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Public-Private Partnerships for Universal Health Coverage in Sub-Saharan Africa: A Scoping Review Protocol
Godfred Otchere1, Adam Fusheini1,2,3, Trudy Sullivan1
1Department of Preventive and Social Medicine University of Otago Dunedin New Zealand.
Health Science Reports
|April 23, 2025
Summary
This scoping review examines public-private partnerships (PPPs) in sub-Saharan Africa (SSA) to understand their role in achieving universal health coverage (UHC). It synthesizes existing evidence to identify how healthcare PPPs facilitate or hinder UHC progress in the region.
Area of Science:
- Public Health
- Health Policy
- Health Systems Research
Background:
- Governments globally utilize public-private partnerships (PPPs) to enhance health systems and outcomes.
- Healthcare PPPs are increasingly adopted in sub-Saharan Africa (SSA) to advance universal health coverage (UHC).
- A significant research gap exists in understanding the specific impact of healthcare PPPs on UHC progress in SSA.
Purpose of the Study:
- To systematically synthesize the literature on healthcare PPPs implemented in SSA.
- To examine how various forms of healthcare PPPs affect progress towards achieving UHC in SSA.
- To address the limited evidence on the formation and impact of PPP models in the SSA context.
Main Methods:
- A scoping review guided by Arksey and O'Malley's framework.
- Comprehensive literature search across major databases (PubMed, Medline, Global Health, Web of Science, Scopus, EconLit) from January 2013 to December 2023.
- Thematic analysis of collected data to synthesize findings.
Main Results:
- The review identifies and examines healthcare PPPs in SSA concerning UHC.
- It synthesizes evidence on the facilitation or hindrance of UHC progress by these partnerships.
- The study highlights the need for a clearer understanding of PPP models and their UHC impact in SSA.
Conclusions:
- This scoping review is the first to specifically investigate healthcare PPPs in SSA for UHC.
- The employed methodology offers advances in examining PPPs for UHC, applicable globally.
- Further research is needed to fully elucidate the complex relationship between PPPs and UHC attainment in SSA.
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