Policy framework, legal instruments and institutional arrangements

2020 ◽  
Author(s):  
Said Nuhu ◽  
Chakupewa Joseph Mpambije ◽  
Kinamhala Ngussa

Abstract Background: Public-private partnership in the health sector was introduced to improve the delivery of health services in Tanzania. Contrary, the anticipated outcomes have not been fully realised. This study aimed at investigating challenges encountered in the implementation of public-private partnership institutional arrangements in health service delivery in Kinondoni Municipality, Dar es Salaam, Tanzania.Methods: A qualitative case study design was used, where in-depth interviews with stakeholders were held and document reviews conducted. Fourteen (n=14) participants engaged in this study. Eight (n=8) and six (n=6) of the fourteen participants were from the public and private sector respectively. Thematic approach was used to analyse data and ethical principles were upheld in the research process.Results: Findings revealed that although public-private partnerships are hailed for supplementing the government’s efforts in the provision of health services, institutional arrangements for the smooth provision of these services is lacking. Several challenges encumber smooth provision of health services and these include inadequate resources, ineffective monitoring and evaluation, as well as insufficient consultations between partners.Conclusion: Challenges facing institutional arrangements for public-private partnerships may either be influenced by inadequate legal and policy framework, or ineffective implementation practices. Therefore, strengthening of public-private partnerships is recommended to improve implementation mechanisms and practices such as adherence to partnership agreements and compliance to the policies, laws and regulations.


Author(s):  
Mark Pennington

This chapter explores the relationship between freedom, regulation, and public policy. Adopting a “non-ideal” approach, it argues that there is no necessary connection between different conceptions of liberty and any particular sort of regulatory/public policy framework. Both negative and positive conceptions of freedom require a role for “regulation,” but whether this “regulation” arises from public policy or is best left to emerge through private agency in a competitive environment is a matter that can only be resolved by theoretical speculation and empirical inquiry. Many disputes about the freedom-enhancing capacities of regulatory regimes ought to be addressed within a framework that combines social scientific theory and evidence to understand the “compliance problems” arising under alternative institutional arrangements.


2020 ◽  
Vol 20 (204) ◽  
Author(s):  
James Knight ◽  
Bill Northfield

This paper defines sovereign investor relations (IR) and places it in the context of modern debt management theory. It highlights the role that improvements in IR and debt transparency can play in improving the cost-risk tradeoff in debt management, supporting market access and acting as a first line of defense in times of crisis. It sets out a policy framework and institutional arrangements for effective IR, as well as discussing the various practices, publications and strategies that underpin an IR program.


2020 ◽  
Author(s):  
Said Nuhu ◽  
Chakupewa Joseph Mpambije ◽  
Kinamhala Ngussa

Abstract Background: Public-private partnership in the health sector was introduced to improve the delivery of health services in Tanzania. Contrary, the expected outcomes have not been fully realised. This study aimed at investigating challenges encountered in implementing public-private partnership institutional arrangements in health service delivery in Kinondoni Municipality, Dar es Salaam, Tanzania.Methods: A qualitative case study design was employed, where in-depth interviews with stakeholders were held and document reviews conducted. Fourteen (n=14) participants engaged in this study. Eight (n=8) and six (n=6) of the fourteen participants were from the public and private sector, respectively. The thematic approach was used to analyse data, and ethical principles in the research process were upheld.Results: Findings revealed that although public-private partnerships are hailed for supplementing the government’s efforts in the provision of health services, institutional arrangements for the smooth provision of these services are lacking. Several challenges encumber smooth provision of health services and these include inadequate resources, ineffective monitoring and evaluation, and insufficient consultations between partners.Conclusion: Inadequate legal and policy framework, or ineffective implementation practices may influence challenges facing institutional arrangements for public-private partnerships. Therefore, strengthening of public-private partnerships is recommended to improve implementation mechanisms and practices such as adherence to partnership agreements and compliance to the policies, laws and regulations.


2020 ◽  
Author(s):  
Said Nuhu ◽  
Chakupewa Joseph Mpambije ◽  
Kinamhala Ngussa

Abstract Background: The public-private partnership in the health sector, which was introduced to improve the delivery of health services, has existed for decades in Tanzania. Contrary, the anticipated outcomes have not been realised. This paper attempts to underscore the challenges that have permeated the provision of health services under public-private partnerships. Methods: A qualitative case study design was used. Institutional arrangements under public-private partnerships in the delivery of health services was used as a case. Fifteen (n=15) in-depth interviews were conducted with participants from both the public and private sector. Relevant documents were also reviewed to inform this study. Results: Findings revealed that, although public-private partnerships is hailed for supplementing government’s efforts in the provision of health services, institutional arrangements for the smooth provision of these services is lacking. Several challenges including inadequate resources, ineffective monitoring and evaluation of public-private partnerships performance, insufficient consultations between partners as well as varying goals and strategies were noted. Conclusion: Challenges facing institutional arrangements for public-private partnerships may either be influenced by inadequate legal and policy framework as well as ineffective implementation practices. Therefore, effective and smooth interface can be achieved by strengthening implementation practices through development of strong and adequate supportive policy framework that can ensure adherence to contractual agreements.


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