The Nigeria Government Engagement with the Private Health Sector

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.

What Business Models Best Suit the Private Sector in Achieving the SDGs

Since the United Nations Sustainable development goals and the 2030 agenda were initiated in 2015,it has provided governments with a comprehensive blueprint to take action and meet the challenges of the world’s most pressing issues today.But the private sector also plays a large role in contributing to the problems highlighted in the SDGs and companies ranging from many different industries have increasingly become more involved in developing new and innovative solutions to solve the issues highlighted in the SDGs.Social and environmental accountability has been one of the areas that the private sector has been focusing its attention on.Companies in the corporate sector across all industries have adopted Environmental,Social,and Governance(ESG)regulations and targets,that aim to ensure ethical responsibility within private companies and promote transparency about their role in promoting social and environmental well-being across the world.This has allowed many companies to align their values and business models to emphasize the importance of the SDGs.Furthermore,innovative technologies are being utilized to ensure that public reports about the company’s practices are fully accountable and transparent to the public community and the overall private sector.For example,some private companies are using Natural Language Processing and Artificial Intelligence to analyze sustainable practices highlighted in the company’s ESG reports and see if they are genuine and free of greenwashing.This shows that technologies are playing a key role in promoting corporate accountability in terms of sustainability and encouraging private companies to adhere to the guidelines highlighted within the SDGs.Furthermore,private companies have adapted their business models to better promote innovations and collaboration with governments,other private companies as well as NGOs.Since the SDGs were designed to be interconnected and not siloed into their own different challenges,many companies who adopt the SDGs as a major sustainability framework will often develop partnerships and connections with other private sector groups so that they could develop new innovative solutions to meet the challenges posed by current global issues.This is especially prevalent in the clean energy sector,which aims to solve SDG 7 and SDG 13 both important in eradicating the issue of climate change.For example,the solar energy private sector has been currently collaborating with a wide range of universities and research institutions in order to develop solar panels that are more energy efficient and affordable for everyday consumers,while still allowing the private companies to generate significant returns in revenue.When private sector Industries adopt the measures highlighted in the SDGs,not only does it allow them to work with other industries to contribute to combating the world’s most pressing issues,but also maintains and improves their sources of revenue and profit.Overall,in order to meet the world’s most pressing challenges and issues,the private sector has increasingly adopted the SDGs in their business models,so that they would be able to better collaborate with others to develop innovative solutions and to bridge commitment to sustainable development throughout different industries.

构建PPP(Public Private Partnership)模式血液净化培训中心的实践与探索

上海健康医学院血液净化培训中心是我国首家采用PPP(Public Private Partnership)模式构建的血液净化培训中心。本文系统分析了该血液净化培训中心的成立背景、各方面基本设计和教学管理实践,并结合血液净化培训中心的现有问题,对其股权结构、运行模式和公信力等方面的改进提出针对性意见。

Comparative study of China and USA public private partnerships in public transportation

As an effective alternative approach to provide goods and services for public infrastructure, the Public Private Partnership （PPP） has been studied extensively over the past few decades. On a global scale, China and the United States have developed cooperation on PPP projects in various areas. To perform a comparative study, this paper analyzes how PPP projects work in both countries for public transportation. The basic features, types, and phases of PPPs in public transportation are introduced first, fol- lowed by a thorough discussion on their advantages and challenges. This paper adopts a case study method to analyze the achievements and problems of PPP projects in both countries and then proposes important findings and suggestions for future research.

Emerging Challenges in the Completion of Construction Projects through Public Private Partnerships: Empirical Literature Review

The process of engaging private sector in the provision of public infrastructure can improve economic value in service delivery and enable the government to utilize the capabilities and expertise held by private sector. This has a positive impact on the public in terms of improving their well-being. This literature review attempts to compare the challenges encountered in implementation of PPP projects across the world, with a view to determining cross cutting challenges and recommendations for developing countries. A literature review was conducted for empirical studies focusing on construction projects. The studies are reviewed by analyzing the methodology used and conclusions made to identify the geographical study area, Public Private Partnership project financing model, emerging challenges and recommendation for future project management. The literature search was based on four keywords: construction projects, completion of construction projects, public private partnership, challenges in construction projects. Thus, a total of 11 empirical studies were identified for review in Europe, Asia and Africa. The review revealed that most risk factors affecting project completion can be categorized as human and organizational factors and unknown geotechnical conditions that were not known beforehand. Specifically, project owners’ interference was also attributable to delays with the delays having significant implications for project execution. Risks have great impact on the performance of construction projects because they affect their quality, time and cost. The general remedy to such potential risk factors is adoption of reliable prediction mechanisms which would estimate those factors using a probabilistic model that does not rely on expert judgments as they tend to be unreliable.

