Main Reasons for Using of PPP Contracts in Health Sector: An Analytical Study
Abstract
The health sector in Iraq had faced enormous challenges. The health care system suffered a catastrophic deterioration under the former regime. The 1991 Gulf war incurred Iraq’s major infrastructures huge damages; includes health centers, clinics, hospitals, etc. The United Nations economic sanctions aggravated the deterioration process. The level of health care in Iraq has dropped markedly as the government budget allocated to the Ministry of Health (MOH) had decreased from $ 450 million in 1970 to about $ 250 million in 1985 then the annual total health budget for the ministry, a decade after the sanctions had fallen to $ 22 million which is barely 5% of what it was in the 1970s. On the other hand, the conflict of 2003 destroyed an estimated 12 percent of hospitals. Moreover, the war at 2014 held on ISIS-led to almost total destruction in most hospitals in the Central and Northern provinces. All this requires a quick strategy to advance the health sector and create a sustainable health sector. The researchers in this study will demonstrate, what are the pros and cons of Public-Private Partnership (PPP) contracts, how can be used in the Iraqi health sector, the main causes of dependence the MOH to using the PPP contracts in the all existing and the unfinished hospitals.
Keywords
References
Al Hilfi, Thamer Kadum, Riyadh Lafta, and Gilbert Burnham. “Health Services in Iraq.” The Lancet 381, no. 9870 (March 2013): 939–948. doi:10.1016/s0140-6736(13)60320-7.
Malik, Mamunur Rahman, Jaouad Mahjour, and Ala Alwan. “Preventing the Introduction of Ebola Virus into the Eastern Mediterranean Region: Enhanced Preparedness Is the Key.” Eastern Mediterranean Health Journal 20, no. 10 (October 1, 2014): 656–660. doi:10.26719/2014.20.10.656.
Monk, Ashby H.B. “Public–private Partnerships for Infrastructure Delivery.” Public–Private Partnerships for Infrastructure Development (2019): 19–34. doi:10.4337/9781788973182.00008.
Kosycarz, Ewa Agnieszka, Beata Anna Nowakowska, and Marcin Mateusz Mikołajczyk. “Evaluating Opportunities for Successful Public–private Partnership in the Healthcare Sector in Poland.” Journal of Public Health 27, no. 1 (April 23, 2018): 1–9. doi: 10.1007/s10389-018-0920-x.
Asasira, Justus, and Frank Ahimbisibwe. “Public-Private Partnership in Health Care and Its Impact on Health Outcomes: Evidence from Ruharo Mission Hospital in Uganda.” International Journal of Social Science Studies 6, no. 12 (December 27, 2018): 79. doi:10.11114/ijsss.v6i12.3911.
Alwan, Ala. “From Vision to Action: Meeting Public Health Challenges in the Region.” Eastern Mediterranean Health Journal 19, no. 10 (October 1, 2013): 835–836. doi:10.26719/2013.19.10.835.
Bovis, C. “Editorial - Public Private Partnerships: The Challenges and Opportunities for Delivering Public Services in the 21st Century.” European Procurement & Public Private Partnership Law Review 5, no. 1 (2010): 14. doi:10.21552/epppl/2010/1/89.
“WHO Steps up Its Role in Health Emergencies.” Bulletin of the World Health Organization 93, no. 12 (December 1, 2015): 824–825. doi:10.2471/blt.15.031215.
Grossman, Michael. “On the Concept of Health Capital and the Demand for Health.” Journal of Political Economy 80, no. 2 (March 1972): 223–255. doi:10.1086/259880.
Kessey, Evans K. “Infrastructure Management of PPP Projects.” Advances in Public-Private Partnerships (July 11, 2017). doi:10.1061/9780784480267.008.
Chen, Julie Y., Eric Y. F. Wan, Karina H. Y. Chan, Anca K. C. Chan, Frank W. K. Chan, and Cindy L. K. Lam. “Evaluation of the Quality of Care of a Haemodialysis Public-Private Partnership Programme for Patients with End-Stage Renal Disease.” BMC Nephrology 17, no. 1 (July 11, 2016). doi:10.1186/s12882-016-0284-9.
Coarasa, Jorge, Jishnu Das, Elizabeth Gummerson, and Asaf Bitton. “A Systematic Tale of Two Differing Reviews: Evaluating the Evidence on Public and Private Sector Quality of Primary Care in Low and Middle Income Countries.” Globalization and Health 13, no. 1 (April 12, 2017). doi:10.1186/s12992-017-0246-4.
