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Residents in Wenchuan, China receive healthcare services after the 2008 earthquake. A forthcoming case study on the Wenchuan earthquake is part of the PPP Initiative Ltd.'s Healthcare PPP Case Study Program.

The research and advisory work performed by PPP Initiative Ltd. is aimed at addressing complex public policy challenges in a variety of countries. We primarily work with developing and emerging economies across various stakeholders such as governments, multinational corporations, multilaterals, non-profits, and foundations.

Healthcare PPP Case Study Program

Amgen, Inc.

Amgen, Inc. is supporting an independent research project by PPP Initiative Ltd. to create a set of 10 case studies related to healthcare PPPs. The case studies aim to be the definitive model for capacity building in healthcare PPPs in China and beyond. The Case Study Program will include broader partnership solutions between the public and private sectors in providing healthcare solutions in China and relevant to Asia.

This set of case studies will be widely disseminated through collaborative arrangements with leading universities in Asia, PPP centers, and government ministries with growing institutional interest in PPP.

Mobile Health in China: A Case Study on Wenchuan

A devastating earthquake in May 2008 in Wenchuan County, China caused massive casualties, billions in economic losses, and destruction to vital healthcare infrastructure in the region. Already facing megatrends in China of rapid urbanization, technological growth, and an aging population, leaders in the rural county were tasked with a difficult problem: how to revitalize the area's healthcare system. Donations flowed into Wenchuan from other Chinese provinces and international companies like Cisco Systems, which donated a fleet of mobile health clinics. "Mobile Health in China: A Case Study on Wenchuan" is a look inside a case study documenting how leaders used a public-private partnership approach to bring "health for all" in the aftermath of a natural disaster.

Mapping PPPs Across Countries (China and India)

Eli Lilly Foundation

In 2013, PPP Initiative Ltd. began a partnership with the Eli Lilly Foundation. This work, originally started in the classroom, led to a case study and then to a student team’s analysis of the Multidrug-resistant Tuberculosis (MDR-TB) Partnership in China. The Eli Lilly Foundation then awarded a research grant to Johns Hopkins SAIS for Mapping PPPs Across Countries (China and India). The project, carried out by a team led by Professor Alan Trager, distinguished between the two complex countries’ varying needs and mandates and their actual abilities to directly engage in PPPs. The 18-month study was completed in May 2015, and included over 160 interviews.

The goal of Mapping PPPs was to compare how PPPs actually work in these two countries with many similarities as well as differences. The Principal Investigator, Professor Trager, and Principal Researcher, Molly Guan, aimed to gain a better understanding of how the PPP needs of China and India lined up with their current capacity to fulfill PPP projects by examining the broader context that affects PPP environments in both countries. They wanted to look into what legal, cultural, political and functional issues affect India and China’s PPP landscape, with a special focus on the potential for healthcare projects.

The results of the study provide an exclusive, data-driven understanding of how two countries with numerous differences can face similar challenges when using public-private partnerships to solve problems, specifically in the healthcare sector. The study used a conceptual framework to prototype an optimal PPP, and outlined what worked and what failed in each country.

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Development of PPP-related Capacity Additions to China

Amgen, Inc.

In 2016, Amgen, Inc. supported an independent research project by PPP Initiative Ltd. to study partnership opportunities in the area of pollution and oncology. The research team accomplished the following goals:

Economic Advisory to the Xicheng District in Beijing, China

Xicheng District, Beijing

In 2015 and 2016, the Xicheng District Government, Beijing, contracted PPP Initiative Ltd. team to work on two advisory projects, conducting analysis centered around the four PPP skills to re-image the use of a deteriorating urban complex, and the public value associated with a parks network. The project scope covered comparative work on three conceptually similar cases in New York. The team developed an innovative redevelopment strategy using PPP techniques and skills.

Johns Hopkins University Water Institute

Johns Hopkins University Water Institute awarded a faculty seed grant to Professor Trager to do a comparative study of Water PPP opportunities in China and Singapore. Professor Trager also co-sponsored with the Water Institute a symposium on “Water: The Essential Link to Sustainable Development,” introducing the key issues relevant to water and PPPs.

Public-Private Partnerships Healthcare Fellowship

Abbott Laboratories

Abbott Laboratories supported student research on potential healthcare partnerships in Brazil, Mexico, Canada, and several other emerging markets. In 2012, the first Abbott research internship was in China, studying elderly care infrastructure issues. Subsequently, in 2013, three students were assigned to projects in Sao Paulo, Mexico City, and Toronto.

US Department of Homeland Security

Professor Trager served as lead academic consultant to the U.S. Department of Homeland Security on the 2014 Quadrennial Homeland Security Review for its major strategy on Public-Private Partnerships.



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