Factors Influencing the Public Private Partnership Program Between International Clinical Laboratories and Public Hospitals in Ethiopia

dc.contributor.advisorAsres Abitie (PhD)
dc.contributor.authorKirubel Eshetu
dc.date.accessioned2025-05-16T06:30:08Z
dc.date.available2025-05-16T06:30:08Z
dc.date.issued2025-03-19
dc.description.abstractThe 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.
dc.identifier.urihttps://etd.aau.edu.et/handle/123456789/5496
dc.language.isoen
dc.publisherAAU
dc.titleFactors Influencing the Public Private Partnership Program Between International Clinical Laboratories and Public Hospitals in Ethiopia
dc.typeThesis

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