“Public-Private Partnership.” A Guidebook for Riverside Regeneration (n.d.): 110–139. doi:10.1007/978-3-540-36726-0_6.
Sherif, Ahmed H. “Hospitals of Developing Countries: Design and Construction Economics.” Journal of Architectural Engineering 5, no. 3 (September 1999): 74–81. doi:10.1061/(asce)1076-0431(1999)5:3(74).
Zhang, Xueqing. “Paving the Way for Public–Private Partnerships in Infrastructure Development.” Journal of Construction Engineering and Management 131, no. 1 (January 2005): 71–80. doi:10.1061/(asce)0733-9364(2005)131:1(71).
Cruz, Carlos Oliveira, and Rui Cunha Marques. “Integrating Infrastructure and Clinical Management in PPPs for Health Care.” Journal of Management in Engineering 29, no. 4 (October 2013): 471–481. doi:10.1061/(asce)me.1943-5479.0000166.
Torchia, Mariateresa, Andrea Calabrò, and Michèle Morner. “Public–Private Partnerships in the Health Care Sector: A Systematic Review of the Literature.” Public Management Review 17, no. 2 (May 16, 2013): 236–261. doi:10.1080/14719037.2013.792380.
Gomez, Christy, and Muhammad Gambo. “Evaluation of Special Purpose Vehicle Organisation Skill Sets Taxonomy for Effective Public-Private Partnership Infrastructure Project Delivery.” Journal of Construction in Developing Countries 21, no. 1 (2016): 147–165. doi:10.21315/jcdc2016.21.1.8.
Alloisio, Isabella, and Carlo Carraro. “Public-Private Partnerships for Energy Infrastructure: A Focus on the MENA Region.” Public Private Partnerships for Infrastructure and Business Development (2015): 149–168. doi:10.1057/9781137541482_9.
Iraqi Ministry of Health/Environmental. “Annual Statistical Report (2016)”. Retrieved from http://bccru.uobaghdad.edu.iq/?p=15692
Iraq Ministry of Health. “National Health Policy” (January 2014). Retrieved from http://www.nationalplanningcycles.org/sites/default/files/planning_cycle_repository/iraq/1399954338_national_health_policy_final1.pdf
Central Statistic Organization. “Demographic Indicators for Iraq and Population Estimates for Governorates and Urban and Rural Area” (2016). Retrieved from http://www.cosit.gov.iq/ar/1010-aas2016
“Combat Duty in Iraq and Afghanistan and Mental Health Problems.” New England Journal of Medicine 351, no. 17 (October 21, 2004): 1798–1800. doi:10.1056/nejm200410213511722.
Al-Tikriti, Nabil. “Was There an Iraq before There Was an Iraq?” International Journal of Contemporary Iraqi Studies 3, no. 2 (November 2009): 133–142. doi:10.1386/ijcis.3.2.133/1.
Yves, Beigbeder. “World Health Organization (WHO).” Max Planck Encyclopedia of Public International Law (July 2013). doi:10.1093/law:epil/9780199231690/e575.
Tang, LiYaning, Qiping Shen, and Eddie W.L. Cheng. “A Review of Studies on Public–Private Partnership Projects in the Construction Industry.” International Journal of Project Management 28, no. 7 (October 2010): 683–694. doi:10.1016/j.ijproman.2009.11.009.
Liu, Junxiao, Peter E. D. Love, Peter R. Davis, Jim Smith, and Michael Regan. “Conceptual Framework for the Performance Measurement of Public-Private Partnerships.” Journal of Infrastructure Systems 21, no. 1 (March 2015): 04014023. doi:10.1061/(asce)is.1943-555x.0000210.
Al-Byan Center for Planning and Studies. “Final Iraq Budget 2016”.Retrieved from http://www.bayancenter.org/en/wp-content/uploads/2015/12/Final-Iraq-Budget-2016.compressed.pdf
Wojewnik-Filipkowska, Anna, and Joanna Węgrzyn. “Understanding of Public–Private Partnership Stakeholders as a Condition of Sustainable Development.” Sustainability 11, no. 4 (February 24, 2019): 1194. doi:10.3390/su11041194.
DOI: 10.28991/cej-2019-03091387
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