Enlisting the Participation of the Private Sector in Community-Based Health

Code:    Proj-478
Date:    02/01/1992 - 04/01/1993
Duration: 14 Months

This project developed a model for a community-based health care system which made health services more accessible and affordable to people in remote communities. Through a pilot study in selected poor Philippine communities, the project tested whether a viable community-based health care program can be established through a partnership between the community, the private health sector and the government. The pilot study established that the proposed health financing scheme was feasible. Specifically, the study showed that: (1) In the communities surveyed, there were NGOs and people's organizations capable of managing the program, trained barangay workers to assist in service delivery, private physicians willing to serve in the communities for a reasonable fee, and local government officials supportive of the program. (2) All these sectors -- the communities, private physicians and LGUs -- recognized the merits of the program and the need for it, and were capable and willing to participate and share in the program's cost. (3) Based on the estimates of the affordability levels of the communities and the LGUs and the fixed recurrent costs of the project, the financing scheme appears to be affordable and workable. (4) The proposed operating mechanism of the program featuring participative management and cost-sharing was acceptable to all parties concerned. (5) An initial assessment of the involved parties' reception to the program, willingness to take an active part in its management and share in its costs, and capabilities to own and finance the program on their own indicate good prospects for the program's long-term sustainability.