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PPP in Healthcare


Syllabus: Government policies and Interventions/ Investment Model


Context: Based on yesterday’s editorial article (The Live Mint) “Key lessons from public-private efforts will help us eliminate TB”.

Direction: Few examples/Case studies can be taken from the article. It is meant solely from Mains perspective.

The private sector has the potential of providing disruptive innovation for serving the public health goals of the Central and State governments in India.  According to National Prevalence Survey, almost half of all patients with TB symptoms seek care in the private sector.

Some private sector engagement programs for TB 

  • The Private-Provider Interface Agency (PPIA):(Mumbai in Maharashtra, Patna in Bihar, and Mehsana in Gujarat)
    • It worked with a network of private doctors, chemists, laboratories, and hospitals to ensure ‘Standards of TB Care’.
    • Result: As a result of the implementation of the PPIA program in Mumbai and Patna, there was a 351% and 532% increase in TB case notifications from the private sector, between 2014 and 2018. The actual reporting of cases resulted in a greater understanding of the TB burden on the ground.
  • Chiranjeevi Yojana program (Gujarat): The government is engaging with private providers to increase institutional deliveries.
  • Hausala Sajheedari initiative (UP): The government is engaging private health facilities for family planning. The scheme works on a reimbursement basis under a public-private partnership (PPP) model


The Ayushman Bharat Digital Mission (ABDM), can help in achieving universal health coverage, quality healthcare for all, and also eliminating Tuberculosis (TB). This program aims to digitize the country’s healthcare ecosystem and to enable the creation of an enabling ecosystem for fostering public-private collaborations.

Insta Links

Issues related to Health Care

Mains Link

Q. Public-private partnership (PPP) model in the healthcare system will pool in the expertise and finances of the private sector with the access and subsidies of the public sector. Is PPP in healthcare the panacea for India’s healthcare woes? Critically analyse. (250 Words)

Prelims Link

The Global Infrastructure Facility is a/an (UPSC 2017)

(a) ASEAN initiative to upgrade infrastructure in Asia and financed by credit from the Asian Development Bank.

(b) World Bank collaboration that facilitates the preparation and structuring of complex infrastructure Public-Private Partnerships (PPPs) to enable mobilization of the private sector and institutional investor capital.

(c) Collaboration among the major banks of the world working with the OECD and focused on expanding the set of infrastructure projects that have the potential to mobilize private investment.

(d) UNCTAD-funded initiative that seeks to finance and facilitate infrastructure development in the world.

Answer: B

The Global Infrastructure Facility (GIF) is a global, open platform that facilitates the preparation and structuring of complex infrastructure public-private partnerships (PPPs) to enable the mobilization of the private sector and institutional investor capital.