Analysis of critical success factors for Health Public-Private Partnerships: a case of the Managed Equipment Services (MES) in Narok County
Miseda, John Opudo
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Health Public Private Partnerships (PPPs) have increasingly gained popularity as governments worldwide are seeking interventions to manage the ever-increasing cost of healthcare and foster development goals while harnessing private sector efficiencies. While most health PPPs have recorded a high success rate in developed nations, there is little evidence of success in relation to Low- and Middle-Income countries which are marred by complex challenges inherent in healthcare industry thereby imposing challenges to achieve their intended goals. This research focused on the Critical success factors (CSFs) for health PPP in this case Managed Equipment Services (MES), a Partnership between the government of Kenya and private companies to provide specialized medical equipment to County governments’ hospitals. Past studies reviewed in the literature focused on different health PPP models across different jurisdictions and indicated that Political goodwill, Contract Agreement, Stakeholder Involvement, Expertise, Human Resource, and Innovation were CSFs. However, these factors are unique and are not easily replicated into other jurisdiction, health PPP models, or sectors and it is against this backdrop that the current research seeks to analyze which factors are critical for MES in Narok County. The researcher conducted Key Informants Interviews of PPP experts and administered questionnaire to Sub-County and County Health Management Teams in Narok County. The Spearman rank correlation was used to measure the correlation of CSFs under review while qualitative content analysis was inductively done to come up with overarching themes on the CSFs. Among the factors tested, Political Goodwill, Contract Agreement, Stakeholder Involvement, and Expertise were found to be critical for the success of MES and exhibited a positive correlation with each other. The key recommendations of the study were employing these CSFs and strengthening PPP framework to guide on procedures and rules that govern the implementation of health PPP at the County level.