Public-Private Partnerships and Undernutrition: Examples and Future Prospects

In this chapter, we clarify what is meant by public-private partnerships (PPPs), provide examples of both successful and less successful PPPs and describe some broad lessons. We see scope for PPPs that would reduce aspects of undernutrition. However, this optimism comes with significant caveats. First, while there would appear to be a large body of evidence on this topic, closer examination shows that there are few independent, rigorous assessments of the impact of commercial sector engagement in nutrition. Considerable caution is therefore warranted when assessing either commendations or criticisms of PPPs in nutrition. Second, progress in this area requires that the private sector recognize that past and current actions by some firms have created an environment of mistrust and that the public sector accept that sustainable PPPs permit private firms to generate profits. Progress also requires recognition that PPPs involving multiple firms can be problematic either because such partnerships force competitors to collaborate or because they create the potential for the involved firms to lock out firms that are not members of the partnership. Lest this all sound too negative, from a nutrition perspective, we note that there may be significant scope for the involvement of the private sector in driving innovations that could reduce undernutrition. More speculatively, there may also be scope for the private sector to act as a financier of investments to improve children's nutritional status. For PPPs to succeed, there must be open discussions of the objectives, roles and expectations of all parties along with potential conflicts of interest.