Health access, enhancing global coordination mechanism, strengthening health

Health disparities among rich and poor population are,
in a significant measure, attributable to lack of drugs, vaccines and improper
approach to healthcare facility as well as geographical variations of certain
disease agents and sanitation. Substantial difference in health status between
these two communities have probably always existed and been documented for
decades. Improved comparative data are now reinforcing the long-standing
humanitarian and ethical concern about inequalities in excess to health
products, health services and resource allocation. Keeping in view, a new breed
of partnership involving the public and private sectors has emerged on the global
public health scene. With a focus on infectious diseases and within the context
of global coordinating mechanism, such partnership presents a mechanism for
achieving a range of desired health outcomes by the strength of partners. These
partnerships are known to have improved access of poor populations to ‘products’
and’ services’  by focusing on product
development , addressing  impediments to
access, enhancing global coordination mechanism, strengthening health services,
engaging in public advocacy and education, enhancing regulation and assisting
with quality assurance.

partnerships can simply be defined as “a long term contract between a private
party and a government agency, for providing a public asset or service, in
which the private party bears significant risk and management responsibility”(world
Bank institute,2012:11). These are interface arrangements that bring together
organizations with the mandate to offer public good and those that could
facilitate this goal through the provision of resources, technical expertise or
outreach. Partnership refers to long- term, task-oriented and formal
relationships that need to be differentiated from privatization, which involve
permanent transfer of control through transfer of ownership right.

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Pakistan is a
developing country facing multiple disease load including both communicable and
non-communicable diseases. Services are provided at primary, secondary, and
tertiary care level. There is serious lacking of proper infrastructure, human
resource, expertise, coordination gap between different health care levels for
effective referral, and no proper maternal and child health services to
overcome the infant and maternal mortality rate, no community health education,
no proper focus on preventive health care services. Quackery is a rampant issue
that needs to be addressed seriously as it places the life and health of
patient at risk.  Pakistan is spending
about 2.7 percent of total GDP on health which is too less even if we compare
it with the countries having same economical status. Although the government desires
to provide the services to its population but the lack of funds is the major
hindrance. To overcome the shortage of resources focus is being made on public-private
partnership. Concept of this partnership is very old and lasts since
1960(national health policy1960). In Punjab as a pilot project it was started
in 8 districts in 2005. 104 basic health units of district Rahim Yar khan were
engaged but the program failed badly in providing any effective health care
service delivery (university of Birmingham survey).


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