News » The NKTI Hemodialysis Project as featured in the PPIAF's publication entitled, "Emerging Partnerships: Top PPP's in Emerging Markets"
The NKTI Hemodialysis Project as featured in the PPIAF's publication entitled, "Emerging Partnerships: Top PPP's in Emerging Markets"
The Public-Private Infrastructure Advisory Facility (PPIAF) is a multi-donor trust fund that provides technical assistance to governments in developing countries in support of the enabling environment conducive to private investment, including the necessary policies, laws, regulations, institutions, and government capacity. PPIAF is financed by 17 multilateral and bilateral donors: Asian Development Bank, Australia, Austria, Canada, European Bank for Reconstruction and Development, France, Germany, International Finance Corporation, Italy, Japan, Millennium Challenge Corporation, Netherlands, Sweden, Switzerland, United Kingdom, United States, and the World Bank.
The National Kidney and Transplant Institute in the form of its Hemodialysis Unit was featured in the PPIAF's publication entitled, "Emerging Partnerships: Top PPP's in Emerging Markets".
Although relatively small in scale compared to some of the other projects considered, the National Kidney Transplant Institute (NKTI) Hemodialysis Project in the Philippines proved popular among the judges due to its more personable impact and its innovative procurement of equipment. NKTI initially invested in a new hemodialysis center, however due to an annual budget deficit, the institute found it difficult to furnish the center with new machines and equipment. As the budget only allowed the purchase of five new machines per year compared to the pressing needs of doubling its treatment capacity, a PPP solution was sought.
The procurement process was successfully concluded in 2003 through a PPP lease arrangement between NKTI and Fresenius Medical Care AG. Foreseen as Asia’s model in renal care, the new hemodialysis center now provides the highest level of hemodialysis service in the Philippines, as well as in Asia.
The center started servicing patients in August 2003, with the first five-year contract concluded and renewed once again in 2009. The new center alone is now serving more than 120 outpatients a day. There are also now 47 machines in operation at the new hemodialysis center. Aside from offering this improved service and top quality hemodialysis, NKTI has been relieved of its responsibility to maintain the new set of equipment. Most importantly, there has been no price increase to patients, with cost per treatment considered affordable and minimal. No hard impact evaluation study has been done to quantify how the project has enhanced access to services and information, especially for poor households. However, interviews with hospital administrators indicate the following: NKTI was able to acquire the latest available technology in dialysis treatment and expand its services to more patients at the same cost of treatment and at less risk to the government. And because of more machines and higher reliability of these machines, hemodialysis treatment was extended to more Filipinos.
| excerpt from Emerging Partnership: Top 40 PPPs in Emerging Markets | www.ppiaf.org |