improving health service delivery through ppp: experience at lgu level by brillo reynes, sr. vice...
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8/2/2019 Improving Health Service Delivery through PPP: Experience at LGU Level by Brillo Reynes, Sr. Vice President, Development Bank of the Philippines
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IMPROVING HEALTH SERVICE DELIVERYIMPROVING HEALTH SERVICE DELIVERYTHROUGH PPPTHROUGH PPP ATAT LGU LEVELLGU LEVEL
By Brillo Reynes, , Sr. Vice President, Development Bank of the Philippines
15 March 2011
Disclaimer: The views expressed in this paper/presentation are the views of the author and do notnecessarily reflect the views or policies of the Asian Development Bank (ADB), or its Board of
, .included in this paper and accepts no responsibility for any consequence of their use. Terminologyused may not necessarily be consistent with ADB official terms.
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PPP at a sub-national level governanceand implementation challenges
Presentors: Nigeria, France, India, Mexico
and the Netherlands
State level & large local government units
General observations only, specific PPP
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For PPP to prosper at a sub-national level:
Need to harmonize guidelines and make resultspredictable among sub-national units
Government
Advanta es of Sub-national PPPs Faster dissemination of the PPP modus operandi
Greater room for SME participation
Insurance of leaders political life
Constraints of Sub-national PPPs
Difficult exercise need for a central unit
Varied levels of knowledge need for TA
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devolved among public services
Least understood among LGU
officials and their constituentsMost needed by local communities,
.
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Bridges financing gap makes public
services available now, not later Frees u the IRA for basic infrastructure
needs complementary services
,resource matching with beneficiaries
Value for Money
pens up oppor un es or app ng oca
private investors & investment funds
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PPP is a complex exercise a path less
traveled, esp. at LGU levelMarket limitations countr side markets
are small coupled with low buying power
assurance of consistency of policies
private sector hesitant to engage
ene s are no o v ous some are non-
financial & hard to quantify
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experience, templates and supports
advisory servicesearn ng rom pa n er pro ec s
document and disseminate knowledge
Development of PPPH investment folios& conduct of PPPH conference for LGUs
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Revisit devolution where LGU PPPH
investments have strategic fit Adherence by LGU to high standards of
governance and transparency
Comprehensive approach include PPPHin strategies & address all dimensions
Formation of local PPPH Team to ensure
capabilities and learnings Communication plan Social Marketing to
defuse anxiety and facilitate buy-in
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Two athfinder ro ects N. Samar &
Sarangani); possibly 2 more (Cavite & Bohol) Networking with NEDA PPP Center and with
DOH PPP
Working out w/ COA to address LGU concerns
s a s ng a por a as we sys ema zeknowledge materials
communication materials
Reviewin available time of Consultin Team todetermine needed adjustments
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