Maha govt proposes PPP model for public hospitals

The Maharashtra government issued a Government Resolution (GR) to set up a three member committee to evaluate if the 300 bed public hospital can be set up with Public-Private Partnership (PPP) model in the state. The GR mentions that a committee will have Commissioner and Director of Medical Services, and Director of Medical Education and Research. Though, it has received mixed reactions

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  • The GR mentions about central government’s guidelines on establishing a medical college which were issued in 2015. It also mentions about Gujarat government’s project to establish a 300 bed hospital on PPP model.
  • Maharashtra government has constituted a 3-member committee to examine the proposal.
  • This committee will examine its viability and submit the report within three months. Commissioner National Health Mission will chair the committee, director health services will be a secretary of this committee and DMER director will be the member.
  • But when My Medical Mantra spoke to the experts about this government’s proposal. It received a mixed reaction.

When asked about the viability of such model, Dr Prakash Marathe, President of IMA Pune, said, “Government cannot reach everywhere and it is difficult for the private sector to raise finances. In this case a model based on PPP can be a good solution. It can also help in achieving the aim of decentralisation in government sector. The details can be known only when the report is out.”

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Dr Jayant Navrange, paediatrician and Secretary of IMA, Pune, said, “It is a good idea. The multi-speciality facilities are not available at district places in the state. Such facilities can be made functional with the help of PPP model. Also, there were some experiments made wherein the local level government hospitals were tied up with private hospitals and many were successful.”

Dr Arun Gadre, health activist and member of Pune Citizen Doctor Forum (PCDF), said, “National Medical Commission had recommended the same thing in its report. We had demanded that instead of having a five year course, these 300 bed hospitals should start three year course in allopath in public health. For PPP model if a profit making entity comes in, that would defy the purpose of public health. The partnership should be with non-profit making entity. Also, the fee structure in these colleges should be regulated. Managing human resource and ensuring that the purpose of health care is not lost is essential. This should ultimately lead to universal health care.”

Speaking to My Medical Mantra, RP Yajurvedi Rao, president of the Society for Awareness of Civil Rights said, “This thinking of government is wrong. Public health is the responsibility of the government. The government has to make efforts to help people get the treatment at an affordable rate. But, the government probably does not want to do this. The private institutions will work for profit-making. Owing to this, there will be huge financial burden on poor patients. Therefore, everyone should oppose it.”

Dr Abhijit More a co-convenor of the Jan Arogya Abhiyan, Pune said has opposed it. “”People have a misconception that government medical colleges do not have modern services. Treatment will be costly if the private institutions will run the government hospitals. Due to which, we oppose this proposal. The government should not go for it. Public health is government’s responsibility.”