ADBs Operational Plan for Health

and
Partnership Opportunities
Dr. Susann Roth, Senior Social Development Specialist

January 2016

Outline
1. ADBs approach
2. Ongoing innovations
3. Advancing Partnerships

4. Private Sector as driver of health impact

1. ADBs approach
Meeting evolving needs

Demand

Elderly Care
Urban Health
NonCommunicable
Diseases

Equitable
access to
quality health
care

Countries
commitment to
universal health
coverage (SDG 3)

Government commitment

Supply

Focusing and model building

Strengthen health systems for Universal Health
Coverage
1.Health infrastructure
2.Health governance
3.Health financing

Focus on 812 ADB DMCs

Build best practices, share knowledge,

evaluate impact

ADBs Operational Plan for Health 20152020

Increasing health sector

lending to 3-5% of ADBs
total portfolio by 2020
Approx. $1Billion by 2020

2. Ongoing innovations
Create value in a new way

Innovative feature
Infrastructure investment to develop model
hospitals backed by strong ICT systems
Hospital and primary care network with
referral system
Financial autonomy of hospitals
Project link
MON - Fourth Health Sector Development
Project
Fourth Health Sector Development Project
(Additional Financing)
Fifth Health Sector Development Project
Impact
Improved quality of health services

Partnerships
WHO
The next big thing
Pooling of State and health insurance funds
Improving quality of care for disadvantaged
groups, introducing evidence based care and
standards

Innovative feature
Innovation creation for service delivery
models and knowledge generation in urban
health integrated as Disbursement Linked
Indicators
First Result Based Loan in health
Project/program link

IND-Support for National Urban Health

Mission
(learning from BAN-Urban Primary Health
Care Services Delivery Project)
Impact
Better health for urban poor
Partnerships
The next big thing
Intersectoral convergence of urban health
Patient centric Health Information System
Management
Service delivery through performance based
PPP models

3. Advancing Partnerships

Collaborating with Centers of Excellence and Private Sector

New models for public private collaboration

PPPs for elderly care in Singapore
Private Sector, CSOs, Public Sector

Center of Regulatory Excellence,

Singapore

BRICS Technology Transfer Centers

Public, Academia, private Sector

Asia ehealth Information Network

Interoperability Labs

Public Sector, Academia, Private sector Public Sector, Academia, Private Sector

4. Private sector as a driver

for health impact
Traditional investment:
Debt, Equity
The opportunity
The hospital sector
needs 180 million new
beds in the next 10
years;

The pharma sector is

expected to grow from
US$ 214bn in 2010 to
US$386bn by 2016
(annual growth rate of
13%)

Non-Traditional investment
Impact investment

Incubate
inclusive
businesses
Foster
public
private
dialogue
Facilitate
knowledge
sharing

Best of the
Rest health
Infrastructure
Affordable
medicine
Health
Promotion
Digital Health

HOSPITAL

11

Spotlight on private sector hospital activities

Wenzhou Kangning
Hospital (largest
private psychiatric
specialty provider) in
China, is
premarketing
US$80mn IPO on Hang
Seng.

The healthcare
market is growing
exponentially in
Asia

Hanois Vietnam Central

Transportation Hospital has
raised US$5.2 m in the first
IPO of a hospital in the
country.

IHH Healthcare, Asias

largest healthcare
company, intends to set
up a 350-bed tertiary
hospital in Chengdu.

Health infrastructure including hospitals, specialty health

care services, clinics and tertiary care is growing
Drivers include an ageing population, poor access to
quality services and commodities, rapid urbanization,
Health Insurance and strong investment flows
Source: Healthinvestor Asia Digest 30/10/205

For more information

Dr. Susann Roth sroth@adb.org

LinkedIn: https://ph.linkedin.com/pub/susann-dr-roth/15/29a/940
Twitter: https://twitter.com/adb_susannr

Blog: http://blogs.adb.org/author/health-team
Health Sector Website: http://www.adb.org/sectors/health/main

Summary
SERVICES

FINANCE

Impact investing
Concessional
financing
Philanthropy
Private health
insurance

Metrics for public

sector
Inclusive
businesses
Technology
transfer
HR development

MEDICINE

Balance profit
and access
Strengthening
regulations

ACCOUNTABILITY

Private sector
driven
UHC not possible
without private
sector

NEED FOR PUBLIC PRIVATE SECTOR COLLABORATION BROKERS

ROLE OF ADB