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Life of a partnership: The process of collaboration between the National Tuberculosis Program and the hospitals in Yogyakarta, Indonesia

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  • Probandari, Ari
  • Utarini, Adi
  • Lindholm, Lars
  • Hurtig, Anna-Karin

Abstract

Public–private partnerships (PPP) for improving the health of populations are currently attracting attention in many countries with limited resources. The Public–Private Mix for Tuberculosis Control is an example of an internationally supported PPP that aims to engage all providers, including hospitals, to implement standardized diagnosis and treatment. This paper explores mainly the local actors’ views and experiences of the process of PPP in delivering TB care in hospitals in Yogyakarta Province, Indonesia. The study used a qualitative research design. By maximum variation sampling, 33 informants were purposefully selected. The informants were involved in the Public–Private Mix for Tuberculosis Control in Yogyakarta Province. Data were collected during 2008–2009 by in-depth interview and analyzed using content analysis techniques. Triangulation, reference group checking and peer debriefing were conducted to improve the trustworthiness of the data. This analysis showed that the process of partnership was dynamic. In the early phase of partnership, the National Tuberculosis Program and hospital actors perceived barriers to interaction such as low enthusiasm, lack of confidence, mistrust and inequality of relationships. The existence of an intermediary actor was important for approaching the National Tuberculosis Program and hospitals. After intensive interactions, compromises and acceptance were reached among the actors and even enabled the growth of mutual respect and feelings of programme ownership. However, the partnership faced declining interactions when faced with scarce resources and weak governance. The strategies, power and interactions between actors are important aspects of the process of collaboration. We conclude that good partnership governance is needed for the partnership to be effective and sustainable.

Suggested Citation

  • Probandari, Ari & Utarini, Adi & Lindholm, Lars & Hurtig, Anna-Karin, 2011. "Life of a partnership: The process of collaboration between the National Tuberculosis Program and the hospitals in Yogyakarta, Indonesia," Social Science & Medicine, Elsevier, vol. 73(9), pages 1386-1394.
    • Handle: RePEc:eee:socmed:v:73:y:2011:i:9:p:1386-1394
    DOI: 10.1016/j.socscimed.2011.08.017
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    References listed on IDEAS

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    1. Palmer, Natasha & Mills, Anne, 2005. "Contracts in the real world: Case studies from Southern Africa," Social Science & Medicine, Elsevier, vol. 60(11), pages 2505-2514, June.
    2. Buse, Kent & Harmer, Andrew M., 2007. "Seven habits of highly effective global public-private health partnerships: Practice and potential," Social Science & Medicine, Elsevier, vol. 64(2), pages 259-271, January.
    3. Ngoasong, Michael Zisuh, 2009. "The emergence of global health partnerships as facilitators of access to medication in Africa: A narrative policy analysis," Social Science & Medicine, Elsevier, vol. 68(5), pages 949-956, March.
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