Factors Influencing the Public Private Partnership Program Between International Clinical Laboratories and Public Hospitals in Ethiopia
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Date
2025-03-19
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AAU
Abstract
The global health system faces unprecedented demands due to population growth, urban
migration, aging, and chronic illnesses. Diagnosis is crucial for monitoring patients and
preventing diseases. Low- and middle-income countries, such as Ethiopia, struggle with issues of
affordability and quality in healthcare. Public-private partnerships aim to bridge these gaps by
optimizing the resources of both the public and private sectors. This research aims to determine
the success rate of the PPP program between International Clinical Laboratories and public
hospitals, as well as the factors that influence this partnership.
A quantitative cross-sectional study design was employed to determine the success rate of the PPP
program and identify factors influencing program success among clinicians and hospital
managers working in public hospitals. A total of 185 participants were involved in this study. The
collected data were analyzed to assess its internal consistency using Cronbach's Alpha, following
Hair's (2014) recommendation that a value of .70 or higher indicates an acceptable level of
consistency. Multi-variate logistics regression was applied to assess the relationship between the
independent and dependent variables with a significance level set at P <0.05. Data analysis was
conducted using IBM SPSS Version 22.0 for the analysis.
The overall proportion of public private partnership program success was 63.2% (95%
Confidence interval (CI): 56.2–69.7). Female sex (AOR) = 2.9, 95% (CI) (1.1–7.8), p = 0.039),
service accessibility (AOR = 3.6, 95% CI (0.98–13.5), p = 0.045), presence of operational
flexibility (AOR = 2.7, 95% CI (1.1–6.8), p = 0.035), and application of Information technology
in service delivery (AOR = 4.5, 95% CI (1.5–14.0), p = 0.009) were significantly associated with
PPP program success (P<0.05).
The success of Public-Private Partnerships (PPPs) in the diagnostic business is influenced by
gender dynamics, improved service accessibility, operational flexibility, and the use of information
technology. Further studies are needed to complement quantitative findings with in-depth
qualitative analyses involving key stakeholders to better understand additional potential hidden
factors that may influence the success of PPP program.