Ethical Issues in Public Private Partnership for Health Care in Haryana

Abstract

To bring efficiency, sufficiency and equity in health care system in Haryana. Public Health services and Private sector services are twin sisters and are complementary to each other, which justifies for collaboration. Of course, implementation, monitoring and evaluation of the well-identified objectives of Vikalp require qualitative and quantitative data. This is essential for developing a sound and honest system. To walk a tight rope of high expectations from private players, we need to be vigilant. Ethical issues in various dimensions of the implementation of the Vikalp Scheme are the subject matter of this paper. To prove PPP an innovative approach for promotion of health culture we need to conduct SWOT analysis of the scheme. It needs to be pointed out that the services of the PPP would be popular only if they satisfy the essential need of the public and is utilitarian. Publicity alone cannot be a substitute for the basic requirement of Need, Affordability and Worth (NAW) of the services by the PPP. To adopt and accept the normative approach to HRD in PPP it is essential to understand SIMPLE model of HRD (developed by the author elsewhere) consisting of six human development activities such as Spiritual quotient (SQ) development, Intuition development, Mental level development, Love yourself attitude development and Emotional quotient (EQ) development. The synergy of these six aspects of HRD is essential requirement of the desirable human resources for the PPP to emerge and realize its full potential. Public Private Partnership (PPP) in Health Sector in Haryana in the shape of Vikalp scheme is necessary but not a sufficient condition for creating health culture which requires motivated manpower to be trained in science of spirituality tried to prove Vikalp is an innovative scheme of involving private health providers (individuals and health centres) in primary health care and in government-run hospitals and Community Health Centres (CHCs) in Haryana which needs strong political will, commitment, mutual trust and confidence building among the stake holders