Public Private Partnership provides a community ARV facility.

Dr. Eric HeferMr. Chris Valstar

Outline of Presentation

Dr Eric Hefer

Scope of the need

Scope of the solution

Key principles of project

Mr Chris Valstar

Coordinating stakeholders

Integrating diverse processes

The Need

Healthcare needs exceed capacity in fast growing local community.

Kumba Iron Ore – Largest employer in the area realizes need to support health infrastructure.

Kgalagadi /Gamagara District of 35000 persons.

Kathu Town does not have a public hospital and so no ARV clinic.

Kuruman - nearest ARV facility - 50 km

The Imperatives

Community involvement – Support and inclusion of Home based care givers and Traditional Healers.

Open access to services by entire community.

Flexible to changing community demands.

Urgent delivery – opening within 4 months.

Project SummarySponsor provides funding as CSI project.

Municipality provides site and services.

Local and district health authorities provide support and guidance.

Provincial health services provide ARV’s and laboratory services.

Private accreditation company facilitate project plan and accreditation - Vitality

Private company contracted to provide staffing, management, clinical guidance and reporting - Calibre

List of Services

Community VCT facility and health education.

Accredited ARV site closer to community.

Integration and complementing existing medical services – Primary care and TB

Education and training facility for care givers and community.

Deadlines

Opening date set by Premier

Urgent stakeholder engagement

Identification of key enablers

Regular meetings

Project Plan

Dedicated team of qualified professionals.

Specific agreed deadlines.

Coordination of many service providers and stakeholders.

Identification and inclusion of key parties.

Challenges

Facility location.

Support services.

Contracting service providers.

Innovation of new model service delivery.

Community Involvement

Public invitation to launch forum.

Public notices of meetings.

Community involvement in opening and accreditation.

Committed Staff

Benefits to Community

Local facility providing access to wellness services integrated with primary and occupational healthcare services.

Training, skills transfer and ongoing guidance to local treating doctors, nurses and health care providers.

Stakeholders

Project Sponsor

Community

Local Authority

Staff representative organizations

NGO’s

Provincial Health and Legal authorities

Facility Steering Committee

Representatives of stakeholders.

Ongoing responsibility to guide and steer facility management.

Setting of priority issues.

Conduit of reporting and feedback.

Key Success Factors

Provincial Premier support.

Committed sponsor.

Local and district leaders support.

Health authority commitment from all levels.

Competent coordinator of stakeholders.

Contractual Challenges

Various parties required to commit.

Complex responsibilities and deliverables.

Various departments in Public and Private institutions.

No organizational history as reference.

Why do PPP Projects fail?

Unreasonable expectations by stakeholders.

They are not easy to complete and bring to maturity.

They are not short or medium term projects.

They are complex and fraught with obstacles.

There are few reference projects to refer to.

Lessons Learnt

Regular and constant communication between all parties.

Anticipate the unexpected.

Respond rapidly to these new challenges.

Allow for delayed regulatory approval because it is out of the ordinary.

Keep some elements of the project plan flexible due to it being uncharted territory.

Thanks toPolitical Vision and Leadership at the highest

level.

Committed Project Sponsor to allocate resources.

Local, Provincial and National stakeholder contribution and support.

Community leaders support and guidance – Mayor and municipal office.

Realistic scope and deadlines.

Yes We Can

Successful PPP projects are possible and can achieve results in areas of need.

CSI funded projects can attract and integrate Public and Private services.

CSI can address the pressing needs of the immediate community.

The broader community can ultimately benefit from such initiatives.