates. The article probes this debate by analyzing the type of actors that finance global health partnerships, an area in which the influence of hybrid initiatives is particularly prominent. It reveals that public financing remains a core and necessary condition for the emergence and functioning of PPPs. The growing share of private financing,nonetheless, has important implications for shaping partnerships agendas and steering global health and sustainability governance. Rather than a powershift or abdication of responsibilities by the state, there is rather a tendency of deliberate diffusion of power by donors toward hybrid structures. 展开更多
关键词 public-private partnerships POWER GLOBAL GOVERNANCE health sustainable development SDGs donor FINANCING PUBLIC FINANCING GLOBAL PUBLIC goods club GOVERNANCE
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Sustainable public-private partnerships: Balancing the multi-actor ecosystem and societal requirements 被引量:2
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作者 Pekka Leviakangas Yanbing YE Oluwole Alfred OLATUNJI 《Frontiers of Engineering Management》 2018年第3期347-356,共10页
The funding gap of public infrastructure networks(roads, railways, ports, electricity, and energy lines)can be solved partly by introducing private capital for investments, i.e., public-private partnerships(PPP). This... The funding gap of public infrastructure networks(roads, railways, ports, electricity, and energy lines)can be solved partly by introducing private capital for investments, i.e., public-private partnerships(PPP). This paper introduces an integrated model of a PPP project and investigates its implications on PPP policies and strategies regarding appropriate project appraisal and selection. The model has different resolution levels, namely, project level,business ecosystem level, and market and societal levels.The integrated model suggests that investing in merely financially viable projects is insufficient to realize economically and socially sustainable and acceptable projects. 展开更多
关键词 public-private partnerships (PPP) projectappraisal and selection integrated model socially sustain-able
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The Nigeria Government Engagement with the Private Health Sector
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作者 Nathan Ukuoghene Ikimi Adaeze Nneka Anosike 《Open Journal of Stomatology》 2024年第5期235-248,共14页
In Nigeria, the healthcare sector is divided into primary health which is under the local government’s authority that oversees the Primary Health centers, secondary health which is under the supervision of the State ... In Nigeria, the healthcare sector is divided into primary health which is under the local government’s authority that oversees the Primary Health centers, secondary health which is under the supervision of the State Ministry of Health in charge of the State General Hospitals that cater to primary and secondary healthcare. Tertiary health is supervised by the Federal Ministry of Health that oversees the Federal Medical Centres, the Teaching Hospitals, and Specialist Training Centres. Not to be excluded from Nigeria’s healthcare system are the private clinics and the public-private partnership. The funding for healthcare systems is mainly budgetary allocations from the government. This systemic review was done using secondary literature, policy documents, peer-reviewed literature, and national newspapers, collected using search engines such as Google Scholar, PubMed, and Medline. The review was done over 2-month period from February-April 2024. The literature was arranged in order of relevance and the literature not used was kept aside. The World Health Organization (WHO) has recommended that 11% of a country’s budget be allocated to health. African countries that make up the African Union (AU) recommended that 15% of each member African country’s yearly budget should be committed to providing healthcare services to her citizens. Unfortunately, Nigeria has yet to attain either the WHO target or the AU target while committing an average, of 6% of her budgetary allocation to health. On the other hand, her neighbouring West African country Ghana, has met the average of 15% recommended by AU. The improved National Health Insurance Authority and the government’s partnership with the private health sector in Public-Private Partnership (PPP) is hoped and would improve access to affordable healthcare in general and oral healthcare in particular. 展开更多
关键词 Health-Funding Oral Healthcare public-private partnership
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Robust public-private partnerships for joint railway and property development 被引量:1
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作者 Ka Fai NG Hong K.LO Yue HUAI 《Frontiers of Engineering Management》 2017年第4期437-450,共14页
The involvement of the private sector in the construction or operation of an infrastructure project may enhance the financial viability of projects, which facilitates the formation of public-private partnership(PPP) f... The involvement of the private sector in the construction or operation of an infrastructure project may enhance the financial viability of projects, which facilitates the formation of public-private partnership(PPP) for project delivery. PPP exploits the strength of the private sector by shifting certain project risks from the public party to the private sector who can efficiently manage certain risks. In joint railway and housing development, the approach of bundling railway and housing development(R&HD) allows cross-subsidization between immense railway construction cost and profitable housing rental revenue. This approach also provides flexibility in incorporating PPP models by distributing railway and housing revenues and costs and their inherent risks properly to the public and private sectors. Ng and Lo(2015a) developed an evaluation framework for joint railway and property development, which evaluates PPPs based on financial and construction criteria for selecting the best suitable PPP for a particular project. This study,which is based on the framework in Ng and Lo(2015a),aims to examine the robustness of various PPP configurations. This study analyzes the effects of PPP configurations on stakeholders' risks and returns under population or demand growth and railway construction cost uncertainties. The eventual outcome of particular PPP configurations is also examined. This study also seeks to answer the following questions: How would optimal configuration change under highly volatile population and railway construction cost? Are there PPP configurations that are robust to these uncertainties and those that are sensitive to a particular uncertainty? This understanding is critical for managing risks and facilitating the formation of appropriate PPP for R&HD. 展开更多