The Public Private Partnership （PPP） as a Solution During the Period of Transformation of the Medical Services Market in Poland

The public private partnership （PPP） has functioned worldwide for more than 40 years now, and in different countries, it is developing at different speeds with varying degrees of success. The purpose of this article is to emphasize some standards of the PPP, in particular, within health services area which would guarantee a successful transformation process within the medical services market in Poland, and thus an appropriate division of financial and market risks among the public sectors, including local government sector and private partners within the health services area. Certainly, proper transformation solutions within that industry would significantly contribute to the stabilization of the local government＇s finance sector and higher resistance to the global financial crisis.

Improving HIV Treatment Adherence through a Public Private Partnership in Zambia

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.

Public-Private Partnership Arrangement in <i>In-Situ</i>Housing for Slum Rehabilitation in Yenagoa, Bayelsa State, Nigeria

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.

A Public-Private Partnership Procurement Approach to Sustainable Transport—Zimbabwe Case

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.

The power of the public purse: financing of global health partnerships and acienda setting for sustainability

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.

Are public‒private partnerships still an answer for social infrastructure?A systematic literature review

Social infrastructure has become an important element for measuring national economic development and social benefits that are usually financed in the form of government grants,private investment,and public‒private partnerships(PPPs).However,social infrastructure PPPs have attracted considerable public debate due to their low profitability and complex operational demands.This study aims to answer the question,“are PPPs still an answer for social infrastructure?”,from the perspectives of the body of knowledge,application status,and prospects.Initially,an iterative search and review procedure and a scientometric analysis were performed to systematically screen the literature and to structure the body of knowledge of the social infrastructure PPPs literature.Furthermore,the application status and trends were analyzed to further explore the studied countries/regions,application sectors,and research topics.Results show that PPPs still have valuable application potential for delivering social infrastructure despite their mixed results across different topics.Six main research themes and the corresponding research trends were also identified,namely,financing and economics viability,risk management,performance management,contract and relationship management,governance and regulation,and facilitating and hindering factors.These findings offer practitioners and researchers a comprehensive overview and constructive guidance on social infrastructure PPPs.

论公共卫生治理的政府责任

多元共治时代,公共卫生治理中政府责任要打破基于行政任务进行责任配置的传统逻辑,将政府责任的厘定置于“公共任务公私合作”和“行政任务公私合作”的双重视域。公共卫生治理中行政机关作为公共任务公私合作的主导者和行政任务公私合作的责任方,在承担领导与促进责任、组织与动员责任、履行或担保责任、监督与救济责任之时,其内部构造差异明显。新时代公共卫生治理体系建构必须着眼于中国式社会治理共同体这一整体性视角,科学厘定公共卫生治理中政府责任的内部法律构造,统筹推动公共卫生治理法治化进程。

江南汽车公司的公私合营改造

工商业在国民经济发展中具有举足轻重的作用。1949年中华人民共和国成立之后,党和国家工作重心开始转向经济恢复与建设,而合理有序地调整工商业则是初期经济工作的核心。中央人民政府全面贯彻“公私兼顾”“劳资两利”的经济建设总方针,基于各省市不同地情、各种经济成分并存局面,地方政府在具体落实执行时采取不同手段灵活地开展调整工作,以发展生产、繁荣经济。江南汽车公司系国民党大官僚张静江于20世纪30年代出资创办的私营企业,亦是解放前南京市最重要的市区公共交通公司之一。由于该公司的特殊性质与发展背景,南京市军管会与人民政府先后采取代管与公私合营的改造方式,使之变成人民的企业,服务于共和国建设事业。

高职院校基于PPP模式的校企共建项目的合作策略及挑战——以传统文化教学实践基地的建设为例

为落实多元办学,高职院校运用PPP合作模式共建书院式传统文化教学实践基地。通过签订合作协议引入社会资源,设置专项机构进行类产业学院的双重管理,校企合作开发并实施“理论-实践-社团”三进阶、“必修-选修”双结合的美育课程体系,初步形成校企双主体协同育人机制。

