Abt Global, Brisbane, Queensland, Australia.
University of New South Wales, Sydney, New South Wales, Australia.
Int J Health Plann Manage. 2024 Sep;39(5):1370-1382. doi: 10.1002/hpm.3808. Epub 2024 May 19.
Collaboration in primary health care is recommended to achieve global health goals. Public-private partnerships (PPP) are one means of collaboration. Our study examined collaboration in a case study PPP for primary health care in Western Province, Papua New Guinea (PNG).
Interviews with key informants involved in the PPP were conducted and key programme documents were reviewed. Data were coded and deductively analysed using the collaborative governance model developed by Emerson, Nabatchi and Balogh.
The key features of the case study PPP that were highlighted by the collaborative governance model were: identification of partners, trust, procedural arrangements, and leadership.
We identified four lessons of significance in the practical establishment and implementation of a partnership in a complex and challenging setting such as PNG: the need to (i) prioritise in-person collaboration and communication, (ii) engage dynamic individuals to lead the partnership, (iii) encourage relationships across all sectors and actors, and (iv) remain flexible and adapt to local cultural and context.
Collaborative governance offers a practical framework to understand, assess and strengthen collaboration in multi-stakeholder partnerships in the health sector.
为实现全球卫生目标，初级卫生保健领域提倡合作。公私伙伴关系（PPP）是合作的一种手段。本研究以巴布亚新几内亚（PNG）西部省级初级卫生保健公私伙伴关系为例，考察了合作情况。
对参与 PPP 的关键信息员进行访谈，并审查关键方案文件。使用 Emerson、Nabatchi 和 Balogh 开发的协作治理模型对数据进行编码和演绎分析。
协作治理模型突出显示的案例研究 PPP 的主要特征包括：合作伙伴的确定、信任、程序安排和领导力。
在 PNG 等复杂和具有挑战性的环境中实际建立和实施伙伴关系时，我们确定了四个具有重要意义的经验教训：（i）需要优先考虑面对面的合作和沟通，（ii）吸引有活力的个人领导伙伴关系，（iii）鼓励所有部门和行为者之间的关系，以及（iv）保持灵活性并适应当地文化和背景。
协作治理为理解、评估和加强卫生部门多方利益攸关者伙伴关系中的合作提供了一个实用框架。
