The EBAI CME 2013 - 21st and 22nd of September 2013, Golden Valley Resort, Ghodbunder Road, Thane West, Mumbai.

1. PUBLIC/NGO PRIVATE
PARTENERSHIP IN EYEBANKING
DR.RAKESH SHAH
MEDICAL DIRECTOR SAHIYARA EYEBANK,
CHAIRPERSON-WEST ZONE EBAI

2. What is Partnership ?
• It is a joint ownership of a program/
proposal by two or more parties to
achieve a common goal.
• It is a higher level of collaboration.
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3. Prerequisites of Partnerships
• Super-ordinate Goal
• High perceived pay-off to both
parties
• Equal power with both parties
• Mutual Trust
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4. Principles for Partnership
• Joint action at all stages
• from planning, follow up and termination
• Complimentary roles
• expectation of each other are clarified and stabilized
• Creation of a temporary system
• task force with representatives from both sides
• Continuous Communication
• lines of communication between partners to be
always kept open
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5. Rationale
“ …the truth is that outside of its legitimate
function, government does nothing as well or
economically as the private sector of the
economy.” Ronald Reagan
“What takes the government 50 yrs to achieve
can be done by the private sector in tenth of
time” Milton Friedman
“Best government is that which governs little”
Abraham Lincon

6. Rationale
• Inefficient Public Service Delivery
• Insufficient Resources
• Failure to Expand Services to meet the
rapidly growing demands
• General distrust of government bureaucracy

7. Public Private Partnership in
Health Care
PPP is Seeking collaboration with private
sector in the situations where the public
health system is not immediately able to
provide guarantee.
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8. PPP in Health Care
• It has a desired health outcome.
• It means to achieve better community
health
• It is a specific strategy to achieve better
community health.
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9. PPP IN EYEBANKING
• GRANTS- RECURRING AND NONRECURRING
• HCRP- HOSPITAL CORNEA RETRIEVAL
PROGRRAMME
• TRAINING
• MANPOWER UTILISATION
• SOCIAL RESPONSIBILITY
• SUPPLY OF STORAGE MEDIA

10. GRANTS
• Government through NPCB gives recurring
and non recurring grants for setting and
expansion of eyebanking work.

11. NPCB
• Training manuals
• IEC materials- posters
• Eyebank guidelines
• Recurring /non recurring grants

12. TRAINING
• Excellant way of PPP in training where various
public- private and NGO’s has come together
with their expertise to evolve eyebanking.

13. HCRP
• Hospital cornea retrieval progrramme with
PPP arrangement has given phenomenon
results in various places across india.
Ex- Hyderabad, West bengal

14. Resource utilisation
• In terms of manpower and funding utilisation
, at various places across india, public
organisation along with NGO/Private has
come together for better result.
• Ex.Sahiyara eye bank with Thane civil hospital
and kalva medical college
• Sightlife international along with various
eyebanks in public/private places

16. Corporate social responsibility
• Various corporates as part of their CSR
activities has taken eyebanking as major
movement.
• Ex. Lupin, I O Care,Allergan,

17. SUPPLY OF STORAGE MEDIA
• Supply of storage media like MK
medium, cornisol and optisol.

18. Problem area in public organisation
• Higher mortality rate in Govt/Municipal
hospital
• Incomplete infrastruture in public organisation
for eyebanking
• Eventhough medical officer/eye
surgeon/residents are available in public
hospital-conversion and utilisation are very
poor

19. Role of private/NGO’s in eyebanking
• Maximum NGO’s working in eyebanking are
still dependant on voluntary calls for
eyedonation.
• Eventhough funds are available- lacks
direction from public organisation
• Adequate manpower available who are willing
to work for this noble cause

20. Elements of PPP
• Framework conditions
• Win-Win situation for all stakeholders
• Cost & Risk sharing arrangement
• Clear role definitions
• Partnering skills
• Robust monitoring system

21. Potential Benefits
• Mobilisation of more resources
• Cost effectiveness
• Higher productivity
• Accelerated delivery
• Customer focus
• Enhanced social service
• Recovery of user charges

22. Challenges in PPP for
Health Care
• Cost containment
• Effective use of private resources
• Logical diversion of public resources
• Synergy to reduce duplication
• Resource mobilization
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23. Ideal PPPs
SUCH PPPs THAT CAN PROVIDE SERVICES
MORE
• EFFICIENTLY,
• EFFECTIVELY &
• EQUITABILY

24. Conclusion
• Public-Private partnerships in eyebanking are
at very early stages
• Will need significant institutional
development work in terms of financial
analysis capabilities, monitoring and
evaluations systems
• Appropriate regulations to check the
unintended outcomes of private sector
growth in eyebanking.