Leading big change: what does it take to deliver at large scale?
Collaborating with the Private Sector to Advance Series for NCDs Dirks
1. NCD Technical Advisor, FHI 360
Collaborating with the private sector to
advance NCD service delivery:
FHI 360’s experience
Rebecca Dirks
Sept
2017
2. Private sector as donors to expand access to and
strengthen NCD services in LMIC
• Enormous NCD epidemic
• NCD control is dismal, particularly in LMIC
• Clear benefit to private sector to support increased
access to quality NCD services
• Shared value with traditional implementing partners
2
3. Example 1: Community-based Hypertension
Improvement Project (ComHIP)
• Funded by the Novartis Foundation
• Not result of formal RFP process
• Three year project in Ghana
• 1 district: Lower Manya Krobo
3
4. The ComHIP model: public-private partners and
innovation
To extend the
ability of the
private sector
to support
the mgmt. of
HPT
To extend the
ability of
Ghana Health
Service in
HTN
management
To improve
HTN self
management
among
individuals
To improve
screening for
hypertension
in the
community
Objectives
5. Private Sector collaboration in ComHIP
• Novartis Foundation (donor and technical guidance)
• Licensed Chemical Sellers (implementer)
5
6. Example 2: Abundant Health
• Funded by the Pfizer Foundation
• Responded to a formal RFP cycle: Asia-focused
• Initial one year project in Ho Chi Minh City, Vietnam
6
7. Abundant Health Model: 5 commune health stations
(CHS) in Tan Phu District, Ho Chi Minh City
CC: Community Collaborator
(community health volunteer)
Typical CHS team: physician, physician
assistant, nurse, midwife, pharmacist,
community collaborators
4
8. What is it like working with the private
sector?
Varies widely!!
9. What varies?
• Funding opportunity: solicited vs. unsolicited
• Role in implementation
– Design
– Stakeholder engagement
• Communication frequency/level
• Direct link with project
• Relationship of foundation with for-profit company
Key → clarify roles and establish clear expectations
10. Commonalities
• Priorities of funder
– Improving access - community level
– Evidence
– Sustainability/scalability – leverage existing systems
• Funding flexibility
11. Thanks to the Novartis Foundation and
Pfizer Foundation!