Metrics details. It called for governments to give high priority to PHC in partnership with their public and private sector organisations and other stakeholders. The goal of this paper is to examine evidence on the use of PPPs in the provision of PHC services, reported challenges and recommendations. We systematically reviewed peer-reviewed studies in six databases ScienceDirect, Ovid Medline, PubMed, Web of Science, Embase, and Scopus and supplemented it by the search of grey literature.
Sixty-one studies were included in the final review. Results showed that most PPPs projects were conducted to increase access and to facilitate the provision of prevention and treatment services i. The reported challenges and recommendations on how to overcome them related to education, management, human resources, financial resources, information, and technology systems aspects.
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Governments should consider long-term plans and sustainable policies to start PPPs in PHC and should not ignore local needs and context. Peer Review reports. Achieving the highest possible level of health is a fundamental right for every human being [ 1 ]. It also called for all stakeholders to work as partners while taking joint action to build stronger and sustainable PHC [ 3 ]. When implementing this Declaration, countries will choose their unique paths towards UHC. Regardless of their choice, all of them would require effective cooperation and involvement of all major stakeholders i.
Previous studies have shown that, despite substantial contributions and previous successes, provision of PHC services solely via the public sector providers has its limitation and some potential problems are well-documented e. In response to these challenges, some suggested that public-private partnerships PPPs initiatives could help to make PHC services provision more effective and efficient [ 6 , 7 , 8 , 9 , 10 , 11 , 12 ].
PPPs are voluntary cooperative arrangements between two and more public and private sectors in which all participants agree to work together to achieve a common purpose or undertake a specific task and to share risks and responsibilities, resources and benefits [ 13 ].
