The impact of public-private partnership (PPP) health facility management on the delivery of primary healthcare services in low & middle-income countries: A descriptive study of 2 public-private partnership health facilities in Nigeria and Ghana

Olamide Akintibubo

Olamide headshotOlamide is a public health consultant with over 6 years of experience deploying innovative approaches to improve health systems and outcomes in Nigeria. He has built strategy design, PHC delivery, and resource mobilization competencies. Olamide works with the Solina Centre for International Development and Research. He leads the organization’s support to the federal and three state ministries of health to adopt WHO’s recommendations on preventing postpartum hemorrhage. Previously, he served as a supply chain specialist on a Routine Immunization strengthening program across 6 Nigerian states. Olamide holds a bachelor’s degree in Microbiology from the Obafemi Awolowo University, Nigeria.

All study participants gave permission for their photos to be taken and shared. Caregivers gave consent for children to be photographed and for their photos to be shared. 

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A series of pictures of healthcare workers in different settings in Ghana

These pictures capture the management, staff and clinic areas in of the Fastcare Clinics in Ghana. I am pivoting my research in Ghana to focus only on the provision of healthcare in private clinics through the subscription model as opposed to the alternative public-private partners model.

Fastcare Clinics, with three posts in Accra and western Ghana, provides comprehensive primary healthcare service to subscribers who pay only a 2.56 USD monthly subscription, after which subscribers are not required to pay a co-pay in any form.

Olamide, seated right. interviews a Ghanan hijabi woman. She is seated behind a desk cluttered with papers.

Pictured is my discussion with a Data Manager from the Wuse Zone 3 District Hospital in Abuja, Nigeria. Wuse District Hospital is a Government-run hospital providing a mix of secondary and primary healthcare services. This is one of the two project sites I visited during my research. 

Discussions with the Data Manager show the progressive effort by the government to upgrade data management infrastructure. However, there are significant gaps in the implementation of data. Electronic medical records implementation is not yet full scale with disjoint and disintegrated data points across the different departments.

Pictures of 3 Zoom calls. Each has a research participant on the left and Olamide on the right.

Pictured here are Zoom interviews with clinicians across three different research sites in Accra and western Ghana. The clinicians are the primary contacts of patients who use services across the private clinics providing healthcare in suburban communities.

Despite the meager healthcare cost that the Fastcare clinics offer their subscribers, some are still unable to afford healthcare.

Read more about the Master of Medical Sciences in Global Health Delivery program here.