关键词 public-private partnership BFOOD housing and railway development
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Impact of environmental governance PPP project on government performance from the perspective of value co-creation 被引量:1
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作者 REN Zhi-tao YAN Ying +1 位作者 WEI Chang YANG Hao 《Ecological Economy》 2022年第4期287-297,共11页
Under the background of public-private cooperation in environmental governance,there are conflicts in the value of governance subjects based on differences in objectives and behavior heterogeneity.From the perspective... Under the background of public-private cooperation in environmental governance,there are conflicts in the value of governance subjects based on differences in objectives and behavior heterogeneity.From the perspective of value co-creation theory,the questionnaire data and correlation structure measurement linked list are used to investigate the internal mechanism of value co-creation behavior affecting government performance.The results of the study show that value co-creation behavior has a significant positive impact on government performance,and partnership plays a mediating role in value co-creation behavior and government performance.The study reveals that whether value co-creation behavior can affect government performance depends on the partnership among the government,enterprises and the public,and the participants realize the interest demands to form value co-creation behavior,and innovate the realization path to improve government performance.This paper expands the research perspective of the influencing factors of value co-creation behavior,deepens the value cognition of multi-subject behavior,and provides a theoretical reference for environmental governance and improving government performance. 展开更多
关键词 government performance environmental governance public-private partnership value cocreation
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Improving HIV Treatment Adherence through a Public Private Partnership in Zambia
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作者 Henry Fomundam Andrew Maranga +4 位作者 Joseph Kamanga Abraham Tesfay Tamara Choola Stephen Nyangu Anthony Wutoh 《World Journal of AIDS》 2014年第1期107-117,共11页
Background: Effective ART with low viral loads and absence of STIs significantly reduce chances of sexual transmission of HIV. ART is therefore a key pillar in HIV prevention. Appropriate support is however essential ... Background: Effective ART with low viral loads and absence of STIs significantly reduce chances of sexual transmission of HIV. ART is therefore a key pillar in HIV prevention. Appropriate support is however essential for optimum treatment outcome, patient safety and HIV prevention benefit. The scale-up of ART continues to strain the already overstretched human resources in public facilities, impacts on the quality of care, and contributes to loss to follow-up. Task shifting is therefore a strategy to augment the limited human resources. Methodology: In partnership with the Livingstone General Hospital (LGH) and four private pharmacists, the COH III Project through Howard University is promoting quality HIV care by engaging the pharmacists in adherence counselling and treatment monitoring. The LGH ART pharmacist allocates consenting stable ART clients to pharmacies based on willingness to be referred and patient preference. Patients are given schedule of visits to pharmacies where the pharmacists provide medication/adherence counselling and monitor side effects. Patients with medication/treatment issues are referred back to the LGH ART clinic for follow-up. Results: Between October 2012 and August 2013, 280 patients were enrolled and followed up by the four pharmacists. 69% of patients visited the pharmacy at least once, 25% at least twice and 13% at least thrice. The 33 client referrals by pharmacists to LGH were related to adverse drug reactions, suspected treatment failure, pregnancy, and treatment monitoring. The intervention has reduced workload for the ART pharmacist;improved communication of treatment challenges and identification of patients with medication related problems, and reduced travel distances and waiting times. This has resulted in improved adherence and better patient outcomes. Conclusion: Private pharmacists present an opportunity to improve quality of HIV interventions in poor human resource capacity settings. The necessary legal and regulatory framework needs to however be developed to guide the process. 展开更多
关键词 public-private partnership ADHERENCE Support PRIVATE PHARMACISTS Treatment Monitoring Human RESOURCES CHALLENGE
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Critical Factors in Financing and Management of Light Rail Transit Systems: Delphi Methodology Approach
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作者 Julian Sastre Gonzalez Clara Zamorano Martin 《Journal of Civil Engineering and Architecture》 2013年第11期1385-1397,共13页
In recent years, a large number of LRT (light rail transit) networks and tramways have been built in Spain using the tender system. The rhythm of construction has been such that very few analyses have been carried o... In recent years, a large number of LRT (light rail transit) networks and tramways have been built in Spain using the tender system. The rhythm of construction has been such that very few analyses have been carried out and those that have were only partially done because the main participants involved had ulterior motives which impeded their having a critical and independent opinion of the projects carried out. Within this framework, the Delphi methodology presents itself as a very useful instrument, as the intrinsic advantages that it has added to the characteristic that the experts who participate in the project can remain anonymous without detracting value from the conclusions obtained as these are grouped together according to their worth. 展开更多
关键词 public-private partnership financing DELPHI public transport LRT MANAGEMENT concessions.
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