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Table 2 Types of partnerships with the local government that do exist in the district

From: Health system’s barriers hindering implementation of public-private partnership at the district level: a case study of partnership for improved reproductive and child health services provision in Tanzania

Type of Providers Type of Contractual Agreement Type of Collaboration
Faith-Based Provider None Provision of RCHS but excludes family planning. Supplies are provided free of charge, and staff are seconded from local government. In return services offered are free of charge.
Faith-Based provider None Informal arrangements at village level for staff availability.
Faith-Based provider None Informal arrangements between public facilities, and the private provider such as transfer of vaccines from one facility to the other during power blackout.
PFP and PNFP providers None Informal arrangements for assistance when a public facility runs out-of-stock such as for syringes, gloves, etc. Such assistance is usually free of charge but at times a replacement has to be sent at a later stage. Some private providers receive reagents for Voluntary Counselling and Testing (VCT) services.
Private pharmacies and faith-based providers General Contract Contractual arrangements between the National Health Insurance Fund (NHIF) and private providers, but restricted to pharmacies and faith-based providers. ADDO and private for profit are not part of providers’ network.
Maternity home None Various forms of PPP arrangements with the maternity home such as outreach- point for immunization, free of charge supplies for some RCHS including Prevention of Mother to Child Transmission of HIV (PMTCT) however, services are not entirely free, clients have to contribute and the contribution is determined by the provider.
Jointly operated facility, private estate company and government None The company provided a building, house for seconded staff, employ some staff, and procure and maintain a stock for its employees, while the government provides, supplies through its Integrated Logistics System for the community, and overall oversight of the facility, and second staff. RCHS are provided as per government guidelines.
Traditional Birth Attendant (TBAs) None There are some of facilities that have introduced incentives for TBAs who facilitate referrals of pregnant mothers for facility delivery.
NGOs/ Private company MoU Partnership with NGOs (at local or national levels) in construction of staff houses, renovation of facilities, sexual and reproductive health initiatives, and HIV/AIDS prevention care and treatment initiatives.
Parastatal-based facilities None Parastatal-based facilities now operating like public facilities. Initially they had their own arrangements managed through their respective Ministerial headquarters.
Research Institute MoU Research project-oriented collaborations. The partnership is initiated at a time when the project is commissioned, and ends at the end of the project. It may involve construction and renovation of buildings, operating, and then transfer.
Out sourcing None In case of out-of-stock at the Medical Store Department. The district procurement officer would purchase a new stock from the appointed contractor, though the contractor tends to change each year.