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As #UHCDay winds down, I’m excited to share findings from our recent review of grey literature guidance for public-private engagement in #health & ways to enrich it (1/n) https://twitter.com/results4dev/status/1337085362666172418
This builds on years of effort by @results4dev and partners to highlight the indispensable roles private sector actors, especially service providers, can play in the pursuit of universal health coverage #UHC (2/n)
In the last 15 months, alone, brilliant colleagues from whom I’ve learned so much over the years have laid out insights on the complex dynamics between governments and private sector actors (3/n)
Last Oct, @cicelysimone, @adeel_ishtiaq & @njblanchet distilled 3 principles: 1. local demand must drive engagement; 2. dialogue should be inclusive; and 3. it can be enriched by rapid analysis to understand the constraints on engagement (4/n) https://twitter.com/results4dev/status/1189907626382905344
Then in Dec, they teamed up with @PSIimpact to unpack the role govts play as stewards of mixed health systems that effectively harness pvt sector activities. In short, govts need to focus on enabling environments, processes, reforms, and investments (5/n) https://twitter.com/results4dev/status/1204528707714420736
All the while the team was also diving into the evidence on pub-pvt engagement. By Feb of this year, @CourtneyTolmie, @cicelysimone, Chloe Lanzara & @KeithMangam laid out findings from their review of 237(!) peer-reviewed studies (6/n) https://twitter.com/results4dev/status/1233061921907236867
The evidence pointed to whole ecosystem of factors that help or hinder engagement between public and private actors in mixed health systems. A couple months ago @cicelysimone introduced a framework to help understand that ecosystem (7/n) https://twitter.com/results4dev/status/1314690625569280004
Which brings me back to our latest piece. The earlier review focused on peer-reviewed work, but we knew we other evidence and tools reside elsewhere. So we tried to find and make sense of it. What did we learn? (8/n) https://twitter.com/results4dev/status/1337847440834224131
To start, no resource fully covered the ecosystem, with ‘engagement’ factors least addressed. These include concepts like trust, mutual understanding, communication, and accountability between public & private actors (9/n)
Moreover, it was hard to determine awareness & use of existing tools. Some toolmakers compile online (at least known) applications of their tools (shoutout to @SHOPSPlus), while others don’t publicize whether they even track them... (10/n)
For example, as they’ve just celebrated a big birthday, I’d personally love to see an compilation of where, when, and with what results all the great @JLN4UHC tools have been put to use in the last 10 years (11/n) https://docs.google.com/document/d/1tlyzjSv17e8zHS0hb9CByRSsUWJhMu11e3WNAxWX4WI/edit
Lastly, b/c @results4dev & partners often serve as knowledge brokers, we wanted to know more about the role of 3rd parties in pub-pvt engagement. There are lots of ways prof/industry associations, CSOs, academia, technical agencies can & do contribute (12/n)
Is any of this surprising? Probably not, but it helps us continue to think carefully about how govts & private actors can be better supported to collaboratively improve health... (13/n)
And we have to keep trying at this, because as @MallamPelliks laid out over the summer, if we’ve learned nothing else from COVID-19, it’s that health security & #UHC require all hands on deck (14/14) https://twitter.com/results4dev/status/1300843617951657986
