Strengthening state/non-state service delivery partnerships in the health sector in Nepal

Abstract

State/non-state partnerships in the health sector are of crucial importance in Nepal where partnerships between the Ministry of Health and Population (MoHP) and external actors have been fundamental to Nepal making progress in meeting millennium development goals. However, partnerships need to be strengthened.To gather information about partnerships we searched MoHP partnership evaluations as well as PubMed Central, EBSCOhost, OVIDSP, PROQUEST, Science Direct, and MedLine. We found 11 MoHP documents and 167 papers about state/non-state partnerships. Using the inclusion criteria we examined three MoHP policy documents/evaluations and 16 papers to extract information about partners, partnership health area focus, partner contributions, partnership outcomes, and partnership functioning themes. Themes about partnership functioning include the need to strengthen clarity of roles and responsibilities, strengthen leadership, as well as to ensure integration of partnership achievements systemically within the health sector.There were limitations in this review. In the academic literature there were no studies where the state/non-state partnership itself was evaluated. The focus was on the health outcomes and the partnership processes and functioning received little attention. To improve partnerships there is a serious need for research that evaluates the effectiveness of the partnership and the relationships between the partnership and the health outcomes achieved.

Keywords: Health reform; Nepal; Policy; Public private partnership; State non-state partnership.