数字政府建设政企合作法律风险的规制模式

数字政府建设政企合作的目标是公私协力实现公共给付,以数字化赋能中国式现代化。相较于传统公共服务领域,数字政府建设政企合作存在数字技术侵权、政府权力迁移、行政优益权履行不能和责任虚化等法律风险,容易产生合作中断、非正常终止等问题,致使合作结果与目标存在差距。政府规制、自我规制和元规制等现有风险规制模式各有优劣,但在面对数字政府建设的特定适用场景时均呈现出捉襟见肘之势,表现为风险防范不足,对互动关注不够,过于强调过程规制而缺乏结果有效性的考量。结果导向型合作规制模式强调结果与目标的一致性、协商与互动、合作绩效与公共问责,对数字政府建设政企合作法律风险的规制更为妥当,并可分为目标规制、过程规制和结果规制三个层面。结果导向型风险规制模式的法律构造为:建构将公共价值嵌入算法的合作机制,并通过风险评估和公民参与程序规避侵权风险;强化信用监管、优化契约机制分别规避政府权力迁移风险和行政优益权履行不能风险,并通过风险管理程序予以实现;明确政企责任分担,并通过公共问责程序规制责任虚化风险。

基于LDSCR-at-Risk的PPP项目可融资性评价

通过分析传统的偿债备付率适用性及政府和社会资本合作(PPP)项目的特点,认为传统的偿债备付率不适合于PPP项目可融资性评价。因此,为了评价中长期债务的可融资性,提出了“平准化偿债备付率”(LDSCR),即在借款偿还期内,各年可用于还本付息的资金折现到起始点的现值与贷款金额的比值;进一步提出“风险下的平准化偿债备付率”(LDSCR-at-Risk),即在给定的置信度下的平准化偿债备付率。运用蒙特卡洛仿真进行验证,结果表明:LDSCR-at-Risk可用于PPP项目的可融资性评价,且在可以评价具有风险的PPP项目可融资性的同时,还避免了如何确定项目的最低偿债备付率的问题,从而促进PPP项目融资的发展。

社会资本参与农业水价综合改革的理论与实践研究

社会资本是水利基础设施建设重要的资金筹措渠道。建立社会资本参与农业水价综合改革机制,鼓励和引导社会资本参与到农田水利基础设施的投资建设、运营管理和维修养护等方面,能够扩大农田水利设施建设有效投资、提高农田水利基础设施和相关公共服务的供给能力,发挥“两手发力”的要素资源配置优势、提升水资源管理能力、优化水资源配置格局,促进农业用水方式由粗放向节约集约转变,提高水资源整体承载能力。文章从理论层面研究提出了社会资本参与农业水价综合改革的总体思路,梳理了社会资本参与农业水价综合改革的方式与内容;并以陆良县恨虎坝项目区为例,从实践层面总结归纳社会资本参与恨虎坝项目区农业水价综合改革的做法及成效,以期为相关地区推进农业水价综合改革提供参考。

参与PPP项目可以提高上市企业的融资效率吗?——基于中国上市企业的证据

在推动经济整体好转、大力提振市场信心的背景下,政府和社会资本合作(PPP)模式通过引导社会资本投向,激发民间投资活力,在稳增长、优结构方面发挥着重要作用。本文基于2013~2022年中国A股上市企业的微观数据,运用多期双重差分法,实证评估了参与PPP项目对上市企业融资效率的影响效果。研究发现:参与PPP项目可以显著提高上市企业的融资效率,在进行平行趋势检验、安慰剂检验、反事实检验、控制非平行趋势和PSM-DID回归后,这一结论依旧稳健;信息不对称在参与PPP项目和上市企业融资效率之间发挥中介作用。此外,与国有企业相比,民营企业参与PPP项目对其融资效率的提高作用效果更加显著。

中国情境下PPP项目商业模式创新意愿影响因素的系统动力学分析

新发展格局下,商业模式创新对推动政府和社会资本合作模式(public-private-partnership,PPP)可持续发展具有重要作用,因此,对其影响因素的分析具有重要意义。基于文献分析设计访谈提纲,通过对访谈资料的三级编码识别出PPP项目商业模式创新意愿的22个影响因素;采用系统动力学方法(system dynamics,SD)探究了PPP项目商业模式创新意愿的影响关系及路径,构建了SD模型并仿真模拟,确定了4个关键影响因素:创新政策、政府部门创新自由度、社会资本自身实力、项目公司运营维护能力;据此提出了3条管理启示:完善PPP项目商业模式创新的政策环境、公私双方在PPP项目采购阶段做好相互选择、提升项目公司运营维护水平。