The World Bank has selected management4health (m4h), together with its local partner Crystal Thorpe Ltd., to undertake a baseline study for the Cross River State Referral Hospital public-private partnership (PPP) project in Nigeria. The 10-year PPP agreement, signed in June 2013, foresees a public contribution from the Cross River State for financing the hospital construction and a private consortium led by ‘Utopian’, who will finance the medical and non-medical equipment and the clinical and facility operations.

The new hospital, which is expected to open its gates in 2015, will act as a referral hospital for primary health care clinics in a catchment area with a population of approximately 3.4 million people. Patients requiring secondary care and diagnostic services – including emergency and trauma care, intensive care, high-risk obstetric and maternal health services, and pediatric health services – will be referred to the new hospital.

Gathering comprehensive baseline information

By the time the new referral hospital commences service delivery under the PPP agreement, the team from m4h and Crystal Thorpe Ltd. will have gathered comprehensive baseline information on the current service delivery in the catchment area of Calabar. This data will be used for monitoring and evaluating the performance and achievements of the Cross River State Referral Hospital PPP.  Baseline data will represent the starting point for monitoring the hospital’s performance according to indicators, which are measuring access, quality and clinical outcomes, and areas a point of comparison for assessing changes in operational performance of the new hospital under the PPP model at regular intervals over time.

Enhancing good practice in neighbouring countries

The study will also allow for measurement of the impact of the PPP intervention and, to a certain extent, its cost-effectiveness in comparison with classic health service delivery models in which the public health system, financed by traditional budgetary sources, delivers services directly. If successfully implemented, this will ultimately allow Nigeria and neighbouring countries to refer to this model as a good practice in concession contracting under PPP arrangements.

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